EX-99.1 8 shcr-20221231xex99d1.htm EX-99.1

Exhibit 99.1

GA8 TENANTS

COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021



INDEPENDENT AUDITORS’ REPORT

To the Owners and Management

GA8 Tenants

Opinion

We have audited the accompanying combined financial statements of GA8 Tenants, which comprise the combined balance sheets as of December 31, 2022 and 2021, and the related combined statements of income and changes in members’ equity and cash flows for the years then ended, and the related notes to the combined financial statements.

In our opinion, the combined financial statements referred to above present fairly, in all material respects, the financial position of GA8 Tenants as of December 31, 2022 and 2021, and the results of their operations and their cash flows for the years then ended in accordance with accounting principles generally accepted in the United States of America.

Basis for Opinion

We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Our responsibilities under those standards are further described in the Auditors’ Responsibilities for the Audit of the Combined Financial Statements section of our report. We are required to be independent of GA8 Tenants and to meet our other ethical responsibilities in accordance with the relevant ethical requirements relating to our audits. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

Management’s Responsibility for the Combined Financial Statements

Management is responsible for the preparation and fair presentation of the combined financial statements in accordance with accounting principles generally accepted in the United States of America, and for the design, implementation and maintenance of internal control relevant to the preparation and fair presentation of combined financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the combined financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about GA8 Tenants’ ability to continue as a going concern within one year after the date that the combined financial statements are available to be issued.

1


Auditors’ Responsibilities for the Audit of the Combined Financial Statements

Our objectives are to obtain reasonable assurance about whether the combined financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditors’ report that includes our opinion. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with generally accepted auditing standards will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations or the override of internal control. Misstatements, including omissions, are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the combined financial statements.

In performing an audit in accordance with generally accepted auditing standards, we:

Exercise professional judgment and maintain professional skepticism throughout the audit.
Identify and assess the risks of material misstatement of the combined financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the combined financial statements.
Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of GA8 Tenants internal control. Accordingly, no such opinion is expressed.
Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the combined financial statements.
Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about GA8 Tenants ability to continue as a going concern for a reasonable period of time.

We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings and certain internal control related matters that we identified during the audit.

/s/ Warren Averett, LLC

Birmingham, Alabama

March 13, 2023

2


GA8 TENANTS

COMBINED BALANCE SHEETS

DECEMBER 31, 2022 AND 2021

ASSETS

    

    

2022

2021

CURRENT ASSETS

 

  

 

  

Cash

$

4,047,322

$

3,114,852

Patient accounts receivable, net

 

13,571,787

 

12,894,880

Estimated third-party payor settlements

 

 

513,153

Prepaid expenses and other current assets

 

929,060

 

578,626

Other receivables

 

4,694,190

 

5,757,779

Total current assets

 

23,242,359

 

22,859,290

NONCURRENT ASSETS

 

  

 

  

Right-of-use asset, net (see note 1)

 

124,631,303

 

Property and equipment, net

 

511,080

 

407,544

Deposits

 

3,462,085

 

3,462,085

Total noncurrent assets

 

128,604,468

 

3,869,629

TOTAL ASSETS

$

151,846,827

$

26,728,919

LIABILITIES AND MEMBERS’ EQUITY

    

    

    

    

CURRENT LIABILITIES

 

  

 

  

Accounts payable

$

9,400,775

$

7,237,383

Accrued expenses

 

 

324,384

Accrued payroll and benefits

 

438,591

 

665,197

Current lease liabilities (see note 1)

 

6,273,189

 

Medicare advance payment loan

 

 

1,955,625

Total current liabilities

 

16,112,555

 

10,182,589

PAYCHECK PROGRAM PROTECTION LOAN

 

 

3,812,300

LONG-TERM LEASE LIABILITIES (see note 1)

 

123,428,432

 

MEMBERS’ EQUITY

 

12,305,840

 

12,734,030

TOTAL LIABILITIES AND MEMBERS’ EQUITY

$

151,846,827

$

26,728,919

See notes to the combined financial statements.

3


GA8 TENANTS

COMBINED STATEMENTS OF INCOME AND CHANGES IN MEMBERS’ EQUITY

FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021

    

2022

    

2021

REVENUES

 

  

 

  

Net patient service revenue

$

77,151,042

 

73,028,068

COVID‑19 Relief Funds revenue

 

1,446,482

 

3,140,176

 

78,597,524

 

76,168,244

OPERATING EXPENSES (INCOME)

 

  

 

  

Administrative and general services

 

11,250,387

 

11,154,677

Management services

 

4,219,897

 

3,986,381

Employee health and welfare

 

2,224,942

 

2,932,177

Plant operations

 

2,215,290

 

1,866,549

Dietary services

 

5,276,659

 

4,432,404

Housekeeping and laundry

 

2,200,473

 

2,135,739

Nursing services

 

27,863,663

 

20,755,923

Social services

 

290,972

 

241,707

Medical services

 

874,615

 

852,495

Rehabilitative therapies

 

8,507,704

 

9,211,057

Recreation

 

531,077

 

486,707

Provision for bad debt

 

2,153,854

 

3,168,446

Employee retention tax credit

 

 

(6,873,073)

Rent on facilities

 

 

15,316,057

Amortization of ROU assets

 

8,902,235

 

Interest on lease liabilities

 

6,843,573

 

Depreciation

 

149,011

 

132,794

Property insurance

 

118,813

 

24,497

Total operating expenses

 

83,623,165

 

69,824,537

INCOME (LOSS) FROM OPERATIONS

 

(5,025,641)

 

6,343,707

OTHER INCOME

 

  

 

  

Other income

 

246,145

 

Gain on forgiveness of debt

 

3,812,300

 

Insurance proceeds from business interruption

 

949,006

 

Total other income (expense)

 

5,007,451

 

NET INCOME (LOSS)

 

(18,190)

 

6,343,707

MEMBERS’ EQUITY AT BEGINNING OF YEAR

 

12,734,030

 

8,197,408

DISTRIBUTIONS

 

(410,000)

 

(1,807,085)

MEMBERS’ EQUITY AT END OF YEAR

$

12,305,840

$

12,734,030

See notes to the combined financial statements.

4


GA8 TENANTS

COMBINED STATEMENTS OF CASH FLOWS

FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021

    

2022

    

2021

CASH FLOWS FROM OPERATING ACTIVITIES

Net income (loss)

$

(18,190)

$

6,343,707

Adjustments to reconcile net income (loss) to net cash

 

  

 

  

provided by operating activities:

 

  

 

  

Depreciation

 

149,011

 

132,795

Provision for bad debt expense

 

2,153,854

 

3,168,446

Amortization of Right of Use Asset

 

8,902,235

 

Gain on forgiveness of debt

 

(3,812,300)

 

Change in other assets

 

 

(3,394,180)

Change in patient accounts receivable

 

(2,830,761)

 

978,943

Change in estimated third-party payor settlements

 

513,153

 

613,917

Change in prepaid expenses

 

(350,434)

 

446,849

Change in other receivables

 

1,063,589

 

(5,335,802)

Change in accounts payable

 

2,163,392

 

1,263,598

Change in accrued expenses

 

(324,384)

 

242,089

Change in accrued payroll and benefits

 

(226,606)

 

(95,927)

 

7,400,749

 

(1,979,272)

Net cash provided by operating activities

 

7,382,559

 

4,364,435

CASH FLOWS FROM INVESTING ACTIVITIES

 

  

 

  

Purchases of property and equipment

 

(203,035)

 

(218,339)

Net cash used in investing activities

 

(203,035)

 

(218,339)

CASH FLOWS FROM FINANCING ACTIVITIES

 

  

 

  

Distributions

 

(410,000)

 

(1,807,085)

Principal payment on lease liabilities

 

(3,881,429)

 

Repayment of Medicare advance payment loan

 

(1,955,625)

 

(1,943,697)

Net cash used in financing activities

 

(6,247,054)

 

(3,750,782)

INCREASE IN CASH

 

932,470

 

395,314

CASH AT BEGINNING OF YEAR

 

3,114,852

 

2,719,538

CASH AT END OF YEAR

$

4,047,322

$

3,114,852

SUPPLEMENTAL DISCLOSURES OF

    

  

    

  

CASH FLOW INFORMATION

 

  

 

  

Cash paid during the year for interest

$

6,843,570

$

SUPPLEMENTAL DISCLOSURES OF

 

  

 

  

NONCASH OPERATING, INVESTING AND

 

  

 

  

FINANCING ACTIVITIES

 

  

 

  

Right-of-use asset and lease liability associated with implementation of ASC 842

$

133,533,538

$

Vehicle acquired through financing lease

$

49,512

$

See notes to the combined financial statements.

5


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Nature of Business

GA8 Tenants (the Company) operates eight nursing facilities located in Georgia, which includes, GACalhoun SNF LLC, GAChatsworth SNF LLC, GAFairburn SNF LLC, GADecatur SNF LLC, GACartersville SNF LLC, GAJasper SNF LLC, GAStone Mountain SNF LLC, and Willowwood PAC LLC, collectively known as GA8 Tenants.

Principles of Combination

The accompanying combined financial statements include GACalhoun SNF LLC, GAChatsworth SNF LLC, GAFairburn SNF LLC, GADecatur SNF LLC, GACartersville SNF LLC, GAJasper SNF LLC, GAStone Mountain SNF LLC, and Willowwood PAC LLC, collectively known as GA8 Tenants. Upon combination, all material intercompany balances and transactions have been eliminated.

Use of Estimates

The preparation of the combined financial statements in conformity with generally accepted accounting principles (U.S. GAAP) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, and disclosure of contingent assets and liabilities, at the date of the combined financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Cash

The Company maintains its cash in bank deposit accounts which, at times, may exceed federally insured limits. The Company has not experienced any losses in such accounts.

Net Patient Service Revenue

Net patient service revenue is reported at the estimated net realizable amounts from residents, third-party payors and others for services rendered.

Revenue under third-party payor agreements is paid on a prospective basis and is subject to audit by the third-party payor. Provisions for estimated third-party payor settlements are provided in the period the related services are rendered. Differences between the estimated amounts accrued, and interim and final settlements, are reported in operations in the year final settlements are determined.

The promise to provide quality care is accounted for as a single performance obligation. The Company has concluded that the contracts with patients and residents represent a bundle of distinct services that are substantially the same, with the same pattern of transfer to the customer. The Company uses the portfolio approach as a practical expedient to group patient contracts with similar characteristics, such that revenue for a given portfolio would not be materially different than if it were evaluated on a contract-by-contract basis. These analyses incorporated consideration of reimbursements at varying rates from Medicaid, Medicare, Private Pay and other commercial payments for services. In order to determine the transaction price, the Company estimates the amount of variable consideration at the beginning of the contract using the expected value method. Changes in the Company’s expectation of the amount it will receive from the patient or third-party payors will be recorded in revenue unless there is a specific event that suggests the patient or third-party payor no longer has the ability and intent to pay the amount due and, therefore, the changes in its estimate of variable consideration better represent an impairment, or bad debt. The Company satisfies its performance obligation by providing quality of care services to its patients and residents on a daily basis until termination of the contract.

6


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

The following tables summarize revenue from contracts with customers by payor source for the periods presented:

    

2022

Other

Total

Third-Party

of All

Medicare

    

Medicaid

    

Payors

    

Patients

    

Payors

Patient service revenue

(net of contractual allowances, discounts and implicit price concessions)

$

26,460,749

$

42,040,945

$

6,289,774

$

2,359,574

$

77,151,042

    

2021

Other

Total

Third-Party

of All

Medicare

    

Medicaid

    

Payors

    

Patients

    

Payors

Patient service revenue

 

  

 

  

 

  

 

  

 

  

(net of contractual allowances, discounts and implicit price concessions)

$

26,600,322

$

38,304,073

$

6,175,651

$

1,948,022

$

73,028,068

Accounts Receivable

Accounts receivable is reported in the combined balance sheet at the outstanding balance net of an estimated allowance for doubtful accounts. Billing terms usually provide for payment within 30 days. An allowance for doubtful accounts is estimated based upon review of outstanding receivables, historical collection information and existing economic conditions. Bad debts are charged against the allowance when substantially all collection efforts cease. Recovery of bad debts previously charged off are recorded when received. The Company’s billing arrangements generally do not provide for interest on past due amounts. At December 31, 2022, 2021, and 2020, the allowance for doubtful accounts totaled $1,450,735, $1,115,435, and $1,641,010. Total receivables totaled $15,022,522, $14,010,314, and $16,683,279 at December 31, 2022, 2021, and 2020 respectively.

Concentration of Credit Risk

The Company grants credit without collateral to its patients, most of whom are local residents in relation to the nursing home in which they reside and are insured under third-party payor agreements. The mix of receivables from patients and third-party payors was as follows at December 31:

    

2022

    

2021

 

Medicare

 

42

%  

43

%

Medicaid

 

38

%  

43

%

Other insurance

 

9

%  

9

%

Private pay

 

11

%  

5

%

 

100

%  

100

%

Property and Equipment

Property and equipment acquisitions are recorded at cost less accumulated depreciation. The Company’s policy is to capitalize individual acquisitions of property and equipment greater than $5,000. Depreciation is provided over the estimated useful life of each class of depreciable assets and is computed using the straight-line method.

7


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

Income Taxes

As a limited liability company, income or loss generated by the Company is passed on to the members of the Company and taxed at their individual rates. Therefore, no provision or liability for income taxes has been included in the accompanying combined financial statements.

The Company assessed guidance relating to uncertainty in income taxes. This guidance requires entities to assess their uncertain tax positions for the likelihood that they would be overturned upon Internal Revenue Service examination or upon examination by state taxing authorities. The Company has determined that it does not have any positions at December 31, 2022 and 2021, that it would be unable to substantiate. The Company has filed its tax returns for all years through December 31, 2021.

Leases

The Company leases certain nursing facilities. The Company determines if an arrangement is a lease at inception. Financing leases are included in right-of-use (ROU) assets, current liabilities, and long-term lease liability on the combined balance sheets. The Company does not have any operating leases.

ROU assets represent the Company’s right to use an underlying asset for the lease term, and lease liabilities represent the Company’s obligation to make lease payments arising from the lease. Financing lease ROU assets and liabilities are recognized at commencement date based on the present value of lease payments over the lease term. The Company uses their incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. The financing lease ROU asset also includes any lease payments made and excludes lease incentives. Lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term.

The Company’s lease agreements do not contain any material residual value guarantees or material restrictive covenants.

The Company has elected to apply the short-term lease exemption to leases with an initial term of twelve months or less.

In evaluating contracts to determine if they qualify as a lease, the Company considers factors such as if the Company has obtained substantially all the rights to the underlying asset through exclusivity, if the Company can direct the use of the asset by making decisions about how and for what purpose the asset will be used, and if the lessor has substitution rights. This evaluation may require significant judgement.

Insurance

The Company maintains insurance programs including: workers’ compensation, employees’ medical care, property, casualty, directors’ and officers’ liability, and automobile. The Company believes its insurance programs are adequate and, where there has been a direct transfer of risk to the insurance carrier, the Company does not recognize a liability in the combined financial statements. The Company maintains a claims-made insurance program for general and professional liability and provides an estimated reserve for incurred but not reported claims. In the opinion of management, insurance coverage and estimated reserves for incurred but not reported claims are adequate to cover significant losses, if any.

Medicare Advance Payments

During 2020, the Company applied for and received $3,823,517 from the Medicare Advance Payment Program (MAPP). These funds are an interest free loan that will be subsequently repaid over time. In April 2021, the Company began to repay the loan. At December 31, 2021, the remaining amount to be repaid was $1,955,625 and is recorded as Medicare Advance Payment Loan in the accompanying combined financial statements. This amount was repaid in 2022.

8


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

1. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES – CONTINUED

Reclassifications

Certain prior period amounts have been reclassified to conform to the current year presentation. These reclassifications had no effect on members, the change in members equity or cash flows as previously stated.

Subsequent Events

Management has evaluated subsequent events and their potential effects on these combined financial statements through March 13, 2023, which is the date the combined financial statements were available to be issued.

On March 12, 2023, the New York State Department of Financial Services closed Signature Bank and appointed the Federal Deposit Insurance Corporation (FDIC) as receiver. On that date, the FDIC transferred all the deposits and substantially all of the assets of Signature Bank to Signature Bridge Bank, N.A.  Signature Bridge Bank, N.A is a full-service bank that will be operated by the FDIC as it markets the institution to potential bidders. The Company had cash deposits with Signature Bank on March 12, 2023, totaling $2,059,856 of which $286,264 was over the FDIC insured limit of $250,000. The Company does not anticipate any losses from the closure.

Recent Accounting Pronouncements

In February 2016, the Financial Accounting Standards Board (FASB) issued guidance (Accounting Standards Codification [ASC] 842, Leases) to increase transparency and comparability among organizations by requiring the recognition of ROU assets and lease liabilities on the balance sheet. Most prominent among the changes in the standard is the recognition of ROU assets and lease liabilities by lessees for those leases classified as operating leases. Under the standard, disclosures are required to meet the objective of enabling users of financial statements to assess the amount, timing and uncertainty of cash flows arising from leases. The Company adopted the standard effective January 1, 2022, and recognized and measured leases existing at, or entered into after, January 1, 2022, with certain practical expedients available. Lease disclosures for the year ended December 31, 2021, are made under prior lease guidance in FASB ASC 840.

The Company elected the available practical expedients to account for its existing operating leases as operating leases, under the new guidance, without reassessing (1) whether the contracts contain leases under the new standard, (2) whether classification of capital leases or operating leases would be different in accordance with new guidance, or (3) whether the unamortized initial direct costs before transition adjustments would have met the definition of initial direct costs in the new guidance at lease commencement.

As a result of the adoption of the new lease accounting guidance, the Company recognized on January 1, 2022, a lease liability of $133,583,051, which represents the present value of the remaining financing lease payments, discounted using the incremental borrowing rate of 5.25% for leases, and a right-of-use asset of $133,533,538.

The standard had a material impact on the combined balance sheets but did not have an impact on the combined income statements, nor combined statements of cash flows. The most significant impact was the recognition of ROU assets and lease liabilities for operating leases.

9


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

2. PROPERTY AND EQUIPMENT

A summary of property and equipment as of December 31, is as follows:

    

2022

    

2021

Furniture and equipment

$

210,490

$

75,094

Software and website

 

4,745

 

3,913

Minor movable equipment

 

191,777

 

183,667

Motor vehicles

 

51,126

 

Major leasehold improvements

 

359,620

 

302,537

 

817,758

 

565,211

Less accumulated depreciation

 

306,678

 

157,667

$

511,080

$

407,544

Depreciation charged to operations was $149,011 and $132,795 in 2022 and 2021, respectively.

3. FINANCING LEASES

The Company has financing leases for vehicles and nursing facilities. The Company leases have remaining lease terms through December 31, 2036, some of which may include options to extend the leases, and some of which may include options to terminate the leases.

The following is a schedule of future minimum lease payments under all operating leases having initial or remaining noncancelable lease terms in excess of one year:

Financing lease expense

    

    

Amortization of ROU assets

$

8,902,236

Interest on lease liabilities

 

6,843,571

Total financing lease expense

$

15,745,807

Weighted average remaining lease term

 

13.93

years

Cash paid for financing lease liabilities

 

  

Interest paid

$

6,843,570

Principal paid

 

3,881,429

Total cash paid for financing lease liabilities

$

10,724,999

10


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

3. FINANCING LEASES – CONTINUED

Reported as of December 31, 2022:

    

    

Other current liabilities

$

6,273,189

Other long-term liabilities

$

123,428,432

2023

$

12,900,013

2024

 

12,053,632

2025

 

12,234,437

2026

 

12,417,954

2027

 

12,604,223

Thereafter

 

122,295,266

 

184,505,525

Less imputed interest

 

(54,803,903)

Total

$

129,701,622

Associated with the leases, the Company was required to make $3,462,085 in deposits and prepayments related to operating leases. This amount is included in deposits in the accompanying December 31, 2022 and 2021 combined balance sheets.

4. CONTINGENCIES AND COMMITMENTS

Pursuant to legislative directives and authorizations from Congress, the Centers for Medicare and Medicaid Services (CMS) has developed and instituted various Medicare audit programs under which CMS contracts with private companies to conduct audits on claims and medical records. In the ordinary course of business, the Company is subject to inquiries, investigations and audits by these private companies, or other federal and state agencies that oversee applicable healthcare program participation and payment regulations. Audits may include enhanced medical necessity reviews pursuant to the Medicare, Medicaid and SCHIP Extension Act of 2007 and audits under the CMS Recovery Audit Contractor (RAC) program. The Company makes significant efforts through training and education to ensure compliance with all programs.

5. LITIGATION

There are several lawsuits pending against the Company. The ultimate outcome of these claims is uncertain at this time; however, management believes that the liability resulting from the claims, if any, will not have a material adverse effect in the combined financial statements.

6. COVID-19 RELIEF FUNDS REVENUE

As part of the response to the coronavirus pandemic, the federal government passed legislation, referred to as the Coronavirus Aid, Relief, and Economic Security Act, in March 2020, and the America Rescue Plan Act in March of 2021, that included, among other things, financial assistance to offset some of the financial burden incurred by providers in responding to the pandemic. As a result of this legislation, the Company received $123,735 in 2022 ($1,597,821 in 2021) from funds established under the CARES Act in the form of a grant that, as long as certain terms and conditions are met by the Company, is not required to be repaid. The Company has met the terms and conditions as required by the grants and has recognized $123,735 in 2022 ($1,597,821 in 2021) of the relief funds to offset lost revenues and additional expenses incurred for the year ended December 31, 2022, due to the coronavirus pandemic. This amount is recorded as other operating income in the accompanying combined statements of income and changes in members’ equity.

In addition to the above, the Company also received various state grants to help mitigate the coronavirus pandemic. The funds were required to be used for necessary expenditures incurred due to COVID-19. The Company has met the terms and conditions of use and recognized the amounts into income. The Company received $1,322,747 and $1,542,355 in funds in 2022 and 2021, respectively.

11


Table of Contents

GA8 TENANTS

NOTES TO THE COMBINED FINANCIAL STATEMENTS

DECEMBER 31, 2022 AND 2021

7. RELATED PARTIES

The Company pays management fees to a related party that provides general and administrative services to the nursing home operators. Management fee expenses incurred for the years ended December 31, 2022 and 2021, totaled $4,219,897 and $3,986,381, respectively. Management fees are presented as an expense and included in administrative services in the accompanying combined financial statements. At December 31, 2022, the Company had $521,602 due from the related party ($294,036 due from the related party in 2021) included in other receivables in the accompanying combined financial statements.

The Company also had other net advances outstanding from related parties totaling $505,749 and $101,917 as of December 31, 2022 and 2021.

8. PAYCHECK PROTECTION LOAN

During 2020, the nursing homes were granted loans (the Loan) from a financial institution in the aggregate amount of $3,812,300 pursuant to the Paycheck Protection Program (the PPP) under Division A, Title I of the CARES Act, which was enacted on March 27, 2020. Under the terms of the PPP, certain amounts of the loan may be forgiven if they are used for qualifying expenses and if certain other requirements as described in the CARES Act are met. The Company used the entire loan amount for qualifying expenses. The Company applied for forgiveness and received with the lender and the Small Business Administration, as such the amount has been recorded as other income in the accompanying 2022 combined financial statements.

9 EMPLOYEE RETENTION TAX CREDIT

In December 2020, the Consolidated Appropriations Act, 2021 (CAA) was signed into law which included additional COVID-19 related relief. The CAA substantially and retroactively expended the Employee Retention Tax Credit (ERTC) for eligible companies. Under the revised terms of the ERTC, companies are eligible to claim the payroll tax credit if the company was fully or partially suspended by a COVID-19 government order or if calendar 2021 gross receipts were less than 20% compared to the same quarter in 2019. For the period January 1, 2021, through September 30, 2021, the Company qualified for $6,876,330 in payroll tax credits. The Company received $2,664,654 during 2022 and $1,644,793 during 2021. The remaining uncollected balance has been recorded as a receivable (included in other receivables) on the accompanying combined balance sheets of $2,566,883 and $5,231,537 as of December 31, 2022 and 2021, respectively, and a reduction to operating expenses of $6,873,073 for the year-ended December 31, 2021, on the accompanying combined statements of income.

12


SUPPLEMENTARY INFORMATION


INDEPENDENT AUDITORS’ REPORT ON

SUPPLEMENTARY INFORMATION

To the Owners and Management

GA8 Tenants

We have audited the accompanying combined financial statements of GA8 Tenants as of and for the years ended December 31, 2022 and 2021, and our report thereon dated March 13, 2023, which expressed an unmodified opinion on those combined financial statements, appears on pages 1 and 2. Our audit was conducted for the purpose of forming an opinion on the combined financial statements as a whole. The combining balance sheets as of December 31, 2022 and 2021, and the related combining statement of income and members’ equity for the years then ended, are presented for purposes of additional analysis and are not a required part of the combined financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the combined financial statements. The information has been subjected to the auditing procedures applied in the audit of the combined financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the combined financial statements or to the combined financial statements themselves, and other additional procedures in accordance with auditing standards generally accepted in the United States of America. In our opinion, the information is fairly stated in all material respects in relation to the combined financial statements as a whole.

/s/ Warren Averett, LLC

Birmingham, Alabama

March 13, 2023

14


GA8 TENANTS

COMBINING BALANCE SHEET

DECEMBER 31, 2022

ASSETS

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

    

 

GACalhoun

GAChatsworth

GAFairburn

GADecatur

GACartersville

GAJasper

GAStone Mountain

Willowwood

 

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

PAC LLC

Eliminations

TOTAL

CURRENT ASSETS

  

  

  

  

  

  

  

  

  

  

Cash

$

294,538

$

772,355

$

43,881

$

1,248,746

$

154,809

$

123,365

$

116,188

$

1,293,440

$

  

$

4,047,322

Patient accounts receivable, net

 

1,167,173

 

998,491

 

1,000,906

 

2,092,376

 

1,436,376

 

736,318

 

4,641,300

 

1,498,847

 

  

 

13,571,787

Intercompany receivables

 

1,410,434

 

728,794

 

1,387,432

 

1,504,148

 

311,284

 

15,997

 

(326,819)

 

712,397

 

(5,743,667)

  

 

Prepaid expenses and other current assets

 

203,579

 

68,018

 

73,977

 

132,981

 

60,555

 

76,785

 

216,444

 

96,721

 

  

 

929,060

Other receivables

 

2,220,469

 

626,111

 

338,574

 

28,779

 

609,759

 

38,167

 

511,810

 

320,521

 

  

 

4,694,190

Total current assets

 

5,296,193

 

3,193,769

 

2,844,770

 

5,007,030

 

2,572,783

 

990,632

 

5,158,923

 

3,921,926

 

(5,743,667)

  

 

23,242,359

NONCURRENT ASSETS

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

  

 

Right-of-use asset, net

 

4,585,473

 

33,128,918

 

13,863,794

 

8,641,743

 

18,143,442

 

10,199,634

 

26,193,665

 

9,874,634

 

  

 

124,631,303

Property and equipment, net

 

139,843

 

25,006

 

44,789

 

94,726

 

38,787

 

20,448

 

84,272

 

63,209

 

  

 

511,080

Deposits

 

175,703

 

851,521

 

387,871

 

263,623

 

490,229

 

285,919

 

723,311

 

283,908

 

  

 

3,462,085

Total noncurrent assets

 

4,901,019

 

34,005,445

 

14,296,454

 

9,000,092

 

18,672,458

 

10,506,001

 

27,001,248

 

10,221,751

 

  

 

128,604,468

TOTAL ASSETS

$

10,197,212

$

37,199,214

$

17,141,224

$

14,007,122

$

21,245,241

$

11,496,633

$

32,160,171

$

14,143,677

$

(5,743,667)

  

$

151,846,827

LIABILITIES AND MEMBERS’ EQUITY (DEFICIT)

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

  

 

CURRENT LIABILITIES

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

  

 

Accounts payable

$

1,004,216

$

670,169

$

1,302,179

$

1,211,459

$

997,282

$

700,935

$

1,809,788

$

1,704,746

$

  

$

9,400,775

Accrued payroll and benefits

 

36,747

 

83,661

 

50,617

 

50,920

 

61,001

 

35,431

 

67,726

 

52,488

 

  

 

438,591

Current lease liability

 

230,806

 

1,667,511

 

669,155

 

434,973

 

879,751

 

638,511

 

1,255,453

 

497,029

 

  

 

6,273,189

Intercompany payables

 

2,918,685

 

 

47,384

 

311,284

 

1,880,437

 

 

712,397

 

(126,520)

 

(5,743,667)

  

 

Total current liabilities

 

4,190,454

 

2,421,341

 

2,069,335

 

2,008,636

 

3,818,471

 

1,374,877

 

3,845,364

 

2,127,744

 

(5,743,667)

  

 

16,112,555

LONG-TERM LEASE LIABILITY

 

4,588,908

 

32,796,015

 

13,724,481

 

8,554,905

 

17,961,124

 

10,097,140

 

25,930,453

 

9,775,406

 

  

 

123,428,432

MEMBERS’ EQUITY (DEFICIT)

 

1,417,850

 

1,981,858

 

1,347,408

 

3,443,581

 

(534,354)

 

24,616

 

2,384,354

 

2,240,527

 

  

 

12,305,840

TOTAL LIABILITIES AND MEMBERS’ EQUITY

$

10,197,212

$

37,199,214

$

17,141,224

$

14,007,122

$

21,245,241

$

11,496,633

$

32,160,171

$

14,143,677

$

(5,743,667)

  

$

151,846,827

See independent auditors’ report on supplementary information.

15


GA8 TENANTS

COMBINING STATEMENT OF INCOME

FOR THE YEAR ENDED DECEMBER 31, 2022

    

GACalhoun

    

GAChatsworth

    

GAFairburn

    

GADecatur

    

GACartersville

    

GAJasper

    

GAStone Mountain

    

Willowwood

    

    

 

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

PAC LLC

TOTAL

REVENUES

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

Net patient service revenue

$

7,025,557

$

11,096,658

$

9,223,563

$

9,896,772

$

8,918,861

$

6,644,205

$

14,923,171

$

9,422,255

 

$

77,151,042

COVID‑19 Relief Funds revenue

 

164,962

 

288,697

 

164,962

 

164,962

 

164,963

 

164,962

 

164,962

 

168,012

 

 

1,446,482

 

7,190,519

 

11,385,355

 

9,388,525

 

10,061,734

 

9,083,824

 

6,809,167

 

15,088,133

 

9,590,267

 

 

78,597,524

OPERATING EXPENSES (INCOME)

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

Administrative and general services

 

1,149,119

 

1,437,006

 

1,573,565

 

1,698,887

 

1,104,270

 

941,228

 

2,103,834

 

1,242,478

 

 

11,250,387

Management services

 

406,406

 

601,133

 

495,511

 

549,235

 

488,129

 

376,645

 

817,640

 

485,198

 

 

4,219,897

Employee health and welfare

 

264,756

 

310,662

 

243,169

 

224,838

 

237,611

 

182,322

 

544,824

 

216,760

 

 

2,224,942

Plant operations

 

251,268

 

263,070

 

241,426

 

271,836

 

261,491

 

132,208

 

482,984

 

311,007

 

 

2,215,290

Dietary services

 

569,408

 

778,628

 

666,974

 

670,589

 

563,648

 

448,237

 

984,931

 

594,244

 

 

5,276,659

Housekeeping and laundry

 

202,700

 

344,527

 

225,924

 

298,427

 

269,093

 

231,532

 

377,316

 

250,954

 

 

2,200,473

Nursing services

 

2,592,783

 

3,452,398

 

3,892,260

 

3,611,919

 

2,690,121

 

2,877,724

 

5,203,621

 

3,542,837

 

 

27,863,663

Social services

 

44,949

 

49,156

 

32,544

 

 

 

33,713

 

90,300

 

40,310

 

 

290,972

Medical services

 

86,136

 

155,982

 

31,694

 

117,942

 

83,666

 

90,502

 

170,425

 

138,268

 

 

874,615

Rehabilitative therapies

 

783,321

 

977,446

 

1,291,734

 

987,476

 

981,728

 

793,954

 

1,598,068

 

1,093,977

 

 

8,507,704

Recreation

 

26,712

 

84,855

 

81,233

 

82,644

 

117,307

 

36,641

 

60,487

 

41,198

 

 

531,077

Provision for bad debt

 

237,924

 

306,664

 

215,574

 

297,688

 

172,231

 

136,452

 

531,012

 

256,309

 

 

2,153,854

Amortization of ROU assets

 

327,534

 

2,366,351

 

990,271

 

617,267

 

1,295,960

 

728,545

 

1,870,976

 

705,331

 

 

8,902,235

Interest on lease liabilities

 

251,791

 

1,819,129

 

761,268

 

474,523

 

996,266

 

560,067

 

1,438,308

 

542,221

 

 

6,843,573

Depreciation

 

28,434

 

10,261

 

9,576

 

31,190

 

11,152

 

7,062

 

33,138

 

18,198

 

 

149,011

Property insurance

 

12,089

 

15,589

 

13,633

 

10,403

 

13,734

 

10,534

 

20,665

 

22,166

 

 

118,813

TOTAL OPERATING EXPENSES

 

7,235,330

 

12,972,857

 

10,766,356

 

9,944,864

 

9,286,407

 

7,587,366

 

16,328,529

 

9,501,456

 

 

83,623,165

INCOME (LOSS) FROM OPERATIONS

 

(44,811)

 

(1,587,502)

 

(1,377,831)

 

116,870

 

(202,583)

 

(778,199)

 

(1,240,396)

 

88,811

 

 

(5,025,641)

OTHER INCOME

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

Other Income

 

70,534

 

14,125

 

15,577

 

38,523

 

26,658

 

69,218

 

4,176

 

7,334

 

 

246,145

Gain on forgiveness of debt

 

407,600

 

519,500

 

407,600

 

502,700

 

377,800

 

278,800

 

721,400

 

596,900

 

 

3,812,300

Insurance proceeds from business interrption

 

949,006

 

 

 

 

 

 

 

 

 

949,006

TOTAL OTHER INCOME

 

1,427,140

 

533,625

 

423,177

 

541,223

 

404,458

 

348,018

 

725,576

 

604,234

 

 

5,007,451

NET INCOME (LOSS)

$

1,382,329

$

(1,053,877)

$

(954,654)

$

658,093

$

201,875

$

(430,181)

$

(514,820)

$

693,045

 

$

(18,190)

See independent auditors’ report on supplementary information.

16


GA8 TENANTS

COMBINING BALANCE SHEET

DECEMBER 31, 2021

ASSETS

 

GACalhoun

GAChatsworth

GAFairburn

GADecatur

GACartersville

GAJasper

GAStone Mountain

Willowwood

 

    

SNF LLC

    

SNF LLC

    

SNF LLC

    

SNF LLC

    

SNF LLC

    

SNF LLC

    

SNF LLC

    

PAC LLC

    

Eliminations

    

TOTAL

CURRENT ASSETS

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

Cash

$

598,873

$

851,976

$

160,153

$

20,404

$

378,763

$

5,351

$

21,015

$

1,078,317

$

 

$

3,114,852

Patient accounts receivable, net

 

1,109,316

 

1,271,102

 

950,462

 

2,519,646

 

930,699

 

807,396

 

3,860,699

 

1,445,560

 

 

 

12,894,880

Estimated third-party payor settlements

 

3,136

 

315,677

 

(56,308)

 

22,000

 

23,347

 

37,797

 

(67,409)

 

234,913

 

 

 

513,153

Intercompany receivables

 

6,495,824

 

1,910,576

 

2,345,179

 

2,099,797

 

500,325

 

878,111

 

1,832,288

 

729,921

 

(16,792,021)

 

 

Prepaid expenses and other current assets

 

158,216

 

25,947

 

26,878

 

112,476

 

20,152

 

50,572

 

126,597

 

57,788

 

 

 

578,626

Other receivables

 

1,181,394

 

648,938

 

552,644

 

572,895

 

890,795

 

400,761

 

859,699

 

650,653

 

 

 

5,757,779

Total current assets

 

9,546,759

 

5,024,216

 

3,979,008

 

5,347,218

 

2,744,081

 

2,179,988

 

6,632,889

 

4,197,152

 

(16,792,021)

 

 

22,859,290

NONCURRENT ASSETS

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

Property and equpment, net

 

74,693

 

20,435

 

23,561

 

79,768

 

40,566

 

27,406

 

83,372

 

57,743

 

 

 

407,544

Deposits

 

175,703

 

851,521

 

387,871

 

263,623

 

490,229

 

285,919

 

723,311

 

283,908

 

 

 

3,462,085

Total noncurrent assets

 

250,396

 

871,956

 

411,432

 

343,391

 

530,795

 

313,325

 

806,683

 

341,651

 

 

 

3,869,629

TOTAL ASSETS

$

9,797,155

$

5,896,172

$

4,390,440

$

5,690,609

$

3,274,876

$

2,493,313

$

7,439,572

$

4,538,803

$

(16,792,021)

 

$

26,728,919

LIABILITIES AND MEMBERS’ EQUITY (DEFICIT)

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

CURRENT LIABILITIES

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

Accounts payable

$

572,141

$

667,811

$

890,566

$

914,568

$

580,830

$

702,397

$

1,221,930

$

1,687,140

$

 

$

7,237,383

Accrued expenses

 

18,329

 

1,919

 

12,727

 

279,471

 

5,606

 

(10,666)

 

4,516

 

12,482

 

 

 

324,384

Accrued payroll and benefits

 

61,277

 

127,337

 

65,209

 

73,137

 

62,828

 

70,625

 

130,585

 

74,199

 

 

 

665,197

Medicare advance payments

 

172,137

 

193,194

 

225,499

 

253,129

 

236,923

 

361,041

 

491,246

 

22,456

 

 

 

1,955,625

Intercompany payables

 

8,524,150

 

1,257,676

 

415,777

 

856,116

 

2,683,118

 

616,319

 

1,905,721

 

533,144

 

(16,792,021)

 

 

Total current liabilities

 

9,348,034

 

2,247,937

 

1,609,778

 

2,376,421

 

3,569,305

 

1,739,716

 

3,753,998

 

2,329,421

 

(16,792,021)

 

 

10,182,589

PAYCHECK PROGRAM

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

PROTECTION LOAN

 

407,600

 

519,500

 

407,600

 

502,700

 

377,800

 

278,800

 

721,400

 

596,900

 

 

 

3,812,300

MEMBERS’ EQUITY (DEFICIT)

 

41,521

 

3,128,735

 

2,373,062

 

2,811,488

 

(672,229)

 

474,797

 

2,964,174

 

1,612,482

 

 

 

12,734,030

TOTAL LIABILITIES AND MEMBERS’ EQUITY

$

9,797,155

$

5,896,172

$

4,390,440

$

5,690,609

$

3,274,876

$

2,493,313

$

7,439,572

$

4,538,803

$

(16,792,021)

 

$

26,728,919

See independent auditors’ report on supplementary information.

17


GA8 TENANTS

COMBINING STATEMENT OF INCOME

FOR THE YEAR ENDED DECEMBER 31, 2021

    

GACalhoun

    

GAChatsworth

    

GAFairburn

    

GADecatur

    

GACartersville

    

GAJasper

    

GAStone Mountain

    

Willowwood

    

    

 

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

SNF LLC

PAC LLC

TOTAL

REVENUES

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

Net patient service revenue

$

6,867,169

$

11,206,277

$

8,311,066

$

9,068,129

$

8,176,877

$

6,810,229

$

14,884,561

$

7,703,760

 

$

73,028,068

COVID‑19 Relief Funds revenue

 

512,161

 

330,796

 

277,872

 

407,428

 

549,979

 

521,541

 

322,755

 

217,644

 

 

3,140,176

 

7,379,330

 

11,537,073

 

8,588,938

 

9,475,557

 

8,726,856

 

7,331,770

 

15,207,316

 

7,921,404

 

 

76,168,244

OPERATING EXPENSES (INCOME)

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

  

 

 

Administrative and general services

 

1,254,872

 

1,313,156

 

1,405,515

 

2,048,987

 

1,115,517

 

1,021,935

 

1,913,522

 

1,081,173

 

 

11,154,677

Management services

 

371,793

 

612,269

 

452,575

 

496,370

 

436,412

 

382,682

 

801,637

 

432,643

 

 

3,986,381

Employee health and welfare

 

393,387

 

411,886

 

368,175

 

328,243

 

338,634

 

194,469

 

561,657

 

335,726

 

 

2,932,177

Plant operations

 

202,721

 

235,244

 

202,599

 

286,316

 

218,094

 

126,477

 

375,264

 

219,834

 

 

1,866,549

Dietary services

 

539,611

 

624,588

 

576,695

 

536,289

 

515,298

 

376,649

 

786,784

 

476,490

 

 

4,432,404

Housekeeping and laundry

 

261,343

 

301,989

 

260,084

 

248,206

 

231,859

 

207,932

 

379,386

 

244,940

 

 

2,135,739

Nursing services

 

2,067,724

 

2,251,946

 

2,287,019

 

3,317,138

 

1,863,115

 

2,478,358

 

3,922,236

 

2,568,387

 

 

20,755,923

Medical services

 

96,351

 

178,651

 

29,866

 

95,098

 

61,396

 

53,427

 

250,807

 

86,899

 

 

852,495

Social services

 

22,292

 

38,937

 

35,338

 

 

 

37,234

 

68,458

 

39,448

 

 

241,707

Recreation

 

20,412

 

66,277

 

65,533

 

75,792

 

136,480

 

34,532

 

57,268

 

30,413

 

 

486,707

Provision for bad debt

 

363,504

 

746,970

 

237,764

 

359,251

 

287,139

 

227,878

 

588,275

 

357,665

 

 

3,168,446

Rehabilitative therapies

 

942,844

 

1,105,763

 

1,193,320

 

1,016,057

 

944,774

 

898,496

 

1,931,771

 

1,178,032

 

 

9,211,057

Employee retention tax credit

 

(814,730)

 

(1,123,683)

 

(722,306)

 

(748,264)

 

(854,455)

 

(517,075)

 

(1,253,843)

 

(838,717)

 

 

(6,873,073)

Rent on facilities

 

1,193,402

 

3,100,205

 

1,164,408

 

1,264,817

 

2,923,091

 

1,685,630

 

3,546,338

 

595,457

 

 

15,473,348

TOTAL OPERATING EXPENSES

 

6,915,526

 

9,864,198

 

7,556,585

 

9,324,300

 

8,217,354

 

7,208,624

 

13,929,560

 

6,808,390

 

 

69,824,537

NET INCOME

$

463,804

$

1,672,875

$

1,032,353

$

151,257

$

509,502

$

123,146

$

1,277,756

$

1,113,014

 

$

6,343,707

See independent auditors’ report on supplementary information.

18