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    SEC Form 10-Q filed by Regional Health Properties Inc.

    5/15/24 8:35:02 AM ET
    $RHE
    Real Estate
    Real Estate
    Get the next $RHE alert in real time by email
    10-Q
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    

    UNITED STATES

    SECURITIES AND EXCHANGE COMMISSION

    Washington, D.C. 20549

     

    FORM 10-Q

     

    (Mark One)

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

    For the quarterly period ended March 31, 2024

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

    For the transition period from to

    Commission File Number 001-33135

     

    Regional Health Properties, Inc.

    (Exact name of registrant as specified in its charter)

     

    Georgia

     

    81-5166048

    (State or other jurisdiction

    of incorporation)

     

    (I.R.S. Employer

    Identification Number)

     

    1050 Crown Pointe Parkway, Suite 720, Atlanta, GA 30338

    (Address of principal executive offices)

    (678) 869-5116

    (Registrant's telephone number, including area code)

    (Former name, former address and former fiscal year, if changed since last report)

     

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

     

    Title of each class

     

    Trading Symbol(s)

     

    Name of each exchange on which registered

    Common Stock, no par value

     

    RHE

     

    NYSE American

    Series A Redeemable
    Preferred Stock, no par value

     

    RHE-PA

     

    NYSE American

     

    Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

    Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definition of "large accelerated filer", "accelerated filer", "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act.:

     

    Large accelerated filer

    ☐

     

     

    Accelerated filer

    ☐

    Non-accelerated filer

    ☒

     

     

    Smaller reporting company

    ☒

     

     

     

     

    Emerging growth company

    ☐

     

    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. Yes ☐ No ☐

     

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

    Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date.

    As of May 13, 2024 the registrant had 1,839,028 shares of common stock, no par value, outstanding.

     

     


     

    Regional Health Properties, Inc.

    Form 10-Q

    Table of Contents

    Page
    Number

    Part I.

    FINANCIAL INFORMATION

     

    Item 1.

    Financial Statements (unaudited)

    3

    Consolidated Balance Sheets as of March 31, 2024 and December 31, 2023

    3

    Consolidated Statements of Operations for the three months ended March 31, 2024 and 2023

    4

    Consolidated Statements of Stockholders' Equity (Deficit) for the three months ended March 31, 2024 and 2023

    5

    Consolidated Statements of Cash Flows for the three months ended March 31, 2024 and 2023

    6

    Notes to Consolidated Financial Statements

    8

    Item 2.

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

    23

    Item 3.

    Quantitative and Qualitative Disclosures About Market Risk

    30

    Item 4.

    Controls and Procedures

    30

     

    Part II.

    OTHER INFORMATION

     

     

    Item 1.

    Legal Proceedings

    30

    Item 1A.

    Risk Factors

    30

    Item 2.

    Unregistered Sales of Equity Securities and Use of Proceeds

    30

    Item 3.

    Defaults upon Senior Securities

    31

    Item 4.

    Mine Safety Disclosures

    31

    Item 5.

    Other Information

    31

    Item 6.

    Exhibits

    31

     

    Signatures

    33

     

    2


     

    Part I. Financial Information

    Item 1. Financial Statements

    REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

    CONSOLIDATED BALANCE SHEETS

    (Amounts in 000's)

     

     

     

    March 31, 2024

     

     

    December 31, 2023

     

     

     

     

     

     

     

     

     

     

    (Unaudited)

     

     

     

     

    ASSETS

     

     

     

     

     

     

    Property and equipment, net

     

    $

    44,885

     

     

    $

    45,337

     

    Cash

     

     

    752

     

     

     

    953

     

    Restricted cash

     

     

    3,223

     

     

     

    3,231

     

    Accounts receivable, net of allowances of $2,056 and $2,040

     

     

    1,464

     

     

     

    1,403

     

    Prepaid expenses and other

     

     

    410

     

     

     

    609

     

    Notes receivable

     

     

    1,034

     

     

     

    1,044

     

    Intangible assets - bed licenses

     

     

    2,471

     

     

     

    2,471

     

    Intangible assets - lease rights, net

     

     

    83

     

     

     

    87

     

    Right-of-use operating lease assets

     

     

    2,455

     

     

     

    2,556

     

    Goodwill

     

     

    1,585

     

     

     

    1,585

     

    Lease deposits and other deposits

     

     

    4

     

     

     

    4

     

    Straight-line rent receivable

     

     

    2,859

     

     

     

    2,901

     

    Total assets

     

    $

    61,225

     

     

    $

    62,181

     

    LIABILITIES AND EQUITY (DEFICIT)

     

     

     

     

     

     

    Senior debt, net

     

    $

    43,500

     

     

    $

    43,855

     

    Bonds, net

     

     

    5,993

     

     

     

    5,991

     

    Other debt, net

     

     

    516

     

     

     

    889

     

    Accounts payable

     

     

    3,106

     

     

     

    2,493

     

    Accrued expenses

     

     

    4,240

     

     

     

    4,060

     

    Operating lease obligation

     

     

    2,807

     

     

     

    2,917

     

    Other liabilities

     

     

    1,797

     

     

     

    1,791

     

    Total liabilities

     

     

    61,959

     

     

     

    61,996

     

     

     

     

     

     

     

     

    Stockholders' equity (deficit):

     

     

     

     

     

     

    Common stock and additional paid-in capital, no par value; 55,000 shares authorized; 1,850 shares issued and 1,839 shares outstanding at March 31, 2024 and December 31, 2023

     

     

    63,102

     

     

     

    63,059

     

    Preferred stock, no par value; 5,000 shares authorized (including amounts authorized for Series A and Series B); shares issued and outstanding designated as follows:

     

     

     

     

     

     

    Preferred stock, Series A, no par value; 560 shares authorized, issued and outstanding at March 31, 2024 and December 31, 2023, with a redemption amount $426 at March 31, 2024 and December 31, 2023

     

     

    426

     

     

     

    426

     

    Preferred stock, Series B, no par value; 2,812 shares authorized; 2,252 shares issued and outstanding at March 31, 2024 and December 31, 2023, with a redemption amount $18,602 at March 31, 2024 and December 31, 2023

     

     

    18,602

     

     

     

    18,602

     

    Accumulated deficit

     

     

    (82,864

    )

     

     

    (81,902

    )

    Total stockholders' equity (deficit)

     

     

    (734

    )

     

     

    185

     

    Total liabilities and stockholders' equity (deficit)

     

    $

    61,225

     

     

    $

    62,181

     

     

     

    See accompanying notes to unaudited consolidated financial statements.

    3


     

    REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

    CONSOLIDATED STATEMENTS OF OPERATIONS

    (Amounts in 000's)

    (Unaudited)

     

     

    Three Months Ended March 31,

     

     

     

    2024

     

     

    2023

     

     

    Revenues:

     

     

     

     

     

     

    Patient care revenues

    $

    2,309

     

     

    $

    1,916

     

     

    Rental revenues

     

    1,818

     

     

     

    1,708

     

     

    Management fees

     

    —

     

     

     

    278

     

     

    Other revenues

     

    —

     

     

     

    4

     

     

    Total revenues

     

    4,127

     

     

     

    3,906

     

     

    Expenses:

     

     

     

     

     

     

    Patient care expense

     

    2,101

     

     

     

    2,321

     

     

    Facility rent expense

     

    149

     

     

     

    149

     

     

    Cost of management fees

     

    —

     

     

     

    141

     

     

    Depreciation and amortization

     

    511

     

     

     

    510

     

     

    General and administrative expense

     

    1,632

     

     

     

    1,531

     

     

    Doubtful accounts expense

     

    28

     

     

     

    16

     

     

    Total expenses

     

    4,421

     

     

     

    4,668

     

     

    Loss from operations

     

    (294

    )

     

     

    (762

    )

     

    Other expense:

     

     

     

     

     

     

    Interest expense, net

     

    674

     

     

     

    680

     

     

    Other (income) expense, net

     

    (6

    )

     

     

    550

     

     

    Total other expense, net

     

    668

     

     

     

    1,230

     

     

    Net loss

     

    (962

    )

     

     

    (1,992

    )

     

    Preferred stock dividends - undeclared

     

    —

     

     

     

    (2,249

    )

     

    Net loss attributable to Regional Health Properties, Inc. common stockholders

    $

    (962

    )

     

    $

    (4,241

    )

     

    Net loss per share of common stock attributable to Regional Health Properties, Inc.

     

     

     

     

     

     

    Basic and Diluted

    $

    (0.52

    )

     

    $

    (2.28

    )

     

    Weighted average shares of common stock outstanding:

     

     

     

     

     

     

    Basic and Diluted

     

    1,839

     

     

     

    1,862

     

     

     

    See accompanying notes to unaudited consolidated financial statements.

    4


     

    REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

    CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)

    (Amounts in 000's)

    (Unaudited)

     

     

     

    Shares of
    Common
    Stock

     

     

    Shares of
    Preferred
    Stock A

     

     

    Shares of
    Preferred
    Stock B

     

     

    Shares of Treasury Stock

     

     

    Common
    Stock and
    Additional
    Paid-in
    Capital

     

     

    Preferred Stock A, no par value

     

     

    Preferred Stock B, no par value

     

     

    Accumulated
    Deficit

     

     

    Total

     

    Balance, December 31, 2023

     

     

    1,839

     

     

     

    560

     

     

     

    2,252

     

     

     

    (11

    )

     

    $

    63,059

     

     

    $

    426

     

     

    $

    18,602

     

     

    $

    (81,902

    )

     

    $

    185

     

    Stock-based compensation

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    43

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    43

     

    Net loss

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    (962

    )

     

     

    (962

    )

    Balances, March 31, 2024

     

     

    1,839

     

     

     

    560

     

     

     

    2,252

     

     

     

    (11

    )

     

    $

    63,102

     

     

    $

    426

     

     

    $

    18,602

     

     

    $

    (82,864

    )

     

    $

    (734

    )

     

     

     

     

    Shares of
    Common
    Stock

     

     

    Shares of
    Preferred
    Stock A

     

     

    Shares of
    Preferred
    Stock B

     

     

    Shares of Treasury Stock

     

     

    Common
    Stock and
    Additional
    Paid-in
    Capital

     

     

    Preferred Stock A, no par value

     

     

    Preferred Stock B, no par value

     

     

    Accumulated
    Deficit

     

     

    Total

     

    Balances, December 31, 2022

     

     

    1,784

     

     

     

    2,812

     

     

     

    —

     

     

     

    (9

    )

     

    $

    62,702

     

     

    $

    62,423

     

     

    $

    —

     

     

    $

    (121,409

    )

     

    $

    3,716

     

    Restricted stock issuance

     

     

    99

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

    Stock-based compensation

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    81

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    81

     

    Net Loss

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

    —

     

     

     

     

     

     

    —

     

     

     

    —

     

     

     

    (1,992

    )

     

     

    (1,992

    )

    Balances, March 31, 2023

     

     

    1,883

     

     

     

    2,812

     

     

     

    —

     

     

     

    (9

    )

     

    $

    62,783

     

     

    $

    62,423

     

     

    $

    —

     

     

    $

    (123,401

    )

     

    $

    1,805

     

     

    See accompanying notes to unaudited consolidated financial statements.

    5


     

    REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

    CONSOLIDATED STATEMENTS OF CASH FLOWS

    (Amounts in 000's)

    (Unaudited)

     

     

     

    Three Months Ended March 31,

     

     

     

    2024

     

     

    2023

     

    Cash flows from operating activities:

     

     

     

     

     

     

    Net loss

     

    $

    (962

    )

     

    $

    (1,992

    )

    Adjustments to reconcile net loss to net cash provided by operating activities:

     

     

     

     

     

     

    Depreciation and amortization

     

     

    511

     

     

     

    510

     

    Stock-based compensation expense

     

     

    43

     

     

     

    81

     

    Rent expense less than cash paid

     

     

    (9

    )

     

     

    (4

    )

    Rent revenue in excess of cash received

     

     

    121

     

     

     

    26

     

    Amortization of deferred financing costs, debt discounts and premiums

     

     

    25

     

     

     

    19

     

    Bad debt expense

     

     

    28

     

     

     

    16

     

    Changes in operating assets and liabilities:

     

     

     

     

     

     

    Accounts receivable

     

     

    (168

    )

     

     

    3,357

     

    Prepaid expenses and other assets

     

     

    209

     

     

     

    546

     

    Accounts payable and accrued expenses

     

     

    793

     

     

     

    (107

    )

    Other liabilities

     

     

    6

     

     

     

    145

     

    Net cash provided by operating activities

     

     

    597

     

     

     

    2,597

     

    Cash flows from investing activities:

     

     

     

     

     

     

    Purchase of property and equipment

     

     

    (55

    )

     

     

    (2

    )

    Net cash used in investing activities

     

     

    (55

    )

     

     

    (2

    )

    Cash flows from financing activities:

     

     

     

     

     

     

    Payment of senior debt

     

     

    (378

    )

     

     

    (322

    )

    Payment of other debt

     

     

    (373

    )

     

     

    (363

    )

    Net cash used in financing activities

     

     

    (751

    )

     

     

    (685

    )

    Net change in cash and restricted cash

     

     

    (209

    )

     

     

    1,910

     

    Cash and restricted cash, beginning

     

     

    4,184

     

     

     

    3,909

     

    Cash and restricted cash, ending

     

    $

    3,975

     

     

    $

    5,819

     

     

    6


     

    REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

    CONSOLIDATED STATEMENTS OF CASH FLOWS

    (Amounts in 000's)

    (Unaudited)

     

    Three Months Ended March 31,

     

     

    2024

     

     

    2023

     

    Supplemental disclosure of cash flow information:

     

     

     

     

     

    Cash interest paid

    $

    677

     

     

    $

    650

     

     

    See accompanying notes to unaudited consolidated financial statements.

    7


     

    REGIONAL HEALTH PROPERTIES, INC. AND SUBSIDIARIES

    Notes to Consolidated Financial Statements

    March 31, 2024

    NOTE 1. ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES

    Description of Business

    Regional Health Properties, Inc.'s (the "Company" or "Regional Health") predecessor was incorporated in Ohio on August 14, 1991, under the name Passport Retirement, Inc. In 1995, Passport Retirement, Inc. acquired substantially all of the assets and liabilities of AdCare Health Systems, Inc. and changed its name to AdCare Health Systems, Inc. ("AdCare"). AdCare completed its initial public offering in November 2006, relocated its executive offices and accounting operations to Georgia in 2012, and changed its state of incorporation from Ohio to Georgia in December 2013. Regional Health Properties, Inc. is a self-managed real estate investment company that invests primarily in real estate purposed for long-term care and senior housing. The Company's business primarily consists of leasing such facilities to third-party tenants, which operate the facilities. The Company has two primary reporting segments: (i) Real Estate, which consists of the leasing and subleasing of long-term care and senior living facilities to third-party tenants and (ii) Healthcare Services segment, which consists of the operation of the Meadowood and Glenvue facilities. Effective August 3, 2023, the Company’s 12.5% Series B Cumulative Redeemable Preferred Shares (the “Series B Preferred Stock”) is quoted on the OTC Markets Group, Inc.’s OTCQB Venture Market under the symbol “RHEPB”.

    Basis of Presentation

    The accompanying consolidated financial statements are prepared in conformity with United States ("U.S.") generally accepted accounting principles ("GAAP") in accordance with the Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC"). The accompanying condensed consolidated financial statements are unaudited and should be read in conjunction with the 2023 audited consolidated financial statements and notes thereto, which are included in the 2023 Form 10-K filed with the U.S. Securities and Exchange Commission ("SEC") on April 1, 2024.

    Use of Estimates

    The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the unaudited consolidated financial statements and accompanying notes. Actual results could differ materially from those estimates.

    Reclassifications

    Certain reclassifications have been made to the amounts reported in the prior period in order to conform to the current period's presentation. A reclassification has been made to certain expenses reported on the consolidated statements of operations in the prior period in order to conform to the current period's presentation.

    Revenue Recognition and Allowances

    Patient Care Revenue. ASC Topic 606, Revenue from Contracts with Customers, requires a company to recognize revenue when the company transfers control of promised goods and services to a customer. Revenue is recognized in an amount that reflects the consideration to which a company expects to receive in exchange for such goods and services. Revenue from our Healthcare Services business segment is derived from services rendered to patients in the Meadowood and Glenvue facilities. The Company receives payments from the following sources for services rendered in our facilities: (i) the federal government under the Medicare program administered by CMS; (ii) state governments under their respective Medicaid and similar programs; (iii) commercial insurers; and (iv) individual patients and clients. The vast majority (greater than 90%) of the revenue the Company has recognized is from government sources. The Company determines the transaction price based on established billing rates reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients and other price concessions. Contractual adjustments and discounts are based on contractual agreements, discount policies and historical experience. The Company recognizes revenue at the amount that reflects the consideration the Company expects to receive in exchange for the services provided. These amounts are due from residents or third-party payors and include variable consideration for retroactive adjustments from estimated reimbursements, if any, under reimbursement programs. Performance obligations, such as providing room and board, wound care, intravenous drug therapy, physical therapy, and quality of life activities amongst others, are determined based on the nature of the services provided are determined based

    8


     

    on the nature of the services provided. Estimated uncollectible amounts due from patients are generally considered implicit price concessions that are a direct reduction to net patient care revenues.

    Triple-Net Leased Properties. The Company recognizes rental revenue in accordance with ASC 842, Leases. The Company's triple-net leases provide for periodic and determinable increases in rent. The Company recognizes rental revenues under these leases on a straight-line basis over the applicable lease term when collectability is probable. Recognizing rental income on a straight-line basis generally results in recognized revenues during the first half of a lease term exceeding the cash amounts contractually due from our tenants, creating a straight-line rent receivable that is included in the straight-line rent receivable on our consolidated balance sheets. In the event the Company cannot reasonably estimate the future collection of rent from one or more tenant(s) of the Company's facilities, rental income for the affected facilities is recognized only upon cash collection, and any accumulated straight-line rent receivable is expensed in the period in which the Company deems rent collection to no longer be probable.

     

    Management Fee Revenues and Other Revenues. The Company recognizes management fee revenues as services are provided in accordance with ASU 2014-09, Revenue from Contracts with Customers, as codified in ASC 606, which requires revenue to be recognized in an amount that reflects the consideration to which a company expects to receive in exchange for such goods and services. The Company had one contract to manage three facilities (the “Management Contract”) which ended on December 31, 2023. Further, the Company recognizes interest income from loans and investments, using the effective interest method when collectability is probable. The Company applies the effective interest method on a loan-by-loan basis.

     

    Allowances. The Company assesses the collectability of its rent receivables, including straight-line rent receivables and working capital loans to tenants. The Company bases its assessment of the collectability of rent receivables and working capital loans to tenants on several factors, including payment history, the financial strength of the tenant and any guarantors, the value of the underlying collateral, and current economic conditions. If the Company’s evaluation of these factors indicates it is probable that the Company will be unable to receive the rent payments or payments on a working capital loan, then the Company provides a reserve against the recognized straight-line rent receivable asset or working capital loan for the portion that we estimate may not be recovered. Payments received on impaired loans are applied against the allowance. If the Company changes its assumptions or estimates regarding the collectability of future rent payments required by a lease or required from a working capital loan to a tenant, then the Company may adjust its reserve to increase or reduce the rental revenue or interest revenue from working capital loans to tenants recognized in the period the Company makes such change in its assumptions or estimates. See Note 6 – Leases. The Company has reserved for approximately 1.5% of our patient care receivables based on the historic industry standards and continues to assess the adequacy of such reserve.

     

    The following table presents the Company's Accounts receivable, net of allowance for the periods presented:

    (Amounts in 000’s)

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Gross receivables

     

     

     

     

     

     

    Real Estate Services

     

    $

    656

     

     

    $

    693

     

    Healthcare Services

     

     

    2,864

     

     

     

    2,750

     

    Subtotal

     

     

    3,520

     

     

     

    3,443

     

    Allowance

     

     

     

     

     

     

    Real Estate Services

     

     

    —

     

     

     

    —

     

    Healthcare Services

     

     

    (2,056

    )

     

     

    (2,040

    )

    Subtotal

     

     

    (2,056

    )

     

     

    (2,040

    )

    Accounts receivable, net of allowance

     

    $

    1,464

     

     

    $

    1,403

     

    Prepaid Expenses and Other

    As of March 31, 2024 and December 31, 2023, the Company had approximately $0.4 million and $0.6 million , respectively, in prepaid expenses and other; the $0.2 million decrease is related to insurance for the Meadowood and Glenvue facility operations, while the other amounts are predominantly for directors' and officers' insurance, NYSE American annual fees, and mortgage insurance premiums.

    9


     

    Accounts Payable

    The following table presents the Company's Accounts payable for the periods presented:

    (Amounts in 000’s)

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Accounts payable

     

     

     

     

     

     

    Real Estate Services

     

    $

    1,410

     

     

    $

    751

     

    Healthcare Services

     

     

    1,696

     

     

     

    1,742

     

    Total Accounts payable

     

    $

    3,106

     

     

    $

    2,493

     

    Other Liabilities

    As of March 31, 2024 and December 31, 2023, the Company had approximately $1.8 million and $1.8 million, respectively in Other liabilities, consisting of security lease deposits and sublease improvement funds.

    Other Expense, net

    The Company had retained a law firm to evaluate and assist with opportunities to improve the Company's capital structure. See Note 2 – Series A Preferred Exchange Offer.

    Leases and Leasehold Improvements

    The Company leases certain facilities and equipment in the normal course of business. At the inception of each lease, the Company performs an evaluation to determine whether the lease should be classified as an operating lease or finance lease. As of March 31, 2024, the Company's leased facility is accounted for as an operating lease. For operating leases that contain scheduled rent increases, the Company records rent expense on a straight-line basis over the term of the lease. Leasehold improvements are amortized over the shorter of the useful life of the asset or the lease term.

    The Company assesses any new contracts or modification of contracts in accordance with ASC 842, Leases, to determine the existence of a lease and its classification. We are reporting revenues and expenses for real estate taxes and insurance where the lessee has not made those payments directly to a third party in accordance with their respective leases with us.

     

    Insurance

    We maintain general liability, professional liability, and other insurance policies in amounts and with coverage and deductibles we believe are appropriate, based on the nature and risks of our business, historical experience, availability, and industry standards, including for the operations at the Glenvue and Meadowood facilities. Our current policies provide for deductibles for each claim and contain various exclusions from coverage. The Company has self-insured against professional and general liability claims related to its healthcare operations that were discontinued during 2014 and 2015 in connection with its transition from an owner and operator of healthcare properties to a healthcare property holding and leasing company (the "Transition"). For further information, see Note 11 – Commitments and Contingencies, and Note 12 – Commitments and Contingencies, to the consolidated financial statements for the year ended December 31, 2023 for more information. The Company evaluates quarterly the adequacy of its self-insurance reserve based on a number of factors, including: (i) the number of actions pending and the relief sought; (ii) analyses provided by defense counsel, medical experts or other information which comes to light during discovery; (iii) the legal fees and other expenses anticipated to be incurred in defending the actions; (iv) the status and likely success of any mediation or settlement discussions, including estimated settlement amounts and legal fees and other expenses anticipated to be incurred in such settlement, as applicable; and (v) the venues in which the actions have been filed or will be adjudicated. The Company believes that most of the professional and general liability actions are defensible and intends to defend them through final judgment unless settlement is more advantageous to the Company. Accordingly, the self-insurance reserve reflects the Company's estimate of settlement amounts for the pending actions, if applicable, and legal costs of settling or litigating the pending actions, as applicable. Because the self-insurance reserve is based on estimates, the amount of the self-insurance reserve may not be sufficient to cover the settlement amounts actually incurred in settling the pending actions, or the legal costs actually incurred in settling or litigating the pending actions. See Note 7 – Accrued Expenses. In addition, the Company maintains certain other insurance programs, including commercial general liability, property, casualty, directors' and officers' liability, crime, and employment practices liability.

    10


     

    Net Loss Per Share

    Basic net loss per share is computed by dividing net loss attributable to common stockholders by the weighted-average number of shares of common stock outstanding during the respective period. Diluted earnings per share is similar to basic net loss per share except that the net loss is adjusted by the impact of the weighted-average number of shares of common stock outstanding including potentially dilutive securities (such as options, warrants and non-vested common stock) when such securities are not anti-dilutive. Potentially dilutive securities from options, warrants and unvested restricted shares are calculated in accordance with the treasury stock method, which assumes that proceeds from the exercise of all options and warrants with exercise prices exceeding the average market value are used to repurchase common stock at market value. The incremental shares remaining after the proceeds are exhausted represent the potentially dilutive effect of the securities.

    Securities outstanding that were excluded from the computation, because they would have been anti-dilutive were as follows:

     

     

    March 31,

     

    (Share amounts in 000’s)

     

    2024

     

     

    2023

     

    Stock options

     

     

    33

     

     

     

    13

     

    Warrants - employee

     

     

    32

     

     

     

    34

     

    Warrants - non employee

     

     

    —

     

     

     

    1

     

    Total anti-dilutive securities

     

     

    65

     

     

     

    48

     

    The weighted average contractual terms in years for these securities as of March 31, 2024, with no intrinsic value, are 6.6 years for the stock options and 0.8 years for the warrants.

    Recently Adopted Accounting Pronouncements

    In March 2023, the FASB issued ASU 2023-01, Leases (Topic 842): Common Control Arrangements (Topic 842) amendments, which requires entities to determine whether related party arrangements between entities under common control are leases. The amendments also address the accounting treatment of leasehold improvements associated with common control leases. They require the lessee to amortize leasehold improvements over the useful life of the improvements to the common control group, regardless of the lease term, as long as the lessee controls the use of the underlying asset. If the lessee no longer controls the use of the asset, the leasehold improvements are accounted for as a transfer between entities under common control through an adjustment to equity. These improvements are also subject to impairment guidance in Topic 360, Property, Plant, and Equipment. The amendment is effective for public entities beginning after December 15, 2023. The Company adopted ASU 2023-01 effective January 1, 2024. The adoption of ASU-2023-01 did not have a material impact on the Company's consolidated financial statements.

    New Accounting Pronouncements Issued But Not Yet Effective

    In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires a public company to disclose information about their reportable segments’ significant expenses and other segment items on an interim and annual basis. A public company with a single reportable segment is required to apply the disclosure requirements in ASU 2023-07, as well as all existing segment disclosures and reconciliation requirements in ASC 280 on an interim and annual basis. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-07.

     

    In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures,

    which requires a public company, on an annual basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company does not expect the adoption of ASU 2023-09 to have a material impact on the Company's consolidated financial statements.

     

    No other new accounting pronouncement issued or effective has had, or is expected to have, a material impact on the Company's financial statements.

     

     

    11


     

    NOTE 2. LIQUIDITY

    Overview

    The Company intends to pursue measures to grow its operations, streamline its cost infrastructure and otherwise increase liquidity, including: (i) refinancing or repaying debt to reduce interest costs and mandatory principal repayments, with such repayment to be funded through potentially expanding borrowing arrangements with certain lenders; (ii) increasing future lease revenue through acquisitions and investments in existing properties; (iii) modifying the terms of existing leases; (iv) replacing certain tenants who default on their lease payment terms; and (v) reducing other and general and administrative expenses.

    Management anticipates access to several sources of liquidity, including cash on hand, cash flows from operations, and debt refinancing during the twelve months following the date of this filing. At March 31, 2024, the Company had $0.8 million in unrestricted cash and $1.5 million of net accounts receivable, mainly consisting of patient accounts receivable and rent receivables.

    During the three months ended March 31, 2024, the Company's cash provided by operating activities was $0.6 million primarily due to the timing of accounts payable and accrued expense payments. The Company is seeking collection of the past due rent. In addition, management is working to expedite the time it takes to collect and receive aged patient receivables. Cash flow from operations in the future will be based on the operational performance of the facilities under the company's management, Glenvue and Meadowood, as well as continued uncertainty of the COVID-19 pandemic and its impact on the Company's business, financial condition and results of operations.

    Series A Preferred Stock Exchange Offer ("Exchange Offer")

    In early 2020, the Company began ongoing efforts to investigate alternatives to retire or refinance our outstanding Series A Preferred Stock through privately negotiated transactions, open market repurchases, redemptions, exchange offers, tender offers, or otherwise.

     

    On June 30, 2023, the Company closed the Company’s offer to exchange (the “Exchange Offer”) any and all outstanding shares of the Company’s 10.875% Series A Cumulative Redeemable Preferred Shares (the “Series A Preferred Stock”) for newly issued shares of the Company’s Series B Preferred Stock. In connection with the completion of the Exchange Offer and the implementation of the Series A Charter Amendments and the Series B Charter Amendments, the liquidation preference of the Series A Preferred Stock was reduced, accumulated and unpaid dividends on the Series A Preferred Stock were eliminated and future dividends on the Series A Preferred Stock were eliminated. As a result, $50.4 million in accumulated and unpaid dividends on the Series A Preferred Stock were eliminated and, as of March 31, 2024, there are no accumulated and unpaid dividends on the Series A Preferred Stock. For further information regarding the Exchange Offer, Series A Charter Amendments and Series B Charter Amendments, see Note 9 – Common and Preferred Stock.

    The Company is current with all of its debt and other financial obligations.

     

    Costs associated with these efforts have been expensed as incurred in “Other expense, net” and were $0.6 million for the three months ended March 31, 2023, and there were no expenses incurred for the three months ended March 31, 2024.

     

    Series A Preferred Dividend Suspension

     

    Prior to the Exchange Offer, as discussed above, we suspended the quarterly dividend payment with respect to our Series A Preferred Stock commencing with the fourth quarter of 2017, and on June 8, 2018, the Board suspended quarterly dividend payments indefinitely with respect to the Series A Preferred Stock. The dividend suspension provided the Company with additional funds to meet its ongoing liquidity needs. As the Company had failed to pay cash dividends on the outstanding Series A Preferred Stock in full for more than four dividends periods, the annual dividend rate on the Series A Preferred Stock for the fifth and future missed dividend periods had increased to 12.875%, which was equivalent to approximately $3.20 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 had paid all accumulated and unpaid dividends on the Series A Preferred Stock in full in cash. As discussed above, in connection with the completion of the Exchange Offer, accumulated and unpaid dividends on the Series A Preferred Stock were eliminated.

     

    12


     

    Debt

    As of March 31, 2024, the Company had $50.0 million in indebtedness, net of $1.0 million deferred financing costs and unamortized discounts. The Company anticipates net principal repayments of approximately $1.7 million during the next twelve-month period, approximately $1.5 million of routine debt service amortization and a $0.1 million payment of bond debt.

    Debt Covenant Compliance

    At March 31, 2024, the Company was in compliance with the various financial and administrative covenants related to all of the Company's credit facilities except for one immaterial non-compliance. When management learned of the non-compliance, the non-compliance was cured after the balance sheet date.

    Evaluation of the Company's Ability to Continue as a Going Concern

    Under the accounting guidance related to the presentation of financial statements, the Company is required to evaluate, on a quarterly basis, whether or not the Company's current financial condition, including its sources of liquidity at the date that the consolidated financial statements are issued, will enable the Company to meet its obligations as they come due arising within one year of the date of the issuance of the Company's consolidated financial statements and to make a determination as to whether or not it is probable, under the application of this accounting guidance, that the Company will be able to continue as a going concern. 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, and the Company's recurring business operating expenses.

    The Company concluded 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.

    NOTE 3. CASH AND RESTRICTED CASH

    The following presents the Company's cash and restricted cash:

    (Amounts in 000’s)

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Cash

     

    $

    752

     

     

    $

    953

     

    Restricted cash:

     

     

     

     

     

     

    Cash collateral

     

     

    159

     

     

     

    159

     

    HUD and other replacement reserves

     

     

    2,126

     

     

     

    2,125

     

    Escrow deposits

     

     

    621

     

     

     

    630

     

    Restricted investments for debt obligations

     

     

    317

     

     

     

    317

     

    Total restricted cash

     

     

    3,223

     

     

     

    3,231

     

    Total cash and restricted cash

     

    $

    3,975

     

     

    $

    4,184

     

     

    Cash collateral—In securing mortgage financing from certain lending institutions, the Company and certain of its wholly-owned subsidiaries are required to deposit cash to be held as collateral in accordance with the terms of such loan agreements.

    HUD and other replacement reserves—The regulatory agreements entered into in connection with the financing secured through HUD require monthly escrow deposits for replacement and improvement of the HUD project assets.

    Escrow deposits—In connection with financing secured through the Company's lenders, several wholly-owned subsidiaries of the Company are required to make monthly escrow deposits for taxes and insurance.

    Restricted cash for debt obligations—In compliance with certain financing and insurance agreements, the Company and certain wholly-owned subsidiaries of the Company are required to deposit cash held as collateral by the lender or in escrow with certain designated financial institutions.

    13


     

    NOTE 4. PROPERTY AND EQUIPMENT

    The following table sets forth the Company's property and equipment:

    (Amounts in 000’s)

     

    Estimated
    Useful
    Lives (Years)

     

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Buildings and improvements

     

    5-40

     

     

    $

    64,466

     

     

    $

    64,447

     

    Equipment and computer related

     

    2-10

     

     

     

    1,095

     

     

     

    1,187

     

    Land (1)

     

     

    —

     

     

     

    2,774

     

     

     

    2,774

     

    Property and equipment

     

     

     

     

     

    68,335

     

     

     

    68,408

     

    Less: accumulated depreciation

     

     

     

     

     

    (23,450

    )

     

     

    (23,071

    )

    Property and equipment, net

     

     

     

     

    $

    44,885

     

     

    $

    45,337

     

    (1)
    Includes $0.1 million of land improvements with an average estimated useful remaining life of approximately 6.1 years as of March 31, 2024.

    The following table summarizes total depreciation and amortization expense three months ended March 31, 2024 and 2023:

     

     

    Three Months Ended March 31,

     

    (Amounts in 000’s)

     

    2024

     

     

    2023

     

    Depreciation

     

    $

    403

     

     

    $

    400

     

    Amortization

     

     

    108

     

     

     

    110

     

    Total depreciation and amortization expense

     

    $

    511

     

     

    $

    510

     

     

    NOTE 5. INTANGIBLE ASSETS AND GOODWILL

    Intangible assets and Goodwill consist of the following:

    (Amounts in 000’s)

     

    Bed licenses
    (included
    in property and
    equipment)
    1)

     

     

    Bed Licenses -
    Separable
    (2)

     

     

    Lease
    Rights

     

     

    Total

     

     

    Goodwill (2)

     

    Balances, December 31, 2023

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Gross

     

    $

    14,276

     

     

    $

    2,471

     

     

    $

    176

     

     

    $

    16,923

     

     

    $

    1,585

     

    Accumulated amortization

     

     

    (4,997

    )

     

     

    —

     

     

     

    (89

    )

     

     

    (5,086

    )

     

     

    —

     

    Net carrying amount

     

    $

    9,279

     

     

    $

    2,471

     

     

    $

    87

     

     

    $

    11,837

     

     

    $

    1,585

     

    Balances, March 31, 2024

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Gross

     

    $

    14,276

     

     

    $

    2,471

     

     

    $

    176

     

     

    $

    16,923

     

     

    $

    1,585

     

    Accumulated amortization

     

     

    (5,101

    )

     

     

    —

     

     

     

    (93

    )

     

     

    (5,194

    )

     

     

    —

     

    Net carrying amount

     

    $

    9,175

     

     

    $

    2,471

     

     

    $

    83

     

     

    $

    11,729

     

     

    $

    1,585

     

    (1)
    Non-separable bed licenses are included in property and equipment as is the related accumulated amortization expense (see Note 4 – Property and Equipment).
    (2)
    The Company does not amortize indefinite-lived intangibles, which consist of separable bed licenses and goodwill.

    The following table summarizes amortization expense for the three months ended March 31, 2024 and 2023:

     

     

    Three Months Ended March 31,

     

    (Amounts in 000’s)

     

    2024

     

     

    2023

     

    Bed licenses

     

    $

    104

     

     

    $

    104

     

    Lease rights

     

     

    4

     

     

     

    6

     

    Total amortization expense

     

    $

    108

     

     

    $

    110

     

     

    14


     

    Expected amortization expense for the years ending December 31, for all definite-lived intangibles, for each of the next five years and thereafter is as follows:

    (Amounts in 000’s)

     

    Bed
    Licenses

     

     

    Lease
    Rights

     

    2024

     

    $

    311

     

     

    $

    14

     

    2025

     

     

    414

     

     

     

    18

     

    2026

     

     

    414

     

     

     

    18

     

    2027

     

     

    414

     

     

     

    18

     

    2028

     

     

    414

     

     

     

    15

     

    Thereafter

     

     

    7,208

     

     

     

    -

     

    Total expected amortization expense

     

    $

    9,175

     

     

    $

    83

     

     

    NOTE 6. LEASES

    Operating Leases

    As of March 31, 2024 and December 31, 2023, the Company leases one Skilled Nursing Facility ("SNF") in Covington, Ohio under a non-cancelable lease, which has rent escalation clauses and provisions for payments of real estate taxes, insurance, and maintenance costs. The remaining lease term for the Covington facility is approximately 4.7 years as of March 31, 2024. The Company subleases the Covington facility to a third party.

     

    The Company also leased certain office space located in Suwanee, Georgia through the termination date of June 30, 2023. Effective July 1, 2023, the Company signed a sublease for 2,000 sq ft of office space in Atlanta, Georgia. The sublease expires on July 31, 2025.

     

    As of March 31, 2024, the Company is in compliance with all operating lease financial covenants except for one non-compliance. When management learned of the non-compliance, the non-compliance was cured after the balance sheet date.

     

    Future Minimum Lease Payments

    Future minimum lease payments for the twelve months ending December 31, for each of the next five years and thereafter is as follows:

    (Amounts in 000’s)

     

    Future
    rental
    payments

     

     

    Accretion of
    lease liability
    (1)

     

     

    Operating
    lease
    obligation

     

    2024

     

    $

    510

     

     

    $

    (16

    )

     

    $

    494

     

    2025

     

     

    672

     

     

     

    (66

    )

     

     

    606

     

    2026

     

     

    658

     

     

     

    (109

    )

     

     

    549

     

    2027

     

     

    671

     

     

     

    (155

    )

     

     

    516

     

    2028

     

     

    685

     

     

     

    (198

    )

     

     

    487

     

    Thereafter

     

     

    230

     

     

     

    (75

    )

     

     

    155

     

    Total

     

    $

    3,426

     

     

    $

    (619

    )

     

    $

    2,807

     

    (1)
    Weighted average discount rate 7.98%.

     

    Facilities Lessor

    As of March 31, 2024, the Company was the lessor of 9 of its 11 owned facilities, and the sublessor of one facility. These leases are triple net basis leases, meaning that the lessee (i.e., the third-party tenant of the property) is obligated for all costs of operating the property, including insurance, taxes and facility maintenance, as well as the lease or sublease payments to the Company. The weighted average remaining lease term for our 10 owned and subleased out facilities is approximately 5.3 years.

    15


     

    Future Minimum Lease Receivables

    Future minimum lease receivables for the twelve months ending December 31, for each of the next five years and thereafter is as follows:

     

     

    (Amounts
    in 000's)

     

    2024

     

    $

    4,948

     

    2025

     

     

    6,696

     

    2026

     

     

    6,801

     

    2027

     

     

    6,909

     

    2028

     

     

    6,758

     

    Thereafter

     

     

    8,227

     

    Total

     

    $

    40,339

     

     

    For further details regarding the Company's leased and subleased facilities to third-party operators, including a full summary of the Company's leases to third-parties and which comprise the future minimum lease receivables of the Company, see Note 6 - Leases and Leasing Transactions in Part I, Item 1, Financial Statements and Supplementary Data, included in the Annual Report.

     

     

    NOTE 7. ACCRUED EXPENSES

    Accrued expenses consist of the following:

    (Amounts in 000’s)

    March 31,
    2024

     

     

    December 31,
    2023

     

    Accrued employee benefits and payroll-related

    $

    365

     

     

    $

    255

     

    Real estate and other taxes (1)

     

    3,055

     

     

     

    3,077

     

    Self-insured reserve

     

    —

     

     

     

    61

     

    Accrued interest

     

    223

     

     

     

    225

     

    Insurance escrow

     

    116

     

     

     

    98

     

    Other accrued expenses (2)

     

    481

     

     

     

    344

     

    Total accrued expenses

    $

    4,240

     

     

    $

    4,060

     

    (1)
    March 31, 2024 includes approximately $0.7 million of bed taxes in arrears related to the Wellington Transition in 2020 as well as $2.0 million related to our own dates of operation under the Healthcare Services segment and approximately $0.4 million property tax accrual for the Real Estate segment. December 31, 2023 includes approximately $0.7 million of bed taxes in arrears related to the Wellington Transition in 2020 as well as $1.9 million related to our own dates of operation under the Healthcare Services segment and approximately $0.5 million property tax accrual for the twelve months ended December 31, 2023 for the Real Estate segment.
    (2)
    As of March 31, 2024 and December 31, 2023, the remaining escheatment liabilities for discontinued operations are $0.3 million and are included in other accrued expenses.

     

     

    16


     

    NOTE 8. NOTES PAYABLE AND OTHER DEBT

    See Note 8 – Notes Payable and Other Debt in Part II, Item 8, Financial Statements and Supplementary Data, included in the Annual Report for a detailed description of all the Company's debt facilities.

    Notes payable and other debt consists of the following:

    (Amounts in 000’s)

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Senior debt—guaranteed by HUD

     

    $

    28,774

     

     

    $

    28,979

     

    Senior debt—guaranteed by USDA (1)

     

     

    7,186

     

     

     

    7,259

     

    Senior debt—guaranteed by SBA(2)

     

     

    552

     

     

     

    557

     

    Senior debt—bonds

     

     

    6,117

     

     

     

    6,117

     

    Senior debt—other mortgage indebtedness

     

     

    7,913

     

     

     

    8,001

     

    Other debt

     

     

    516

     

     

     

    889

     

    Subtotal

     

     

    51,058

     

     

     

    51,802

     

    Deferred financing costs

     

     

    (937

    )

     

     

    (954

    )

    Unamortized discount on bonds

     

     

    (112

    )

     

     

    (113

    )

    Notes payable and other debt

     

    $

    50,009

     

     

    $

    50,735

     

    (1)
    U.S. Department of Agriculture (USDA)
    (2)
    U.S. Small Business Administration (SBA)

    The following is a detailed listing of the debt facilities that comprise each of the above categories:

    (Amounts in 000’s)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Facility

     

    Lender

     

    Maturity

     

    Interest Rate (1)

     

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Senior debt - guaranteed by HUD (2)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    The Pavilion Care Center

     

    Newpoint Capital

     

    12/01/2039

     

    Fixed

     

     

    3.97

    %

     

    $

    792

     

     

    $

    801

     

    Hearth and Care of Greenfield

     

    Newpoint Capital

     

    8/01/2050

     

    Fixed

     

     

    3.97

    %

     

     

    1,899

     

     

     

    1,909

     

    Woodland Manor

     

    Newpoint Capital

     

    11/01/2052

     

    Fixed

     

     

    3.97

    %

     

     

    4,868

     

     

     

    4,891

     

    Glenvue

     

    Newpoint Capital

     

    10/01/2044

     

    Fixed

     

     

    3.75

    %

     

     

    7,021

     

     

     

    7,077

     

    Autumn Breeze

     

    KeyBank

     

    01/01/2045

     

    Fixed

     

     

    3.65

    %

     

     

    6,106

     

     

     

    6,154

     

    Georgetown

     

    Newpoint Capital

     

    10/01/2046

     

    Fixed

     

     

    2.98

    %

     

     

    3,096

     

     

     

    3,120

     

    Sumter Valley

     

    KeyBank

     

    01/01/2047

     

    Fixed

     

     

    3.70

    %

     

     

    4,992

     

     

     

    5,027

     

    Total

     

     

     

     

     

     

     

     

     

     

    $

    28,774

     

     

    $

    28,979

     

    Senior debt - guaranteed by USDA (3)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Mountain Trace

     

    Community B&T

     

    12/24/2036

     

    Prime + 1.75%

     

     

    10.25

    %

     

     

    3,505

     

     

     

    3,539

     

    Southland

     

    Cadence Bank, NA

     

    07/27/2036

     

    Prime + 1.50%

     

     

    10.00

    %

     

     

    3,681

     

     

     

    3,720

     

    Total

     

     

     

     

     

     

     

     

     

     

    $

    7,186

     

     

    $

    7,259

     

    Senior debt - guaranteed by SBA

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Southland(4)

     

    Cadence Bank, NA

     

    07/27/2036

     

    Prime + 2.25%

     

     

    10.75

    %

     

     

    552

     

     

     

    557

     

    Total

     

     

     

     

     

     

     

     

     

     

    $

    552

     

     

    $

    557

     

     

    (1)
    Represents interest rates as of March 31, 2024 as adjusted for interest rate floor limitations, if applicable. The rates exclude amortization of deferred financing costs which are approximately 0.16% per annum.
    (2)
    For the seven SNF’s, the Company has term loans insured 100% by HUD with financial institutions. The loans are secured by, among other things, an assignment of all rents paid under any existing or future leases and rental agreements with respect to the underlying facility. The loans contain customary events of default, including fraud or material misrepresentations or material omission, the commencement of a forfeiture action or proceeding, failure to make required payments, and failure to perform or comply with certain agreements. Upon the occurrence of certain events of default, the lenders may, after receiving the prior written approval of HUD, terminate the loans and all amounts under the loans will become immediately due and payable. In connection with entering into loans, the facilities entered into a healthcare regulatory agreement and a promissory note, each containing customary terms and conditions.

    17


     

    (3)
    For the two SNF’s, the Company has term loans with financial institutions, which are insured 70% to 80% by the USDA. The loans have an annual renewal fee for the USDA guarantee of 0.25% of the guaranteed portion. The loans have prepayment penalties of 1% through 2020, capped at 1% for the remainder of the first 10 years of the term and 0% thereafter.
    (4)
    For one SNF, commonly known as Southland, the Company has a term loan with a financial institution, which is insured 75% by the SBA.

     

    (Amounts in 000’s)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Facility

     

    Lender

     

    Maturity

     

    Interest Rate (1)

     

     

    March 31, 2024

     

     

    December 31, 2023

     

    Senior debt - bonds

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Eaglewood Bonds Series A

     

    City of Springfield, Ohio

     

    05/01/2042

     

    Fixed

     

     

    7.65

    %

     

    $

    6,117

     

     

    $

    6,117

     

    (1)
    Represents cash interest rates as of March 31, 2024. The rates exclude amortization of deferred financing of approximately 0.10% per annum.

    (Amounts in 000’s)

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Facility

     

    Lender

     

    Maturity

     

    Interest Rate (1)

     

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Senior debt - other mortgage indebtedness

     

     

     

     

     

     

     

     

     

     

     

    Meadowood (2)

     

    Exchange Bank of Alabama

     

    10/01/2026

     

    Fixed

     

     

    4.50

    %

     

    $

    3,196

     

     

    $

    3,237

     

    Coosa (3)

     

    Exchange Bank of Alabama

     

    10/10/2026

     

    Fixed

     

     

    3.95

    %

     

     

    4,717

     

     

     

    4,764

     

    Total

     

     

     

     

     

     

     

     

     

     

    $

    7,913

     

     

    $

    8,001

     

    (1)
    Represents cash interest rates as of March 31, 2024 as adjusted for interest rate floor limitations, if applicable. The rates exclude amortization of deferred financing costs of 0.34% per annum.
    (2)
    The Meadowood Credit Facility is secured by the Meadowood Facility and the assets of Coosa, which is guaranteed by Regional Health Properties, Inc.
    (3)
    The Coosa Credit Facility, guaranteed by Regional Health Properties, Inc., includes customary terms, including events of default with an associated annual 5% default interest rate, and is secured by the Coosa Facility and the assets of Meadowood. Upon the occurrence of certain events of default, the lenders may terminate the Coosa Credit Facility and the Meadowood Credit Facility, and all amounts due under both credit facilities will become immediately due and payable. The Coosa Credit Facility has prepayment penalties of 5% in the 1st year, 4% in the 2nd year and 1% thereafter.

    (Amounts in 000’s)

     

     

     

     

     

     

     

     

     

     

     

     

     

    Lender

     

    Maturity

     

    Interest Rate

     

     

    March 31,
    2024

     

     

    December 31,
    2023

     

    Other debt

     

     

     

     

     

     

     

     

     

     

     

     

     

    First Insurance Funding (1)

     

    3/1/2024

     

    Fixed

     

     

    3.19

    %

     

    $

    —

     

     

    $

    369

     

    Key Bank (2)

     

    08/25/2025

     

    Fixed

     

     

    0.00

    %

     

     

    495

     

     

     

    495

     

    Marlin Capital Solutions

     

    06/1/2027

     

    Fixed

     

     

    5.00

    %

     

     

    21

     

     

     

    25

     

    Total

     

     

     

     

     

     

     

     

    $

    516

     

     

    $

    889

     

    (1)
    Annual Insurance financing primarily for the Company's directors and officers insurance.
    (2)
    On December 30, 2022, Key Bank and the Company extended the maturity date from August 25, 2023 to August 25, 2025.

    Debt Covenant Compliance

    As of March 31, 2024, the Company had 16 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 Company routinely tracks and monitors its compliance with its covenant requirements.

    18


     

    As of March 31, 2024, the Company was in compliance with the various financial and administrative covenants under the Company's outstanding credit related instruments except for one immaterial non-compliance. When management learned of the non-compliance, the non-compliance was cured after the balance sheet date.

    Scheduled Maturities

    The schedule below summarizes the scheduled gross maturities as of March 31, 2024 for each of the next five years and thereafter.

    For the Twelve Months Ended December 31,

    (Amounts in 000’s)

     

    2024 (9 months remaining)

    $

    1,297

     

    2025

     

    2,265

     

    2026

     

    8,741

     

    2027

     

    1,560

     

    2028

     

    1,657

     

    Thereafter

     

    35,538

     

    Subtotal

    $

    51,058

     

    Less: unamortized discounts

     

    (112

    )

    Less: deferred financing costs, net

     

    (937

    )

    Total notes and other debt

    $

    50,009

     

     

    NOTE 9. COMMON AND PREFERRED STOCK

    Common Stock

    As of March 31, 2024, the Company had 55,000,000 shares of Common Stock authorized and 1,849,908 shares issued and 1,839,028 shares outstanding. There were no dividends declared or paid on the common stock during the three months ended March 31, 2024 and 2023.

    Preferred Stock

    As of March 31, 2024, the Company had 5,000,000 shares of Preferred Stock authorized and 2,811,535 shares issued and outstanding.

    Series A Preferred Stock

    As of March 31, 2024, the Company had 559,263 shares of Series A Preferred Stock issued and outstanding. There were

    no dividends declared or paid on the Series A Preferred Stock for the three months ended March 31, 2024 and 2023.

     

    Series B Preferred Stock

     

    As of March 31, 2024, the Company had 2,252,272 shares of Series B Preferred Stock issued and outstanding. There were no dividends declared or paid on the Series B Preferred Stock for the three months ended March 31, 2024.

    .

    NOTE 10. STOCK BASED COMPENSATION

    Stock Incentive Plans

    On September 21, 2023, our Board of Directors (the "Board") approved the Regional Health Properties, Inc. 2023 Omnibus Incentive Compensation Plan (the “2023 Plan”), which was approved by the Company's shareholders on November 16, 2023 at the 2023 Annual Meeting of Shareholders. The 2023 Plan is administered by the Compensation Committee of the Board of the Company. The 2023 Plan shall remain in effect, subject to the right of the Board to amend or terminate the 2023 Plan at any time, until the earlier of 11:59 p.m. (ET) on September 21, 2033, or the date all shares subject to the 2023 Plan shall have been issued and the restrictions on all restricted shares granted under the Plan shall have lapsed, according to the 2023 Plan’s provisions.

     

    Our 2023 Plan replaced the Regional Health Properties, Inc. 2020 Equity Incentive Plan (the “2020 Plan”). Outstanding awards under the 2020 Plan will continue to be governed by the terms of the 2020 Plan until exercised, expired or otherwise terminated or canceled, but no further equity awards will be granted under the 2020 Plan.

     

    19


     

    As of March 31, 2024, the number of securities remaining available for future issuance under the 2023 Plan is 201,000.

    For the three months ended March 31, 2024 and 2023, the Company recognized stock-based compensation expense as follows:

     

     

    Three Months Ended March 31,

     

     

    (Amounts in 000’s)

     

    2024

     

     

    2023

     

     

    Employee compensation:

     

     

     

     

     

     

     

    Stock compensation expense

     

    $

    43

     

     

    $

    81

     

     

    Total employee stock-based compensation expense

     

    $

    43

     

     

    $

    81

     

     

     

    Restricted Stock

    The following table summarizes the Company's restricted stock activity for the three months ended March 31, 2024:

     

     

    Number of
    Shares (000's)

     

     

    Weighted Avg.
    Grant Date
    (per Share)
    Fair Value

     

    Unvested, December 31, 2023

     

     

    80

     

     

    $

    5.27

     

    Vested

     

     

    (43

    )

     

    $

    6.67

     

    Unvested, March 31, 2024

     

     

    37

     

     

    $

    3.61

     

    No restricted stock awards were granted for three months ended March 31, 2024. The remaining unvested shares at March 31, 2024 will vest over the next 1.8 years with $119 thousand in compensation expense recognized over this period.

    Common Stock Options

    The following summarizes the Company's employee and non-employee stock option activity for the three months ended March 31, 2024:

     

     

    Number of
    Shares (000's)

     

     

    Weighted
    Average
    Exercise
    Price

     

     

    Weighted
    Average
    Remaining
    Contractual
    Term
    (in years)

     

     

    Aggregate
    Intrinsic
    Value (000's)

     

    Outstanding, December 31, 2023

     

     

    33

     

     

    $

    14.84

     

     

     

    6.9

     

     

    $

    —

     

    Granted

     

     

    24

     

     

    $

    2.03

     

     

     

     

     

     

     

    Outstanding, March 31, 2024

     

     

    57

     

     

    $

    9.41

     

     

     

    8.0

     

     

    $

    10.1

     

    Outstanding and Vested, March 31, 2024

     

     

    44

     

     

    $

    11.55

     

     

     

    7.4

     

     

    $

    4.7

     

    A stock option to purchase 24,000 shares of common stock was granted under our 2023 Plan to an employee with an exercise price of $2.03 in January 2024. The weighted average fair value of the option granted was $1.76 and was estimated using the Black-Scholes option-pricing model with the following assumptions: (i) expected term of 5.27 years, (ii) risk free interest rate of 3.81%, (iii) dividend yield of 0.0%, and (iv) expected volatility of 127.14%.The remaining unvested shares at March 31, 2024 will vest over the next 0.8 years with $17 thousand in compensation expense recognized over this period.

    The following summary information reflects stock options outstanding, vested, and related details as of March 31, 2024:

     

     

    Stock Options Outstanding

     

     

    Stock Options Exercisable

     

    Exercise Price

     

    Number of
    Shares (000's)

     

     

    Weighted
    Average
    Remaining
    Contractual
    Term
    (in years)

     

     

    Weighted
    Average
    Exercise
    Price

     

     

    Number of
    Shares (000's)

     

     

    Weighted
    Average
    Exercise
    Price

     

    $2.03-$3.32

     

     

    48

     

     

     

    9.3

     

     

    $

    2.68

     

     

     

    35

     

     

    $

    2.91

     

    $46.80

     

     

    9

     

     

     

    0.7

     

     

    $

    46.80

     

     

     

    9

     

     

    $

    46.80

     

    Total

     

     

    57

     

     

     

    8.0

     

     

    $

    9.41

     

     

     

    44

     

     

    $

    11.55

     

     

    20


     

    Common Stock Warrants

    The following summarizes the Company's warrant activity for the three months ended March 31, 2024:

     

     

    Number of
    Warrants (000's)

     

     

    Weighted
    Average
    Exercise
    Price

     

     

    Weighted
    Average
    Remaining
    Contractual
    Term
    (in years)

     

     

    Aggregate
    Intrinsic
    Value
    (in 000's)

     

    Outstanding, December 31, 2023

     

     

    32

     

     

    $

    52.50

     

     

     

    1.0

     

     

    $

    —

     

    Granted

     

     

    —

     

     

    $

    —

     

     

     

     

     

     

     

    Expired

     

     

    —

     

     

    $

    —

     

     

     

     

     

     

     

    Outstanding, March 31, 2024

     

     

    32

     

     

    $

    52.50

     

     

     

    0.7

     

     

    $

    —

     

     

    No warrants were granted during the three months ended March 31, 2024. All outstanding warrants are vested, and the Company has no unrecognized compensation expense related to common stock warrants as of March 31, 2024.

     

    NOTE 11. COMMITMENTS AND CONTINGENCIES

    Regulatory Matters

    Laws and regulations governing federal Medicare and state Medicaid programs are complex and subject to interpretation. Compliance with such laws and regulations can be subject to future governmental review and interpretation as well as significant regulatory action including fines, penalties, and exclusion from certain governmental programs. As of March 31, 2024, all of the Company's facilities operated by Regional or leased and subleased to third-party operators are certified by CMS and are operational. See Note 6 - Leases.

    Legal Matters

    The Company is a party to various legal actions and administrative proceedings and is subject to various claims arising in the ordinary course of business, including claims that the services the Company provided during the time it operated SNFs resulted in injury or death to the patients of the Company's facilities and claims related to professional and general negligence, employment, staffing requirements and commercial matters. Although the Company intends to vigorously defend itself in these matters, there is no assurance that the outcomes of these matters will not have a material adverse effect on the Company's business, results of operations and financial condition.

    The Company previously operated, and the Company and its tenants now operate, in an industry that is highly regulated. As such, in the ordinary course of business, the Company and its tenants are continuously subject to state and federal regulatory scrutiny, supervision and control. Such regulatory scrutiny often includes inquiries, investigations, examinations, audits, site visits and surveys, some of which are non-routine. In addition, the Company believes that there has been, and will continue to be, an increase in governmental investigations of long-term care providers, particularly in the area of Medicare and Medicaid false claims, as well as an increase in enforcement actions resulting from these investigations. Adverse determinations in legal proceedings or governmental investigations against or involving the Company or its tenants, whether currently asserted or arising in the future, could have a material adverse effect on the Company's business, results of operations and financial condition.

    Professional and General Liability Claims

    On February 16, 2024, the Regional's insurance carrier was able to reach a settlement with the family of Mable Polite within policy limits.

    As of March 31, 2024, the Company has been named in three lawsuits pertaining to facilities it transitioned operations to other entities as a lessor in 2015. Even though the residents were not part of our dates of service as the operator of the buildings, the lawsuits claim the Company knew the new operator had a history of providing poor patient care and therefore should not have leased or sold the premises to the new operator. We do not believe there is any basis in law or fact to hold the previous operator/ lessor liable, and as a result management has concluded that the likelihood of a material adverse result is should be

    21


     

    remote. Despite our confidence in our legal position, we have to acknowledge that jurors sometimes follow sympathy rather than the law. One of the three cases is scheduled to go to trial in November 2024.

     

     

     

     

    NOTE 12. SEGMENT RESULTS

    The Company has two primary reporting segments: (i) Real Estate Services, which consists of the leasing and subleasing of long-term care and senior living facilities to third-party tenants, including the Company's management of three facilities on behalf of third-party owners which ended on December 31, 2023; and (ii) Healthcare Services, which consists of the operation of the Meadowood and Glenvue facilities.

    The Company reports segment information based on the "management approach" defined in ASC 280, Segment Reporting. The management approach designates the internal reporting used by management for making decisions and assessing performance as the source of our reportable segments.

    The table below presents the results of operations for our reporting segments for the periods presented.

     

    Three Months Ended March 31,

     

    Three Months Ended March 31,

     

     

    2024

     

    2024

     

    2024

     

    2023

     

    2023

     

    2023

     

    (Amounts in 000’s)

    Real Estate Services

     

    Healthcare Services

     

    Total

     

    Real Estate Services

     

    Healthcare Services

     

    Total

     

    Revenues:

     

     

     

     

     

     

     

     

     

     

     

     

    Patient care revenues

    $

    —

     

    $

    2,309

     

    $

    2,309

     

    $

    —

     

    $

    1,916

     

    $

    1,916

     

    Rental revenues

     

    1,818

     

     

    —

     

     

    1,818

     

     

    1,708

     

     

    —

     

     

    1,708

     

    Management fees

     

    —

     

     

    —

     

     

    —

     

     

    278

     

     

    —

     

     

    278

     

    Other revenues

     

    —

     

     

    —

     

     

    —

     

     

    4

     

     

    —

     

     

    4

     

    Total revenues

     

    1,818

     

     

    2,309

     

     

    4,127

     

     

    1,990

     

     

    1,916

     

     

    3,906

     

    Expenses:

     

     

     

     

     

     

     

     

     

     

     

     

    Patient care expense

     

    —

     

     

    2,101

     

     

    2,101

     

     

    —

     

     

    2,321

     

     

    2,321

     

    Facility rent expense

     

    149

     

     

    -

     

     

    149

     

     

    149

     

     

    -

     

     

    149

     

    Cost of management fees

     

    —

     

     

    —

     

     

    —

     

     

    141

     

     

    —

     

     

    141

     

    Depreciation and amortization

     

    386

     

     

    125

     

     

    511

     

     

    387

     

     

    123

     

     

    510

     

    General and administrative expense

     

    1,266

     

     

    366

     

     

    1,632

     

     

    1,181

     

     

    350

     

     

    1,531

     

    Doubtful accounts expense

     

    —

     

     

    28

     

     

    28

     

     

    —

     

     

    16

     

     

    16

     

    Total expenses

     

    1,801

     

     

    2,620

     

     

    4,421

     

     

    1,858

     

     

    2,810

     

     

    4,668

     

    Income (loss) from operations

     

    17

     

     

    (311

    )

     

    (294

    )

     

    132

     

     

    (894

    )

     

    (762

    )

    Other expense:

     

     

     

     

     

     

     

     

     

     

     

     

    Interest expense, net

     

    570

     

     

    104

     

     

    674

     

     

    571

     

     

    109

     

     

    680

     

    Other (income) expense, net

     

    (22

    )

     

    16

     

     

    (6

    )

     

    332

     

     

    218

     

     

    550

     

    Total other expense, net

     

    548

     

     

    120

     

     

    668

     

     

    903

     

     

    327

     

     

    1,230

     

    Net loss

    $

    (531

    )

    $

    (431

    )

    $

    (962

    )

    $

    (771

    )

    $

    (1,221

    )

    $

    (1,992

    )

    Total assets for the Real Estate Services segment and Healthcare Services segment were $48.0 million and $13.2 million, respectively, as of March 31, 2024.

    Total assets for the Real Estate Services segment and Healthcare Services segment were $48.5 million and $13.7 million, respectively, as of December 31, 2023.

    NOTE 13. SUBSEQUENT EVENTS

    The Company has evaluated all subsequent events through the date the consolidated financial statements were issued and filed with the SEC.

     

    22


     

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

    Forward Looking Statements

    This Quarterly Report and certain information incorporated herein by reference contain forward-looking statements and information within the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). This information includes assumptions made by, and information currently available to management, including statements regarding future economic performance and financial condition, liquidity and capital resources, and management's plans and objectives. In addition, certain statements included in this Quarterly Report, in the Company's future filings with the SEC, in press releases, and in oral and written statements made by us or with our approval, which are not statements of historical fact, are forward-looking statements. Words such as "may," "could," "should," "would," "believe," "expect," "anticipate," "estimate," "intend," "seek," "plan," "project," "continue," "predict," "will," and other words or expressions of similar meaning are intended by us to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Forward-looking statements are based on the Company's current expectations about future events or results and information that is currently available to us, involve assumptions, risks, and uncertainties, and speak only as of the date on which such statements are made.

    All forward-looking statements are subject to the risks and uncertainties inherent in predicting the future. The Company's actual results may differ materially from those projected, stated or implied in these forward-looking statements as a result of many factors, including the Company's critical accounting policies and risks and uncertainties related to, but not limited to, the operating results of the Company's tenants, the overall industry environment, the Company's financial condition, and the impact of the COVID-19 pandemic on the Company's business. These and other risks and uncertainties are described in more detail in the Annual Report and in Part II, Item 1A "Risk Factors" of this Quarterly Report, as well as other reports that the Company files with the SEC.

    Forward-looking statements speak only as of the date they are made and should not be relied upon as representing the Company's views as of any subsequent date. The Company undertakes no obligation to update or revise such statements to reflect new circumstances or unanticipated events as they occur, except as required by applicable laws, and you are urged to review and consider disclosures that the Company makes in this Quarterly Report and other reports that the Company files with the SEC that discuss factors germane to the Company's business.

    Overview

     

    Regional Health Properties, Inc., a Georgia corporation is a self-managed real estate investment company that invests primarily in real estate purposed for long-term care and senior housing. We operate through two reportable segments: Real Estate and Healthcare Services. Our Real Estate segment consists of real estate investments in skilled nursing and senior housing facilities. We fund our real estate investments primarily through: (1) operational cash flow, (2) mortgages, and (3) sale of equity securities. Our Healthcare Services segment is comprised of an entity set up to operate our facilities as needed under our Portfolio Stabilization measures.

     

    While the Company is a self-managed real estate investment company, the Company, when business conditions require, may undertake portfolio stabilization measures, such as operating a previously leased facility. For more information see " Recent Developments" below.

    Real Estate Portfolio

     

    As of March 31, 2024, we had investments of approximately $67.2 million in eleven health care real estate properties and one leased property. We currently own eleven properties, consisting of nine skilled nursing facilities and two multi-service facilities. Nine facilities are pursuant to triple-net leases, one is managed by an external manager, and one is managed internally by the Company. The Company has one leased facility that is subleased pursuant to a triple-net lease.

     

    Skilled nursing facilities. SNFs provide services that include daily nursing, therapeutic rehabilitation, social services, activities, housekeeping, nutrition, medication management and administrative services for individuals requiring certain assistance for activities in daily living. A typical skilled nursing facility includes mostly one and two bed units, each equipped with a private or shared bathroom and community dining facilities.

     

    Multi-Service Campuses. Multi-service campuses generally include some combination of co-located skilled nursing, independent living, assisted living and/or memory care units all housed at a single location and operated as a continuum of care.

    23


     

    We also refer to continuing care retirement communities as multi-service campuses. These facilities are often marketed as an opportunity for residents to “age in place,” and tend to attract couples where the individuals may require or benefit from differing levels of care.

     


    Portfolio

    The following table provides summary information regarding the number of facilities and related licensed beds/units as of March 31, 2024:

    Location

     

    Skilled Nursing Facilities

     

     

    Multi Service Properties

     

     

    Total Properties

     

    Alabama(a)

     

     

    1

     

     

     

    1

     

     

     

    2

     

    Georgia

     

     

    3

     

     

    -

     

     

     

    3

     

    North Carolina

     

     

    1

     

     

    -

     

     

     

    1

     

    Ohio(b)

     

     

    2

     

     

     

    1

     

     

     

    3

     

    South Carolina

     

     

    2

     

     

    -

     

     

     

    2

     

     

     

     

    9

     

     

     

    2

     

     

     

    11

     

     

     

     

     

     

     

     

     

     

     

    Location

     

    Skilled Nursing Beds/Units

     

     

    Multi Service Beds/Units

     

     

    Total Beds/Units

     

    Alabama(a)

     

     

    124

     

     

     

    90

     

     

     

    214

     

    Georgia

     

     

    395

     

     

    -

     

     

     

    395

     

    North Carolina

     

     

    106

     

     

    -

     

     

     

    106

     

    Ohio(b)

     

     

    112

     

     

     

    194

     

     

     

    306

     

    South Carolina

     

     

    180

     

     

    -

     

     

     

    180

     

     

     

     

    917

     

     

     

    284

     

     

     

    1,201

     

     

     

     

     

     

     

     

     

     

     

    Location

     

    Skilled Nursing Investment

     

     

    Multi Service Investment

     

     

    Total Investment

     

    Alabama(a)

     

    $

    9,613,199

     

     

    $

    4,989,912

     

     

    $

    14,603,111

     

    Georgia

     

     

    20,884,723

     

     

    -

     

     

     

    20,884,723

     

    North Carolina

     

     

    7,224,953

     

     

    -

     

     

     

    7,224,953

     

    Ohio(b)

     

     

    4,079,965

     

     

     

    10,714,214

     

     

     

    14,794,179

     

    South Carolina

     

     

    9,733,024

     

     

    -

     

     

     

    9,733,024

     

     

     

    $

    51,535,863

     

     

    $

    15,704,126

     

     

    $

    67,239,990

     

     

    (a) Meadowood Retirement Village offers assisted living, memory care, and independent living and is therefore considered a multi-service campus.

    (b) Eaglewood Village offers assisted living and Eaglewood Care Center offers skilled nursing. Both properties are co-located and are therefore considered a multi-service campus.

    The following table provides summary information regarding the number of facilities and related licensed beds/units by operator affiliation as of March 31, 2024:

    Operator Affiliation

     

    Number of Facilities (1)

     

     

    Beds / Units

     

    C.R. Management

     

     

    2

     

     

     

    233

     

    Aspire Regional Partners

     

     

    3

     

     

     

    306

     

    Oak Hollow Health Care Management

     

     

    2

     

     

     

    180

     

    Beacon Health Management

     

     

    1

     

     

     

    126

     

    Vero Health Management

     

     

    1

     

     

     

    106

     

    Cavalier Senior Living

     

     

    1

     

     

     

    90

     

    RHP Operations

     

     

    1

     

     

     

    160

     

        Subtotal

     

     

    11

     

     

     

    1,201

     

    (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.

     

    24


     

    For a more discussion of the above information, see Note 6 - Leases to the consolidated financial statements included in Part I, Item 1 herein. Additionally, see "Portfolio of Healthcare Investments" included in Part I, Item 1 "Business" in the Annual Report.

    Portfolio Occupancy Rates

    The following table provides summary information regarding our portfolio facility-level occupancy rates for the periods shown:

     

    For the Twelve Months Ended

    Operating Metric

    June 30, 2023

     

    September 30, 2023

     

    December 31, 2023

     

    March 31, 2024

    Occupancy (%)

    66.2%

     

    66.2%

     

    65.7%

     

    65.7%

     

    Lease Expiration

    The following table provides summary information regarding our lease expirations for the years shown as of December 31,:

     

     

    Licensed Beds

     

    Annual Lease Revenue

     

     

    Number of Facilities

    Count

     

    Percent

     

    Amount ($)
    '000's
    (1)

     

    Percent (%)

     

    2024

    1

    126

     

     

    9.8

    %

     

    516

     

     

    7.5

    %

    2025

    0

    0

     

     

    0.0

    %

     

    -

     

     

    0.0

    %

    2026

    0

    0

     

     

    0.0

    %

     

    -

     

     

    0.0

    %

    2027

    0

    0

     

     

    0.0

    %

     

    -

     

     

    0.0

    %

    2028

    5

    405

     

     

    31.6

    %

     

    2,761

     

     

    39.9

    %

    2029

    1

    106

     

     

    8.3

    %

     

    538

     

     

    7.8

    %

    2030

    2

    233

     

     

    18.2

    %

     

    2,103

     

     

    30.4

    %

    Thereafter

    2

    413

     

     

    32.2

    %

     

    995

     

     

    14.4

    %

         Total

    11

     

    1,283

     

     

    100.0

    %

     

    6,913

     

     

    100.0

    %

    (1)
    Straight-line rent.

     

     

    25


     

    Results of Operations

    The following table sets forth, for the periods indicated, an unaudited statement of operations items and the amounts and percentages 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 consolidated financial statements and the notes thereto, which are included herein.

     

     

    Three Months Ended March 31,

     

    (Amounts in 000’s)

     

    2024

     

     

    2023

     

     

    Percent
    Change

     

    Revenues:

     

     

     

     

     

     

     

     

     

    Patient care revenues

     

    $

    2,309

     

     

    $

    1,916

     

     

     

    20.5

    %

    Rental revenues

     

     

    1,818

     

     

     

    1,708

     

     

     

    6.4

    %

    Management fees

     

     

    —

     

     

     

    278

     

     

     

    (100.0

    )%

    Other revenues

     

     

    —

     

     

     

    4

     

     

     

    (100.0

    )%

    Total revenues

     

     

    4,127

     

     

     

    3,906

     

     

     

    5.7

    %

    Expenses:

     

     

     

     

     

     

     

     

     

    Patient care expense

     

     

    2,101

     

     

     

    2,321

     

     

     

    (9.5

    )%

    Facility rent expense

     

     

    149

     

     

     

    149

     

     

     

    —

     

    Cost of management fees

     

     

    —

     

     

     

    141

     

     

     

    (100.0

    )%

    Depreciation and amortization

     

     

    511

     

     

     

    510

     

     

     

    0.2

    %

    General and administrative expense

     

     

    1,632

     

     

     

    1,531

     

     

     

    6.6

    %

    Doubtful accounts expense

     

     

    28

     

     

     

    16

     

     

     

    75.0

    %

    Total expenses

     

     

    4,421

     

     

     

    4,668

     

     

     

    (5.3

    )%

    Loss from operations

     

     

    (294

    )

     

     

    (762

    )

     

     

    (61.4

    )%

    Other expense:

     

     

     

     

     

     

     

     

     

    Interest expense, net

     

     

    674

     

     

     

    680

     

     

     

    (0.9

    )%

    Other (income) expense, net

     

     

    (6

    )

     

     

    550

     

     

     

    (101.1

    )%

    Total other expense, net

     

     

    668

     

     

     

    1,230

     

     

     

    (45.7

    )%

    Net loss

     

    $

    (962

    )

     

    $

    (1,992

    )

     

     

    (51.7

    )%

     

     

    Three Months Ended March 31, 2024 and 2023

    Patient care revenues—Patient care revenues for the Healthcare Services segment, as a result of the Company operating the Meadowood and the Glenvue Facilities, were $2.3 million for the three months ended March 31, 2024, compared to $1.9 million for the same period in 2023. The 20.5% increase is primarily due to the change in the Medicaid reimbursement rate paid for the Glenvue facility.

    Rental revenues—Rental revenue for our Real Estate Services segment increased by approximately $0.1 million to $1.8 million for the three months ended March 31, 2024, compared with $1.7 million for the same period in 2023. The 6.4% increase is primarily due to the extension of the Greenfield lease and the increase in rent from the Southland facility.

    Patient care expense—Patient care expense was $2.1 million for the three months ended March 31, 2024 compared with $2.3 million for the same period in 2023. The current period expense decrease of $0.2 million was primarily due to cost containment at the Glenvue and Meadowood facilities.

    Facility rent expense—Facility rent was $0.1 million for the three months ended March 31, 2024, which was the same amount for the three months ended March 31, 2023.

    Depreciation and amortization—Depreciation and amortization was $0.5 million for the three months ended March 31, 2024, compared to $0.5 million for the same period in 2023.

    General and administrative expenses—General and administrative expenses were $1.6 million for the three months ended March 31, 2024 compared with $1.5 million for the same period in 2023. The difference is primarily from the 2023 allocation of costs from general and administrative expense to cost of management fees.

    26


     

     

     

    Three Months Ended March 31,

     

    (Amounts in 000’s)

     

    2024

     

     

    2023

     

     

    Percent
    Change

     

    General and administrative expenses:

     

     

     

     

     

     

     

     

     

    Real Estate Services

     

    $

    1,266

     

     

    $

    1,181

     

     

     

    7.2

    %

    Healthcare Services

     

     

    366

     

     

     

    350

     

     

     

    4.6

    %

    Total

     

    $

    1,632

     

     

    $

    1,531

     

     

     

    6.6

    %

    Doubtful accounts expense—Doubtful accounts expense primarily represents reserves taken against patient Accounts Receivable at the Glenvue facility for the three months ended March 31, 2024 and for the same period in 2023.

    Other (income) expense, net—Other expense, net decreased by approximately $0.6 million, to $0.0 million for the three months ended March 31, 2024, compared to $0.6 million for the three months ended March 31, 2023. The prior year expenses were related to professional and legal services incurred for the preferred exchange.

    Liquidity and Capital Resources

    Overview

    The Company intends to pursue measures to grow its operations, streamline its cost infrastructure and otherwise increase liquidity, including: (i) refinancing or repaying debt to reduce interest costs and mandatory principal repayments, with such repayment to be funded through potentially expanding borrowing arrangements with certain lenders; (ii) increasing future lease revenue through acquisitions and investments in existing properties; (iii) modifying the terms of existing leases; (iv) replacing certain tenants who default on their lease payment terms; and (v) reducing other and general and administrative expenses.

    Management anticipates access to several sources of liquidity, including cash on hand, cash flows from operations, and debt refinancing during the twelve months following the date of this filing. At March 31, 2024, the Company had $0.8 million in unrestricted cash and 1.5 million of net accounts receivable, mainly consisting of patient accounts receivable and rent receivables.

    During the three months ended March 31, 2024, the Company's net cash provided by operating activities was $0.6 million mainly due to the timing of accounts payable and accrued expense payments. Management anticipates collecting a portion of the past due rent after the filing date and is currently negotiating various methods to collect the remaining unpaid rent and notes receivable.

    As of March 31, 2024, Regional recorded an estimated allowance of $2.1 million against a gross accounts receivable of $3.5 million.

    As of March 31, 2024, the Company had $50.0 million in indebtedness, net of 1.0 million deferred financing, and unamortized discounts. The Company anticipates net principal repayments of approximately $1.7 million during the next twelve-month period, approximately $1.5 million of routine debt service amortization and a $0.1 million payment of bond debt.

    Series A Preferred Stock Exchange Offer

    On June 30, 2023, the Company closed the Company’s offer to exchange (the “Exchange Offer”) any and all outstanding shares of the Company’s 10.875% Series A Cumulative Redeemable Preferred Shares (the “Series A Preferred Stock”) for newly issued shares of the Company’s Series B Preferred Stock. In connection with the completion of the Exchange Offer and the implementation of the Series A Charter Amendments and the Series B Charter Amendments, the liquidation preference of the Series A Preferred Stock was reduced, accumulated and unpaid dividends on the Series A Preferred Stock were eliminated and future dividends on the Series A Preferred Stock were eliminated. As a result, $50.4 million in accumulated and unpaid dividends on the Series A Preferred Stock were eliminated and, as of March 31, 2024, there are no accumulated and unpaid dividends on the Series A Preferred Stock. For further information regarding the Exchange Offer, Series A Charter Amendments and Series B Charter Amendments, see Note 9 – Common and Preferred Stock.

    The Company is current with all of its debt and other financial obligations. In early 2020, the Company began ongoing efforts to investigate alternatives to retire or refinance our outstanding Series A Preferred Stock through privately negotiated transactions, open market repurchases, redemptions, exchange offers, tender offers, or otherwise.

     

    27


     

    Costs associated with these efforts have been expensed as incurred in “Other expense, net” and were $0.6 million for the three months ended March 31, 2023, and there were no expenses incurred for the three months ended March 31, 2024.

     

    Series A Preferred Dividend Suspension

     

    Prior to the Exchange Offer, as discussed above, we suspended the quarterly dividend payment with respect to our Series A Preferred Stock commencing with the fourth quarter of 2017, and on June 8, 2018, the Board suspended quarterly dividend payments indefinitely with respect to the Series A Preferred Stock. The dividend suspension provided the Company with additional funds to meet its ongoing liquidity needs. As the Company had failed to pay cash dividends on the outstanding Series A Preferred Stock in full for more than four dividends periods, the annual dividend rate on the Series A Preferred Stock for the fifth and future missed dividend periods had increased to 12.875%, which was equivalent to approximately $3.20 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 had paid all accumulated and unpaid dividends on the Series A Preferred Stock in full in cash. As discussed above, in connection with the completion of the Exchange Offer, accumulated and unpaid dividends on the Series A Preferred Stock were eliminated.

     

    Debt Covenant Compliance

    As of March 31, 2024, the Company was in compliance with the various financial and administrative covenants under the Company's outstanding credit related instruments except for one immaterial non-compliance. When management learned of the non-compliance, the non-compliance was cured after the balance sheet date.

    Evaluation of the Company's Ability to Continue as a Going Concern

    Under the accounting guidance related to the presentation of financial statements, the Company is required to evaluate, on a quarterly basis, whether or not the Company's current financial condition, including its sources of liquidity at the date that the consolidated financial statements are issued, will enable the Company to meet its obligations as they come due arising within one year of the date of the issuance of the Company's consolidated financial statements and to make a determination as to whether or not it is probable, under the application of this accounting guidance, that the Company will be able to continue as a going concern. 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, and the Company's recurring business operating expenses.

    The Company concludes 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.

    For additional information regarding the Company's liquidity, see Note 2 – Liquidity and Note 8 – Notes Payable and other debt, to the consolidated financial statements included in Part I, Item 1 herein.

    Cash Flows

    The following table presents selected data from our consolidated statements of cash flows for the periods presented:

     

     

    Three Months Ended March 31,

     

    (Amounts in 000’s)

     

    2024

     

     

    2023

     

    Net cash provided by operating activities

     

    $

    597

     

     

    $

    2,597

     

    Net cash used in investing activities

     

     

    (55

    )

     

     

    (2

    )

    Net cash used in financing activities

     

     

    (751

    )

     

     

    (685

    )

    Net change in cash and restricted cash

     

     

    (209

    )

     

     

    1,910

     

    Cash and restricted cash at beginning of period

     

     

    4,184

     

     

     

    3,909

     

    Cash and restricted cash, ending

     

    $

    3,975

     

     

    $

    5,819

     

    Three Months Ended March 31, 2024

    Net cash provided by operating activities—was approximately $0.6 million. The positive cash flow from operating activities was mainly due to the timing of working capital accounts.

    28


     

    Net cash used in investing activities—was approximately $55.0 thousand. This capital expenditure was primarily for leasehold improvements.

    Net cash used in financing activities—was approximately $0.8 million. The cash was used to make routine payments totaling $0.4 million for our Senior debt obligations, $0.4 million for other debt.

    Three Months Ended March 31, 2023

    Net cash provided by operating activities—was approximately $2.6 million. The positive cash flow from operating activities were largely due to collection of the ERTC.

    Net cash used in investing activities—was approximately $2.0 thousand. This capital expenditure was for computer hardware, software.

    Net cash used in financing activities—was approximately $0.7 million. The cash was used to make routine payments totaling $0.3 million for our Senior debt obligations, $0.4 million for other debt.

     

    Off-Balance Sheet Arrangements

    Guarantee

    The Company subleased five facilities located in Ohio to the Aspire Sublessees, formerly affiliated with MSTC Development Inc., pursuant to the Aspire Subleases, whereby the Aspire Sublessees took possession of, and commenced operating, the Aspire Facilities as subtenant. 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 at March 31, 2024. For further information see Note 6 – Leases, to the consolidated financial statements included in Part I, Item 1 herein and also and Note 6 – Leases included in Part II, Item 8 of the Annual Report.

    Critical Accounting Policies

    We prepare our financial statements in accordance with GAAP for interim financial information and with the instructions to Form 10-Q and Rule 8-03 of Article 8 of Regulation S-X. The preparation of these 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.

    For a discussion of our critical accounting policies, see Note 1 – Organization and Significant Accounting Policies to the consolidated financial statements included in Part I, Item 1 herein.

    29


     

    Item 3. Quantitative and Qualitative Disclosures About Market Risk.

    Disclosure in response to Item 3 of Form 10-Q is not required to be provided by smaller reporting companies.

    Item 4. Controls and Procedures.

    Evaluation of Disclosure Controls and Procedures

    We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports filed pursuant to the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the rules and forms of the SEC and that such information is accumulated and communicated to our management, including our Chief Executive Officer (principal executive officer) and Senior Vice President (principal financial officer), as appropriate, to allow for timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

    Our management, with the participation of our Chief Executive Officer and Senior Vice President, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act) as of the end of the period covered by this Quarterly Report (the "Evaluation Date"). Based on such evaluation, our management has concluded that, as of the Evaluation Date, our disclosure controls and procedures are effective.

    Changes in Internal Control Over Financial Reporting

    There has been no change in the Company's internal controls over financial reporting that occurred during the period covered by this report that has materially affected, or is reasonably likely to materially affect, the Company's internal control over financial reporting.

    Part II. Other Information

    Item 1. Legal Proceedings.

    The Company is a defendant in various legal actions and administrative proceedings arising in the ordinary course of business, including claims that the services the Company provided during the time it operated skilled nursing facilities resulted in injury or death to patients. Although the Company settles cases from time to time when settlement can be achieved on a reasonable basis, the Company vigorously defends any matter in which it believes the claims lack merit and the Company has a reasonable chance to prevail at trial or in arbitration. Litigation is inherently unpredictable. There is no assurance that the outcomes of these matters will not have a material adverse effect on the Company's financial condition. Although arising in the ordinary course of the Company's business, certain of these matters are described in "Note 11 - Commitments and Contingencies".

    Item 1A. Risk Factors.

    For a detailed description of certain risk factors that could affect our business, operations and financial condition, see Part I, Item 1A., Risk Factors, included in the Annual Report, as supplemented and modified by the risk factors set forth below in this Item 1A. The risk factors described in the Annual Report and this Quarterly Report (collectively, the “Risk Factors”) do not describe all risks applicable to our business, and we intend it only as a summary of certain material factors. The Risk Factors should be considered in connection with evaluating the forward-looking statements contained in this Quarterly Report because the Risk Factors could cause the actual results and conditions to differ materially from those projected in forward-looking statements. If any of the risks actually occur, our business, financial condition, or results of operations could be negatively affected. In that case, the trading price of the common stock, no par value per share (the "common stock"), the Series A Redeemable Preferred Shares, no par value per share (the "Series A Preferred Stock"), and the 12.5% Series B Cumulative Redeemable Preferred Shares, no par value per share (the "Series B Preferred Stock"), could decline.

    There are no material changes to the risk factors set forth in Part I, Item 1A, in our Annual Report on Form 10-K for the year ended December 31, 2023 filed with the SEC on April 1, 2024.

     

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

     

    30


     

    None.

    Item 3. Defaults upon Senior Securities.

    None.

    Item 4. Mine Safety Disclosures.

    Not applicable.

    Item 5. Other Information.

    NYSE American Listing

     

    On May 10, 2023, we received a letter from the NYSE American notifying us that we were not in compliance with Section 1003(a)(ii) of the NYSE American Company Guide. As a result, we became subject to the procedures and requirements of Section 1009 of the NYSE American Company Guide. On June 9, 2023, we submitted a plan to the NYSE American advising of actions we have taken or will take to regain compliance with the continued listing standards by November 10, 2024. On June 29, 2023, we received a letter from the NYSE American notifying us that we were not in compliance with Section 1003(a)(i) of the NYSE Company Guide. On August 1, 2023, we received a letter (the “Acceptance Letter”) from the NYSE American notifying us that the compliance plan has been accepted. The NYSE American has granted the Company a plan period through November 10, 2024 to regain compliance with the continued listing standards. We have been advised that if we do not make progress consistent with the plan or we fail to regain compliance by the deadline, then the NYSE American may commence delisting procedures.

     

    Regional Health’s common stock and Series A Preferred Stock will continue to be listed on the NYSE American while it attempts to regain compliance with the continued listing standard noted, subject to Regional Health’s compliance with other continued listing requirements. The common stock and Series A Preferred Stock will continue to trade under the symbols “RHE” and “RHE-PA,” respectively, but will each have an added designation of “.BC” to indicate that Regional Health is not in compliance with the NYSE American’s continued listing standards.

     

    Trading Arrangement

     

    During the first quarter of 2024, none of the Company’s directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) adopted or terminated a Rule 10b5-1 trading arrangement or a non-Rule 10b5-1 trading arrangement (each as defined in Item 408(c) of Regulation S-K of the Securities Act of 1933, as amended).

    Item 6. Exhibits.

    The agreements included as exhibits to this Quarterly Report are included to provide information regarding the terms of these agreements and are not intended to provide any other factual or disclosure information about the Company, its business or the other parties to these agreements. These agreements may contain representations and warranties by each of the parties to the applicable agreement. These representations and warranties have been made solely for the benefit of the other parties to the applicable agreement and:

    •
    should not in all instances be treated as categorical statements of fact, but rather as a way of allocating the risk to one of the parties if those statements prove to be inaccurate;
    •
    have been qualified by disclosures that were made to the other party in connection with the negotiation of the applicable agreement, which disclosures are not necessarily reflected in the agreement;
    •
    may apply standards of materiality in a way that is different from what may be viewed as material to investors; and
    •
    were made only as of the date of the applicable agreement or such other date or dates as may be specified in the agreement and are subject to more recent developments.

    Accordingly, these representations and warranties may not describe the actual state of affairs as of the date they were made or at any other time, and should not be relied upon by investors.

    31


     

    EXHIBIT INDEX

    Exhibit No.

    Description

    Method of Filing

    3.1

    Amended and Restated Articles of Incorporation of Regional Health Properties, Inc., effective July 3, 2023

    Incorporated by reference to Exhibit 3.1 of the Registrant's Current Report on Form 8-K filed on July 6, 2023

     

     

     

    3.2

    Amended and Restated Bylaws of Regional Health Properties, Inc., effective September 21, 2017

    Incorporated by reference to Exhibit 3.3 of the Registrant’s Current Report on Form 8-K12B filed on October 10, 2017

     

     

    3.2(a)

    Amendment No. 1 to Amended and Restated Bylaws of Regional Health Properties, Inc., effective June 27, 2023

    Incorporated by reference to Exhibit 3.6 of the Registrant’s Post-Effective Amendment No. 1 to Registration Statement on Form S-4 (Reg. No. 333-269750) filed on June 28, 2023

     

     

     

    31.1

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

    Filed herewith

     

    31.2

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

    Filed herewith

     

    32.1

    Certification of Principal Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act

    Filed herewith

     

    32.2

    Certification of Principal Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act

    Filed herewith

     

    101.INS

    Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document.

    Filed herewith

    101.SCH

    Inline XBRL Taxonomy Extension Schema

    Filed herewith

    104

    Cover Page Interactive Data File (embedded within the Inline XBRL document)

     

     

    * Identifies a management contract or compensatory plan or arrangement.

     

    32


     

    SIGNATURES

    Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused the report to be signed on its behalf by the undersigned, thereunto duly authorized.

     

     

     

     

     

    REGIONAL HEALTH PROPERTIES, INC.

     

     

     

     

    (Registrant)

     

     

     

     

     

    Date:

     

    May 15, 2024

     

    /s/ Brent Morrison

     

     

     

     

    Brent Morrison

     

     

     

     

    Chairman, Chief Executive Officer and Director (Principal Executive Officer)

     

     

     

     

     

    Date:

     

    May 15, 2024

     

    /s/ Paul O'Sullivan

     

     

     

     

    Paul O'Sullivan

     

     

     

     

    Senior Vice President (Principal Financial Officer)

     

    33


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