10-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K

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

For the fiscal year ended December 31, 2018

OR

☐ 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:  000-55777

CNL Healthcare Properties II, Inc.

(Exact name of registrant as specified in its charter)

Maryland	47-4524619
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)
CNL Center at City Commons 450 South Orange Avenue Orlando, Florida	32801
(Address of principal executive offices)	(Zip Code)

Registrant’s telephone number, including area code (407) 650-1000

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes ☐    No ☒

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes ☐    No ☒

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities 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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§ 229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. ☐

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 the definitions 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.   ☒

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

There is currently no established public market for the registrant’s shares of common stock.  Based on the registrant’s $10.06 net asset value per share as of June 30, 2018 (the last business day of the registrant’s most recently completed second fiscal quarter), the aggregate market value of the common stock held by non-affiliates of the registrant on such date was $48.9 million.

The number of shares of the registrant’s outstanding common stock as of March 15, 2019 was 4,899,139 Class A shares.

DOCUMENTS INCORPORATED BY REFERENCE

None

CNL HEALTHCARE PROPERTIES II, INC.AND SUBSIDIARIES

INDEX

			Page
Part I.
		Statement Regarding Forward Looking Information	3
	Item 1.	Business	4
	Item 1A.	Risk Factors	9
	Item 1B.	Unresolved Staff Comments	34
	Item 2.	Properties	35
	Item 3.	Legal Proceedings	35
	Item 4.	Mine Safety Disclosures	35
Part II.
	Item 5.	Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities	36
	Item 6.	Selected Financial Data	40
	Item 7.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	42
	Item 7A.	Quantitative and Qualitative Disclosures About Market Risk	54
	Item 8.	Financial Statements and Supplementary Data	55
	Item 9.	Changes in and Disagreements With Accountants on Accounting and Financial Disclosure	81
	Item 9A.	Controls and Procedures	81
	Item 9B.	Other Information	81
Part III .
	Item 10.	Directors, Executive Officers and Corporate Governance	82
	Item 11.	Executive Compensation	86
	Item 12.	Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters	87
	Item 13.	Certain Relationships and Related Transactions, and Director Independence	88
	Item 14.	Principal Accountant Fees and Services	91
Part IV.
	Item 15.	Exhibits and Financial Statement Schedules	93
	Item 16.	Form 10-K Summary	93
Signatures			97

PART I

STATEMENT REGARDING FORWARD LOOKING INFORMATION

Statements contained under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in this Annual Report on Form 10-K for the fiscal year ended December 31, 2018 (this “Annual Report”) that are not statements of historical or current fact may constitute “forward-looking statements” within the meaning of the Federal Private Securities Litigation Reform Act of 1995.  The Company intends that such forward-looking statements be subject to the safe harbor created by Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”).  Forward-looking statements are statements that do not relate strictly to historical or current facts, but reflect management’s current understandings, intentions, beliefs, plans, expectations, assumptions and/or predictions regarding the future of the Company’s business and its performance, the economy, and other future conditions and forecasts of future events and circumstances.  Forward-looking statements are typically identified by words such as “believes,” “expects,” “anticipates,” “intends,” “estimates,” “plans,” “continues,” “pro forma,” “may,” “will,” “seeks,” “should,” “could” and words and terms of similar substance in connection with discussions of future operating or financial performance, business strategy and portfolios, projected growth prospects, cash flows, costs and financing needs, legal proceedings, amount and timing of anticipated future distributions, estimates of per share net asset value of the Company’s common stock, and/or other matters.  The Company’s forward-looking statements are not guarantees of future performance.  While the Company’s management believes its forward-looking statements are reasonable, such statements are inherently susceptible to uncertainty and changes in circumstances.  As with any projection or forecast, forward-looking statements are necessarily dependent on assumptions, data and/or methods that may be incorrect or imprecise, and may not be realized.  The Company’s forward-looking statements are based on management’s current expectations and a variety of risks, uncertainties and other factors, many of which are beyond the Company’s ability to control or accurately predict.  Although the Company believes that the expectations reflected in such forward-looking statements are based upon reasonable assumptions, the Company’s actual results could differ materially from those set forth in the forward-looking statements due to a variety of risks, uncertainties and other factors.  Given these uncertainties, the Company cautions you not to place undue reliance on such statements.  

For further information regarding risks and uncertainties associated with the Company’s business, and important factors that could cause the Company’s actual results to vary materially from those expressed or implied in its forward-looking statements, please refer to the factors listed and described under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the “Risk Factors” sections of the Company’s  documents filed from time to time with the U.S. Securities and Exchange Commission (the “Commission” or “SEC”), including, but not limited to, this Annual Report and the Company’s quarterly reports on Form 10-Q, copies of which may be obtained from the Company’s website at www.cnlhealthcarepropertiesii.com.

All written and oral forward-looking statements attributable to the Company or persons acting on its behalf are qualified in their entirety by this cautionary note.  Forward-looking statements speak only as of the date on which they are made, and the Company undertakes no obligation to, and expressly disclaims any obligation to, publicly release the results of any revisions to its forward-looking statements to reflect new information, changed assumptions, the occurrence of unanticipated subsequent events or circumstances, or changes to future operating results over time, except as otherwise required by law.

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Item 1. BUSINESS

General

CNL Healthcare Properties II, Inc. is a Maryland corporation that incorporated on July 10, 2015.  We elected to be taxed as a real estate investment trust (“REIT”) for United States (“U.S.”) federal income tax purposes beginning with the year ended December 31, 2017 and our intention is to be organized and operate in a manner that allows us to remain qualified as a REIT for federal income tax purposes.  We are sponsored by CNL Financial Group, LLC (“Sponsor” or “CNL”).  The terms “us,” “we,” “our,” “Company” and “CNL Healthcare Properties II” include CNL Healthcare Properties II, Inc. and each of its subsidiaries.

On March 2, 2016, pursuant to a registration statement on Form S-11 under the Securities Act of 1933, we commenced our initial public offering of up to $1.75 billion (“Primary Offering”), in any combination, of Class A, Class T and Class I shares of common stock on a “best efforts” basis, which meant that CNL Securities Corp. (“Dealer Manager”), an affiliate of our Sponsor, used its best efforts but was not required to sell any specific amount of shares.  We also offered up to $250 million, in any combination, of Class A, Class T and Class I shares pursuant to our distribution reinvestment plan (“Reinvestment Plan” and, together with the Primary Offering, the “Offering”).  On August 31, 2018, our board of directors approved the termination of our Offering and the suspension of the Reinvestment Plan, effective October 1, 2018.  We also suspended our share redemption plan (“Redemption Plan”) and discontinued our stock dividends concurrently.  In October 2018, we deregistered the unsold shares of common stock under our previous registration statement on Form S-11.

From the time of our formation on July 10, 2015 (inception) through July 10, 2016, we had not commenced operations because we were in our development stage and had not received the minimum required offering amount of $2.0 million in shares of common stock.  We broke escrow in our Offering effective July 11, 2016 and, through the close of the Offering in October 2018, we had received aggregate subscription proceeds of approximately $51.2 million.  

As of December 31, 2018, we owned two seniors housing properties and one medical office building (“MOB”).  As part of exploring strategic alternatives, as further described below under “Strategic Alternatives,” we committed to a plan to sell our MOB property.  We contributed our net subscription proceeds to CHP II Partners, LP (“Operating Partnership”) in exchange for partnership interests.  We own substantially all of our assets either directly or indirectly through the Operating Partnership in which we are the sole limited partner and our wholly-owned subsidiary, CHP II GP, LLC, is the sole general partner.  The Operating Partnership owns assets through: (1) a wholly-owned taxable REIT subsidiary (“TRS”), CHP II TRS Holding, Inc. (“TRS Holdings”) and (2) property owner subsidiaries, which are single purpose entities.  

We have leased our two seniors housing properties to single member limited liability companies wholly-owned by TRS Holdings and engaged independent third-party managers under management agreements to operate the properties as permitted under REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”) structures; whereas, our medical office building has been leased on a net or modified gross basis to third-party tenants.  We view, manage and evaluate our portfolio homogenously as one collection of healthcare assets with a common goal of maximizing revenues and property income regardless of asset class or type.

Our offices are located at 450 South Orange Avenue within the CNL Center at City Commons in Orlando, Florida, 32801, and our telephone number is (407) 650-1000.

Advisor

We are externally managed and advised by CHP II Advisors, LLC (“Advisor”).  Our Advisor has responsibility for our day-to-day operations, serving as our consultant in connection with policy decisions to be made by our board of directors, and for identifying, recommending and executing acquisitions (through the completion of our acquisition stage in August 2018) and dispositions on our behalf pursuant to an advisory agreement.  In exchange for these services, our Advisor is entitled to receive certain fees from us.

Effective March 2, 2019, our advisory agreement, dated as of March 2, 2016, was amended and restated to eliminate acquisition fees and dispositions fees as well as to reduce the asset management fee to 0.40 percent per annum of average invested assets (“AUM Fee”).  Our AUM Fee is further subject and subordinate to an agreed upon hurdle relating to the total operating expenses (as described in the amended and restated advisory agreement) of the Company, though to the extent any portion of the AUM Fee is not paid as a result of total operating expenses exceeding the prescribed limits, it may be recovered by our Advisor if certain Company performance thresholds are subsequently met.  Our board of directors approved renewing the amended and restated advisory agreement through March 2020.  Our independent directors are required to review and approve the terms of our advisory agreement at least annually.

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As further described below under “Strategic Alternatives,” in March 2019, our board of directors and our Advisor agreed to terminate the amended and restated expense support and restricted stock agreement (as amended, “Expense Support Agreement”) effective April 1, 2019.  Any restricted stock shares granted to our Advisor under the Expense Support Agreement shall continue to be held by the Advisor, subject to the vesting and forfeiture provisions of the Expense Support Agreement which survive termination.

For additional information on our Advisor, its affiliates or other related parties, as well as the fees and reimbursements we pay, see Item 8. “Financial Statements and Supplementary Data” – Note 9. “Related Party Arrangements.”

Investment Objectives and Strategy

Our primary investment objectives were to invest in a diversified portfolio of assets that would allow us to:

• provide stockholders with attractive and stable cash distributions;

• preserve, protect and return stockholders’ invested capital; and

• explore liquidity opportunities in the future, such as the sale of either the Company or our assets, potential merger, or the listing of our common shares on a national securities exchange.

There can be no assurance that we will be able to achieve our investment objectives.

Strategic Alternatives

On August 31, 2018, our board of directors approved the termination of our Offering and the suspension of the Reinvestment Plan, effective October 1, 2018.  We also suspended our Redemption Plan and discontinued our stock dividends concurrently.  Our board of directors appointed a special committee comprised solely of our independent board members (“Special Committee”) to oversee the process of exploring strategic alternatives to maximize value for our stockholders, including, without limitation, (i) an orderly disposition of our assets or one or more of our asset classes and the distribution of the net sale proceeds thereof to our stockholders and (ii) a potential business combination or other transaction with an unrelated third-party or affiliated party of our Sponsor.  In January 2019, the Special Committee engaged SunTrust Robinson Humphrey, Inc. (“STRH”), an investment banker, to act as a financial advisor to the aforementioned Special Committee and, subsequently, we committed to a plan to sell our MOB property, Mid America Surgery Institute (“Mid America Surgery”).  Although we have formed a Special Committee for the exploration of strategic alternatives, we are not obligated to enter into any particular transaction or any transaction at all.  In the meantime, we continue to strategically manage and position our portfolio to drive performance and value.

In March 2019, we entered into an asset purchase agreement (“Sale Agreement”) with a subsidiary of HCP, Inc. (NYSE: HCP) related to the sale of Mid America Surgery for a gross sales price of $15.4 million (“MOB Sale”), subject to certain pro-rations and other adjustments as described in the Sale Agreement.  The parties anticipate that the closing of the MOB Sale will occur in the first half of 2019, subject to a third-party right of first refusal, customary closing conditions, governmental and other third-party consents.  There can be no assurance that the closing conditions will be satisfied or that the MOB Sale will be consummated.  To date, approximately $0.3 million has been placed by the buyer in escrow and an additional $0.3 million is due from the buyer on or before the end of the inspection period on April 5, 2019, at which point a total of $0.6 million will be non-refundable, except for a seller breach or default under the Sale Agreement, and will be applied to the purchase price at closing.  Net proceeds from the MOB Sale will be used to satisfy debt securing the Mid America Surgery and the remaining proceeds may be used to make a special distribution to stockholders and/or for general corporate purposes.

In connection with our exploration of possible strategic alternatives, in March 2019, our board of directors suspended our monthly cash distributions to stockholders effective April 1, 2019.  Accordingly, our board of directors does not currently intend to declare any regular distributions on our common stock after the effective date of the suspension, though special distributions may be made from time to time from net sales proceeds received from the sale of properties.  In addition, in March 2019, our board of directors and our Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019.  Any restricted stock shares granted to our Advisor under the Expense Support Agreement shall continue to be held by the Advisor, subject to the vesting and forfeiture provisions of the Expense Support Agreement which survive termination.

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Dispositions

The determination of when a particular investment should be sold or otherwise disposed of may be made after considering all relevant factors, including overall strategic alternatives, tax considerations as well as prevailing and projected economic and market conditions (including whether the value of the property or other investment is anticipated to decline substantially).  The net proceeds, after payment of debt, received from any disposition may be distributed to stockholders or retained for corporate purposes.

Portfolio Overview

As of December 31, 2018, our healthcare investment portfolio consisted of interests in two seniors housing properties and one MOB.  Our seniors housing properties consist of Summer Vista Assisted Living (“Summer Vista”) and The Crossings at Riverview (“Riverview”), which are both operated under a RIDEA structure pursuant to property management agreements with third-party property managers.  Our MOB, Mid America Surgery, consisted of five tenants with the two largest tenants, Mid America Surgery Institute and Women’s Clinic of Johnson County, representing 50.6% and 31.8%, respectively, of the total rentable square feet, 42.6% and 37.5%, respectively, of our annualized base rent and 6.0% and 5.3%, respectively, of our total revenues for the year ended December 31, 2018. Also, both of these tenants have lease terms that extend into 2027 and therefore significant near-term lease turnover is not expected at Mid America Surgery.  The remaining three tenants all individually represent less than 10% of the total rentable square feet or annualized based rent of the property.  As part of exploring strategic alternatives, as further described above under “Strategic Alternatives,” we committed to a plan to sell our MOB property.

While we are not directly impacted by the performance of our third-party tenants, we believe that the financial and operational performance of our tenants provides an indication about the stability of our tenants and their ability to pay rent. To the extent that our tenants or property managers experience operating difficulties and become unable to generate sufficient cash to make rent payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. Our tenants and property managers are generally contractually required to provide this information to us in accordance with their respective lease and/or management agreements. Therefore, in order to mitigate the aforementioned risk, we monitor our investments through a variety of methods determined by the type of property.

For our MOB property, we monitor the credit of our tenants to stay abreast of any material changes in quality. We monitor tenant credit quality by (1) reviewing financial statements that are publicly available or that are required to be delivered to us under the applicable lease, (2) direct interaction with onsite property managers, (3) monitoring news and rating agency reports regarding our tenants (or their parent companies) and their underlying businesses, (4) monitoring the timeliness of rent collections and (5) monitoring lease coverage.

Portfolio Evaluation

We monitor the performance of our tenants and third-party operators to stay abreast of any material changes in the operations of the underlying properties by (1) reviewing the current, historical and prospective operating margins (measured by a tenant’s earnings before interest, taxes, depreciation, amortization and facility rent), (2) monitoring trends in the source of our tenants’ revenue, including the relative mix of public payors (including Medicare, Medicaid, etc.) and private payors (including commercial insurance and private pay patients), (3) evaluating the effect of evolving healthcare legislation and other regulations on our tenants’ profitability and liquidity, and (4) reviewing the competition and demographics of the local and surrounding areas in which the tenants operate.

Management reviews certain operating and other statistical measures of the underlying property such as occupancy levels and revenue per occupied unit (“RevPOU”), which we define as total revenue before charges for ancillary and care services offered at the community divided by average number of occupied units. As of December 31, 2018, 99% and 81% of resident units were occupied at Summer Vista and Riverview, respectively.  The average monthly RevPOU as of December 31, 2018 and 2017 was $4,005 and $3,890 for assisted living units, respectively, and $4,828 and $4,367 for memory care units, respectively.  

Similarly, for our MOB, management reviews operating statistics of the underlying property, including occupancy levels and monthly rent per square foot.  As of December 31, 2018, Mid America Surgery was 100% leased to five tenants with a remaining weighted average lease term of approximately 7.6 years.  The average monthly rent per square foot for the year ended December 31, 2018 was $2.19.  As part of exploring strategic alternatives, as further described above under “Strategic Alternatives,” we committed to a plan to sell our MOB property.

6

Tenant Lease Expirations

The following table details, on an aggregate basis, scheduled expirations for the next 10 years ending December 31st on our MOB investment, Mid America Surgery, assuming that none of the tenants exercise any of their renewal options, as of December 31, 2018:

Year of Expiration (1)	Number of Tenants		Expiring Rentable Square Feet		Expiring Annualized Base Rents  (2)		Percentage of Expiring Annual Base Rents
2019		—		—	$	—		—
2020		1		3,080		93,940		9.0	%
2021		—		—		—		—
2022		—		—		—		—
2023		—		—		—		—
2024		1		1,825		55,663		5.3	%
2025		—		—		—		—
2026		—		—		—		—
2027		3		33,633		899,642		85.7	%
2028		—		—		—		—
Thereafter		—		—		—		—
Total		5		38,538	$	1,049,245		100.0	%
Weighted Average Remaining Lease Term: (3)					7.6 years

FOOTNOTES:

⁽¹⁾ Represents current lease expiration and does not take into consideration lease renewals available under existing leases at the option of the tenants.

⁽²⁾ Represents the current base rent, excluding tenant reimbursements and the impact of future rent escalations included in leases, multiplied by 12 and included in the year of expiration.

⁽³⁾ Weighted average remaining lease term is the average remaining term weighted by annualized current base rents.

As part of exploring strategic alternatives, as further described above under “Strategic Alternatives,” we committed to a plan to sell our MOB property.

Share Price Valuation

We have adopted a valuation policy designed to follow recommendations of the Investment Program Association (“IPA”), an industry trade group, in the IPA Practice Guideline 2013-01, Valuations of Publicly Registered Non-Listed REITs, which was adopted by the IPA effective May 1, 2013 (“IPA Valuation Guideline”).  The purpose of our valuation policy is to establish guidelines to be followed in determining the net asset value (“NAV”) per share of our common stock for regulatory and investor reporting and on-going evaluation of investment performance.  NAV means the fair value of real estate, real estate-related investments and all other assets less the fair value of total liabilities.  Our NAV will be determined based on the fair value of our assets less liabilities under market conditions existing as of the time of valuation and assuming the allocation of the resulting net value among our stockholders after any adjustments for incentive, preferred or special interests, if applicable.

In accordance with our valuation policy and as recommended by the IPA Valuation Guideline, we expect to produce an estimated NAV per share at least annually as of December 31 and disclose such amount as soon as possible after year-end.  The audit committee of our board of directors, comprised of our independent directors (“Valuation Committee”), oversees our valuation process and engages one or more third-party valuation advisors to assist in the process of determining the estimated NAV per share of our common stock.

To assist our board of directors in its determination of the estimated NAV per share of our common stock, our board of directors engaged an independent third-party valuation firm, Robert A. Stanger & Co., Inc. (“Stanger”), to provide property-level and aggregate valuation analyses of the Company and a range for the NAV per share of our common stock and to consider other information provided by our Advisor.  

For a detailed discussion of the determination of the estimated NAV per share of our common stock, including our valuation process and methodology, see Item 5.  “Market For Registrant’s Common Equity, Related Stockholder Matters And Issuer Purchases Of Equity Securities – Market Information.”

7

Common Stock Subscriptions

We terminated and closed our Offering effective October 1, 2018 and concurrently suspended the Reinvestment Plan.  Through the close of our Offering, we had received aggregate subscription proceeds of approximately $51.2 million (4.9 million shares), which includes $200,000 (20,000 shares) purchased by our Advisor prior to the commencement of the Offering, approximately $251,250 (25,125 shares) purchased in a private transaction exempt from the registration requirements pursuant to Section 4(a)(2) of the Securities Act of 1933, as amended, and Rule 506 promulgated thereunder (“Private Placement”) and approximately $1.2 million (0.1 million shares) purchased pursuant to our Reinvestment Plan through its suspension in October 2018.  

Distributions

In order to qualify as a REIT, we are required to make distributions, other than capital gain distributions, to our stockholders each year in the amount of at least 90% of our taxable income.  We may make distributions in the form of cash or other property, including distributions of our own securities. We have and may continue to pay some or all of our cash distributions declared through the first quarter of 2019 from sources other than cash flows from operations, such as from cash flows provided by financing activities, a component of which may include the remaining proceeds of our Offering or borrowings, whether collateralized by our assets or unsecured.  We have not established any limit on the extent to which we may use borrowings or remaining proceeds of our Offering to pay distributions.  In connection with our exploration of possible strategic alternatives discussed above under “Strategic Alternatives,” our board of directors discontinued our stock dividends effective October 1, 2018 and in March 2019, suspended our monthly cash distributions to stockholders effective April 1, 2019.  Accordingly, our board of directors does not currently intend to declare any regular cash distributions on our common stock after the effective date of the suspension, though special distributions may be made from time to time from net sales proceeds received from the sale of properties.  Refer to Item 5. “Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities – Distributions” for additional information regarding our distributions.

Borrowings

We have borrowed funds to acquire properties, make other permitted investments and to pay certain related fees. We may borrow money, whether collateralized by our assets or unsecured, to pay distributions to stockholders, for working capital and/or for other corporate purposes.   We are subject to certain customary covenants and limitations in connection with our borrowings.

There is no limitation on the amount we may invest in any single property or other asset or on the amount we can borrow for the purchase of any individual property or other investment.  Our intent has been to target our aggregate borrowings ranging from 40% to 60% of the aggregate value of our assets as we acquired properties.  Under our articles of incorporation, the maximum amount of our indebtedness cannot exceed 300% of our net assets as of the date of any borrowing unless any excess borrowing is approved by a majority of our independent directors and is disclosed to stockholders in our next quarterly report, together with a justification for the excess.  As of December 31, 2018 and 2017, we had an aggregate debt leverage ratio of approximately 36.0% and 40.4%, respectively, of the aggregate carrying value of our assets.

Competition

The current market for healthcare real estate is highly competitive as is the leasing market for such properties.  We compete for financing with many other entities engaged in real estate investment activities, including individuals, corporations, bank and insurance company investment accounts, REITs, real estate limited partnerships, many of which will have greater resources and lower costs of capital than we do.  The level of competition impacts both our ability to manage our investments and locate suitable tenants.

Our tenants and operators compete with other properties that provide comparable services in their local markets.  Tenants and operators compete for patients, tenants and residents based on a variety of factors including, but not limited to: quality of care, reputation, location, services offered, physician groups, staff and price. We also face competition from other properties for tenants or residents, such as physicians and other health care providers that provide comparable facilities and services.

Employees

We are externally managed and as such we do not have any employees.  

8

Financial Information about Industry Segments

We have determined that we operate in one business segment, real estate ownership, which consists of owning, managing, leasing, acquiring, developing, investing in, and as conditions warrant, disposing of real estate assets.  We internally evaluate all of our real estate assets as one operating segment and, accordingly, we do not report segment information.

Available Information

CNL maintains a web site for us at www.cnlhealthcarepropertiesii.com containing additional information about our business, and a link to the SEC web site (www.sec.gov).  We make available free of charge on our web site, our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and, if applicable, amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, as soon as reasonably practical after we file such material, or furnish it to, the SEC. You may read and copy any materials we file with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, DC 20549. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains a web site (www.sec.gov) where you can search for annual, quarterly and current reports, proxy and information statements, and other information regarding us and other public companies.

The contents of our web site are not incorporated by reference in, or otherwise a part of, this report.

Item 1A. Risk Factors

The risks and uncertainties described below represent those risks and uncertainties that we believe are material to us. Additional risks and uncertainties not presently known to us or that we currently deem immaterial may also harm our business. The occurrence of any of these risks could have a material adverse effect on our business, financial condition, results of operations and ability to pay distributions to our investors.

Company Related Risks

We have a limited operating history and there is no assurance that we will be able to achieve our investment objectives; the prior performance of other CNL affiliated entities may not be an accurate barometer of our future results.

We have a limited operating history and we may not be able to achieve our investment objectives. As a result, an investment in shares of our common stock may entail more risk than the shares of common stock of a REIT with a substantial operating history. In addition, investors should not rely on the past performance of investments by other CNL affiliated entities to predict our future results. Our investment strategy and key employees may differ from the investment strategies and key employees of other CNL affiliated programs in the past, present and future.

We recently terminated our public offering, terminated stock dividends, suspended our distribution reinvestment plan, suspended our share redemption plan (“Redemption Plan”), and appointed a Special Committee to consider strategic alternatives, all of which creates uncertainty about our future and for our stockholders.

On August 31, 2018, our board of directors terminated our ongoing public offering effective as of October 1, 2018, ceased authorizing stock dividends, suspended our distribution reinvestment plan effective as of October 1, 2018, suspended our Redemption Plan effective as of October 1, 2018, and appointed a Special Committee to consider strategic alternatives. Strategic alternatives may include, but are not limited to the sale of the company or its assets and distribution of net sale proceeds to shareholders, or a merger or other transaction with a third party or parties.   We cannot offer any assurances as to when, whether, or what sort of strategic alternatives may be achieved.  These developments create substantial uncertainty about our future and for our stockholders.

There is no public trading market for the shares of our common stock and our Redemption Plan has been suspended; therefore it will be difficult for our stockholders to sell their shares of common stock.

There is currently no public market for the shares of our common stock and we have no obligation or current plans to apply for listing on any public securities market. We have a Redemption Plan, but it is suspended. It will therefore be difficult for stockholders to sell their shares of common stock. Even if stockholders are able to sell their shares of common stock, the absence of a public market may cause the price received for any shares of our common stock to be less than what they paid, less than their proportionate value of the assets we own and less than the amount they would receive on any liquidation of our assets. Also, upon the occurrence of a liquidity event, including but not limited to listing our common stock on a national securities exchange (or the receipt by our stockholders of securities that are listed on a national securities exchange in exchange

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for our common stock); a sale, merger or other transaction in which our stockholders either receive, or have the option to receive, cash, securities redeemable for cash and/or securities of a publicly traded company; and the sale of all or substantially all of our assets where our stockholders either receive, or have the option to receive, cash or other consideration, or our liquidation, stockholders may receive less than what they paid for their shares. Because of the illiquid nature of our shares, investors should consider our shares to be a long term investment and be prepared to hold them for an indefinite period of time.

If we do not effect a liquidity event, it will be very difficult for our stockholders to have liquidity for their investment in shares of our common stock.

In the future we may consider various liquidity events. There can be no assurance that we will ever seek to effect, or be successful in effecting, a liquidity event. We are not required, by our charter or otherwise, to pursue a liquidity event or any transaction to provide liquidity to our stockholders. If we do not effect a liquidity event, it will be very difficult for stockholders to have liquidity for their investment in shares of our common stock.

We only own three properties, which increases the risk that adverse changes in the performance or value of those properties could materially affect our results of operations, our NAV and returns to our investors.

We currently own three real estate investments consisting of two seniors housing communities and a medical office building. As a result, we are subject to greater risks associated with geographic and property-type concentration in a small number of assets. A decline in in the performance or value of those assets will adversely affect our performance and the value of the investments of our stockholders.

Our relatively small size increases our fixed operating expenses as a percentage of gross income which has made us reliant on our sponsor for expense support.

Our relatively small size increases our fixed operating expenses as a percentage of gross income. We are currently reliant on advisor for expense support to enhance our operating results.  Under the expense support arrangement, our advisor has agreed to accept payment in the form of forfeitable restricted shares of our common stock in lieu of cash for services rendered, applicable asset management fees and specified expenses we owe to the advisor under the advisory agreement in the event we do not achieve established distribution coverage targets. For the year ended December 31, 2018, our advisor expects to accept approximately 85,000 restricted shares of our common stock as payment for approximately $0.8 million in fees and expenses.  We can make no assurances as to how long this expense support will continue.  If the expense support were to stop, our financial condition and ability to make distributions would be adversely affected.

We are required to pay substantial compensation to our advisor and its affiliates or related parties, which may be increased or decreased by a majority of our board of directors, including a majority of the independent directors.

Subject to limitations in our charter, the fees, compensation, income, expense reimbursements, interest and other payments that we are required to pay to our advisor and its affiliates or related parties may increase or decrease without stockholder consent if such change is approved by a majority of our board of directors, including a majority of the independent directors. These payments to our advisor and its affiliates or related parties will decrease the amount of cash we have available for operations and new investments and could negatively impact our ability to pay distributions and our stockholders’ overall return.

The estimated NAV per share of our shares is based upon subjective judgments, assumptions and opinions by management, which may or may not turn out to be correct. Therefore, the estimated NAV per share of our shares may not reflect the amount that might be paid to our stockholders for their shares in a market transaction and may not be indicative of the price at which our shares would trade if they were actively traded.

On March 13, 2018, our board of directors approved an estimated NAV per share of $9.92, net of estimated transaction costs, for each share of our common stock as of December 31, 2018.  To assist the Financial Industry Regulatory Authority (“FINRA”) members and their associated persons that participated in our initial public offering of common stock in meeting their customer account statement reporting obligations pursuant to applicable FINRA and National Association of Securities Dealers (“NASD”) Conduct Rules, we disclose in our Annual Reports on Form 10-K, our Quarterly Reports on Form 10-Q and/or in our Current Reports on Form 8-K, our estimated NAV per share of our shares. This estimated value per share is accompanied by any disclosures required under the FINRA and NASD Conduct Rules.

The estimated NAV per share is based on valuations of our assets and liabilities performed at least annually, by, or with the material assistance or confirmation of, a third-party valuation expert or service and will generally be consistent with the recommendations in the Investment Program Association Practice Guideline 2013-01- Valuations of Publicly Registered, Non-Listed REITs.

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Although we established the estimated NAV per share generally in accordance with our valuation policy and certain recommendations and methodologies of the Investment Program Association, the valuation methodologies used by the independent third-party valuation firm retained by our board of directors to estimate the value of our properties and the estimated NAV per share as of December 31, 2018 involved subjective judgments, assumptions and opinions, which may or may not turn out to be correct.  As a result of these, as well as other factors, the estimated NAV per share may not reflect the amount that might be paid to our stockholders for their shares in a market transaction or of the proceeds that stockholders would receive if we were liquidated or dissolved and the proceeds were distributed to our stockholders.  See “Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities” for additional information regarding our policy with respect to valuations of our common stock.

The estimated NAV per share of our shares is based upon a valuation of three of our properties as of December 31, 2018 and does not take into account how developments subsequent to the valuation date related to individual assets, the financial or real estate markets or other events may have increased or decreased the value of our portfolio. The valuation and appraisal of our properties are estimates of fair value and may not necessarily correspond to realizable value upon the sale of the properties. Therefore, the estimated NAV per share may not reflect the amount that would be realized upon a sale of our properties.

On March 13, 2018, our board of directors approved a NAV per share of $9.92, net of estimated transaction costs, for our common stock as of December 31, 2018.  We intend to use this estimated NAV per share value until the next net asset valuation approved by our board of directors.  We expect to perform a net asset valuation at least annually. We will disclose future estimates of our NAV to stockholders in our filings with the Commission.

Further, the estimated NAV per share is based on the estimated value of our assets less the estimated value of our liabilities, divided by the number of shares outstanding, all as of December 31, 2018. We did not make any adjustments to the estimated NAV subsequent to December 31, 2018, including adjustments relating to, among others, the issuance of restricted stock, net operating income earned or distributions declared. The NAV of our shares will fluctuate over time in response to a number of factors, including but not limited to the performance of individual assets in our portfolio, the management of those assets, and the real estate and finance markets.

For the purposes of calculating the estimated NAV per share, we retained an independent third-party valuation firm as valuation expert to provide a range of per share values for our shares and a valuation of our properties as of December 31, 2018.  The valuation methodologies used to estimate the NAV per share, as well as the value of our properties, involved certain subjective judgments, including but not limited to, discounted cash flow analysis and the direct capitalization approach. Ultimate realization of the value of an asset depends to a great extent on economic and other conditions beyond our control and the control of our Advisor and our valuation expert.  Further, valuations do not necessarily represent the price at which an asset would sell, since market prices of assets can only be determined by negotiation between a willing buyer and seller. Therefore, the valuation of the properties may not correspond to the realizable value upon a sale of the assets.

We currently do not have research analysts reviewing our performance.

We do not have research analysts reviewing our performance or our securities on an ongoing basis. Therefore, we do not have an independent review of our performance and the value of our common stock relative to publicly traded companies.

The availability and timing of cash distributions to our stockholders is uncertain.

In March 2019, our board of directors suspended our cash distributions effective April 1, 2019.  Accordingly, the board of directors does not currently intend to declare any regular distributions on our common stock after the effective date of the suspension, though special distributions may be made from time to time from net sales proceeds received from the sale of properties.

We have broad authority to incur debt, and high debt levels could hinder our ability to make distributions and could decrease the value of an investment in shares of our common stock.

Under our charter, we have a limitation on borrowing which precludes us from borrowing in excess of 300% of the value of our net assets, provided that we may exceed this limit if a higher level of borrowing is approved by a majority of our independent directors. High debt levels could cause us to incur higher interest charges, could result in higher debt service obligations, could be accompanied by restrictive covenants and generally could make us subject to the risks associated with higher leverage. These factors could limit the amount of cash we have available to distribute and could result in a decline in the value of an investment in shares of our common stock.

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Because we rely on affiliates of CNL for advisory services, if these affiliates or their executive officers and other key personnel are unable to meet their obligations to us, we may be required to find alternative providers of these services, which could disrupt our business.

We have no employees and are reliant on our advisor and other affiliates of our sponsor to provide services to us. CNL, through one or more of its affiliates or subsidiaries, owns and controls our sponsor and has a controlling interest in our advisor. In the event that any of these affiliates are unable to meet their obligations to us, we might be required to find alternative service providers, which could disrupt our business by causing delays and/or increasing our costs.

Further, our success depends to a significant degree upon the contributions of, Stephen H. Mauldin, our chairman of the board, chief executive officer and president, Ixchell C. Duarte, our chief financial officer, senior vice president and treasurer, and John F. Starr, our chief operating officer, each of whom would be difficult to replace. If any of these key personnel were to cease their affiliation with us or our affiliates, we may be unable to find suitable replacement personnel, and our operating results could suffer. In addition, we have entered into an advisory agreement with our advisor which contains a non-solicitation and non-hire clause prohibiting us or our operating partnership from (i) soliciting or encouraging any person to leave the employment of our advisor; or (ii) hiring on our behalf or on behalf of our operating partnership any person who has left the employment of our advisor for one year after such departure.  All of our executive officers and the executive officers of our advisor are also executive officers of CNL Healthcare Properties, Inc. or its advisor, both of which are affiliates of our advisor.  In the event that CNL Healthcare Properties, Inc. internalizes the management functions provided by its advisor, such executive officers may cease their employment with us and our advisor. In that case, our advisor would need to find and hire an entirely new executive management team. We believe that our future success depends, in large part, upon our advisor’s ability to hire and retain highly skilled managerial, operational and marketing personnel. Competition for such personnel is intense, and our advisor may be unsuccessful in attracting and retaining such skilled personnel. We do not maintain key person life insurance on any of our officers.

Any adverse changes in CNL’s financial health, the public perception of CNL, or our relationship with its sponsor or its affiliates could hinder our operating performance and the return on an investment.

If we were to terminate our advisor because it is unable to meet its obligations to us or for any other reasons, it may be difficult to find a replacement advisor and the transition could adversely affect our operations.  In addition, our advisor currently accepts restricted shares of common stock in lieu of certain fees and expenses payable to it in order to provide additional cash to support of our distributions to investors. This form of expense support could or would be terminated if we terminated our advisor, and in certain circumstances the restricted shares could vest.  Further, following the termination or non-renewal of the advisory agreement by our advisor for good reason (as defined in the advisory agreement) or by us or our operating partnership other than for cause (as defined in the advisory agreement), if a listing of our common stock or other liquidity event with respect to our common stock has not occurred, our advisor will be entitled to be paid a portion of any future incentive fee that becomes payable.  Further, the advisor would be entitled to receive all accrued but unpaid compensation and expense reimbursements within 30 days of the termination date.

In addition, any deterioration in the perception of CNL could result in an adverse effect on our ability to dispose of assets and to obtain financing from third parties on favorable terms.

Investment return may be reduced if we are required to register as an investment company under the Investment Company Act; if we or our subsidiaries become an unregistered investment company, we could not continue our business.

Neither we nor any of our subsidiaries intend to register as investment companies under the Investment Company Act. If we or our subsidiaries were obligated to register as investment companies, we would have to comply with a variety of substantive requirements under the Investment Company Act that impose, among other things:

• limitations on capital structure;

• restrictions on specified investments;

• prohibitions on transactions with affiliates; and

• compliance with reporting, record keeping, voting, proxy disclosure and other rules and regulations that would significantly increase our operating expenses.

Under the relevant provisions of Section 3(a)(1) of the Investment Company Act, an investment company is any issuer that:

• pursuant to Section 3(a)(1)(A) is or holds itself out as being engaged primarily, or proposes to engage primarily, in the business of investing, reinvesting or trading in securities (the “primarily engaged test”); or

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• pursuant to Section 3(a)(1)(C) is engaged or proposes to engage in the business of investing, reinvesting, owning, holding or trading in securities and owns or proposes to acquire “investment securities” having a value exceeding 40% of the value of such issuer’s total assets (exclusive of U.S. government securities and cash items) on an unconsolidated basis (the “40% test”). “Investment securities” excludes U.S. government securities and securities of majority owned subsidiaries that are not themselves investment companies and are not relying on the exception from the definition of investment company under Section 3(c)(1) or Section 3(c)(7) (relating to private investment companies).

We believe that we and our operating partnership will satisfy both tests above. With respect to the 40% test, most of the entities through which we and our operating partnership will own our assets will be majority owned subsidiaries that will not themselves be investment companies and will not be relying on the exceptions from the definition of investment company under Section 3(c)(1) or Section 3(c)(7).

With respect to the primarily engaged test, we and our operating partnership will be holding companies and do not intend to invest or trade in securities ourselves. Rather, through the majority owned subsidiaries of our operating partnership, we and our operating partnership will be primarily engaged in the non-investment company businesses of these subsidiaries, namely the business of purchasing or otherwise acquiring real estate and real estate related assets.

If any of the subsidiaries of our operating partnership fail to meet the 40% test, we believe they will usually, if not always, be able to rely on Section 3(c)(5)(C) of the Investment Company Act for an exception from the definition of an investment company. (Otherwise, they should be able to rely on the exceptions for private investment companies pursuant to Section 3(c)(1) and Section 3(c)(7) of the Investment Company Act.) As reflected in no action letters, the Commission staff’s position on Section 3(c)(5)(C) generally requires that an issuer maintain at least 55% of its assets in “mortgages and other liens on and interests in real estate,” or qualifying assets; at least 80% of its assets in qualifying assets plus real estate related assets; and no more than 20% of the value of its assets in other than qualifying assets and real estate related assets, which we refer to as miscellaneous assets. To constitute a qualifying asset under this 55% requirement, a real estate interest must meet various criteria based on no action letters. We expect that any of the subsidiaries of our operating partnership relying on Section 3(c)(5)(C) will invest at least 55% of its assets in qualifying assets, and approximately an additional 25% of its assets in other types of real estate related assets. If any subsidiary relies on Section 3(c)(5)(C), we expect to rely on guidance published by the Commission staff or on our analyses of guidance published with respect to types of assets to determine which assets are qualifying real estate assets and real estate related assets.

To maintain compliance with the Investment Company Act, our subsidiaries may be unable to sell assets we would otherwise want them to sell and may need to sell assets we would otherwise wish them to retain. In addition, our subsidiaries may have to acquire additional assets that they might not otherwise have acquired or may have to forego opportunities to make investments that we would otherwise want them to make and would be important to our investment strategy. Moreover, the Commission or its staff may issue interpretations with respect to various types of assets that are contrary to our views and current Commission staff interpretations are subject to change, which increases the risk of non-compliance and the risk that we may be forced to make adverse changes to our portfolio. In this regard, we note that in 2011 the Commission issued a concept release indicating that the Commission and its staff were reviewing interpretive issues relating to Section 3(c)(5)(C) and soliciting views on the application of Section 3(c)(5)(C) to companies engaged in the business of acquiring mortgages and mortgage related instruments. If we were required to register as an investment company but failed to do so, we would be prohibited from engaging in our business and criminal and civil actions could be brought against us. In addition, our contracts would be unenforceable unless a court required enforcement and a court could appoint a receiver to take control of us and liquidate our business.

Stockholders have limited control over changes in our policies and operations.

Our board of directors determines our investment policies, including our policies regarding financing, growth, debt capitalization, REIT qualification and distributions. Our board of directors may amend or revise these and other policies without a vote of our stockholders. Under our charter and the MGCL, our stockholders currently have a right to vote only on the following matters:

• the election or removal of directors;

• any amendment of our charter, except that our board of directors may amend our charter without stockholder approval to change our name, increase or decrease the aggregate number of our shares or the number of shares of any class or series that we have the authority to issue, effect certain reverse stock splits or change the name or designation or par value of any class or series of our stock and the aggregate par value of our stock;

• our liquidation and dissolution; and

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• except as otherwise permitted by law, our being a party to any merger, consolidation, sale or other disposition of substantially all of our assets or similar reorganization.

If we do not successfully implement a liquidity event, investors may have to hold their investment for an indefinite period.

When we launched our initial public offering on March 2, 2016, we contemplated that within five to seven years from the that time we would begin to explore and evaluate various strategic options to provide our stockholders with liquidity of their investment, either in whole or in part.  Since that time, on August 31, 2018, our board of directors terminated our ongoing public offering effective as of October 1, 2018, ceased authorizing stock dividends, suspended our distribution reinvestment plan effective as of October 1, 2018, suspended our Redemption Plan effective as of October 1, 2018, and appointed a Special Committee to consider strategic alternatives. Strategic alternatives may include, but are not limited to the sale of the company or its assets and distribution of net sale proceeds to shareholders, or a merger or other transaction with a third party or parties.   We cannot offer any assurances as to when, whether, or what sort of strategic alternatives may be achieved.  In addition, while it is possible that strategic alternatives could provide liquidity for our stockholders, our Special Committee is not required to pursue strategic alternatives that provide liquidity for our stockholders.

Further, we are not required, by our charter or otherwise, to pursue a liquidity event or any transaction to provide liquidity to our stockholders. For example, we may transition the company to a perpetual net asset value REIT or fund. If our board of directors determines to pursue a liquidity event, we would be under no obligation to conclude the process within a set time. If we adopt a plan of liquidation, the timing of the sale of assets will depend on real estate and financial markets, economic conditions in areas in which our investments are located and federal income tax effects on stockholders that may prevail in the future. We cannot guarantee that we will be able to liquidate all of our assets on favorable terms, if at all. After we adopt a plan of liquidation, we would likely remain in existence until all our investments are liquidated. If we do not pursue a liquidity event or delay such a transaction due to market conditions, our common stock may continue to be illiquid and investors may, for an indefinite period of time, be unable to convert investor shares to cash easily, if at all, and could suffer losses on an investment in our shares.

Adverse changes in affiliated programs could also adversely affect our ability to raise capital.

CNL has one other public, non-traded real estate investment program that has investment objectives similar to ours, CNL Healthcare Properties, Inc., which is closed to new investors. Adverse results in any non-traded REITs on the CNL platform have the potential to affect CNL’s and our reputation among financial advisors and investors, which could affect our ability to raise capital.

Risks Related to Conflicts of Interest and our Relationships with our Advisor and its Affiliates

There will be competing demands on our officers and directors and they may not devote all of their attention to us, which could have a material adverse effect on our business and financial condition.

Our interested director, Stephen H. Mauldin, is also an officer and director of our advisor and other affiliated entities and may experience conflicts of interest in managing us because he also has management responsibilities for other companies including a company, CNL Healthcare Properties, Inc., that may invest in some of the same types of assets in which we may invest.  Substantially all of the other companies that he works for are affiliates of us and/or our advisor.  For these reasons, Mr. Mauldin shares his management time and services among those companies and us, will not devote all of his attention to us and could take actions that are more favorable to the other companies than to us.

Certain of our officers may also serve as officers of, and devote time to, CNL Healthcare Properties, Inc., another non traded REIT affiliated with our sponsor, and its advisor and other companies which may be affiliated with us in the future. These officers may experience conflicts of interest in managing us because they also have management responsibilities for one or more of such other programs. For these reasons, these officers will share their management time and services among these other programs and us, will not devote all of their attention to us and could take actions that are more favorable to the other programs than to us.

Our advisor, its affiliates and their and our executive officers will face conflicts of interest relating to the management of our business and that of CNL Healthcare Properties, Inc., and such conflicts may not be resolved in our favor.

Our sponsor has one other public, non-traded real estate investment program that has investment objectives similar to ours, CNL Healthcare Properties, Inc., which is managed by the same executive officers as us and invests in properties in the seniors housing, medical office building, acute care and post-acute care facility sectors. Like us, CNL Healthcare Properties, Inc. has also formed a special committee to evaluate strategic alternatives.  As a result, we will be considering strategic alternatives at

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the same time as CNL Healthcare Properties, Inc. is considering strategic alternatives.  It is possible that we and CNL Healthcare Properties, Inc. could compete against each other for a transaction with a third party, could enter into a transaction together or be on opposite sides on a transaction, all of which would create conflict of interests for our affiliates and their and our executive officers.  For this reason, both we and CNL Healthcare Properties, Inc. have created special committees of our respective independent directors to independently evaluate and negotiate strategic alternatives to the extent they involve conflicts with CNL Healthcare Properties, Inc. or other CNL affiliates.

Our advisor and its affiliates, including all of our executive officers and affiliated directors, will face conflicts of interest as a result of their compensation arrangements with us, which could result in actions that are not in the best interest of our stockholders.

We pay our advisor and its affiliates substantial fees. These fees could influence their advice to us, as well as the judgment of affiliates of our advisor performing services for us. Among other matters, these compensation arrangements could affect their judgment with respect to:

• the continuation, renewal or enforcement of our agreements with our advisor and its affiliates;

• additional public offerings of equity by us, which would create an opportunity for CNL Securities Corp., as dealer manager, to earn additional fees and for our advisor to earn increased advisory fees;

• property sales, which may entitle our advisor to real estate commissions;

• property acquisitions from third parties, which entitle our advisor to an investment services fee;

• borrowings to finance assets, which increase the investment services fees and asset management fees payable to our advisor and which entitle may our advisor or its affiliates to receive other acquisition-related fees if approved by our board of directors, including a majority of our independent directors;

• whether we seek to internalize our management functions, which could result in our retaining some of our advisor’s and its affiliates’ key officers for compensation that is greater than that which they currently earn or which could require additional payments to affiliates of our advisor to purchase the assets and operations of our advisor and its affiliates performing services for us;

• the listing of, or other liquidity event with respect to, our shares, which may entitle our advisor to a subordinated incentive fee;

• a sale of assets, which may entitle our advisor to a subordinated share of net sales proceeds; and

• whether and when we seek to sell our operating partnership or our assets, which sale could entitle our advisor to additional fees.

The fees our advisor receives in connection with transactions involving the purchase and management of our assets are not necessarily based on the quality of the investment or the quality of the services rendered to us. The basis upon which fees are calculated may influence our advisor to recommend riskier transactions to us.

None of the agreements with our advisor or any other affiliates were negotiated at arm’s length.

Agreements with our advisor or any other affiliates may contain terms that would not otherwise apply if we entered into agreements negotiated at arm’s length with third parties.

If we internalize our management functions, a stockholder’s interest in us could be diluted, we could incur other significant costs associated with being self-managed, we may not be able to retain or replace key personnel and we may have increased exposure to litigation as a result of internalizing our management functions.

We may internalize management functions provided by our advisor and its affiliates. Our board of directors may decide in the future to acquire assets and personnel from our advisor or its affiliates for consideration that would be negotiated at that time. However, as a result of the non-solicitation clause in the advisory agreement, generally the acquisition of advisor personnel would require the prior written consent of our advisor. There can be no assurances that we will be successful in retaining our advisor’s key personnel in the event of an internalization transaction. In the event we acquire our advisor, we cannot be sure of the form or amount of consideration or other terms relating to any such acquisition, which could take many forms, including cash payments, promissory notes and shares of our stock. The payment of such consideration could reduce the percentage of our shares owned by persons who purchase shares in our offering and could reduce the net income per share and funds from operations per share attributable to a stockholder’s investment.

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In addition, we may issue equity awards to officers and consultants, which would increase operating expenses and decrease our net income and funds from operations. We cannot reasonably estimate the amount of fees to our advisor and other affiliates we would save, and the costs we would incur, if we acquired these entities. If the expenses we assume as a result of an internalization are higher than the expenses we avoid paying to our advisor and other affiliates, our net income per share and funds from operations per share would be lower than they otherwise would have been had we not acquired these entities.

Additionally, if we internalize our management functions we could have difficulty integrating these functions. Currently, the officers of our advisor and its affiliates perform asset management and general and administrative functions, including accounting and financial reporting, for multiple entities. We may fail to properly identify the appropriate mix of personnel and capital needs to operate as a stand-alone entity. An inability to manage an internalization transaction effectively could result in our incurring additional costs and divert our management’s attention from effectively managing our properties and overseeing other real estate related assets.

In recent years, internalization transactions have been the subject of stockholder litigation. Stockholder litigation can be costly and time consuming, and there can be no assurance that any litigation expenses we might incur would not be significant or that the outcome of litigation would be favorable to us. Any amounts we are required to expend defending any such litigation will reduce the amount of funds available for investment by us in properties or other investments.

We are not in privity of contract with service providers that may be engaged by our advisor to perform advisory services and they may be insulated from liabilities to us, and our advisor has minimal assets with which to remedy any liabilities to us.

Our advisor sub-contracts with affiliated or unaffiliated service providers for the performance of substantially all of its advisory services. Our advisor will initially engage affiliates of our sponsor to perform certain services on its behalf pursuant to agreements to which we are not a party. As a result, we will not be in privity of contract with any such service provider and, therefore, such service provider will have no direct duties, obligations or liabilities to us. In addition, we will have no right to any indemnification to which our advisor may be entitled under any agreement with a service provider. The service providers our advisor may subcontract with may be insulated from liabilities to us for services they perform, but may have certain liabilities to our advisor. Our advisor has minimal assets with which to remedy liabilities to us resulting under the advisory agreement.

Risks Related to Our Business

We depend on tenants for a significant portion of our revenue and lease defaults or terminations could have an adverse effect.

Our ability to repay any outstanding debt and make distributions to stockholders depends upon the ability of our tenants to make payments to us, and their ability to make these payments depends primarily on their ability to generate sufficient revenues in excess of operating expenses from businesses conducted on our properties. For example, a tenant’s failure or delay in making scheduled rent payments to us may result from the tenant realizing reduced revenues at the properties it operates. Defaults on lease payment obligations by tenants would cause us to lose the revenue associated with those leases and require us to find an alternative source of revenue to pay our mortgage indebtedness and prevent a foreclosure action. In addition, if a tenant at one of our single user facilities, which are properties designed or built primarily for a particular tenant or a specific type of use, defaults on its lease obligations, we may not be able to readily market a single user facility to a new tenant without making capital improvements or incurring other significant costs.

Significant tenant lease expirations may decrease the value of our investments.

Multiple, significant lease terminations in a given year in our medical office building may produce tenant roll concentration and uncertainty as to the future cash flow of a property or portfolio and decrease the value a potential purchaser will pay for one or more properties. There is no guarantee that our medical office building will not have tenant roll concentration, and if such concentration occurs, it could decrease our ability to pay distributions to stockholders and the value of their investment.

Our long term leases may not result in fair market lease rates over time; therefore, our income and our distributions could be lower than if we did not enter into long term leases.

We typically will enter into long term leases with tenants of certain of our properties. Our long term leases would likely provide for rent to increase over time. However, if we do not accurately judge the potential for increases in market rental rates, we may set the terms of these long term leases at levels less than then current market rental rates even after contractual rate increases. Further, we may have no ability to terminate those leases or to adjust the rent to then prevailing market rates. As a result, our income and distributions could be lower than if we did not enter into long term leases.

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Medical office buildings that have vacancies for a significant period of time could be difficult to sell, which could diminish the return on an investment in shares of our common stock.

Our medical office buildings may have vacancies as a result of the continued default of tenants under their leases or the expiration of tenant leases. If a high rate of vacancies persists, we may suffer reduced revenues. In addition, because properties’ market values depend principally upon the value of the properties’ leases, the resale value of properties with prolonged vacancies could suffer, which could further reduce our stockholders’ return.

The impact of a slow economy could adversely affect certain of the properties in which we invest, and the financial difficulties of our tenants and operators could adversely affect us.

The impact of a slow economy could adversely affect certain of the properties in which we invest. Although a general downturn in the real estate industry would be expected to adversely affect the value of our properties, a downturn in the seniors housing and medical office building sectors in which we are invested could compound the adverse effect. Recent economic weakness combined with higher costs, especially for energy, food and commodities, has put considerable pressure on consumer spending, which, along with the lack of available debt, could result in our tenants experiencing a decline in financial and operating performance and/or a decline in earnings from our TRS investments.

Further disruptions in the financial markets and deteriorating economic conditions could impact certain of the real estate properties we own and such real estate could experience reduced occupancy levels from that anticipated at the time of our acquisition of such real estate. The value of our real estate investments could decrease below the amounts we paid for the investments. Revenues from properties could decrease due to lower occupancy rates, reduced rental rates and potential increases in uncollectible rent. We will incur expenses, such as for maintenance costs, insurance costs and property taxes, even though a property is vacant. The longer the period of significant vacancies for a property, the greater the potential negative impact on our revenues and results of operations.

The inability of seniors to sell their homes could negatively impact occupancy rates, revenues, cash flows and results of operations of the properties we own.

Downturns in the housing markets could adversely affect the ability (or perceived ability) of seniors to relocate into, or finance their stays at, our seniors housing and post-acute care properties with private resources. Potential residents of such properties frequently use the proceeds from the sale of their homes to cover the cost of entrance fees and resident fees. If seniors have a difficult time selling their homes, these difficulties could impact their ability to pay such fees. If the volatility in the housing market returns, the occupancy rates, revenues, cash flows and results of operations for these properties could be negatively impacted.

We do not have control over market and business conditions that may affect our success.

The following external factors, as well as other factors beyond our control, may reduce the value of properties that we own, the ability of tenants to pay rent on a timely basis, or at all, the amount of the rent to be paid and the ability of borrowers to make loan payments on time, or at all:

• changes in general or local economic or market conditions;

• the pricing and availability of debt, operating lines of credit or working capital;

• inflation and other increases in operating costs, including utilities and insurance premiums;

• increased costs and shortages of labor;

• increased competition;

• quality of management;

• failure by a tenant to meet its obligations under a lease;

• bankruptcy of a tenant or borrower;

• the ability of an operator to fulfill its obligations;

• limited alternative uses for properties;

• changing consumer habits or other changes in supply of, or demand for, similar or competing products;

• acts of God, such as earthquakes, floods and hurricanes;

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• condemnation or uninsured losses;

• changing demographics; and

• changing government regulations, including REIT taxation, real estate taxes, and environmental, land use and zoning laws.

Further, the results of operations for a property in any one period may not be indicative of results in future periods, and the long term performance of such property generally may not be comparable to, and cash flows may not be as predictable as, other properties owned by third parties in the same or similar industry. If tenants are unable to make lease payments, TRS entities do not achieve the expected levels of operating income or borrowers are unable to make loan payments as a result of any of these factors, cash available for distribution to our stockholders may be reduced.

We may be limited in our ability to vary our portfolio in response to changes in economic, market or other conditions, including by restrictions on transfer imposed by our limited partners, if any, in our operating partnership or by our lenders. Additionally, the return on our real estate assets also may be affected by a continued or exacerbated general economic slowdown experienced in the United States generally and in the local economies where our properties and the properties underlying our other real estate related investments are located. Possible effects include:

• poor economic conditions which may result in a decline in the operating income at our properties and defaults by tenants of our properties and borrowers under our investments in mortgage, bridge or mezzanine loans; and

• increasing concessions, reduced rental rates or capital improvements may be required to maintain occupancy levels.

Our exposure to typical real estate investment risks could reduce our income.

Our properties are subject to the risks typically associated with investments in real estate. Such risks include the possibility that our properties will generate operating income, rent and capital appreciation, if any, at rates lower than anticipated or will yield returns lower than those available through other investments. Further, there are other risks by virtue of the fact that our ability to vary our portfolio in response to changes in economic and other conditions will be limited because of the general illiquidity of real estate investments. Income from our properties may be adversely affected by many factors including, but not limited to, an increase in the local supply of properties similar to our properties, newer competing properties, a decrease in the number of people interested in the properties that we own, changes in government regulation, including healthcare regulation, international, national or local economic deterioration, increases in operating costs due to inflation and other factors that may not be offset by increased lease rates and changes in consumer tastes.

We may be unable to sell assets if or when we decide to do so.

Maintaining our REIT qualification and continuing to avoid registration under the Investment Company Act as well as many other factors, such as general economic conditions, the availability of financing, interest rates and the supply and demand for the particular asset type, may limit our ability to sell real estate assets. These factors are beyond our control. We cannot predict whether we will be able to sell any real estate asset on favorable terms and conditions, if at all, or the length of time needed to sell an asset.

An increase in real estate taxes may decrease our income from properties.

From time to time, the amount we pay for property taxes will increase as either property values increase or assessment rates are adjusted. Increases in a property’s value or in the assessment rate will result in an increase in the real estate taxes due on that property. If we are unable to pass the increase in taxes through to our tenants, our net operating income for the property will decrease.

If one or more of our tenants file for bankruptcy protection, we may be precluded from collecting all sums due.

If one or more of our tenants, or the guarantor of a tenant’s lease, commences, or has commenced against it, any proceeding under any provision of the U.S. federal bankruptcy code, as amended, or any other legal or equitable proceeding under any bankruptcy, insolvency, rehabilitation, receivership or debtor’s relief statute or law, we may be unable to collect sums due under our lease(s) with that tenant. Any or all of the tenants, or a guarantor of a tenant’s lease obligations, could be subject to a bankruptcy or similar proceeding. A bankruptcy or similar proceeding may bar our efforts to collect pre bankruptcy debts from those entities or their properties unless we are able to obtain an order from the bankruptcy court. If a lease is rejected by a tenant in bankruptcy, we would only have a general unsecured claim against the tenant, and may not be entitled to any further payments under the lease. Such an event could cause a decrease or cessation of rental payments which would reduce our cash flow and the amount available for distribution to stockholders. In the event of a bankruptcy or similar proceeding, we cannot assure investors that the tenant or its trustee will assume our lease. If a given lease, or guaranty of a lease, is not assumed, our cash flow and the amounts available for distribution to stockholders may be adversely affected.

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Multiple property leases with individual tenants increase our risks in the event that such tenants or borrowers become financially impaired.

Defaults by a tenant may continue for some time before we determine that it is in our best interest to evict the tenant or foreclose on the property of the borrower. Tenants may lease more than one property. As a result, a default by, or the financial failure of, a tenant or borrower could cause more than one property to become vacant or be in default or more than one lease or loan to become non performing. Defaults or vacancies can reduce our rental income and funds available for distribution and could decrease the resale value of affected properties until they can be released.

We rely on various security provisions in our leases for minimum rent payments which could have a material adverse effect on our financial condition.

Our leases may, but are not required to, have security provisions such as deposits, stock pledges and guarantees or shortfall reserves provided by a third party tenant or operator. These security provisions may terminate at either a specific time during the lease term, once net operating income of the property exceeds a specified amount or upon the occurrence of other specified events. Certain security provisions may also have limits on the overall amount of the security under the lease. After the termination of a security feature, or in the event that the maximum limit of a security provision is reached, we may only look to the tenant to make lease payments. In the event that a security provision has expired or the maximum limit has been reached, or a provider of a security provision is unable to meet its obligations, our results of operations and ability to pay distributions to our stockholders could be adversely affected if our tenants are unable to generate sufficient funds from operations to meet minimum rent payments and the tenants do not otherwise have the resources to make rent payments.

Our real estate assets may be subject to impairment charges which could have a material adverse effect on our financial condition.

We are required to periodically evaluate the recoverability of the carrying value of our real estate assets for impairment indicators. Factors considered in evaluating impairment of our real estate assets held for investment include significant declines in property operating profits, recurring property operating losses and other significant adverse changes in general market conditions that are considered permanent in nature. Generally, a real estate asset held for investment is not considered impaired if the undiscounted, estimated future cash flows of the asset over its estimated holding period are in excess of the asset’s net book value at the balance sheet date. Management makes assumptions and estimates when considering impairments and actual results could vary materially from these assumptions and estimates.

We are uncertain of our sources for funding of future capital needs and this may subject us to certain risks associated with the ongoing needs of our properties.

Neither we nor our advisor has any established financing sources. We establish capital reserves on a property by property basis, as we deem appropriate to fund anticipated capital improvements. If we do not have enough capital reserves to supply needed funds for capital improvements throughout the life of our investment in a property and there is insufficient cash available from our operations or from other sources, we may be required to defer necessary improvements to a property. This may result in decreased cash flow and reductions in property values. If our reserves are insufficient to meet our cash needs, we may have to obtain financing from either affiliated or unaffiliated sources to fund our cash requirements. There can be no guarantee that these sources will be available to us. Accordingly, in the event that we develop a need for additional capital in the future for the maintenance or improvement of our properties or for any other reason, we have not identified any established sources for such funding, and we cannot assure investors that such sources of funding will be available to us for potential capital needs in the future.

Increased competition for residents or patients may reduce the ability of certain of our operators to make scheduled rent payments to us or affect our operating results.

The types of properties in which we invest are expected to face competition for residents or patients from other similar properties, both locally and nationally. For example, competing seniors housing properties may be located near the seniors housing properties we own. Any decrease in revenues due to such competition at any of our properties may adversely affect our operators’ ability to make scheduled rent payments to us and with respect to certain of our seniors housing properties leased to TRS entities, may adversely affect our operating results of those properties.

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Lack of diversification of our properties may increase our exposure to the risks of adverse economic conditions as to particular asset classes and property categories within asset classes.

Since our assets consist of two seniors housing communities and a medical office building, an economic downturn in such asset categories could have an adverse effect on our results of operations and financial condition.

We may be subject to litigation which could have a material adverse effect on our business and financial condition.

We may be subject to litigation, including claims relating to our operations, offerings, unrecognized pre acquisition contingencies and otherwise in the ordinary course of business. Some of these claims may result in potentially significant judgments against us, some of which are not, or cannot be, insured against. We generally intend to vigorously defend ourselves; however, we cannot be certain of the ultimate outcomes of claims that may arise in the future. Resolution of these types of matters against us may result in our payment of significant fines or settlements, which, if not insured against, or if these fines and settlements exceed insured levels, would adversely impact our earnings and cash flows. Certain litigation or the resolution of certain litigation may affect the availability or cost of some of our insurance coverage which could adversely impact our results of operations and cash flows, expose us to increased risks that would be uninsured and/or adversely impact our ability to attract officers and directors.

Our properties may be subject to unknown or contingent liabilities which could cause us to incur substantial costs.

Our properties may be subject to unknown or contingent liabilities for which we may have no recourse, or only limited recourse, against the sellers. In general, the representations and warranties provided under transaction agreements related to our acquisition of seniors housing and healthcare properties do not survive the closing of the transactions. While we will generally require the sellers to indemnify us with respect to breaches of representations and warranties that survive, such indemnification may be limited and subject to various materiality thresholds, a significant deductible or an aggregate cap on indemnifiable losses. There is no guarantee that we will recover any amounts with respect to losses due to breaches by the sellers of their representations and warranties. In addition, the total amount of costs and expenses that may be incurred with respect to liabilities associated with these properties may exceed our expectations, and we may experience other unanticipated adverse effects, all of which may adversely affect our financial condition, results of operations, the market price of our common stock and our ability to make distributions to our stockholders.

We may not be able to compete effectively in those markets where overbuilding exists and our inability to compete in those markets may have a material adverse effect on our business, financial condition and results of operations and our ability to make distributions to investors.

Overbuilding in the seniors housing segment in the late 1990s reduced occupancy and revenue rates at seniors housing facilities. The occurrence of another period of overbuilding could adversely affect our future occupancy and resident fee rates, decreased occupancy and operating margins and lower profitability, which in turn could materially adversely affect our business, financial condition and results of operations and our ability to make distributions to our stockholders.

We invest in private pay seniors housing properties, an asset class of the seniors housing sector that is highly competitive.

Private pay seniors housing is a competitive asset class of the seniors housing sector. Our seniors housing properties compete on the basis of location, affordability, quality of service, reputation and availability of alternative care environments. Our seniors housing properties also rely on the willingness and ability of seniors to select seniors housing options. Our property operators may have competitors with greater marketing and financial resources able to offer incentives or reduce fees charged to residents thereby potentially reducing the perceived affordability of our properties. Additionally, the high demand for quality caregivers in a given market could increase the costs associated with providing care and services to residents. These and other factors could cause the amount of our revenue generated by private payment sources to decline or our operating expenses to increase. In periods of weaker demand, as has occurred during the recent general economic recession, profitability may be negatively affected by the relatively high fixed costs of operating a seniors housing property.

Events which adversely affect the ability of seniors to afford our daily resident fees could cause the occupancy rates, resident fee revenues and results of operations of our seniors housing properties to decline.

Costs to seniors associated with certain types of the seniors housing properties are not reimbursable under government reimbursement programs such as Medicaid and Medicare. Substantially all of the resident fee revenues generated by our properties are derived from private payment sources consisting of income or assets of residents or their family members. Only seniors with income or assets meeting or exceeding certain standards can typically afford to pay our daily resident and service fees and, in some cases, entrance fees. Economic downturns such as the one recently experienced in the United States,

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reductions or declining growth of government entitlement programs, such as social security benefits, or stock market volatility could adversely affect the ability of seniors to afford the fees for our seniors housing properties. If our tenants or managers are unable to attract and retain seniors with sufficient income, assets or other resources required to pay the fees associated with assisted and independent living services, the occupancy rates, resident fee revenues and results of operations for these properties could decline, which, in turn, could have a material adverse effect on our business.

Significant legal actions brought against the tenants or managers of our seniors housing properties could subject them to increased operating costs and substantial uninsured liabilities, which may affect their ability to meet their obligations to us.

The tenants or managers of our seniors housing properties may be subject to claims that their services have resulted in resident injury or other adverse effects. The insurance coverage that is maintained by such tenants or managers, whether through commercial insurance or self-insurance, may not cover all claims made against them or continue to be available at a reasonable cost, if at all. In some states, insurance coverage for the risk of punitive damages arising from professional liability and general liability claims and/or litigation may not, in certain cases, be available to our tenants or managers due to state law prohibitions or limitations of availability. As a result, the tenants or managers of our healthcare properties operating in these states may be liable for punitive damage awards that are either not covered or are in excess of their insurance policy limits. From time to time, there may also be increases in government investigations of long term care providers, as well as increases in enforcement actions resulting from these investigations. Insurance is not available to cover such losses. Any adverse determination in a legal proceeding or government investigation could lead to potential termination from government programs, large penalties and fines and otherwise have a material adverse effect on a facility operator’s financial condition. If a tenant or manager is unable to obtain or maintain insurance coverage, if judgments are obtained in excess of the insurance coverage, if a tenant or manager is required to pay uninsured punitive damages, or if a tenant or manager is subject to an uninsurable government enforcement action, the tenant or manager could be exposed to substantial additional liabilities, which could result in our bankruptcy or insolvency or have a material adverse effect on a tenant’s or manager’s business and its ability to meet its obligations to us.

Moreover, advocacy groups that monitor the quality of care at seniors housing properties have sued facility operators and demanded that state and federal legislators enhance their oversight of trends in seniors housing property ownership and quality of care. Patients have also sued operators of seniors housing properties and have, in certain cases, succeeded in winning very large damage awards for alleged abuses. This litigation and potential future litigation may materially increase the costs incurred by the tenants and managers of our properties for monitoring and reporting quality of care compliance. In addition, the cost of medical malpractice and liability insurance has increased and may continue to increase so long as the present litigation environment affecting the operations of healthcare properties continues. Increased costs could limit the ability of the tenants and managers of our properties to meet their obligations to us, potentially decreasing our revenue and increasing our collection and litigation costs. To the extent we are required to remove or replace a manager, our revenue from the affected facility could be reduced or eliminated for an extended period of time.

Finally, if we lease a seniors housing property to our TRS rather than leasing the property to a third party tenant, our TRS will generally be the license holder and become subject to state licensing requirements and certain operating risks that apply to facility operators, including regulatory violations and third party actions for negligence or misconduct. The TRS will have increased liability resulting from events or conditions that occur at the facility, including, for example, injuries to and deaths of residents at the facility. In the event that the TRS incurs liability and a successful claim is made that the separate legal status of the TRS should be ignored for equitable or other reasons (i.e., a corporate veil piercing claim), we may also become liable for such matters. Insurance may not cover all such liabilities. Any negative publicity resulting from lawsuits related to our TRS status as a licensee could adversely affect our business reputation and ability to attract and retain residents in our leased properties, our ability to obtain or maintain licenses at the affected facility and other facilities and our ability to raise additional capital.

We are exposed to various operational risks, liabilities and claims with respect to our seniors housing properties that may adversely affect our ability to generate revenues and/or increase our costs.

Through our ownership of seniors housing properties, we are exposed to various operational risks, liabilities and claims with respect to our properties in addition to those generally applicable to ownership of real property. These risks include fluctuations in occupancy levels, the inability to achieve economic resident fees (including anticipated increases in those fees), rent control regulations and increases in labor costs (as a result of unionization or otherwise) and services. Any one or a combination of these factors, together with other market and business conditions beyond our control, could result in operating deficiencies at our seniors housing properties, which could have a material adverse effect on our facility operators’ results of operations and their ability to meet their obligations to us and operate the properties effectively and efficiently, which in turn could adversely affect us.

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Unanticipated expenses and insufficient demand for healthcare properties could adversely affect our profitability.

Potential customers may not be familiar with the benefits of, and care provided by, that our properties. As a result, we may have to incur costs relating to the opening, operation and promotion of such properties, adversely affecting the results of operations of such properties as compared to those properties that are better known.

Our failure or the failure of the tenants and managers of our properties to comply with licensing and certification requirements, the requirements of governmental programs, fraud and abuse regulations or new legislative developments may materially adversely affect the operations of our seniors housing properties.

The operations of our seniors housing properties are subject to numerous federal, state and local laws and regulations that are subject to frequent and substantial changes resulting from legislation, adoption of rules and regulations and administrative and judicial interpretations of existing laws. The ultimate timing or effect of any changes in these laws and regulations cannot be predicted. Failure to obtain licensure or loss or suspension of licensure or certification may prevent a facility from operating or result in a suspension of certain revenue sources until all licensure or certification issues have been resolved. Properties may also be affected by changes in accreditation standards or procedures of accrediting agencies that are recognized by governments in the certification process. State laws may require compliance with extensive standards governing operations and agencies administering those laws regularly inspect such properties and investigate complaints. Failure to comply with all regulatory requirements could result in the loss of the ability to provide or bill and receive payment for healthcare services at our seniors housing, acute care and post-acute care properties. Additionally, transfers of operations of certain facilities are subject to regulatory approvals not required for transfers of other types of commercial operations and real estate. We have no direct control over the tenant’s or manager’s ability to meet regulatory requirements and failure to comply with these laws, regulations and requirements may materially adversely affect the operations of these properties.

If our operators fail to cultivate new or maintain existing relationships with residents, community organizations and healthcare providers in the markets in which they operate, our occupancy percentage, payor mix and resident rates may deteriorate, which could have a material adverse effect on our business, financial condition and results of operations and our ability to make distributions to investors.

We seek to build relationships with seniors housing operators upon whom we will depend to market our facilities to potential residents and healthcare providers whose referral practices can impact the choices seniors make with respect to their housing. If our operators are unable to successfully cultivate and maintain strong relationships with these community organizations and other healthcare providers, occupancy rates at our facilities could decline, which could materially adversely affect our business, financial condition and results of operations and our ability to make distributions to investors.

We cannot predict what the effect of new healthcare reform laws or other healthcare proposals would be on those of our properties offering healthcare services and, thus, our business.

Healthcare, including the seniors housing and medical office building sectors, remains a dynamic, evolving industry.  On March 23, 2010, the Patient Protection and Affordable Care Act of 2010 (“Affordable Care Act”) was enacted and on March 30, 2010, the Health Care and Education Reconciliation Act was enacted, which in part modified the Affordable Care Act (collectively, the “Healthcare Reform Laws”).  Together, the Healthcare Reform Laws serve as the primary vehicle for comprehensive healthcare reform in the U.S.  The Healthcare Reform Laws were intended to reduce the number of individuals in the U.S. without health insurance and effect significant other changes to the ways in which healthcare is organized, delivered and reimbursed.  Efforts by the presidential administration and certain members of Congress to repeal or make significant changes to the Affordable Care Act, its implementation and/or its interpretation in 2017, including a successful repeal of the individual shared responsibility penalty of the Health Reform Laws, effective for 2019, have cast considerable uncertainty on the future of the Healthcare Reform Laws.  There is uncertainty regarding whether, when, and how the Healthcare Reform Laws will be changed, though we anticipate that Congress or the U.S. Department of Health and Human Services will continue to review and assess alternative health care delivery and payment systems and may in the future propose and adopt legislation effecting additional fundamental changes in the health care system.  At this time, the effects of the legislation and its impact on our business are not yet known.  Our business could be materially and adversely affected by the Healthcare Reform Laws and further governmental initiatives undertaken pursuant to the Healthcare Reform Laws.

Government budget deficits could lead to a reduction in Medicare and Medicaid reimbursement.

If the U.S. experiences a weakening of the economy, states may be pressured to decrease reimbursement rates with the goal of decreasing state expenditures under state Medicaid programs. The need to control Medicaid expenditures may be exacerbated by the potential for increased enrollment in state Medicaid programs due to continued high unemployment, declines in family incomes and eligibility expansions authorized by the Healthcare Reform Laws.

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These potential reductions could be compounded by the potential for federal cost cutting efforts that could lead to reductions in reimbursement rates under the federal Medicare program, state Medicaid programs and other healthcare related programs, particularly if Healthcare Reform Laws do not yield expected results, are modified from their current form, or are replaced with new legislation. Potential reductions in reimbursements under these programs could negatively impact our business, financial condition and results of operations.

Adverse trends in healthcare provider operations may negatively affect our lease revenues and our ability to make distributions to our stockholders.

The healthcare industry currently is experiencing changes in the demand for and methods of delivering healthcare services; changes in third party reimbursement policies; significant unused capacity in certain areas, which has created substantial competition for patients among healthcare providers in those areas; continuing pressure by private and governmental payors to reduce payments to providers of services; and increased scrutiny of billing, referral and other practices by federal and state authorities. These factors may adversely affect the economic performance of some or all of our tenants and, in turn, our lease revenues and our ability to make distributions to our stockholders.

Termination of resident lease agreements could adversely affect our revenues and earnings for seniors housing properties providing assisted living services.

Applicable regulations governing assisted living properties generally require written resident lease agreements with each resident. Most of these regulations also require that each resident have the right to terminate the resident lease agreement for any reason on reasonable notice or upon the death of the resident. The operators of seniors housing properties cannot contract with residents to stay for longer periods of time, unlike typical apartment leasing arrangements with terms of up to one year or longer. In addition, the resident turnover rate in our properties may be difficult to predict. If a large number of resident lease agreements terminate at or around the same time, and if our units remained unoccupied, then our tenant’s ability to make scheduled rent payments to us or, with respect to certain of our seniors housing properties, to TRS entities, our operating results, our revenues and our earnings could be adversely affected.

Our medical office building may be unable to compete successfully.

Our medical office building faces competition from nearby hospitals and other medical office buildings that provide comparable services. Some of those competing properties may be owned by governmental agencies and supported by tax revenues, and others are owned by nonprofit corporations and may be supported to a large extent by endowments and charitable contributions. These types of support are not available to our property.

Similarly, our tenants in our medical office building may face competition from other medical practices in nearby hospitals and other medical properties. Our tenants’ failure to compete successfully with these other practices could adversely affect their ability to make rental payments, which could adversely affect our rental revenues. Further, from time to time and for reasons beyond our control, referral sources, including physicians and managed care organizations, may change their lists of hospitals or physicians to which they refer patients. This could adversely affect our tenants’ ability to make rental payments, which could adversely affect our rental revenues.

Any reduction in rental revenues resulting from the inability of our medical office building and our tenants to compete successfully may have a material adverse effect on our business, financial condition and results of operations and our ability to make distributions to our stockholders.

Some tenants of medical office buildings are subject to fraud and abuse laws, the violation of which by a tenant may jeopardize the tenant’s ability to make rent payments to us.

There are various federal and state laws prohibiting fraudulent and abusive business practices by healthcare providers who participate in, receive payments from or are in a position to make referrals in connection with government sponsored healthcare programs, including the Medicare and Medicaid programs. Any lease arrangements we enter into with certain tenants could also be subject to these fraud and abuse laws concerning Medicare and Medicaid. These laws include:

• the Federal Anti Kickback Statute, which prohibits, among other things, the offer, payment, solicitation or receipt of any form of remuneration in return for, or to induce, the referral of any item or service reimbursed by Medicare or Medicaid;

• the Federal Physician Self Referral Prohibition, which, subject to specific exceptions, restricts physicians from making referrals for specifically designated health services for which payment may be made under Medicare or Medicaid programs to an entity with which the physician, or an immediate family member, has a financial relationship;

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• the False Claims Act, which prohibits any person from knowingly presenting false or fraudulent claims for payment to the federal government, including claims paid by the Medicare and Medicaid programs; and

• the Civil Monetary Penalties Law, which authorizes the U.S. Department of Health and Human Services to impose monetary penalties for certain fraudulent acts.

Each of these laws includes criminal and/or civil penalties for violations that range from punitive sanctions, damage assessments, penalties, imprisonment, denial of Medicare and Medicaid payments and/or exclusion from the Medicare and Medicaid programs. Certain laws, such as the False Claims Act, allow for individuals to bring whistleblower actions on behalf of the government for violations thereof. Additionally, states in which the properties are located may have similar fraud and abuse laws. Investigation by a federal or state governmental body for violation of fraud and abuse laws or imposition of any of these penalties upon one of our tenants could jeopardize that tenant’s ability to operate or to make rent payments, which may have a material adverse effect on our business, financial condition and results of operations and our ability to make cash distributions.

Our tenants may generally be subject to risks associated with the employment of unionized personnel for our seniors housing and medical office building properties.

From time to time, the operations of any seniors housing and medical office building properties may be disrupted through strikes, public demonstrations or other labor actions and related publicity. We or our tenants may also incur increased legal costs and indirect labor costs as a result of such disruptions, or contract disputes or other events. One or more of our tenants or our third party managers operating some of these types of properties may be targeted by union actions or adversely impacted by the disruption caused by organizing activities. Significant adverse disruptions caused by union activities and/or increased costs affiliated with such activities could materially and adversely affect our operations and the financial condition of the seniors housing properties we own through a TRS and affect the operating income of our tenants for those properties we lease to third parties.

Our seniors housing properties may not be readily adaptable to other uses.

Seniors housing properties are specific use properties that have limited alternative uses. Therefore, if the operations of any of our seniors housing properties become unprofitable for our tenant or operator or for us due to industry competition, a general deterioration of the applicable industry or otherwise, then we may have great difficulty re leasing the property or developing an alternative use for the property and the liquidation value of the property may be substantially less than would be the case if the property were readily adaptable to other uses. Should any of these events occur, our income and cash available for distribution and the value of our property portfolio could be reduced.

We do not control the management of our properties.

In order to qualify as a REIT for federal income tax purposes, we do not operate our two seniors housing communities and medical office building or participate in the decisions affecting their daily operations. Our success, therefore, will depend on our ability to select qualified and creditworthy tenants or managers who can effectively manage and operate the properties. Our tenants and managers will be responsible for maintenance and other day to day management of the properties or will enter into agreements with third party operators. Our financial condition will be dependent on the ability of third party tenants and/or managers to operate the properties successfully. We generally enter into leasing agreements with tenants and management agreements with managers having substantial prior experience in the operation of the type of property being rented or managed; however, there can be no assurance that we will be able to make such arrangements. If our tenants or third party managers are unable to operate the properties successfully or if we select unqualified managers, then such tenants and managers might not have sufficient revenue to be able to pay our rent, which could adversely affect our financial condition.

Since our properties leased to third party tenants will generally be on a triple net or modified gross basis, we depend on our third party tenants not only for rental income, but also to pay insurance, taxes, utilities and maintenance and repair expenses in connection with the leased properties. Any failure by our third party tenants to effectively conduct their operations could adversely affect their business reputation and ability to attract and retain residents in our leased properties. Our leases generally require such tenants to indemnify, defend and hold us harmless from and against various claims, litigation and liabilities arising in connection with our tenants’ respective businesses. We cannot assure investors that our tenants will have sufficient assets, income, access to financing and insurance coverage to enable us to satisfy these indemnification obligations. Any inability or unwillingness by our tenants to make rental payments to us or to otherwise satisfy their obligations under their lease agreements with us could adversely affect us.

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Compliance with the Americans with Disabilities Act may reduce our expected distributions.

Under the Americans with Disabilities Act of 1992 (the “ADA”) all public accommodations and commercial properties are required to meet certain federal requirements related to access and use by disabled persons. Failure to comply with the ADA could result in the imposition of fines by the federal government or an award of damages to private litigants. In connection with our acquisitions, we may incur additional costs to comply with the ADA. In addition, a number of federal, state, and local laws may require us to modify any properties we purchase or may restrict further renovations thereof with respect to access by disabled persons. Additional legislation could impose financial obligations or restrictions with respect to access by disabled persons. If required changes involve a greater amount of expenditures than we currently anticipate, our ability to make expected distributions could be adversely affected.

Our properties may be subject to environmental liabilities that could significantly impact our return from the properties and the success of our ventures.

Operations at certain of our properties may involve the use, handling, storage, and contracting for recycling or disposal of hazardous or toxic substances or wastes, including environmentally sensitive materials such as herbicides, pesticides, fertilizers, motor oil, waste motor oil and filters, transmission fluid, antifreeze, Freon, waste paint and lacquer thinner, batteries, solvents, lubricants, degreasing agents, gasoline, diesel fuels and sewage. Accordingly, the operations of certain properties we own are subject to regulation by federal, state, and local authorities establishing health and environmental quality standards. In addition, certain of our properties may maintain and operate underground storage tanks (“USTs”) for the storage of various petroleum products. USTs are generally subject to federal, state, and local laws and regulations that require testing and upgrading of USTs and the remediation of contaminated soils and groundwater resulting from leaking USTs.

As an owner of real estate, various federal and state environmental laws and regulations may require us to investigate and clean up certain hazardous or toxic substances, asbestos containing materials or petroleum products located on, in or emanating from our properties. Such laws often impose liability without regard to whether the owner knew of, or was responsible for, the release of hazardous substances. We may also be held liable to a governmental entity or to third parties for property damage and for investigation and cleanup costs incurred by those parties in connection with the contamination. In addition, some environmental laws create a lien on the contaminated site in favor of the government for damages and costs it incurs in connection with the contamination. Other environmental laws impose liability on a previous owner of property to the extent hazardous or toxic substances were present during the prior ownership period. A transfer of the property may not relieve an owner of such liability; therefore, we may have liability with respect to properties that we or our predecessors sold in the past.

The presence of contamination or the failure to remediate contamination at any of our properties may adversely affect our ability to sell or lease the properties or to borrow using the properties as collateral. While our leases are expected to provide that the tenant is solely responsible for any environmental hazards created during the term of the lease, we or an operator of a site may be liable to third parties for damages and injuries resulting from environmental contamination coming from the site.

We cannot be sure that all environmental liabilities associated with the properties that we own will have been identified or that no prior owner, operator or current occupant will have created an environmental condition not known to us. Moreover, we cannot be sure that: (i) future laws, ordinances or regulations will not impose any material environmental liability on us; or (ii) the environmental condition of the properties that we may own from time to time will not be affected by tenants and occupants of the properties, by the condition of land or operations in the vicinity of the properties (such as the presence of USTs), or by third parties unrelated to us. Environmental liabilities that we may incur could have an adverse effect on our financial condition, results of operations and ability to pay distributions.

In addition to the risks associated with potential environmental liabilities discussed above, compliance with environmental laws and regulations that govern our properties may require expenditures and modifications of development plans and operations that could have a detrimental effect on the operations of the properties and our financial condition, results of operations and ability to pay distributions to our stockholders. There can be no assurance that the application of environmental laws, regulations or policies, or changes in such laws, regulations and policies, will not occur in a manner that could have a detrimental effect on any property we may own.

Our properties may contain or develop harmful mold, which could lead to liability for adverse health effects and costs of remediating the problem.

The presence of mold at any of our properties could require us to undertake a costly program to remediate, contain or remove the mold. Mold growth may occur when moisture accumulates in buildings or on building materials. Some molds may produce airborne toxins or irritants. Concern about indoor exposure to mold has been increasing because exposure to mold may cause a

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variety of adverse health effects and symptoms, including allergic or other reactions. The presence of mold could expose us to liability from our tenants, their employees and others if property damage or health concerns arise.

Legislation and government regulation may adversely affect the development and operations of properties we own.

In addition to being subject to environmental laws and regulations, certain of the development plans and operations conducted or to be conducted on properties we own require permits, licenses and approvals from certain federal, state and local authorities. Material permits, licenses or approvals may be terminated, not renewed or renewed on terms or interpreted in ways that are materially less favorable to the properties we purchase. Furthermore, laws and regulations that we or our operators are subject to may change in ways that are difficult to predict. There can be no assurance that the application of laws, regulations or policies, or changes in such laws, regulations and policies, will not occur in a manner that could have a detrimental effect on any property we may own, the operations of such property and the amount of rent we receive from the tenant of such property.

We may be unable to obtain desirable types of insurance coverage at a reasonable cost, if at all, and we may be unable to comply with insurance requirements contained in mortgage or other agreements due to high insurance costs.

We may not be able either to obtain desirable types of insurance coverage, such as terrorism, earthquake, flood, hurricane and pollution or environmental matter insurance, or to obtain such coverage at a reasonable cost in the future, and this risk may limit our ability to finance or refinance debt secured by our prosperities. Additionally, we could default under debt or other agreements if the cost and/or availability of certain types of insurance make it impractical or impossible to comply with covenants relating to the insurance we are required to maintain under such agreements. In such instances, we may be required to self-insure against certain losses or seek other forms of financial assurance. We may not be able to obtain insurance coverage at reasonable rates due to high premium and/or deductible amounts. As a result, our cash flows could be adversely impacted due to these higher costs, which would adversely affect our ability to pay distributions to our stockholders.

Uninsured losses or losses in excess of insured limits could result in the loss or substantial impairment of one or more of our investments.

The nature of the activities at certain of our properties will expose us, our tenants and our operators to potential liability for personal injuries and, with respect to certain types of properties, may expose us to property damage claims. We maintain, and require our tenants and operators to maintain, insurance with respect to each of our properties that tenants lease or operate, including comprehensive liability, fire, flood and extended coverage insurance. There are, however, certain types of losses (such as from hurricanes, floods, earthquakes or terrorist attacks) that may be either uninsurable or not economically feasible to insure. Furthermore, an insurance provider could elect to deny or limit coverage under a claim. Should an uninsured loss or loss in excess of insured limits occur, we could lose all or a portion of our anticipated revenue stream from the affected property, as well as all or a portion of our invested capital. Accordingly, if we, as landlord, incur any liability which is not fully covered by insurance, we would be liable for the uninsured amounts, cash available for distributions to stockholders may be reduced and the value of our assets may decrease significantly. In the case of an insurance loss, we might nevertheless remain obligated for any mortgage debt or other financial obligations related to the property.

Our TRS structure subjects us to the risk of increased operating expenses.

Our TRSs engage independent facility managers pursuant to management agreements and pay these managers a fee for operating the properties and reimburse certain expenses paid by these managers. However, the TRS receives all the operating profit or losses at the facility, net of corporate income tax, and we are subject to the risk of increased operating expenses.

Our TRS structure subjects us to the risk that the leases with our TRSs do not qualify for tax purposes as arm’s length, which would expose us to potentially significant tax penalties.

Our TRSs generally will incur taxes or accrue tax benefits consistent with a “C” corporation. If the leases between us and our TRSs were deemed by the IRS to not reflect an arm’s length transaction as that term is defined by tax law, we may be subject to significant tax penalties as the lessor that would adversely impact our profitability and our cash flows.

If our portfolio and risk management systems are ineffective, we may be exposed to material unanticipated losses.

We continue to refine our portfolio and risk management strategies and tools. However, our portfolio and risk management strategies may not fully mitigate the risk exposure of our operations in all economic or market environments, or against all types of risk, including risks that we might fail to identify or anticipate. Any failures in our portfolio and risk management strategies to accurately quantify such risk exposure could limit our ability to manage risks in our operations or to seek adequate risk adjusted returns and could result in losses.

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Because not all REITs calculate modified funds from operations (“MFFO”) the same way, our use of MFFO may not provide meaningful comparisons with other REITs.

We use MFFO in order to evaluate our performance against other publicly registered, non-listed REITs, which intend to have limited lives with short and defined acquisition periods and targeted exit strategies shortly thereafter. Although we calculate our MFFO in compliance with the Investment Program Association Practice Guideline 2010-01   Supplemental Performance Measure for Publicly Registered, Non Listed REITs: Modified Funds From Operations, effective November 2, 2010, not all REITs calculate MFFO the same way. If REITs use different methods of calculating MFFO, it may not be possible for investors to meaningfully compare our performance to other REITs.

Changes in accounting pronouncements could adversely impact us or our tenants’ reported financial performance.

Accounting policies and methods are fundamental to how we record and report our financial condition and results of operations. From time to time, the Financial Accounting Standards Board (“FASB”) and the Commission, entities that create and interpret appropriate accounting standards, may change the financial accounting and reporting standards or their interpretation and application of these standards that govern the preparation of our financial statements. These changes could have a material impact on our reported financial condition and results of operations. In some cases, we could be required to apply a new or revised standard retroactively, resulting in restating prior period financial statements.

We are highly dependent on information systems and their failure could significantly disrupt our business.

As a healthcare real estate company, our business will be highly dependent on communications and information systems, including systems provided by third parties for which we have no control. Any failure or interruption of our systems, whether as a result of human error or otherwise, could cause delays or other problems in our activities, which could have a material adverse effect on our financial performance.

We could be negatively impacted by cybersecurity attacks.

We, and our operating businesses, may use a variety of information technology systems in the ordinary course of business, which are potentially vulnerable to unauthorized access, computer viruses and cyber attacks, including cyber attacks to our information technology infrastructure and attempts by others to gain access to our propriety or sensitive information, and ranging from individual attempts to advanced persistent threats. The procedures and controls we use to monitor these threats and mitigate our exposure may not be sufficient to prevent cybersecurity incidents. The results of these incidents could include misstated financial data, theft of trade secrets or other intellectual property, liability for disclosure of confidential customer, supplier or employee information, increased costs arising from the implementation of additional security protective measures, litigation and reputational damage, which could materially adversely affect our financial condition, business and results of operations. Any remedial costs or other liabilities related to cybersecurity incidents may not be fully insured or indemnified by other means.

If we sell properties by providing financing to purchasers, we will bear the risk of default by the purchaser.

We may, from time to time, sell a property or other asset by providing financing to the purchaser. There are no limits or restrictions on our ability to accept purchase money obligations secured by a mortgage as payment for the purchase price. The terms of payment to us will be affected by custom in the area where the property being sold is located and then prevailing economic conditions. We will bear the risk of default by the purchaser and may incur significant litigation costs in enforcing our rights against the purchaser.

Financing Related Risks

Mortgage indebtedness and other borrowings will increase our business risks.

We sometimes acquire real estate properties and other real estate related investments, including entity acquisitions, by either assuming existing financing collateralized by the asset or borrowing new funds. In addition, we have incurred and may increase our mortgage debt by obtaining loans collateralized by some or all of our assets to obtain funds to acquire additional investments or to pay distributions to our stockholders. If necessary, we also may borrow funds to satisfy the requirement that we distribute at least 90% of our annual taxable income, or otherwise as is necessary or advisable to assure that we qualify as a REIT for federal income tax purposes.

Our charter provides that we may not borrow more than 300% of the value of our net assets without the approval of a majority of our independent directors and the borrowing must be disclosed to our stockholders in our first quarterly report after such

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approval. Borrowing may be risky if the cash flow from our properties and other real estate related investments is insufficient to meet our debt obligations. In addition, our lenders may seek to impose restrictions on our future borrowings, distributions and operating policies, including with respect to capital expenditures and asset dispositions. If we mortgage assets or pledge equity as collateral and we cannot meet our debt obligations, then the lender could take the collateral, and we would lose the asset or equity and the income we were deriving from the asset.

Our revenues are highly dependent on operating results of, and lease payments from, our properties. Defaults by our tenants would reduce our cash available for the repayment of our outstanding debt and for distributions.

Our ability to repay any outstanding debt and make distributions to stockholders depends upon the ability of our tenants and managers to generate sufficient operating income to make payments to us, and their ability to make these payments will depend primarily on their ability to generate sufficient revenues in excess of operating expenses from businesses conducted on our properties. A tenant’s failure or delay in making scheduled rent payments to us may result from the tenant realizing reduced revenues at the properties it operates.

Defaults on our borrowings may adversely affect our financial condition and results of operations.

Defaults on loans collateralized by a property we own may result in foreclosure actions and our loss of the property or properties securing the loan that is in default. Such legal actions are expensive. For tax purposes, in general a foreclosure would be treated as a sale of the property for a purchase price equal to the outstanding balance of the debt collateralized by the property. If the outstanding balance of the debt exceeds our tax basis in the property, we would recognize taxable income on the foreclosure, all or a portion of such taxable income may be subject to tax, and/or required to be distributed to our stockholders in order for us to qualify as a REIT. In such case, we would not receive any cash proceeds to enable us to pay such tax or make such distributions. If any mortgages contain cross collateralization or cross default provisions, more than one property may be affected by a default. If any of our properties are foreclosed upon due to a default, our financial condition, results of operations and ability to pay distributions to stockholders will be adversely affected.

Financing arrangements involving balloon payment obligations may adversely affect our ability to make distributions.

We sometimes enter into fixed term financing arrangements which require us to make “balloon” payments at maturity. Our ability to make a balloon payment at maturity is uncertain and may depend upon our ability to obtain additional financing or sell a particular property. At the time the balloon payment is due, we may not be able to raise equity or refinance the balloon payment on terms as favorable as the original loan or sell the property at a price sufficient to make the balloon payment. These refinancing or property sales could negatively impact the rate of return to stockholders and the timing of disposition of our assets. In addition, payments of principal and interest may leave us with insufficient cash to pay the distributions that we are required to pay to qualify as a REIT.

Increases in interest rates could increase the amount of our debt payments and adversely affect our ability to make distributions to our stockholders.

We also borrow money that bears interest at a variable rate and, from time to time, we may pay mortgage loans or refinance our properties in a rising interest rate environment. Accordingly, increases in interest rates could increase our interest costs, which could have a material adverse effect on our operating cash flow and our ability to make distributions to our stockholders.

Lenders may require us to enter into restrictive covenants relating to our operations, which could limit our ability to make distributions to our stockholders.

When providing financing, lenders may impose restrictions on us that affect our distributions, operating policies and ability to incur additional debt. Such limitations hamper our flexibility and may impair our ability to achieve our operating plans including maintaining our REIT status.

We may acquire various financial instruments for purposes of “hedging” or reducing our risks which may be costly and/or ineffective and will reduce our cash available for distribution to our stockholders.

We may engage in hedging transactions to manage the risk of changes in interest rates, price changes or currency fluctuations with respect to borrowings made or to be made, or ordinary obligations incurred or to be incurred, by us. We may use derivative financial instruments for this purpose, collateralized by our assets and investments. Derivative instruments may include interest rate swap contracts, interest rate cap or floor contracts, futures or forward contracts, options or repurchase agreements. Our actual hedging decisions will be determined in light of the facts and circumstances existing at the time of the hedge and may differ from time to time. Hedging activities may be costly or become cost prohibitive and we may have difficulty entering into hedging transactions.

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To the extent that we use derivative financial instruments to hedge against exchange rate and interest rate fluctuations, we will be exposed to credit risk, basis risk and legal enforceability risks. In this context, credit risk is the failure of the counterparty to perform under the terms of the derivative contract. If the fair value of a derivative contract is positive, the counterparty owes us, which creates credit risk for us. Basis risk occurs when the index upon which the contract is based is more or less variable than the index upon which the hedged asset or liability is based, thereby making the hedge less effective. Finally, legal enforceability risks encompass general contractual risks, including the risk that the counterparty will breach the terms of, or fail to perform our obligations under, the derivative contract. We may be unable to manage these risks effectively.

U.S. Federal Income Tax Risks

Our failure to qualify or remain qualified as a REIT would subject us to U.S. federal income tax and state and local income tax, and would adversely affect our operations and the value of our common stock.

We elected and qualified to be taxed as a REIT commencing with our taxable year ending December 31, 2017.  However, we may terminate our REIT qualification if our board of directors determines that not continuing to qualify as a REIT is in our best interests. Our qualification as a REIT depends upon our satisfaction of certain asset, income, organizational, distribution, stockholder ownership and other requirements on a continuing basis. The REIT qualification requirements are extremely complex and interpretation of the U.S. federal income tax laws governing qualification as a REIT is limited. Furthermore, any opinion of our counsel, including tax counsel, as to our eligibility to qualify or remain qualified as a REIT is not binding on the IRS and is not a guarantee that we will qualify, or continue to qualify, as a REIT. Accordingly, we cannot be certain that we will be successful in operating so we can qualify or remain qualified as a REIT. Our ability to satisfy the asset tests depends on our analysis of the characterization and fair market values of our assets, some of which are not susceptible to a precise determination, and for which we will not obtain independent appraisals. Our compliance with the REIT income or quarterly asset requirements also depends on our ability to successfully manage the composition of our income and assets on an ongoing basis. Accordingly, if certain of our operations were to be recharacterized by the IRS, such recharacterization would jeopardize our ability to satisfy all requirements for qualification as a REIT. Furthermore, future legislative, judicial or administrative changes to the U.S. federal income tax laws could be applied retroactively, which could result in our disqualification as a REIT.

If we fail to qualify as a REIT for any taxable year, and we do not qualify for certain statutory relief provisions, we will be subject to U.S. federal income tax on our taxable income at corporate rates. In addition, we would generally be disqualified from treatment as a REIT for the four taxable years following the year of losing our REIT qualification. Losing our REIT qualification would reduce our net earnings available for investment or distribution to stockholders because of the additional tax liability. In addition, distributions to stockholders would no longer qualify for the dividends paid deduction, and we would no longer be required to make distributions. If this occurs, we might be required to borrow funds or liquidate some investments in order to pay the applicable tax.

Even if we remain qualified and maintain our status as a REIT, in certain circumstances we may incur tax liabilities that would reduce our cash available for distribution to our stockholders.

Even if we remain qualified and maintain our status as a REIT, we may be subject to U.S. federal, state and local income taxes. For example, net income from the sale of properties that are “dealer” properties sold by a REIT (a “prohibited transaction” under the Code) will be subject to a 100% tax. We may not make sufficient distributions to avoid excise taxes applicable to REITs. We also may decide to retain net capital gain we earn from the sale or other disposition of our property and pay U.S. federal income tax directly on such income. In that event, our stockholders would be treated as if they earned that income and paid the tax on it directly. However, stockholders that are tax exempt, such as charities or qualified pension plans, would have no benefit from their deemed payment of such tax liability unless they file U.S. federal income tax returns and thereon seek a refund of such tax. We also will be subject to corporate tax on any undistributed taxable income. We also may be subject to state and local taxes on our income, property or net worth, including franchise, payroll and transfer taxes, either directly or at the level of the operating partnership or at the level of the other companies through which we indirectly own our assets, such as our TRSs, which are subject to full U.S. federal, state, local and foreign corporate level income taxes. Any taxes we pay directly or indirectly will reduce our cash available for distribution to our stockholders.

Early investors may receive tax benefits from our election to accelerate depreciation expense deductions of certain components of our investments, including land improvements and fixtures, which later investors may not benefit from.

For U.S. federal income tax purposes, distributions received, including distributions that are reinvested pursuant to our distribution reinvestment plan, by our investors generally will be considered ordinary dividends to the extent that the distributions are paid out of our current and accumulated earnings and profits (excluding distributions of amounts either attributable to income subject to corporate level taxation or designated as a capital gain dividend). However, depreciation

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expenses, among other deductible items, reduce taxable income and earnings and profits but do not reduce cash available for distribution. To the extent that a portion of any distributions to our investors exceed our current and accumulated earnings and profits, that portion will be considered a return of capital (a non-taxable distribution) for U.S. federal income tax purposes up to the amount of their tax basis in their shares (and any excess over their tax basis in their shares will result in capital gain from the deemed disposition of the investors’ shares). The amount of distributions considered a return of capital for U.S. federal income tax purposes will not be subject to tax immediately but will instead reduce the tax basis of our investors’ investments, generally deferring any tax on that portion of the distribution until they sell their shares or we liquidate. Because we may choose to increase depreciation expense deductions in the earlier years after acquisition of an asset, for U.S. federal income tax purposes, of certain components of our investments, including land improvements and fixtures through the use of cost segregation studies, our early investors may benefit to the extent that increased depreciation causes all or a portion of the distributions they receive to be considered a return of capital for U.S. federal income tax purposes thereby deferring tax on those distributions, while later investors may not benefit to the extent that the depreciation of these components has already been deducted.

To qualify as a REIT we must meet annual distribution requirements, which may force us to forego otherwise attractive opportunities or borrow funds during unfavorable market conditions. This could delay or hinder our ability to meet our investment objectives and reduce our stockholders’ overall return.

In order to qualify as a REIT, we must make aggregate annual distributions (other than capital gain dividends) to our stockholders of at least 90% of our annual REIT taxable income (which does not equal net income as calculated in accordance with generally accepted accounting principles (“GAAP”)), determined without regard to the deduction for dividends paid. We will be subject to U.S. federal income tax on our undistributed taxable income and net capital gain and to a 4% nondeductible excise tax on any amount by which distributions we pay with respect to any calendar year are less than the sum of (a) 85% of our ordinary income, (b) 95% of our capital gain net income and (c) 100% of our undistributed income from prior years. These requirements could cause us to distribute amounts that otherwise would be spent on investments in real estate assets and it is possible that we might be required to borrow funds, possibly at unfavorable rates, or sell assets to fund these distributions. It is possible that we might not always be able to make distributions sufficient to meet the annual distribution requirements and to avoid U.S. federal income and excise taxes on our earnings while we qualify as a REIT.

Certain of our business activities are potentially subject to the prohibited transaction tax, which could reduce the return on an investment in shares of our common stock.

For so long as we qualify as a REIT, our ability to dispose of property during the first few years following acquisition may be restricted to a substantial extent as a result of our REIT qualification. Under applicable provisions of the Code regarding prohibited transactions by REITs, while we qualify as a REIT, we will be subject to a 100% penalty tax on any gain recognized on the sale or other disposition of any property (other than foreclosure property) that we own, directly or indirectly through any subsidiary entity, including the operating partnership, but generally excluding TRSs, that is deemed to be inventory or property held primarily for sale to customers in the ordinary course of a trade or business. Determining whether property is inventory or otherwise held primarily for sale to customers in the ordinary course of a trade or business depends on the particular facts and circumstances surrounding each property. During the time as we qualify as a REIT, we intend to avoid the 100% prohibited transaction tax by (a) conducting activities that may otherwise be considered prohibited transactions through a TRS (but such TRS will incur corporate rate income taxes with respect to any income or gain recognized by it), (b) conducting our operations in such a manner so that no sale or other disposition of an asset we own, directly or through any subsidiary, will be treated as a prohibited transaction, or (c) structuring certain dispositions of our properties to comply with the requirements of the prohibited transaction safe harbor available under the Code for properties that, among other requirements, have been held for production of rental income for at least two years. No assurance can be given that any particular property we own, directly or through any subsidiary entity, including the operating partnership, but generally excluding TRSs, will not be treated as inventory or property held primarily for sale to customers in the ordinary course of a trade or business.

Our TRSs are subject to corporate level taxes and our dealings with our TRSs may be subject to 100% excise tax.

A REIT may own up to 100% of the stock of one or more TRSs. Both the subsidiary and the REIT must jointly elect to treat the subsidiary as a TRS. A corporation of which a TRS directly or indirectly owns more than 35% of the voting power or value of the stock will automatically be treated as a TRS. Overall, no more than 20% (25% for taxable years ending prior to January 1, 2018) of the gross value of a REIT’s assets may consist of stock or securities of one or more TRSs. A TRS may hold assets and earn income that would not be qualifying assets or income if held or earned directly by a REIT, including gross income from operations pursuant to management contracts. Accordingly, we may use TRSs generally to hold properties for sale in the ordinary course of a trade or business or to hold assets or conduct activities that we cannot conduct directly as a REIT. A TRS

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will be subject to applicable U.S. federal, state, local and foreign income tax on its taxable income. In addition, a 100% excise tax may be imposed on certain transactions between a TRS and its parent REIT that are not conducted on an arm’s length basis.

The taxation of distributions to our stockholders can be complex; however, distributions that we make to our stockholders generally will be taxable as ordinary income, which may reduce our stockholders’ anticipated return from an investment in us.

Distributions that we make to our taxable stockholders to the extent of our current and accumulated earnings and profits (and not designated as capital gain dividends or qualified dividend income) generally will be taxable as ordinary income provided, certain individuals may be able to deduct 20% of income received as ordinary REIT dividends, thus reducing the maximum effective federal income tax rate on such dividends. However, a portion of our distributions may (1) be designated by us as capital gain dividends generally taxable as long term capital gain to the extent that they are attributable to net capital gain recognized by us, (2) be designated by us as qualified dividend income generally to the extent they are attributable to dividends we receive from non REIT corporations, such as our TRSs, or (3) constitute a return of capital generally to the extent that they exceed our current and accumulated earnings and profits as determined for U.S. federal income tax purposes. A return of capital distribution is not taxable, but has the effect of reducing the basis of a stockholder’s investment in our common stock.

Our stockholders may have tax liability on distributions that they elect to reinvest in common stock, but they would not receive the cash from such distributions to pay such tax liability.

Stockholders who participate in our distribution reinvestment plan will be deemed to have received, and for U.S. federal income tax purposes will be taxed on, the amount reinvested in shares of our common stock to the extent the amount reinvested was not a tax free return of capital. In addition, our stockholders will be treated for tax purposes as having received an additional distribution to the extent the shares are purchased at a discount to fair market value. As a result, unless a stockholder is a tax exempt entity, it may have to use funds from other sources to pay its tax liability on the value of the shares of common stock received.

Dividends payable by REITs generally do not qualify for the reduced tax rates available for some dividends.

Currently, the maximum tax rate applicable to qualified dividend income payable to U.S. stockholders that are individuals, trusts and estates is 20%. Dividends payable by REITs, however, generally are not eligible for this reduced rate and are generally taxable at ordinary income tax rates.  Individuals, however, may be able to deduct 20% of income received as ordinary REIT dividends subject to certain holding period requirements, thus reducing the maximum effective federal income tax rate on such dividends. Although this does not adversely affect the taxation of REITs or the amount of dividends payable by REITs, the more favorable rates applicable to regular corporate qualified dividends could cause investors who are individuals, trusts and estates to perceive investments in REITs to be relatively less attractive than investments in the stock of non REIT corporations that pay dividends, which could adversely affect the value of the shares of REITs, including our common stock. Tax rates and the availability of the 20% deduction could be changed in future legislation.

Complying with REIT requirements may limit our ability to hedge our liabilities effectively and may cause us to incur tax liabilities.

The REIT provisions of the Code may limit our ability to hedge our liabilities. Any income from a hedging transaction we enter into to manage risk of interest rate changes, price changes or currency fluctuations with respect to borrowings made or to be made to acquire or carry real estate assets, or in certain cases to hedge previously acquired hedges entered into to manage risks associated with property that has been disposed of or liabilities that have been extinguished if properly identified under applicable Treasury Regulations, does not constitute “gross income” for purposes of the 75% or 95% gross income tests. To the extent that we enter into other types of hedging transactions, the income from those transactions will likely be treated as non qualifying income for purposes of both of the gross income tests. As a result of these rules, we may need to limit our use of advantageous hedging techniques or implement those hedges through a TRS. This could increase the cost of our hedging activities because our TRSs would be subject to tax on gains or expose us to greater risks associated with changes in interest rates than we would otherwise want to bear. In addition, losses in a TRS generally will not provide any tax benefit, except for being carried forward against future taxable income of such TRS.

Complying with REIT requirements may force us to forego or liquidate otherwise attractive investment opportunities.

To qualify as a REIT, we must ensure that we meet the REIT gross income tests annually and that at the end of each calendar quarter, at least 75% of the value of our assets consists of cash, cash items, government securities and qualified REIT real estate assets, including certain mortgage loans and certain kinds of mortgage related securities. The remainder of our investment in securities (other than securities of one or more TRSs, government securities and qualified real estate assets)

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generally cannot include more than 10% of the outstanding voting securities of any one issuer or more than 10% of the total value of the outstanding securities of any one issuer. In addition, in general, no more than 5% of the value of our assets can consist of the securities of any one issuer (other than securities of one or more TRSs, government securities and qualified real estate assets), and no more than 20% (25% for taxable years ending prior to January 1, 2018) of the value of our total assets can be represented by securities of one or more TRSs. If we fail to comply with these requirements at the end of any calendar quarter, we must correct the failure within 30 days after the end of the calendar quarter or qualify for certain statutory relief provisions to avoid losing our REIT qualification and suffering adverse tax consequences. As a result, we may be required to liquidate assets from our portfolio or not make otherwise attractive investments in order to maintain our qualification as a REIT. These actions could have the effect of reducing our income and amounts available for distribution to our stockholders.

The ability of our board of directors to revoke our REIT qualification without stockholder approval may subject us to U.S. federal income tax and reduce distributions to our stockholders.

Our charter provides that our board of directors may revoke or otherwise terminate our REIT election, without the approval of our stockholders, if it determines that it is no longer in our best interest to continue to qualify as a REIT. While we intend to qualify to be taxed as a REIT, we may terminate our REIT election if we determine that qualifying as a REIT is no longer in our best interests. If we cease to be a REIT, we would become subject to U.S. federal income tax on our taxable income and would no longer be required to distribute most of our taxable income to our stockholders, which may have adverse consequences on our total return to our stockholders and on the market price of our common stock.

We may be subject to adverse legislative or regulatory tax changes that could increase our tax liability, reduce our operating flexibility and reduce the market price of our common stock.

At any time, the U.S. federal income tax laws governing REITs or the administrative interpretations of those laws may be amended. We cannot predict when or if any new U.S. federal income tax law, regulation or administrative interpretation, or any amendment to any existing U.S. federal income tax law, regulation or administrative interpretation, will be adopted, promulgated or become effective and any such law, regulation, or interpretation may take effect retroactively. We and our stockholders could be adversely affected by any such change in the U.S. federal income tax laws, regulations or administrative interpretations.

The share ownership restrictions of the Code for REITs and the 9.8% share ownership limit in our charter may inhibit market activity in our shares of stock and restrict our business combination opportunities.

In order to qualify as a REIT, five or fewer individuals, as defined in the Code, may not own, actually or constructively, more than 50% in value of our issued and outstanding shares of stock at any time during the last half of each taxable year, other than the first year for which a REIT election is made. Attribution rules in the Code determine if any individual or entity actually or constructively owns our shares of stock under this requirement. Additionally, at least 100 persons must beneficially own our shares of stock during at least 335 days of a taxable year for each taxable year, other than the first year for which a REIT election is made. To help insure that we meet these tests, among other purposes, our charter restricts the acquisition and ownership of our shares of stock.

Our charter, with certain exceptions, authorizes our directors to take such actions as are necessary and desirable to preserve our qualification as a REIT while we so qualify. Unless exempted prospectively or retroactively by our board of directors, for so long as we qualify as a REIT, our charter prohibits, among other limitations on ownership and transfer of shares of our stock, any person from beneficially or constructively owning (applying certain attribution rules under the Code) more than 9.8% in value of our outstanding stock, or 9.8% in value or in number (whichever is more restrictive) of each class of our shares. Our board of directors may not grant an exemption from these restrictions to any proposed transferee whose ownership in excess of the 9.8% ownership limit would result in the termination of our qualification as a REIT. These restrictions on transferability and ownership will not apply, however, if our board of directors determines that it is no longer in our best interest to continue to qualify as a REIT or that compliance with the restrictions is no longer required in order for us to continue to so qualify as a REIT. These ownership limits could delay or prevent a transaction or a change in control that might involve a premium price for our common stock or otherwise be in the best interest of the stockholders.

Non U.S. stockholders will be subject to U.S. federal withholding tax and may be subject to U.S. federal income tax on distributions received from us and upon the disposition of our shares.

Subject to certain exceptions, distributions received from us will be treated as dividends of ordinary income to the extent of our current or accumulated earnings and profits. Such dividends ordinarily will be subject to U.S. withholding tax at a 30% rate, or such lower rate as may be specified by an applicable income tax treaty, unless the distributions are treated as “effectively connected” with the conduct by the non U.S. stockholder of a U.S. trade or business. Pursuant to the Foreign Investment in

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Real Property Tax Act of 1980, or FIRPTA, capital gain distributions attributable to sales or exchanges of “U.S. real property interests,” or USRPIs, generally will be taxed to a non U.S. stockholder as if such gain were effectively connected with a U.S. trade or business unless an exception applies. However, a capital gain dividend will not be treated as effectively connected income if (a) the distribution is received with respect to a class of stock that is regularly traded on an established securities market located in the United States and (b) the non U.S. stockholder does not own more than 10% of the class of our stock at any time during the one year period ending on the date the distribution is received. We do not anticipate that our shares will be “regularly traded” on an established securities market for the foreseeable future, and therefore, this exception is not expected to apply.

Gain recognized by a non U.S. stockholder upon the sale or exchange of our common stock generally will not be subject to U.S. federal income taxation unless such stock constitutes a USRPI under FIRPTA. In addition, “qualified foreign pension funds” and certain “qualified shareholders” are generally exempt from FIRPTA. Our common stock will not constitute a USRPI so long as we are a “domestically controlled qualified investment entity.” A domestically controlled qualified investment entity includes a REIT if at all times during a specified testing period, less than 50% in value of such REIT’s stock is held directly or indirectly by non U.S. stockholders. We believe, but cannot assure our stockholders, that we will be a domestically controlled qualified investment entity.

Even if we do not qualify as a domestically controlled qualified investment entity at the time a non U.S. stockholder sells or exchanges our common stock, gain arising from such a sale or exchange would not be subject to U.S. taxation under FIRPTA as a sale of a USRPI if: (a) our common stock is “regularly traded,” as defined by applicable Treasury Regulations, on an established securities market, and (b) such non U.S. stockholder owned, actually and constructively, 10% or less of our common stock at any time during the five year period ending on the date of the sale. However, it is not anticipated that our common stock will be “regularly traded” on an established market. We encourage our stockholders to consult their tax advisor to determine the tax consequences applicable to them if they are a non U.S. stockholder.

Risks Related to Investments by Tax Exempt Entities and Benefit Plans Subject to the Employee Retirement Income Security Act of 1974 (“ERISA”)

If our assets are deemed “plan assets” for purposes of ERISA and/or the Code, we could be subject to excise taxes on certain prohibited transactions.

We believe that our assets will not be deemed to be “plan assets” for purposes of ERISA and/or the Code, but we have not requested an opinion of counsel to that effect, and no assurances can be given that our assets will never constitute “plan assets.” If our assets were deemed to be “plan assets” for purposes of ERISA and/or the Code, among other things, (a) certain of our transactions could constitute “prohibited transactions” under ERISA and the Code, and (b) ERISA’s prudence and other fiduciary standards would apply to our investments (and might not be met). Among other things, ERISA makes plan fiduciaries personally responsible for any losses resulting to the plan from any breach of fiduciary duty, and the Code imposes nondeductible excise taxes on prohibited transactions. If such excise taxes were imposed on us, the amount of funds available for us to make distributions to stockholders would be reduced.

Risks Related to Our Organizational Structure

The limit on the percentage of shares of our stock that any person may own may discourage a takeover or business combination that may benefit our stockholders.

Our charter restricts the direct or indirect ownership by one person or entity to no more than 9.8%, by number or value, of any class or series of our equity securities (which includes each class of common stock and any preferred stock we may issue). This restriction may deter individuals or entities from making tender offers for shares of our common stock on terms that might be financially attractive to stockholders or which may cause a change in our management. This ownership restriction may also prohibit business combinations that would have otherwise been approved by our board of directors and stockholders and may also decrease their ability to sell their shares of our common stock.

Our board of directors can take many actions without stockholder approval which could have a material adverse effect on the distributions investors receive from us and/or could reduce the value of our assets.

Our board of directors has overall authority to conduct our operations. This authority includes significant flexibility. For example, our board of directors can: (i) list our stock on a national securities exchange or include our stock for quotation on the National Market System of the NASDAQ Stock Market without obtaining stockholder approval; (ii) prevent the ownership, transfer and/or accumulation of shares in order to protect our status as a REIT or for any other reason deemed to be in the best interests of the stockholders; (iii) authorize and issue additional shares of any class or series of stock without obtaining

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stockholder approval, which could dilute an ownership interest; (iv) change our advisor’s compensation, and employ and compensate affiliates; (v) direct our investments toward those that will not appreciate over time, such as loans and building only properties, with the land owned by a third party; and (vi) establish and change minimum creditworthiness standards with respect to tenants. Any of these actions could reduce the value of our assets without giving investors, as stockholders, the right to vote.

Investors will be limited in their right to bring claims against our officers and directors.

Our charter provides generally that a director or officer will be indemnified against liability as a director or officer so long as he or she performs his or her duties in accordance with the applicable standard of conduct and without negligence or misconduct in the case of our officers and non independent directors, and without gross negligence or willful misconduct in the case of our independent directors. In addition, our charter provides that, subject to the applicable limitations set forth therein or under Maryland law, no director or officer will be liable to us or our stockholders for monetary or other damages. Our charter also provides that we will indemnify our advisor or any of its affiliates or directors, or employees of the foregoing, acting as our agent for losses they may incur by reason of their service in such capacities so long as they satisfy these requirements. We have entered into separate indemnification agreements with each of our directors and executive officers. As a result, we and our stockholders may have more limited rights against these persons than might otherwise exist under common law. In addition, we may be obligated to fund the defense costs incurred by these persons in some cases.

Our charter designates the Circuit Court for Baltimore City, Maryland as the sole and exclusive forum for certain types of actions and proceedings that may be initiated by our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers or employees.

Our charter provides that, unless we consent in writing to the selection of an alternative forum, the Circuit Court for Baltimore City, Maryland shall be the sole and exclusive forum for certain types of actions and proceedings that may be initiated by our stockholders with respect to our company, our directors, our officers or our employees (we note we currently have no employees). This choice of forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that the stockholder believes is favorable for disputes with us or our directors, officers or employees, which may discourage meritorious claims from being asserted against us and our directors, officers and employees. Alternatively, if a court were to find this provision of our charter inapplicable to, or unenforceable in respect of, one or more of the specified types of actions or proceedings, we may incur additional costs associated with resolving such matters in other jurisdictions, which could adversely affect our business, financial condition or results of operations. We adopted this provision because we believe it makes it less likely that we will be forced to incur the expense of defending duplicative actions in multiple forums and less likely that plaintiffs’ attorneys will be able to employ such litigation to coerce us into otherwise unjustified settlements, and we believe the risk of a court declining to enforce this provision is remote, as the General Assembly of Maryland has specifically amended the Maryland General Corporation Law to authorize the adoption of such provisions.

Our use of an operating partnership structure may result in potential conflicts of interest with limited partners other than us, if any, whose interests may not be aligned with those of our stockholders.

Limited partners other than us, if any, in our operating partnership will have the right to vote on certain amendments to the limited partnership agreement between us and CHP II GP, LLC (the “operating partnership agreement”), as well as on certain other matters. Persons holding such voting rights may exercise them in a manner that conflicts with the interests of our stockholders. As general partner of our operating partnership, we are obligated to act in a manner that is in the best interest of all partners of our operating partnership. Circumstances may arise in the future when the interests of other limited partners in the operating partnership may conflict with the interests of our stockholders. These conflicts may be resolved in a manner stockholders do not believe are in their best interest.

Item 1B. Unresolved Staff Comments

None.

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Item 2. Properties

As of December 31, 2018, we had investments in three real estate investment properties.  The following table sets forth details on our consolidated healthcare investment portfolio by asset class:

Name	Structure	Date Acquired	Encumbrance (in millions)		Purchase Price (in millions)
Medical Office  (1)
Mid America Surgery Institute	Leased	12/27/2017	$	5.6	$	14.0
Overland Park, KS ("Kansas City")
Seniors Housing
Summer Vista Assisted Living	RIDEA	3/31/2017		13.9		21.4
Pensacola, FL
The Crossings at Riverview	RIDEA	8/31/2018		5.0		24.3
Riverview, FL ("Tampa")
			$	24.5	$	59.7

FOOTNOTE:

⁽¹⁾ As described above in Item 1. “Business” – “Strategic Alternatives,” we committed to a plan to sell our MOB property and, in March 2019, we entered into a Sale Agreement witha subsidiary of HCP, Inc. related to the MOB Sale for a gross sales price of $15.4 million, subject to certain pro-rations and other adjustments as described in the Sale Agreement.  

Item 3. Legal Proceedings

From time to time, we may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, our business, including proceedings to enforce our contractual or statutory rights.  While we cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, we do not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on our results of operations or financial condition.

Item 4. Mine Safety Disclosures

None.

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PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Market Information

There is no established public trading market for our common stock.  Therefore, there is a risk that a stockholder may not be able to sell shares at a time or price acceptable to the stockholder, or at all.  Unless and until our shares are listed on a national securities exchange, it is not expected that a public market for the shares will develop.  

Our board of directors has adopted a valuation policy substantially consistent with the IPA Valuation Guideline.  The valuation process used by our Valuation Committee and our board of directors to determine the estimated NAV per share was designed to follow recommendations in the IPA Valuation Guideline and our valuation policy.

During the year ended December 31, 2018, our board of directors initiated a process to estimate the Company’s NAV per share as of December 31, 2018 (“Valuation Date”) and engaged Stanger to provide a report containing, among other things, a range for the estimated NAV per share of our common stock as of the Valuation Date (“Valuation Report”).  The engagement of Stanger was based on a number of factors including Stanger’s experience in the valuation of assets similar to those we own.  Upon receipt of the Valuation Report from Stanger, which contained, among other information, a range for the estimated NAV per share of our common stock, the Valuation Committee considered the reasonableness of the range of per share values in order to make a recommendation to our board of directors.  On March 13, 2019, our board of directors accepted the recommendation of our Valuation Committee and approved an estimated 2018 NAV of $9.92, which is net of transaction costs.

For additional information on the determination of our estimated NAV, please refer to our Current Report on Form 8-K filed with the SEC on March 19, 2019.

Stockholder Information

As of December 31, 2018, we had 944 stockholders of record.  The number of stockholders is based on the records of DST Systems, Inc., who serves as our transfer agent.

Distributions

The payment of distributions is a significant use of cash.  Through the close of our Offering, which was effective October 1, 2018, our primary source of capital for the payment of distributions was proceeds from our Offering with the remainder being sourced from cash flows provided by operating activities.  We suspended our Reinvestment Plan and discontinued our stock dividends concurrently. As a result of suspending our Reinvestment Plan, the amount of cash required to fund distributions was no longer offset by additional offering proceeds from Reinvestment Plan shares.  In connection with our strategic alternatives discussed above in Item 1. “Business” – “Strategic Alternatives,” our board of directors suspended our monthly cash distributions to stockholders effective April 1, 2019.  Accordingly, our board of directors does not currently intend to declare any regular distributions to stockholders after the effective date of the suspension, though special distributions may be made from time to time from net sales proceeds received from the sale of properties.

Distributions to our stockholders are governed by the provisions of our articles of incorporation. The amount of distributions declared to our stockholders (if any) was determined by our board of directors and was dependent on a number of factors, including:

• sources of cash available for distribution such as current year and inception to date cumulative cash flows from operating activities, Funds from Operations (“FFO”) and MFFO, as well as, expected future long-term stabilized cash flows, FFO and MFFO;

• the proportion of distributions paid in cash, and through October 2018, amounts being invested through our Reinvestment Plan;

• limitations and restrictions contained in the terms of our current and future indebtedness concerning the payment of distributions; and

• other factors, including but not limited to, the avoidance of distribution volatility, evaluation of strategic alternatives, capital requirements, the general economic environment and other factors.

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The table in Item 7.  “Management’s Discussion and Analysis of Financial Condition and Results of Operations” presents total cash distributions declared and issued, including distributions reinvested in additional shares through our Reinvestment Plan, which was suspended in October 2018, and cash flows from operating activities for each quarter in the years ended December 31, 2018, 2017 and 2016.

The following details the historical net investment value (“NIV”) or NAV per share, our monthly cash distributions, before class-specific expenses, and stock dividends per share:

Periods	NIV or NAV per Share (1)		Reinvestment Plan Price per Share		Monthly Cash Distributions		Monthly Stock Dividends
July 10, 2015 through September 15, 2017	$	10.00	$	10.00	$	0.0350		0.00188125
September 16, 2017 through March 13, 2018	$	10.00	$	10.00	$	0.0480		0.00100625
March 14, 2018 through March 12, 2019	$	10.06	$	(2)	$	0.0480		(2)
March 13, 2019 through the date of this filing	$	9.92	$	—	$	(3)		—

FOOTNOTES:

⁽¹⁾ Price per share represents the NIV through September 15, 2017.  Subsequently, price per share represents the estimated NAV per share as determined by our board of directors.  

⁽²⁾ We closed our Offering and suspended our Reinvestment Plan effective October 1, 2018. We also discontinued stock dividends concurrently.  From March 14, 2018 through October 1, 2018, the Reinvestment Plan price per share was $10 and the monthly stock dividends were 0.00100625 per share. As a consequence of suspending the Reinvestment Plan in October 2018, stockholders who were participants in the Reinvestment Plan received cash distributions instead of additional shares of our common stock.

⁽³⁾ In connection with our exploration of possible strategic alternatives, in March 2019, our board of directors suspended our monthly cash distributions to stockholders effective April 1, 2019.

The tax composition of our distributions declared for the years ended December 31, 2018, 2017 and 2016 were as follows:

	December 31,
Distribution Type	2018		2017			2016
Return of capital	100.0	%		100.0	%		100.0	%

Due to a variety of factors, the characterization of distributions declared for the year ended December 31, 2018 may not be indicative of the characterization of distributions that may be expected for the year ending December 31, 2019.  No amounts distributed to stockholders for the year ended December 31, 2018 were required to be or have been treated as return of capital for purposes of calculating the stockholders’ return on their invested capital as described in our advisory agreement.  In determining the apportionment between taxable income and return of capital, the amounts distributed to stockholders (other than amounts designated as capital gains dividends) in excess of current or accumulated earnings and profits (“E&P”) are treated as a return of capital to the stockholders.  E&P is a statutory calculation which is derived from net income and determined in accordance with the Code.  It is not intended to be a measure of the REIT’s performance, nor do we consider it to be an absolute measure or indicator of our source or ability to pay distributions to stockholders.

Redemption Plan

In connection with the termination of our Offering and our board of directors’ decision to consider possible strategic alternatives available to us, our Redemption Plan was suspended effective October 1, 2018 and we no longer accept or process any redemption requests received after such date.  During the year ended December 31, 2018, we processed and paid all eligible redemption requests of approximately $0.4 million, which were approved for redemption at a weighted average price per share of $10.06 and includes approximately $0.3 million of shares raised through our Private Placement.  There were no redemptions for the year ended December 31, 2017.

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The following tables present a summary by quarter of requests received and shares redeemed pursuant to our stock redemption plan during the year ended December 31, 2018 (in thousands, except per share data):

2018 Quarters	First			Second			Third			Fourth			Total
Redemptions requested		2,538			12,614			3,298			25,970			44,420
Shares redeemed		(2,538	)		(12,614	)		(3,298	)		(25,970	)		(44,420	)
Pending redemption requests		―			―			―			―			―
Average price paid per share	$	10.00		$	10.06		$	10.06		$	10.06		$	10.06

Issuer Purchases of Equity Securities

In connection with the formation of the Special Committee and the termination of the Offering, the Redemption Plan was suspended and we will no longer accept or process any redemption requests.  The following table presents details regarding our repurchase of securities under our redemption plan between October 1, 2018 and October 31, 2018:

Period	Total number of shares purchased	Average price paid per share		Total number of shares purchased under the plan	Maximum number of shares that may yet be purchased under the plan
October 1, 2018 through October 31, 2018	25,970	$	10.06	25,970	(1)
Total	25,970	$	10.06	25,970

FOOTNOTE:

⁽¹⁾ The Redemption Plan was suspended as described above.  At no time did the number of shares redeemed exceed the maximum five percent limitation in a rolling 12-month period.

Use of Proceeds from Registered Securities

On March 2, 2016, our Registration Statement on Form S-11 (File No. 333-206017), covering a public offering of up to $2.0 billion shares of common stock, was initially declared effective under the Securities Act of 1933, as amended.  Our Primary Offering closed effective October 1, 2018 and was conducted on a “best efforts” basis wherein we offered, in any combination, three classes of our common stock: Class A shares, Class T shares and Class I shares.  There were differing selling fees and commissions for each class of common stock.  We also paid annual distribution and stockholder servicing fees, subject to certain underwriting compensation limits, on the Class T and Class I shares sold in the Primary Offering. The use of proceeds from our Primary Offering was as follows as of December 31, 2018 (in thousands):

	Total			Payments to Affiliates (1)			Payments to Others
Aggregate price of offering amount registered (2)	$	1,750,000
Shares sold (3)		4,715
Aggregate amount sold (3)	$	49,479
Payment of underwriting compensation (4)		(2,257	)	$	(2,257	)	$	―
Net offering proceeds to the issuer		47,222
Purchases of real estate and development costs		(32,783	)		―			(32,783	)
Payment of investment services fees and acquisition expenses		(1,727	)		(1,382	)		(345	)
Payment of capital expenditures		(236	)		―			(236	)
Redemptions of common stock		(447	)		―			(447	)
Payment of operating expenses(5)		(295	)		―			(295	)
Repayments of mortgages and notes payable(5)		(2,421	)		―			(2,421	)
Distributions to stockholders (5)		(1,055	)		(346	)		(709	)
Payment of loan costs		(20	)		―			(20	)
Remaining proceeds from the Primary Offering	$	8,238

FOOTNOTES:

⁽¹⁾ Represents direct or indirect payments to directors, officers, or general partners of the issuer or their associates; to persons owning 10% or more of any class of equity securities of the issuer; and to affiliates of the issuer.

⁽²⁾ We also offered, in any combination, up to $250 million of Class A, Class T and Class I shares pursuant to our Reinvestment Plan, which was suspended effective October 1, 2018.

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⁽³⁾ Excludes all shares issued as stock dividends, all shares issued pursuant to our Reinvestment Plan, $200,000 of unregistered shares issued to our Advisor in a private transaction exempt from the registration requirements pursuant to section 4(a)(2) of the Securities Act of 1933, as amended, and $251,250 of unregistered equity securities sold in our Private Placement.  In October 2018, we discontinued our stock dividends, suspended our Reinvestment Plan and redeemed all shares of common stock sold pursuant to the Private Placement.

⁽⁴⁾ Underwriting compensation includes selling commissions and fees paid to the Dealer Manager; all or a portion of which may be reallowed to participating broker-dealers.

⁽⁵⁾ We have and may continue to pay cash distributions, debt service and/or operating expenses from remaining net proceeds of our Offering and/or borrowings.  The amounts presented herein represent the net proceeds used for such purposes.

Unregistered Sales of Equity Securities

None.

Securities Authorized for Issuance under Equity Compensation Plans

None.

Secondary Sales of Registered Shares between Investors

None.

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Item 6. SELECTED FINANCIAL DATA

The following selected financial data for CNL Healthcare Properties II, Inc. should be read in conjunction with Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and Item 8. “Financial Statements and Supplementary Data” (in thousands, except per share data):

	As of December 31,
Balance Sheet Data:	2018			2017			2016			2015
Total real estate assets, net	$	53,573		$	31,086		$	—		$	—
Cash		8,004			12,311			5,977			200
Total assets		67,289			48,354			6,409			200
Mortgages and notes payable, net		24,197			19,533			313		―
Total liabilities		25,624			21,844			576		―
Stockholders' equity		41,665			26,510			5,833			200
	Years Ended December 31,
Operating Data:	2018			2017			2016 (1)			2015
Total revenues	$	7,437		$	3,309		$	—		$	—
Operating loss		(693	)		(629	)		(313	)	―
Net loss		(1,805	)		(1,317	)		(342	)	―
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders	$	(661	)	$	(439	)	$	(242	)	$	—
Net loss per share of Class A common stock outstanding	$	(0.43	)	$	(0.74	)	$	(0.79	)	$	—
Weighted average number of Class A common shares    outstanding (2) (3)		1,547			590			307		―
Distributions declared per Class A common share (4)	$	0.5760		$	0.5370		$	0.1750		$	—
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders	$	(1,025	)	$	(834	)	$	(91	)	$	—
Net loss per share of Class T common stock outstanding	$	(0.43	)	$	(0.74	)	$	(0.79	)	$	—
Weighted average number of Class T common shares    outstanding (2) (3)		2,399			1,122			115		―
Distributions declared per Class T common share (4)	$	0.3922		$	0.4254		$	0.1533		$	—
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders	$	(119	)	$	(44	)	$	(9	)	$	—
Net loss per share of Class I common stock outstanding	$	(0.43	)	$	(0.74	)	$	(0.79	)	$	—
Weighted average number of Class I common shares    outstanding (2) (3)		278			59			11		―
Distributions declared per Class I common share (4)	$	0.4375		$	0.5026		$	0.1750		$	—
Cash provided by (used in) operating activities	$	152		$	45		$	(295	)	$	—
Cash used in investing activities		(25,046	)		(35,834	)	―			―
Cash provided by financing activities		20,710			41,851			6,455		―
Other Data:
FFO (5)	$	500		$	(346	)	$	(342	)	$	—
MFFO (5)		442			(300	)		(340	)	―

FOOTNOTES:

⁽¹⁾ Operations commenced on July 11, 2016 when we broke escrow in our Offering.  We did not acquire any properties during the period July 11, 2016 through December 31, 2016, and the results of operations were not indicative of future performance due to the limited time during which we were operational and having not yet completed our first investment.  

⁽²⁾ For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date we commenced operations).  For the years ended December 31, 2018, 2017 and 2016, we declared and made stock dividends of approximately 35,000, 22,000 and 3,000 shares of common stock, respectively.  The dividend of common shares to the recipients is non-taxable.  In October 2018, in connection with the close of our Offering, we discontinued our stock dividends.  

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⁽³⁾ In connection with the close of the Offering effective October 1, 2018, we reached certain underwriting compensation limits and each Class T and Class I share automatically converted into a Class A share pursuant to the terms of our charter.  As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

⁽⁴⁾ For the years ended December 31, 2018, 2017 and 2016, our net loss was approximately $1.8 million, $1.3 million and $0.3 million, respectively, while cash distributions declared were approximately $2.1 million, $0.8 million and $57,000, respectively. For the years ended December 31, 2018, 2017 and 2016, approximately 21%, 30% and 0%, respectively, of cash distributions declared to stockholders were considered to be funded with cash provided by operating activities as calculated on a quarterly basis for GAAP purposes and approximately 79%, 70% and 100%, respectively, of the distributions declared were considered to be funded with proceeds from our Offering.  For the years ended December 31, 2018, 2017 and 2016, 100.0% of the cash distributions paid to stockholders were considered a return of capital to stockholders for federal income tax purposes.  No amounts distributed to stockholders for the years ended December 31, 2018, 2017 and 2016 were required to be or have been treated as return of capital for purposes of calculating the stockholders’ return on their invested capital as described in our advisory agreement.

⁽⁵⁾ Due to certain unique operating characteristics of real estate companies, as discussed below, National Association of Real Estate Investment Trusts, (“NAREIT”), promulgated a measure known as FFO, which we believe to be an appropriate supplemental measure to reflect the operating performance of a REIT.  The use of FFO is recommended by the REIT industry as a supplemental performance measure but is not equivalent to net income (loss) as determined under GAAP.

We define FFO, a non-GAAP measure, consistent with the standards approved by the Board of Governors of NAREIT.  NAREIT defines FFO as net income or loss computed in accordance with GAAP, excluding gains or losses from sales of property, asset impairment write-downs, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures.  Our FFO calculation complies with NAREIT’s policy described above.

We define MFFO, a non-GAAP measure, consistent with the IPA, an industry trade group, Guideline 2010-01, Supplemental Performance Measure for Publicly Registered, Non-Listed REITs: MFFO, and the Practice Guideline, issued by the IPA in November 2010. The Practice Guideline defines MFFO as FFO further adjusted for the following items, as applicable, included in the determination of GAAP net income (loss): acquisition fees and expenses; amounts relating to deferred rent receivables and amortization of above and below market leases and liabilities (which are adjusted in order to remove the impact of GAAP straight-line adjustments from rental revenues); accretion of discounts and amortization of premiums on debt investments,  mark-to-market adjustments included in net income; gains or losses included in net income from the extinguishment or sale of debt, hedges, foreign exchange, derivatives or securities holdings where trading of such holdings is not a fundamental attribute of the business plan, and unrealized gains or losses resulting from consolidation from, or deconsolidation to, equity accounting and after adjustments for consolidated and unconsolidated partnerships and joint ventures, with such adjustments calculated to reflect MFFO on the same basis.

FFO and MFFO are not necessarily indicative of cash flows available to fund cash needs and should not be considered (i) as an alternative to net income (loss), or net income (loss) from continuing operations, as an indication of our performance, (ii) as an alternative to cash flows from operating activities as an indication of our liquidity, or (iii) as indicative of funds available to fund our cash needs including our ability to make distributions to our stockholders.  FFO and MFFO should not be construed as more relevant or accurate than the current GAAP methodology in calculating net income (loss) and its applicability in evaluating our operating performance.

For additional disclosures relating to FFO and MFFO, including a reconciliation of net loss to FFO and MFFO, for the years ended December 31, 2018, 2017 and 2016 refer to Item 7. “Management Discussion and Analysis of Financial Condition and Results of Operations” – “Funds from Operations and Modified Funds from Operations.”

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Item 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Overview

CNL Healthcare Properties II, Inc. is a Maryland corporation that incorporated on July 10, 2015.  We elected to be taxed as a REIT for U.S. federal income tax purposes beginning with the year ended December 31, 2017 and our intention is to be organized and operate in a manner that allows us to remain qualified as a REIT for federal income tax purposes.

We are externally managed and advised by our Advisor, CHP II Advisors, LLC.  Our Advisor has responsibility for our day-to-day operations, serving as our consultant in connection with policy decisions to be made by our board of directors, and for identifying, recommending and executing acquisitions (through the completion of our acquisition stage in August 2018 as a result of evaluating strategic alternatives, as described below under “Strategic Alternatives”) and dispositions on our behalf pursuant to an advisory agreement.  We broke escrow in our Offering effective July 11, 2016 and commenced operations.

As of December 31, 2018, we owned two seniors housing properties and one MOB.  We have leased our two seniors housing properties to single member limited liability companies wholly-owned by TRS Holdings and engaged independent third-party managers under management agreements to operate the properties as permitted under RIDEA structures; whereas, our medical office building has been leased on a net or modified gross basis to third-party tenants.  We view, manage and evaluate our portfolio homogeneously as one collection of healthcare assets with a common goal of maximizing revenues and property income regardless of the asset class or asset type.

From July 2016 through October 2018, we received aggregate subscription proceeds of approximately $51.2 million.  In October 2018, we deregistered the unsold shares of common stock under our previous registration statement on Form S-11.

Strategic Alternatives

On August 31, 2018, our board of directors approved the termination of our Offering and the suspension of the Reinvestment Plan, effective October 1, 2018.  We also suspended our Redemption Plan and discontinued our stock dividends concurrently.  Our board of directors appointed a Special Committee comprised solely of our independent board members to oversee the process of exploring strategic alternatives to maximize value for our stockholders, including, without limitation, (i) an orderly disposition of our assets or one or more of our asset classes and the distribution of the net sale proceeds thereof to our stockholders and (ii) a potential business combination or other transaction with an unrelated third-party or affiliated party of our Sponsor.  In January 2019, the Special Committee engaged SunTrust Robinson Humphrey, Inc., an investment banker, to act as a financial advisor to the aforementioned Special Committee and, subsequently, we committed to a plan to sell Mid America Surgery.  Although we have formed the Special Committee for the exploration of strategic alternatives, we are not obligated to enter into any particular transaction or any transaction at all.  In the meantime, we continue to strategically manage and position our portfolio to drive performance and value.

In March 2019, we entered into a Sale Agreement with a subsidiary of HCP, Inc. (NYSE: HCP) related to the MOB Sale for a gross sales price of $15.4 million, subject to certain pro-rations and other adjustments as described in the Sale Agreement.  The parties anticipate that the closing of the MOB Sale will occur in the first half of 2019, subject to a third-party right of first refusal, customary closing conditions, governmental and other third-party consents.  There can be no assurance that the closing conditions will be satisfied or that the MOB Sale will be consummated.  To date, approximately $0.3 million has been placed by the buyer in escrow and an additional $0.3 million is due from the buyer on or before the end of the inspection period on April 5, 2019, at which point a total of $0.6 million will be non-refundable, except for a seller breach or default under the Sale Agreement, and will be applied to the purchase price at closing.  Net proceeds from the MOB Sale will be used to satisfy debt securing Mid America Surgery and the remaining proceeds may be used to make a special distribution to stockholders and/or for general corporate purposes.

In connection with our strategic alternatives, in March 2019, our board of directors suspended our monthly cash distributions to stockholders effective April 1, 2019.  Accordingly, our board of directors does not currently intend to declare any regular distributions to stockholders after the effective date of the suspension, though special distributions may be made from time to time from net sales proceeds received from the sale of properties.  In addition, in March 2019, our board of directors and our Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019.  Any restricted stock shares granted to our Advisor under the Expense Support Agreement shall continue to be held by the Advisor, subject to the vesting and forfeiture provisions of the Expense Support Agreement which survive termination.

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Portfolio Trends

We believe that health and medical care will continue to grow rapidly and steadily for two basic reasons—it is an essential human service for an aging demographic and it is heavily supported by the government. These factors may result in healthcare-related property investments potentially experiencing less economic volatility than other sectors. Based on the fundamentals and perceived trends, we have invested in the following types of properties:

Assisted Living Facilities. Assisted living facilities are usually state-regulated rental properties that provide the same services as independent living facilities, but also provide, in a majority of the units, supportive care from trained employees to residents who are unable to live independently and require assistance with activities of daily living.  The additional services may include assistance with bathing, dressing, eating, and administering medications.

Memory Care/Alzheimer’s Facilities. Those suffering from the effects of Alzheimer’s disease or other forms of memory loss need specialized care. Memory care/Alzheimer’s centers provide the specialized care for this population including residential housing and assistance with the activities of daily living.

Medical Office. The increased demand for medical office buildings is also supported by an aging population and increased health insurance coverage.  As Americans 65 years and older have longer life expectancies than in the past, their need for health related services is projected to increase the need for additional healthcare properties. As described further above under “Strategic Alternatives,” in March 2019, we entered into a Sale Agreement for our only MOB property, which we anticipate the closing of the MOB Sale will occur in the first half of 2019, subject to a third-party right of first refusal, customary closing conditions, governmental and other third-party consents.

Liquidity and Capital Resources

General

Through the termination of our Offering and acquisition of our last property during 2018, we were in our offering and acquisition phase and, therefore, our primary sources of capital were proceeds from our Offering and debt financing.  As described above under “Strategic Alternatives,” we began evaluating strategic alternatives to maximize value for our stockholders.

Subsequent to October 2018, our principal demands for funds have been for:

• the payment of operating expenses;

• the payment of debt service on our outstanding indebtedness; and

• the payment of distributions through the suspension of cash distributions effective April 1, 2019.

Through the completion of our acquisition phase in August 2018, we sought to strategically leverage our real estate assets and use debt as a means of providing additional funds for the acquisition of properties.  As of December 31, 2018, all of our debt is unhedged variable rate debt.  We may be negatively impacted by rising interest rates on our unhedged variable rate debt or the timing of when we seek to refinance existing debt.  As of December 31, 2018 and 2017, our debt leverage ratio was approximately 36.0% and 40.4%, respectively, of the aggregate carrying value of our assets.

Sources of Liquidity and Capital Resources

Common Stock Subscriptions

We terminated and closed our Offering effective October 1, 2018.  For the years ended December 31, 2018, 2017 and 2016, we received aggregate subscription proceeds of approximately $18.9 million (1.9 million shares), $24.4 million (2.3 million shares) and $6.4 million (0.6 million shares), respectively, and approximately $0.8 million (80,000 shares), $0.4 million (40,000 shares) and $3,000 (300 shares), respectively, of subscription proceeds received pursuant to our Reinvestment Plan, which was suspended effective October 1, 2018.

Net Cash Provided By (Used In) Operating Activities

We experienced cash provided by operating activities for the years ended December 31, 2018 and 2017 of approximately $0.2 million and $45,000, respectively, as compared to cash used in operating activities of approximately $0.3 million for the year ended December 31, 2016.  During the years ended December 31, 2018 and 2017, our cash flows from operating activities were positively impacted by the expense support received from our Advisor, as described below under “Expense Support

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Agreement.”  We generally do not expect to meet future cash needs for general and administrative expenses or debt service from the net operating income (“NOI”) from our two seniors housing properties and from our MOB property, for which we have entered into a Sale Agreement and expect to sell in the first half of 2019, as described above under “Strategic Alternatives.”  We have and may continue to meet some or all of our future cash needs from other sources, such as from cash flows provided by financing activities, a component of which may include the remaining proceeds of our Offering and, to a lesser extent, from net sales proceeds from sales of properties.  As a result of terminating the Expense Support Agreement effective April 1, 2019, as described below under “Expense Support Agreement,” the amount of expense support we receive from our Advisor in 2019 will be limited to the first quarter of 2019.

Expense Support Agreement

As described above in Item 1. “Business” – “Advisor,” in March 2019, our board of directors and our Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019.  During the years ended December 31, 2018 and 2017, pursuant to the Expense Support Agreement, our Advisor agreed to accept payment in the form of forfeitable restricted Class A shares of our common stock (“Restricted Stock”) in lieu of cash for services rendered, applicable asset management fees and specified expenses that we owe to our Advisor under the advisory agreement in the event we do not achieve established distribution coverage targets.  The amount of such expense support is equal to the positive excess, if any, of (a) the aggregate cash distributions paid to stockholders in an applicable period, over (b) our aggregate MFFO (as defined in the Expense Support Agreement) for such period determined on a cumulative basis.  In exchange for services rendered and in consideration of the expense support provided under the Expense Support Agreement, we will issue, within 90 days following the determination date, a number of shares of Restricted Stock equal to the quotient of the expense support amounts provided by our Advisor for the preceding calendar year divided by our then-current NAV per share of common stock.

During the years ended December 31, 2018 and 2017, our cash flows from operating activities were positively impacted by the Expense Support Agreement.  For the years ended December 31, 2018 and 2017, approximately $0.8 million and $0.6 million, respectively, of asset management fees and Advisor personnel expenses will be or have been settled in the form of Restricted Stock pursuant to the Expense Support Agreement.  Any amounts settled, and for which Restricted Stock shares are issued, pursuant to the Expense Support Agreement are permanently settled and we have no further obligation to pay such amounts to our Advisor. There were no asset management fees or Advisor personnel expenses settled pursuant to the Expense Support Agreement for the year ended December 31, 2016.  As a result of terminating the Expense Support Agreement effective April 1, 2019, the amount of expense support we receive from our Advisor in 2019 will be limited to the first quarter of 2019.

Refer to Note 9. “Related Party Arrangements” in Item 8. “Financial Statements and Supplementary Data” for additional information.

Indebtedness

In August 2018, in connection with our acquisition of Riverview, we entered into a secured mortgage loan agreement with Florida Community Bank in the amount of approximately $5.0 million (“Riverview Loan”).  The Riverview Loan matures on August 31, 2023.  The Riverview Loan accrues interest at a rate of the sum of the London Interbank Offered Rate (“LIBOR”) plus 2.25%, with monthly payments of interest only during the initial 24 months, and monthly payments of interest and principal during the remaining months using a 30-year amortization period with the remaining balance payable at maturity.  We may prepay, without penalty, all or any part of the Riverview Loan at any time.

In December 2017, in connection with the Mid America Surgery acquisition, we entered into a secured mortgage loan agreement with Synovus Bank (“Mid America Surgery Loan”) in the maximum aggregate principal amount of $8.4 million, of which approximately $5.6 million was funded in connection with the acquisition of Mid America Surgery and approximately $2.8 million can be funded upon request during the initial 36 month term of the loan provided certain debt service coverage requirements are met.  The Mid America Surgery Loan matures on December 15, 2020, subject to one two-year extension option provided certain conditions are met. The Mid America Surgery Loan accrues interest at a rate equal to the sum of LIBOR plus 2.20%, with monthly payments of interest only during the initial 36 months with the principal balance payable at maturity. We may prepay, without penalty, all or any part of the Mid America Surgery Loan at any time.  As described above under “Strategic Alternatives,” we entered into a Sale Agreement for this property, we expect the sale will occur in the first half of 2019 and we intend to use a portion of the net sales proceeds to repay the secured mortgage loan on this property.

In March 2017, we entered into a secured mortgage loan agreement with Synovus Bank and received approximately $16.1 million of proceeds from this mortgage loan, which were used to fund the acquisition of Summer Vista (“Summer Vista Loan”).  The Summer Vista Loan matures on April 1, 2022, subject to two one-year extension options provided certain conditions are met. The Summer Vista Loan accrues interest at a rate equal to the sum of LIBOR plus 2.85%, with monthly payments of interest only for the first 32 months, and monthly payments of interest and principal for the remaining 28 months

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using a 30-year amortization period with the remaining principal balance payable at maturity.  In December 2017, we paid the sum of approximately $2.2 million of the original outstanding principal balance of the Summer Vista Loan and as a result, the interest payable on the Summer Vista Loan was reduced to a rate equal to the sum of LIBOR plus 2.70% in accordance with the terms of the Summer Vista Loan.  We may prepay, without a penalty, all or any part of the Summer Vista Loan at any time.

In August 2016, in connection with our Private Placement, we issued promissory notes to each of 125 separate investors for a total principal amount of $0.3 million (each a “Note” and collectively the “Notes”).  The Notes bore interest at a rate of 22.55% per annum, which was payable semi-annually in arrears.  The Notes had an initial maturity of June 30, 2046, but allowed for prepayment without penalty after August 2018.  We repaid the Notes in October 2018 in an effort to reduce our interest expense.

As of December 31, 2018, we were in compliance with all financial covenants and ratios.

Uses of Liquidity and Capital Resources

Real Estate Acquisitions

We completed our acquisition phase during the year ended December 31, 2018 when we purchased Riverview for aggregate purchase price consideration of approximately $24.8 million.  Riverview consists of 92 resident units (62 assisted living and 30 memory care units).  During the year ended December 31, 2017, we acquired our other two properties for aggregate purchase price consideration of approximately $35.8 million.

Underwriting Compensation

From the time we broke escrow through March 2017, we had a maximum combined sales commissions, dealer manager fees and ongoing annual distribution and stockholder servicing fees (“Maximum Underwriting Fees”) payable to the Dealer Manager and participating broker-dealers totaling 9.75% of the gross proceeds for each share class of common stock sold in the Primary Offering.  In March 2017, we entered into an amended and restated dealer manager agreement, which reduced the Maximum Underwriting Fees from 9.75% to 8.5% of the gross proceeds for each share class of common stock sold in the Primary Offering.  The aforementioned reduction to our Maximum Underwriting Fees resulted in a lower amount of commissions and fees being paid to the Dealer Manager through the close of our Offering and provided for increased net proceeds from our Primary Offering to be available for investment.

For the years ended December 31, 2018, 2017 and 2016, we paid approximately $1.1 million, $1.4 million and $0.2 million, respectively, in underwriting compensation.  Under the terms of the Primary Offering, our Dealer Manager was entitled to receive selling commissions, dealer manager fees and/or annual distribution and stockholder servicing fees, which were based on the respective share class of our common stock sold, all or a portion of which could be reallowed to participating broker dealers.

In October 2018, we reached certain underwriting compensation limits and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of our charter.  The Class T and Class I shares converted into Class A shares on a one-for-one basis because the then-current estimated NAV per share approved by our board of directors of $10.06 was the same for all share classes.  Stockholders who received Class A shares upon the conversion were no longer subject to the class-specific expenses associated with Class T and Class I shares.  Our obligation to pay the remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares.

Distributions

In order to qualify as a REIT, we will be required to make distributions, other than capital gain distributions, to our stockholders each year in the amount of at least 90% of our taxable income.  We may make distributions in the form of cash or other property, including distributions of our own securities.  To the extent we did not have sufficient cash flows from operations available for distributions, we paid some or all of our cash distributions from sources other than cash flows from operations, such as cash flows provided by financing activities, a component of which included the remaining proceeds of our Offering and/or borrowings, whether collateralized by our assets or unsecured.

We terminated and closed our Offering effective October 1, 2018. We suspended our Reinvestment Plan and discontinued stock dividends concurrently. As a consequence of suspending the Reinvestment Plan, stockholders who were participants in the Reinvestment Plan received cash distributions instead of additional shares of our common stock.

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In December 2018, our board of directors declared a monthly cash distribution of $0.0480 on each outstanding share of common stock on January 1, 2019, February 1, 2019 and March 1, 2019.  These distributions were paid and distributed in March 2019.

In March 2019, our board of directors suspended our monthly cash distributions effective April 1, 2019.  Accordingly, our board of directors does not currently intend to declare any regular distributions on our common stock after the effective date of the suspension, though special distributions may be made from time to time from net sales proceeds received from the sale of properties.

The following table details our cash distributions per share and our cash distributions paid, including distribution reinvestments, for the years ended December 31, 2018, 2017 and 2016 (in thousands, except per share data):

	Cash Distributions per Share (1)						Cash Distributions Paid (2)
Periods	Class A Share		Class T Share		Class I Share		Cash Distributions Declared		Distribution Reinvestments		Cash Distributions net of Distribution Reinvestments		Cash Flows Provided by (Used in) Operating Activities (3)
2018 Quarters
First	$	0.1440	$	0.1178	$	0.1312	$	402	$	225	$	177	$	157
Second		0.1440		0.1175		0.1314		483		283		200		(242	)
Third		0.1440		0.1177		0.1310		555		334		221		290
Fourth (4)		0.1440		0.0392		0.0439		672	―			672		(53	)
Year	$	0.5760	$	0.3922	$	0.4375	$	2,112	$	842	$	1,270	$	152
2017 Quarters
First	$	0.1050	$	0.0750	$	0.1050	$	73	$	28	$	45	$	(154	)
Second		0.1440		0.1168		0.1337		173		76		97		33
Third		0.1440		0.1169		0.1328		232		114		118		203
Fourth		0.1440		0.1167		0.1311		311		171		140		(37	)
Year	$	0.5370	$	0.4254	$	0.5026	$	789	$	389	$	400	$	45
2016 Quarters
First	$	—	$	—	$	—	$	—	$	—	$	—	$	—
Second	―		―		―		―		―		―		―
Third		0.0700		0.0700		0.0700		20	―			20		(128	)
Fourth		0.1050		0.0833		0.1050		37		3		34		(167	)
Year	$	0.1750	$	0.1533	$	0.1750	$	57	$	3	$	54	$	(295	)

FOOTNOTES:

⁽¹⁾ Our board of directors authorized monthly cash distributions on the outstanding shares of all classes of our common stock, beginning in August 2016 and continuing each month through March 31, 2017, in monthly amounts equal to $0.0350 per share, less class-specific expenses with respect to each class.  Beginning April 1, 2017 and continuing each month through December 31, 2018, monthly cash distributions on the outstanding shares of all classes of our common stock were declared in monthly amounts equal to $0.0480 per share, less class-specific expenses with respect to each class.

⁽²⁾ Represents cash distributions declared, the amount of distributions reinvested in additional shares through our Reinvestment Plan and the amount of Offering proceeds used to fund cash distributions.  We suspended our Reinvestment Plan in October 2018.

⁽³⁾ For the years ended December 31, 2018, 2017 and 2016, our net loss was approximately $1.8 million, $1.3 million and $0.3 million, respectively, while cash distributions declared were approximately $2.1 million, $0.8 million and $57,000, respectively. For the years ended December 31, 2018, 2017 and 2016, approximately 21%, 30% and 0%, respectively, of cash distributions declared to stockholders were considered to be funded with cash provided by operating activities as calculated on a quarterly basis for GAAP purposes and approximately 79%, 70% and 100%, respectively, of the distributions declared were considered to be funded with proceeds from our Offering.  For the years ended December 31, 2018, 2017 and 2016, 100.0% of the cash distributions paid to stockholders were considered a return of capital to stockholders for federal income tax purposes.

⁽⁴⁾ In connection with the close of our Offering effective October 1, 2018, certain underwriting compensation limits were met and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of our charter.  The Class T and Class I shares converted into Class A shares on a one-for-one basis because the most recent estimated NAV per share of $10.06, which was approved by our board of directors as of December 31, 2017, is the same for all share classes.  Effective October 31, 2018, Class T and Class I shares were no longer subject to class specific expenses upon conversion into Class A shares.  As a result of the conversion of Class T shares and Class I shares into Class A shares, which was effective October 31, 2018, there were no distributions made for Class T shares and Class I shares after the October 1, 2018 declaration date.

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Common Stock Redemptions

Our Redemption Plan was designed to provide eligible stockholders with limited interim liquidity by enabling them to sell shares back to us prior to any liquidity event.  In connection with the termination of our Offering and our board of directors’ decision to consider possible strategic alternatives available to us, our Redemption Plan was suspended effective October 1, 2018 and we no longer accept or process any redemption requests received after such date.  During the year ended December 31, 2018, we processed and paid redemption requests of approximately $0.4 million, which were approved for redemption at a weighted average price per share of $10.06 and include approximately $0.3 million of shares raised through our Private Placement.  Such redemptions were funded by proceeds from our Offering.  No redemption requests were made during the years ended December 31, 2017 and 2016.  Refer to Item 5. “Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities” for additional information.

Debt Repayments

On an ongoing basis, we monitor our debt maturities, engage in dialogues with third-party lenders about various financing scenarios and are currently working and analyzing our overall portfolio borrowings in advance of the respective maturity dates to determine the optimal borrowing strategy.

During the year ended December 31, 2018, we prepaid approximately $0.3 million of Notes, which were previously issued in connection with our Private Placement in August 2016, in an effort to reduce our interest expense as these Notes bore interest at a rate of 22.55% per annum.  The Notes were initially due in 2046, but allowed for prepayment without penalty after August 2018.  During the year ended December 31, 2017, we paid approximately $2.2 million of repayments on our Summer Vista Loan.

Results of Operations

We are not aware of any material trends or uncertainties, favorable or unfavorable, that may be reasonably anticipated to have a material impact on either capital resources or the revenues and income to be derived from the acquisition and operation of properties and other permitted investments, other than those referred to in the risk factors identified in Item 1A. “Risk Factors.”

The following is a discussion of our operations for the year ended December 31, 2018 as compared to the year ended December 31, 2017:

• Resident fees and services for the year ended December 31, 2018 were approximately $5.9 million as compared to approximately $3.3 million for the year ended December 31, 2017.  As a result of our seniors housing investment, Summer Vista, being acquired on March 31, 2017, the prior period consisted of nine months of resident fees and services for Summer Vista while the current period included an entire year of resident fees and services for Summer Vista as well as four months of resident fees and services for Riverview, which was acquired on August 31, 2018.

• Rental income and tenant reimbursements for the year ended December 31, 2018 was approximately $1.5 million and related entirely to our MOB property, Mid America Surgery, which was acquired on December 27, 2017.  There was approximately $19,000 of rental income and tenant reimbursements for the year ended December 31, 2017, which consisted of allocated pro-rations at the Mid America Surgery closing.  As described above under “Strategic Alternatives,” in March 2019, we entered into a Sale Agreement for our MOB property and we anticipate selling the property in the first half of 2019.  We will not receive future rental income and tenant reimbursements subsequent to the MOB Sale.

• Property operating expenses were approximately $4.2 million for the year ended December 31, 2018, as compared to approximately $1.9 million for the year ended December 31, 2017.  As a result of our seniors housing investment, Summer Vista, being acquired on March 31, 2017, the prior period consisted of nine months of operating expenses for Summer Vista while the current period included an entire year of operating expenses for Summer Vista as well as four months of operating expenses for Riverview, which was acquired on August 31, 2018.

• General and administrative expenses for the year ended December 31, 2018 were approximately $1.7 million as compared to $1.3 million for year ended December 31, 2017 and were comprised primarily of directors’ and officers’ insurance, accounting and legal fees, Advisor personnel expenses and board of director fees. However, these Advisor personnel expenses have been or are expected to be settled in the form of restricted stock pursuant to the Expense Support Agreement and as such our general and administrative expenses were reduced by approximately $0.5 million for the year ended December 31, 2018 and approximately $0.4 million for the year ended December 31, 2017.  As a result of terminating the Expense Support Agreement effective April 1, 2019, as described above under “Expense Support Agreement,” the amount of expense support we receive from our Advisor in 2019 will be limited to the first quarter of 2019.

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• Property management fees were approximately $0.4 million for the year ended December 31, 2018 as compared to $0.2 million for the year ended December 31, 2017 and relate entirely to the operations of our three investment properties.  Property management fees increased as a result of our acquisitions on and subsequent to March 31, 2017.  We expect the property management fees to decrease subsequent to the MOB Sale.

• Acquisition fees and expenses were approximately $0.7 million for the year ended December 31, 2018, as compared to approximately $0.6 million for the year ended December 31, 2017.  Substantially all of the acquisition fees and expenses were capitalized as a component of the cost of the assets acquired and allocated on a relative fair value basis.  As we have completed our acquisition phase, we do not expect to incur acquisition fees in future periods.

• Asset management fees for the year ended December 31, 2018 were approximately $0.3 million as compared to $0.1 million for the year ended December 31, 2017.  All of these asset management fees have been or are expected to be settled in the form of restricted stock pursuant to the Expense Support Agreement.  Until such time that we meet established distribution coverage targets, our Advisor has agreed to accept payment in the form of restricted stock in lieu of cash.  As a result of terminating the Expense Support Agreement effective April 1, 2019, as described above under “Expense Support Agreement,” the amount of expense support we receive from our Advisor in 2019 will be limited to the first quarter of 2019.  We further expect asset management fees to decrease in 2019 due to the MOB Sale as well as the reduction of the AUM Fee pursuant to the amended and restated advisory agreement.  Refer to Item.1 “Business” – “Advisor” for additional information.

• Depreciation and amortization expenses were approximately $2.3 million for the year ended December 31, 2018 as compared to approximately $1.0 million for the year ended December 31, 2017 and relate entirely to the operations of our three investment properties.  We expect the depreciation and amortization expenses to decrease subsequent to the MOB Sale in 2019.

• Interest expense and loan cost amortization for the year ended December 31, 2018 was approximately $1.1 million as compared to approximately $0.6 million for the year ended December 31, 2017.  The increase relates to the Summer Vista and Mid America Surgery loans being outstanding for the entire period in 2018 and four months outstanding for the Riverview Loan; whereas in 2017 interest expenses consisted of three quarters and one day of interest on our Summer Vista Loan as well as the interest on the Notes issued in connection with our Private Placement, which were repaid in October 2018 and we will not incur interest expense on these Notes going forward.  We expect our interest expense and loan cost amortization to further decrease subsequent to the MOB Sale in 2019 because we expect to use a portion of the net sales proceeds to repay the indebtedness relating to our MOB property.

• Income tax expense for the year ended December 31, 2018 was approximately $800.  For the year ended December 31, 2017, we had income tax expense of approximately $0.1 million.  The income tax expense is related entirely to our TRS and as such the decrease across periods is primarily reflective of the acquisition of our second RIDEA property, Riverview, on August 31, 2018, which has a lower occupancy average than Summer Vista and as a result our TRS had lower taxable income.

The following is a discussion of our operations for the year ended December 31, 2017 as compared to 2016:

Operations commenced on July 11, 2016, when aggregate subscription proceeds in excess of the minimum offering amount were released to us from escrow.  We made our first acquisition on March 31, 2017 and as a result, the only operations as of December 31, 2016 were general and administrative expenses of approximately $0.3 million, acquisition fees and expenses of approximately $2,500 and interest expense of approximately $30,000.

• Resident fees and services, property operating expenses, and property management fees for the year ended December 31, 2017 were related entirely to our operation of Summer Vista, which was acquired on March 31, 2017.  There were no resident fees and services, property operating expenses, or property management fees for the year ended December 31, 2016.

• Rental income and tenant reimbursements for the year ended December 31, 2017 were related entirely to our Mid America Surgery property, which was acquired on December 27, 2017.  There was no rental income and tenant reimbursements for the year ended December 31, 2016.

• General and administrative expenses for the year ended December 31, 2017 were approximately $1.3 million, as compared to approximately $0.3 million for 2016, and were comprised primarily of directors’ and officers’ insurance, accounting and legal fees, Advisor personnel expenses and board of director fees. However, approximately $0.4 million of these Advisor personnel expenses were to be settled in the form of restricted stock pursuant to the Expense Support Agreement and as such our general and administrative expenses were reduced by approximately $0.4 million for the year ended December 31, 2017.

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• We incurred asset management fees payable to our Advisor for the year ended December 31, 2017 of approximately $0.1 million.  These asset management fees were to be settled in the form of restricted stock pursuant to the Expense Support Agreement and as such no asset management fees were recognized for the year ended December 31, 2017.  There was no asset management fees incurred for the year ended December 31, 2016.

• Depreciation and amortization expenses were approximately $1.0 million for the year ended December 31, 2017 and related to the acquisition of Summer Vista.  There was no depreciation and amortization expenses incurred for the year ended December 31, 2016.

• Interest expense and loan cost amortization were approximately $0.6 million for the year ended December 31, 2017, as compared to approximately $30,000 for the year ended December 31, 2016, and related to our Summer Vista Loan as well as the Notes issued in connection with our Private Placement.

• Income tax expense was approximately $0.1 million for the year ended December 31, 2017 related to operations at our TRS. There was no tax expense incurred for the year ended December 31, 2016.

Net Operating Income

We define NOI, a non-GAAP measure, as total revenues less property operating expenses and property management fees.  We use NOI as a key performance metric for internal monitoring and planning purposes, including the preparation of annual operating budgets and monthly operating reviews, as well as to facilitate analysis of future investment and business decisions.  It does not represent cash flows generated from operating activities in accordance with GAAP and should not be considered to be an alternative to net income or loss (determined in accordance with GAAP) as an indication of our operating performance or to be an alternative to cash flows from operating activities (determined in accordance with GAAP) as a measure of our liquidity.  We believe the presentation of this non-GAAP measure is important to the understanding of our operating results for the periods presented because it is an indicator of the return on property investment and provides a method of comparing property performance over time.

The chart below reconciles our net loss and NOI for the years ended December 31, 2018 and 2017 (in thousands) and illustrates the amount invested in properties as of December 31, 2018 and 2017 (in millions):

	Years Ended
	December 31,						Change
	2018			2017			$		%
Net loss	$	(1,805	)	$	(1,317	)
Adjusted to exclude:
General and administrative expenses		1,212			918
Acquisition fees and expenses		1		―
Depreciation and amortization		2,305			971
Other expenses, net of other income		1,112			590
Income tax expense		1			98
NOI	$	2,826		$	1,260		$	1,566		124.3	%
Invested in operating properties, end of period    (in millions)	$	59.7		$	35.4

Overall, our NOI for the year ended December 31, 2018 increased by approximately $1.6 million as compared to the same period in the prior year.  The increase in NOI is related to our acquisition of Riverview in August 2018 and Mid America Surgery, our MOB property, in December 2017 as well as a full year of ownership of Summer Vista, which we acquired in March 2017.  As described above under “Strategic Alternatives,” we committed to a plan to sell our MOB property and, in March 2019, we entered into a Sale Agreement for the MOB Sale and anticipate that the closing will occur in the first half of 2019.

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The chart below reconciles our net loss and NOI for the years ended December 31, 2017 and 2016 (in thousands) and illustrates the amount invested in properties as of 2017 and 2016 (in millions):

	Years Ended
	December 31,						Change
	2017			2016			$		%
Net loss	$	(1,317	)	$	(342	)
Adjusted to exclude:
General and administrative expenses		918			310
Acquisition fees and expenses	―				2
Depreciation and amortization		971		―
Other expenses, net of other income		590			30
Income tax expense		98		―
NOI	$	1,260		$           ―			$	1,260		100.0	%
Invested in operating properties, end of period    (in millions)	$	35.4		$          ―

Overall, our NOI for the year ended December 31, 2017 increased by approximately $1.3 million as compared to the same period in the prior year.  The increase in NOI is related to our acquisition of Summer Vista in March 2017 and Mid America Surgery in December 2017.

Funds from Operations and Modified Funds from Operations

Due to certain unique operating characteristics of real estate companies, as discussed below, the NAREIT promulgated a measure known as FFO, which we believe to be an appropriate supplemental measure to reflect the operating performance of a REIT.  The use of FFO is recommended by the REIT industry as a supplemental performance measure.  FFO is not equivalent to net income or loss as determined under GAAP.

We define FFO, a non-GAAP measure, consistent with the standards approved by the board of governors of NAREIT.  NAREIT defines FFO as net income or loss computed in accordance with GAAP, excluding gains or losses from sales of property, real estate asset impairment write-downs, plus depreciation and amortization of real estate related assets, and after adjustments for unconsolidated partnerships and joint ventures.  Our FFO calculation complies with NAREIT’s policy described above.

The historical accounting convention used for real estate assets requires straight-line depreciation of buildings and improvements, which implies that the value of real estate assets diminishes predictably over time, especially if such assets are not adequately maintained or repaired and renovated as required by relevant circumstances and/or is requested or required by lessees for operational purposes in order to maintain the value of the property. We believe that, because real estate values historically rise and fall with market conditions, including inflation, interest rates, the business cycle, unemployment and consumer spending, presentations of operating results for a REIT using historical accounting for depreciation may be less informative.  Historical accounting for real estate involves the use of GAAP.  Any other method of accounting for real estate such as the fair value method cannot be construed to be any more accurate or relevant than the comparable methodologies of real estate valuation found in GAAP.  Nevertheless, we believe that the use of FFO, which excludes the impact of real estate related depreciation and amortization, provides a more complete understanding of our performance to investors and to management, and when compared year over year, reflects the impact on our operations from trends in occupancy rates, rental rates, operating costs, general and administrative expenses, and interest costs, which may not be immediately apparent from net income or loss. However, FFO and MFFO, as described below, should not be construed to be more relevant or accurate than the current GAAP methodology in calculating net income or loss in its applicability in evaluating operating performance. The method utilized to evaluate the value and performance of real estate under GAAP should be construed as a more relevant measure of operational performance and considered more prominently than the non-GAAP FFO and MFFO measures and the adjustments to GAAP in calculating FFO and MFFO.

Changes in the accounting and reporting promulgations under GAAP (for acquisition fees and expenses for business combinations from a capitalization/depreciation model) to an expensed-as-incurred model that were put into effect in 2009, and other changes to GAAP accounting for real estate subsequent to the establishment of NAREIT’s definition of FFO, have prompted an increase in cash-settled expenses, specifically acquisition fees and expenses, as items that are expensed under GAAP and accounted for as operating expenses.  Our management believes these fees and expenses do not affect our overall long-term operating performance.  Publicly registered, non-listed REITs typically have a significant amount of acquisition activity and are substantially more dynamic during their initial years of investment and operation.  While other start up entities

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may also experience significant acquisition activity during their initial years, we believe that non-listed REITs are unique in that they have a limited life with targeted exit strategies within a relatively limited time frame after acquisition activity ceases.  Due to the above factors and other unique features of publicly registered, non-listed REITs, the IPA, an industry trade group, has standardized a measure known as MFFO which the IPA has recommended as a supplemental measure for publicly registered non-listed REITs and which we believe to be another appropriate supplemental measure to reflect the operating performance of a non-listed REIT.  MFFO is not equivalent to our net income or loss as determined under GAAP, and MFFO may not be a useful measure of the impact of long-term operating performance on value if we do not continue to operate with a limited life and targeted exit strategy, as currently intended.  We believe that because MFFO excludes costs that we consider more reflective of investing activities and other non-operating items included in FFO and also excludes acquisition fees and expenses that affect our operations only in periods in which properties are acquired, MFFO can provide, on a going forward basis, an indication of the sustainability (that is, the capacity to continue to be maintained) of our operating performance after the period in which we acquired our properties and once our portfolio is in place.  By providing MFFO, we believe we are presenting useful information that assists investors and analysts to better assess the sustainability of our operating performance after the offering and acquisition phases are complete.  We also believe that MFFO is a recognized measure of sustainable operating performance by the non-listed REIT industry.

We define MFFO, a non-GAAP measure, consistent with the IPA’s Guideline 2010-01, Supplemental Performance Measure for Publicly Registered, Non-Listed REITs: MFFO, or the Practice Guideline, issued by the IPA in November 2010. The Practice Guideline defines MFFO as FFO further adjusted for the following items, as applicable, included in the determination of GAAP net income or loss: acquisition fees and expenses; amounts relating to deferred rent receivables and amortization of above and below market leases and liabilities (which are adjusted in order to remove the impact of GAAP straight-line adjustments from rental revenues); accretion of discounts and amortization of premiums on debt investments,  mark-to-market adjustments included in net income; gains or losses included in net income from the extinguishment or sale of debt, hedges, foreign exchange, derivatives or securities holdings where trading of such holdings is not a fundamental attribute of the business plan, and unrealized gains or losses resulting from consolidation from, or deconsolidation to, equity accounting and after adjustments for consolidated and unconsolidated partnerships and joint ventures, with such adjustments calculated to reflect MFFO on the same basis. The accretion of discounts and amortization of premiums on debt investments, unrealized gains and losses on hedges, foreign exchange, derivatives or securities holdings, unrealized gains and losses resulting from consolidations, as well as other listed cash flow adjustments are adjustments made to net income in calculating the cash flows provided by operating activities and, in some cases, reflect gains or losses which are unrealized and may not ultimately be realized.

Our MFFO calculation complies with the IPA’s Practice Guideline described above. In calculating MFFO, we exclude acquisition related expenses. Under GAAP, acquisition fees and expenses are characterized as operating expenses in determining operating net income or loss. These expenses are paid in cash by us.  All paid and accrued acquisition fees and expenses will have negative effects on returns to investors, the potential for future distributions, and cash flows generated by us, unless earnings from operations or net sales proceeds from the disposition of other properties are generated to cover the purchase price of the property.

Our management uses MFFO and the adjustments used to calculate it in order to evaluate our performance against other non-listed REITs which have limited lives with short and defined acquisition periods and targeted exit strategies shortly thereafter.  As noted above, MFFO may not be a useful measure of the impact of long-term operating performance on value if we do not continue to operate in this manner. We believe that our use of MFFO and the adjustments used to calculate it allow us to present our performance in a manner that reflects certain characteristics that are unique to non-listed REITs, such as their limited life, limited and defined acquisition period and targeted exit strategy, and hence that the use of such measures is useful to investors.  For example, acquisition costs are funded from our subscription proceeds and other financing sources and not from operations.  By excluding expensed acquisition costs, the use of MFFO provides information consistent with management’s analysis of the operating performance of the properties.

Presentation of this information is intended to provide useful information to investors as they compare the operating performance of different non-listed REITs, although it should be noted that not all REITs calculate FFO and MFFO the same way and as such comparisons with other REITs may not be meaningful.  Furthermore, FFO and MFFO are not necessarily indicative of cash flows available to fund cash needs and should not be considered as an alternative to net income (loss) or income (loss) from continuing operations as an indication of our performance, as an alternative to cash flows from operations, as an indication of our liquidity, or indicative of funds available to fund our cash needs including our ability to make distributions to our stockholders.  FFO and MFFO should be reviewed in conjunction with other GAAP measurements as an indication of our performance.  MFFO is useful in assisting management and investors in assessing the sustainability of operating performance in future operating periods, and in particular, after the offering and acquisition stages are complete.  

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FFO and MFFO are not useful measures in evaluating NAV because impairments are taken into account in determining NAV but not in determining FFO and MFFO.

Neither the SEC, NAREIT nor any other regulatory body has passed judgment on the acceptability of the adjustments we use to calculate FFO or MFFO.  In the future, the SEC, NAREIT or another regulatory body may decide to standardize the allowable adjustments across the non-listed REIT industry and we would have to adjust our calculation and characterization of FFO or MFFO.

The following table presents a reconciliation of net loss to FFO and MFFO for the years ended December 31, 2018, 2017 and 2016 (in thousands, except per share data):

	Years ended December 31,
	2018			2017			2016
Net loss		$        (1,805	)		$        (1,317	)		$           (342	)
Adjustments to reconcile net loss to FFO
Depreciation and amortization		2,305			971		―
Total FFO		500			(346	)		(342	)
Straight-line rent adjustments (1)		(68	)		46		―
Amortization of above and below market intangibles (2)		9		―			―
Acquisition fees and expenses (3)		1		―				2
Total MFFO		$            442			$           (300	)		$           (340	)
Class A common stock (basic and diluted):
Weighted average number of Class A common shares outstanding (4)		1,547			590			307
Net loss per share of Class A common stock outstanding		$          (0.43	)		$          (0.74	)		$          (0.79	)
FFO per share of Class A common stock outstanding		$           0.12			$          (0.19	)		$          (0.79	)
MFFO per share of Class A common stock outstanding		$           0.10			$          (0.17	)		$          (0.79	)
Class T common stock (basic and diluted):
Weighted average number of Class T common shares outstanding(4) (5)		2,399			1,122			115
Net loss per share of Class T common stock outstanding		$          (0.43	)		$          (0.74	)		$          (0.79	)
FFO per share of Class T common stock outstanding		$           0.12			$          (0.19	)		$          (0.79	)
MFFO per share of Class T common stock outstanding		$           0.10			$          (0.17	)		$          (0.79	)
Class I common stock (basic and diluted):
Weighted average number of Class I common shares outstanding(4) (5)		278			59			11
Net loss per share of Class I common stock outstanding		$          (0.43	)		$          (0.74	)		$          (0.79	)
FFO per share of Class I common stock outstanding		$           0.12			$          (0.19	)		$          (0.79	)
MFFO per share of Class I common stock outstanding		$           0.10			$          (0.17	)		$          (0.79	)

FOOTNOTES:

⁽¹⁾ Under GAAP, rental receipts are allocated to periods using various methodologies.  This may result in income recognition that is significantly different than underlying contract terms.  By adjusting for these items (from a GAAP accrual basis in order to reflect such payments on a cash basis of amounts expected to be received for such lease and rental payments), MFFO provides useful supplemental information on the realized economic impact of lease terms and debt investments, providing insight on the contractual cash flows of such lease terms and debt investments, and aligns results with management’s analysis of operating performance.

⁽²⁾ Under GAAP, certain intangibles are accounted for at cost and reviewed at least annually for impairment, and certain intangibles are assumed to diminish predictably in value over time and are amortized, similar to depreciation and amortization of other real estate-related assets that are excluded from FFO.  However, because real estate values and market lease rates historically rise or fall with market conditions, management believes that by excluding charges relating to amortization of these intangibles, MFFO provides useful supplemental information on the performance of the real estate.

⁽³⁾ In evaluating investments in real estate, management differentiates the costs to acquire the investment from the operations derived from the investment.  By adding back acquisition expenses, management believes MFFO provides useful supplemental information of its operating performance and will also allow comparability between different real estate entities regardless of their level of acquisition activities.  Acquisition expenses include payments to our Advisor or third-parties.  Acquisition expenses for business combinations under GAAP are considered operating expenses and as expenses included in the determination of net income (loss) and income (loss)

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from continuing operations, both of which are performance measures under GAAP.  All paid or accrued acquisition expenses will have negative effects on returns to investors, the potential for future distributions, and cash flows generated by us, unless earnings from operations or net sales proceeds from the disposition of properties are generated to cover the purchase price of the property.

⁽⁴⁾ For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date we commenced operations).  Effective October 1, 2018, in connection with the close of our Offering, we discontinued our stock dividends.

⁽⁵⁾ In connection with the close of the Offering effective October 1, 2018, we reached certain underwriting compensation limits, and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of our charter.  As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

Related-Party Transactions

We have entered into agreements with our Advisor and its affiliates, whereby we agree to pay certain fees to, or reimburse certain expenses of, our Advisor or its affiliates for acquisition and advisory services, selling commissions, dealer manager fees, asset management fees and reimbursement of operating costs.

Our Advisor and its affiliates and related parties also are entitled to reimbursement of certain operating expenses in connection with their provision of services to us, including personnel costs, subject to the limitation that, beginning on the earlier of four fiscal quarters (“Expense Year“) after (i) we make our first investment or (ii) six months after the commencement of the Offering, we will not reimburse the Advisor for any amount by which operating expenses exceed the greater of 2% of our average invested assets or 25% of our net income in any Expense Year unless approved by the independent directors.  For the Expense Year ended December 31, 2018, our total operating expenses were in excess of this limitation by approximately $0.2 million.  As of December 31, 2018, we had received cumulative approvals by our independent directors for total operating expenses in excess of this limitation of approximately $0.9 million.  Our independent directors determined that the higher relationship of operating expenses to average invested assets was justified based on unattained capital raise expectations, which limited the number of investments, and the cost of operating a public company.

As of December 31, 2018, our Advisor had incurred aggregate other organizational and offering expenses of approximately $6.9 million, which are not eligible for reimbursement by us.  These expenses include, but are not limited to, SEC registration fees, FINRA filing fees, printing and mailing expenses, blue sky fees and expenses, legal fees and expenses, accounting fees and expenses, advertising and sales literature, transfer agent fees, due diligence expenses, personnel costs associated with processing investor subscriptions, escrow fees and other administrative expenses of the Offering.

See Item 8. “Financial Statements and Supplemental Data” – Note 9. “Related Party Arrangements” in the accompanying consolidated financial statements for additional information.

Off-Balance Sheet Arrangements

We had no off-balance sheet arrangements as of December 31, 2018.

Contractual Obligations

The following table presents our contractual obligations by payment period as of December 31, 2018 (in thousands):

	Payments Due by Period
	2019		2020-2021		2022-2023		Thereafter		Total
Mortgages and notes payable    (principal and interest)	$	1,110	$	7,990	$	19,071	$	—	$	28,172
	$	1,110	$	7,990	$	19,071	$	—	$	28,172

Critical Accounting Policies and Estimates

See Item 8. “Financial Statements and Supplemental Data” – Note 2. “Significant Accounting Policies” for more information about our significant accounting policies.

Recent Accounting Pronouncements

See Item 8. “Financial Statements and Supplemental Data” – Note 2. “Significant Accounting Policies” for additional information about the impact of accounting pronouncements.

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Item 7a. Quantitative and Qualitative Disclosures about Market Risks

We may be exposed to financial market risks, specifically changes in interest rates as we have borrowed money to acquire properties.  As of December 31, 2018, all of our debt is unhedged variable rate debt. Our management objectives related to interest rate risk is to limit the impact of interest rate changes on earnings and cash flows and to lower our overall borrowing costs.  To achieve our objectives, we assess interest rate cash flow risk by continually identifying and monitoring changes in interest rate exposures that may adversely impact expected future cash flows and by evaluating interest rate protection opportunities through swaps or caps.

The following is a schedule of our variable rate debt maturities for each of the next five years and thereafter (principal maturities only) (in thousands):

	Expected Maturities
	2019		2020		2021		2022		2023		Thereafter		Total		Fair Value (1)
Variable rate debt	$	—	$	5,788	$	249	$	13,624	$	4,840	$	—	$	24,500	$	24,611
Average interest rate on variable    rate debt	LIBOR + 2.70%		LIBOR + 2.22%		LIBOR + 2.59%		LIBOR + 2.70%		LIBOR + 2.25%		―		LIBOR + 2.49%

FOOTNOTE:

⁽¹⁾ The estimated fair value of our variable rate debt was determined using discounted cash flows based on current rates and spreads we would expect to obtain for similar borrowings.

Management estimates that a one-percentage point increase or decrease in LIBOR in 2019, compared to LIBOR rates as of December 31, 2018, would result in fluctuation of interest expense on our variable rate debt of approximately $0.2 million for the year ending December 31, 2019. This sensitivity analysis contains certain simplifying assumptions, and although it gives an indication of our exposure to changes in interest rates, it is not intended to predict future results and actual results will likely vary given that our sensitivity analysis on effects of changes in LIBOR does not factor in a potential change in variable rate debt levels or the impact of any LIBOR floors or caps that may exist under the debt arrangements.

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Item 8.FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

	Page
Report of Independent Registered Public Accounting Firm	56
Consolidated Balance Sheets	57
Consolidated Statements of Operations	58
Consolidated Statements of Stockholders’ Equity	59
Consolidated Statements of Cash Flows	60
Notes to Consolidated Financial Statements	61
Schedule III – Real Estate and Accumulated Depreciation	80

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Report of Independent Registered Public Accounting Firm

To the Shareholders and the Board of Directors of CNL Healthcare Properties II, Inc. and Subsidiaries

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of CNL Healthcare Properties II, Inc. and Subsidiaries (the “Company”) as of December 31, 2018 and 2017, the related consolidated statements of operations, stockholders’ equity, and cash flows for each of the three years in the period ended December 31, 2018, and the related notes and financial statement schedule listed in the index appearing under Item 15(a)(2) (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2018 and 2017, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2018, in conformity with U.S. generally accepted accounting principles.

Basis for Opinion

These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits we are required to obtain an understanding of internal control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no such opinion.

Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 2016.

Orlando, Florida

March 20, 2019 

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

	December 31,
ASSETS	2018			2017
Real estate investment properties, net	$	53,573,013		$	31,085,939
Cash		8,003,576			12,310,920
Intangibles, net		4,983,627			4,653,504
Other assets		495,188			192,423
Restricted cash		233,971			110,999
Total assets	$	67,289,375		$	48,353,785
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities:
Mortgages and notes payable, net	$	24,197,359		$	19,532,986
Accounts payable and accrued liabilities		888,816			836,647
Other liabilities		452,063			450,311
Due to related parties		85,902			1,023,909
Total liabilities		25,624,140			21,843,853
Commitments and contingencies (Note 12)
Stockholders' equity:
Preferred stock, $0.01 par value per share, 10,000,000 shares authorized; none    issued or outstanding	―			―
Class A Common stock, $0.01 par value per share, 1,200,000,000 shares    authorized; 4,899,139 and 808,011 both issued and outstanding, respectively		48,995			8,080
Class T Common stock, $0.01 par value per share, 700,000,000 shares    authorized; 0 and 2,049,223 shares both issued and outstanding, respectively	―				20,492
Class I Common stock, $0.01 par value per share, 100,000,000 shares authorized;    0 and 160,490 shares both issued and outstanding, respectively	―				1,605
Capital in excess of par value		48,039,220			28,984,932
Accumulated loss		(3,464,160	)		(1,658,977	)
Accumulated distributions		(2,958,820	)		(846,200	)
Total stockholders' equity		41,665,235			26,509,932
Total liabilities and stockholders' equity	$	67,289,375		$	48,353,785

See accompanying notes to consolidated financial statements.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

	Years Ended December 31,
	2018			2017			2016
Revenues:
Resident fees and services	$	5,905,098		$	3,290,191		$	—
Rental income and tenant reimbursements		1,532,218			18,624		―
Total revenues		7,437,316			3,308,815		―
Operating expenses:
Property operating expenses		4,230,905			1,852,057		―
General and administrative expenses		1,211,915			917,700			309,998
Property management fees		381,465			196,632		―
Depreciation and amortization		2,304,728			971,389		―
Acquisition fees and expenses		818		―				2,500
Total operating expenses		8,129,831			3,937,778			312,498
Operating loss		(692,515	)		(628,963	)		(312,498	)
Other income (expense):
Interest and other income		15,819			66		―
Interest expense and loan cost amortization		(1,127,693	)		(589,540	)		(29,949	)
Total other expense		(1,111,874	)		(589,474	)		(29,949	)
Loss before income taxes		(1,804,389	)		(1,218,437	)		(342,447	)
Income tax expense		794			98,093		―
Net loss	$	(1,805,183	)	$	(1,316,530	)	$	(342,447	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders	$	(661,345	)	$	(438,710	)	$	(242,824	)
Net loss per share of Class A common stock outstanding	$	(0.43	)	$	(0.74	)	$	(0.79	)
Weighted average number of Class A common shares outstanding		1,547,449			590,225			306,844
Distributions declared per Class A common share	$	0.5760		$	0.5370		$	0.1750
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders	$	(1,025,147	)	$	(833,933	)	$	(91,108	)
Net loss per share of Class T common stock outstanding	$	(0.43	)	$	(0.74	)	$	(0.79	)
Weighted average number of Class T common shares outstanding		2,398,691			1,121,944			115,128
Distributions declared per Class T common share	$	0.3922		$	0.4254		$	0.1533
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders	$	(118,691	)	$	(43,887	)	$	(8,515	)
Net loss per share of Class I common stock outstanding	$	(0.43	)	$	(0.74	)	$	(0.79	)
Weighted average number of Class I common shares outstanding		277,718			59,044			10,760
Distributions declared per Class I common share	$	0.4375		$	0.5026		$	0.1750

See accompanying notes to consolidated financial statements.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY

	Common Stock
							Class A						Class T						Class I						Capital in									Total
	Number			Par			Number			Par			Number			Par			Number			Par			Excess of			Accumulated			Accumulated			Stockholders'
	of Shares			Value			of Shares			Value			of Shares			Value			of Shares			Value			Par Value			Loss			Distributions			Equity
Balance at December 31, 2015		20,000		$	200		―			$	—		―			$	—		―			$	—		$	199,800		$	—		$	—		$	200,000
Conversion of initial common stock    shares		(20,000	)		(200	)		20,000			200		―			―			―			―			―			―			―			―
Subscriptions received for common    stock, including distribution    reinvestments	―			―				302,430			3,024			308,138			3,082			8,375			84			6,380,503		―			―				6,386,693
Stock dividends issued	―			―				2,689			27			449			4			79			1			(32	)	―			―			―
Stock issuance and offering costs	―			―			―			―			―			―			―			―				(354,130	)	―			―				(354,130	)
Net loss	―			―			―			―			―			―			―			―			―				(342,447	)	―				(342,447	)
Cash distributions declared	―			―			―			―			―			―			―			―			―			―				(57,361	)		(57,361	)
Balance at December 31, 2016	―			$	—			325,119		$	3,251			308,587		$	3,086			8,454		$	85		$	6,226,141		$	(342,447	)	$	(57,361	)	$	5,832,755
Subscriptions received for common    stock, including distribution    reinvestments	―			―				475,217		$	4,752			1,727,141		$	17,271			151,414		$	1,514		$	24,802,273		$	—		$	—		$	24,825,810
Stock dividends issued	―			―				7,675			77			13,495			135			622			6			(218	)	―			―			―
Stock issuance and offering costs	―			―			―			―			―			―			―			―				(2,043,264	)	―			―				(2,043,264	)
Net loss	―			―			―			―			―			―			―			―			―				(1,316,530	)	―				(1,316,530	)
Cash distributions declared	―			―			―			―			―			―			―			―			―			―				(788,839	)		(788,839	)
Balance at December 31, 2017	―			$	—		$	808,011		$	8,080			2,049,223		$	20,492			160,490		$	1,605		$	28,984,932		$	(1,658,977	)	$	(846,200	)	$	26,509,932
Subscriptions received for common    stock, including distribution    reinvestments	―			―				93,664		$	941			1,480,250		$	14,803			316,664		$	3,167		$	19,733,531		$	—		$	—		$	19,752,442
Stock dividends issued	―			―				8,021			80			24,541			245			2,696			27			(352	)	―			―			―
Redemptions of common stock	―			―				(21,271	)		(213	)		(14,493	)		(145	)		(8,657	)		(87	)		(446,275	)	―			―				(446,720	)
Conversion of common stock shares	―			―				4,010,714			40,107			(3,539,521	)		(35,395	)		(471,193	)		(4,712	)	―			―			―			―
Stock issuance and offering costs	―			―			―			―			―			―			―			―				(232,616	)	―			―				(232,616	)
Net loss	―			―			―			―			―			―			―			―			―				(1,805,183	)	―				(1,805,183	)
Cash distributions declared	―			―			―			―			―			―			―			―			―			―				(2,112,620	)		(2,112,620	)
Balance at December 31, 2018	―			$	—		$	4,899,139		$	48,995		―			$	—		―			$	—		$	48,039,220		$	(3,464,160	)	$	(2,958,820	)	$	41,665,235

See accompanying notes to consolidated financial statements.

59

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

	Years Ended December 31,
	2018			2017			2016
Operating activities:
Net loss	$	(1,805,183	)	$	(1,316,530	)	$	(342,447	)
Adjustments to reconcile net loss to net cash from operating activities:
Depreciation and amortization		2,304,728			971,389		―
Amortization of loan costs		88,522			33,000		―
Amortization of above and below market intangibles		9,314		―			―
Straight-line rent adjustments		(68,277	)		46,175		―
Deferred income tax benefit		(1,426	)		(29,107	)	―
Changes in operating assets and liabilities:
Other assets		(198,436	)		(111,387	)		(48,928	)
Due to related parties		(111,333	)		123,689			73,545
Accounts payable and accrued liabilities		(63,611	)		320,659			23,263
Other liabilities		(2,619	)		6,622		―
Net cash flows provided by (used in) operating activities		151,679			44,510			(294,567	)
Investing activities:
Acquisition of properties		(24,832,472	)		(35,779,205	)	―
Capital expenditures		(213,241	)		(54,785	)	―
Net cash used in investing activities		(25,045,713	)		(35,833,990	)	―
Financing activities:
Subscriptions received for common stock through primary    offering		18,909,961			24,437,278			6,132,100
Subscriptions received for common stock through private    placement	―			―				251,250
Payment of underwriting compensation		(1,059,290	)		(1,383,696	)		(184,532	)
Payment of cash distributions, net of distribution reinvestments		(1,270,140	)		(400,306	)		(56,510	)
Redemptions of common stock		(446,720	)	―			―
Proceeds from mortgages and notes payable		5,000,000			21,650,000			312,500
Repayments on mortgages and notes payable		(312,500	)		(2,150,000	)
Payment of loan costs		(111,649	)		(302,118	)	―
Net cash flows provided by financing activities		20,709,662			41,851,158			6,454,808
Net (decrease) increase in cash and restricted cash		(4,184,372	)		6,061,678			6,160,241
Cash and restricted cash at beginning of year		12,421,919			6,360,241			200,000
Cash and restricted cash at end of year	$	8,237,547		$	12,421,919		$	6,360,241
Supplemental disclosure of cash flow information:
Cash paid during the period for interest	$	1,009,139		$	506,787		$	29,363
Cash paid during the period for income taxes	$	201,550		$	300		$	—
Supplemental disclosure of non-cash investing and financing activities:
Amounts incurred but not paid (including amounts due to related parties):
Acquisition fees and expenses related to asset acquisition	$	—		$	6,000		$	—
Selling commissions and Dealer Manager fees	$	—		$	28,150		$	12,373
Annual distribution and stockholder servicing fee	$	—		$	798,525		$	154,733
Assumption of liabilities on acquisition of property	$	115,779		$	530,452		$	—

See accompanying notes to consolidated financial statements.

60

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

1. Organization

CNL Healthcare Properties II, Inc. is a Maryland corporation that incorporated on July 10, 2015 and elected to be taxed as a REIT for U.S. federal income tax purposes beginning with the year ended December 31, 2017. The Company is sponsored by CNL Financial Group, LLC.

The Company is externally managed and advised by CHP II Advisors, LLC, an affiliate of CNL.  The Advisor provides advisory services to the Company relating to substantially all aspects of its investments and operations, including real estate acquisitions and dispositions, asset management and other operational matters.  

On March 2, 2016, pursuant to a registration statement on Form S-11 under the Securities Act of 1933, the Company commenced its Primary Offering of up to $1.75 billion, in any combination, of Class A, Class T and Class I shares of common stock on a “best efforts” basis, which meant that the Dealer Manager, an affiliate of the Sponsor, used its best efforts but was not required to sell any specific amount of shares.  The Company also offered up to $250 million, in any combination, of Class A, Class T and Class I shares pursuant to its Reinvestment Plan.  

On August 31, 2018, the Company’s board of directors approved the termination of its Offering and the suspension of its Reinvestment Plan, effective October 1, 2018.  The Company also suspended its Redemption Plan and discontinued its stock dividends concurrently.  In October 2018, the Company deregistered the unsold shares of its common stock under its previous registration statement on Form S-11.  In addition, the Company announced it had formed a Special Committee consisting solely of its independent directors to consider possible strategic alternatives available to the Company, including, without limitation, (i) an orderly disposition of the Company’s assets or one or more of the Company’s asset classes and the distribution of the net sale proceeds thereof to the stockholders of the Company and (ii) a potential business combination or other transaction with an unrelated third-party or affiliated party of the Company’s Sponsor.  Although the Company has formed the Special Committee for the exploration of possible strategic alternatives, the Company is not obligated to enter into any particular transaction or any transaction at all.  Refer to Note 14. “Subsequent Events” for information related to the engagement of a financial advisor during 2019 and the Sale Agreement that was entered into in March 2019 for the MOB Sale.

Through the close of its Offering, the Company had received aggregate proceeds of approximately $51.2 million (4.9 million shares), including approximately $1.2 million (0.1 million shares) of proceeds pursuant to the Reinvestment Plan.  The Company has contributed the net proceeds from its Offering to CHP II Partners, LP in exchange for partnership interests.  The Company owns substantially all of its assets either directly or indirectly through the Operating Partnership in which the Company is the sole limited partner and its wholly-owned subsidiary, CHP II GP, LLC, is the sole general partner.  The Operating Partnership owns assets through: (1) a wholly-owned TRS, TRS Holdings and (2) property owner subsidiaries, which are single purpose entities.

As of December 31, 2018, the Company owned three properties consisting of two seniors housing communities and one MOB.  The Company has leased its two seniors housing properties to single member limited liability companies wholly-owned by TRS Holdings and engaged independent third-party managers under management agreements to operate the properties as permitted under RIDEA structures; whereas, its medical office building has been leased on a net or modified gross basis to third-party tenants.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

2. Summary of Significant Accounting Policies

Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the Operating Partnership and its subsidiaries.  All material intercompany accounts and transactions have been eliminated in consolidation.  

Use of Estimates — The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts in the Company’s consolidated financial statements and accompanying notes.  Actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions — Upon acquisition of real estate, the Company first determines whether substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or a group of similar identifiable assets in order to determine whether the acquisition should be accounted for as an asset acquisition.  If the substantially all threshold is not met, the Company then determines whether the acquisition meets the definition of a business (i.e. does it include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs).

The Company estimates the fair value of acquired tangible assets (consisting of land and improvements, building and improvements, and furniture, fixtures and equipment), intangible assets (consisting of in-place leases and above- or below-market leases) and liabilities assumed in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, the Company considers information obtained about each property as a result of its due diligence and utilizes various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.  The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land and building.

The purchase price is allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease(s).  Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses.  Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual rents to be paid pursuant to the lease and management’s estimate of the fair market lease rates for each in-place lease and may include assumptions for lease renewals of below-market leases.

Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized.  Repair and maintenance costs are charged to expense as incurred and significant costs incurred for replacements and improvements are capitalized.  Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life.  Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets.  Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are limited to 39 and 15 years, respectively, or the remaining life of the ground lease.  Furniture, fixtures and equipment are depreciated on the straight-line method over their estimated useful lives, which generally range between three and five years. Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease-related costs not deemed to be recoverable.

Impairment of Real Estate Assets— Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators, including property operating performance and general market conditions, that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired.  To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group.  Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors.  In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value of the asset group.

62

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

2. Summary of Significant Accounting Policies (continued)

Cash— Cash consists of demand deposits at commercial banks with original maturities of three months or less.  As of December 31, 2018, certain of the Company’s cash deposits exceeded federally insured amounts.  However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal.  The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.

Restricted Cash — Certain cash balances are escrowed to fund capital expenditures, property taxes and/or insurance as required by the loan or lease terms.

Loan Costs — Loan costs paid in connection with obtaining indebtedness are deferred and amortized over the estimated life of the indebtedness using the effective interest method.  Loan costs are presented as a direct deduction from the carrying amount of the related indebtedness in the balance sheet.  As of December 31, 2018 and 2017, the accumulated amortization of loan costs was approximately $0.1 million and $33,000, respectively.

Deferred Lease-Related Costs – The Company defers lease-related costs that it incurs to obtain new or extend existing leases. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized deferred lease-related costs not deemed to be recoverable. 

Mortgages and Notes Payable — Mortgages and notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s property.  Mortgages and notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.

Revenue Recognition — Resident fees and services are operating revenues relating to the Company’s managed seniors housing properties, which are operated under RIDEA structures.  Resident fees and services directly relate to the provision of monthly goods and services that are generally bundled together under a single resident agreement.  The Company accounts for its resident agreements as a single performance obligation under ASC 606 given the Company’s overall promise to provide a series of stand-ready goods and services to its residents each month.  Resident fees and services are recorded in the period in which the goods are provided and the services performed and generally consist of (1) monthly rent, which covers occupancy of the residents’ unit as well as basic services, such as utilities, meals and certain housekeeping services, and (2) service level charges, such as assisted living care, memory care and ancillary services.  Resident agreements are generally short-term in nature, billed monthly in advance and cancelable by the residents with a 30-day notice.  Resident agreements may require the payment of upfront fees prior to moving into the community with any non-refundable portion of such fees being recorded as deferred revenue and amortized over the estimated resident stay.

Rental income and tenant reimbursements includes rental income that is recorded on the straight-line basis over the terms of the leases for new leases and the remaining terms of existing leases for those acquired as part of a property acquisition. The straight-line method records the periodic average amount of base rent earned over the term of a lease, taking into account contractual rent increases over the lease term.  The Company records the difference between base rent revenues earned and amounts due per the respective lease agreements, as applicable, as an increase or decrease to deferred rent.  Rental income and tenant reimbursements also includes amounts for which tenants are required to reimburse the Company related to expenses incurred on behalf of the tenants, in accordance with the terms of the leases. Tenant reimbursements are recognized in the period in which the related reimbursable expenses are incurred, such as real estate taxes, common area maintenance, and similar items.

Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2017.  In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its annual REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for

63

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

2. Summary of Significant Accounting Policies (continued)

taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends.  If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the IRS grants the Company relief under certain statutory provisions.  Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income.

The Company has formed a subsidiary that has elected to be taxed as a TRS for U.S. federal income tax purposes.  Under the provisions of the Internal Revenue Code and applicable state laws, a TRS is subject to taxation on taxable income from its operations. The Company accounts for federal and state income taxes with respect to a TRS using the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and respective tax bases and operating losses and tax-credit carry forwards.

Fair Value Measurements— GAAP emphasizes that fair value is a market-based measurement, not an entity-specific measurement.  Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability.  GAAP requires the use of observable market data, when available, in making fair value measurements. Observable inputs are inputs that the market participants would use in pricing the asset or liability developed based on market data obtained from sources independent of ours. When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement. As a basis for considering market participant assumptions in fair value measurements, GAAP establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). The three levels of inputs used to measure fair value are as follows:

• Level 1 – Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company as the ability to access.

• Level 2 – Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.

• Level 3 – Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity.

Share-Based Payments to Non-Employees — In connection with an expense support arrangement described in Note 9. “Related Party Arrangements,” the Company may issue Class A shares of Restricted Stock to the Advisor on an annual basis in lieu of cash for services rendered, in the event that the Company does not achieve established distribution coverage targets.

64

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

2. Summary of Significant Accounting Policies (continued)

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event of the Company.  Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to Accounting Standards Codification (“ASC”) 505-50.  On the date in which the Advisor satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Per Share Data — Net loss per share for the period presented is computed by dividing net loss by the weighted average number of common stock shares outstanding for each share class during the period in which the Company was operational.  Diluted loss per share is computed based on the weighted average number of common stock shares outstanding for each share class and all potentially dilutive securities, if any.  For purposes of determining the weighted average number of shares of common stock outstanding, stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

Segment Information— Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance.  The Company has determined that it operates in one operating segment, real estate ownership.  The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis and by tenant or operator.  The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed).  Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.

Adopted Accounting Pronouncements — In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” as a new ASC topic (Topic 606).  The core principle of this ASU is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  The ASU further provides guidance for any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets, unless those contracts are within the scope of other standards (for example, lease contracts).  The FASB subsequently issued ASU 2015-14 to defer the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with earlier adoption permitted. In addition, the FASB issued ASU 2017-05, “Other Income – Gains and Losses from the Derecognition of Nonfinancial Assets (Subtopic 610-20),” which clarifies the scope of subtopic 610-20, that was issued as a part of ASU 2014-09, as it relates to an in substance nonfinancial asset and must be adopted concurrently with ASC 606.  Both ASUs can be adopted using one of two retrospective transition methods: (i) retrospectively to each prior reporting period presented or (ii) as a cumulative-effect adjustment as of the date of adoption. The Company adopted these ASUs using the modified retrospective approach as its transition method effective January 1, 2018; the adoption of which did not have a material impact to its consolidated financial statements.

In August 2017, the FASB issued ASU 2017-12 “Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities,” which amended the hedge accounting model to better reflect an entity’s risk management activities.  The ASU expands an entities ability to hedge nonfinancial and financial risk components as well as reduce the complexity related to fair value hedges of interest rate risk. The ASU further eliminates the requirement to separately measure and report hedge ineffectiveness and generally requires the entire change in the fair value of a hedging instrument to be presented in the same income statement line as the hedged item.  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company early adopted this ASU prospectively on January 1, 2018; the adoption of which did not have a material impact on the Company’s consolidated financial statements.

65

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

2. Summary of Significant Accounting Policies (continued)

Recent Accounting Pronouncements — In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU also requires qualitative and quantitative disclosures designed to give financial statement users additional information on the amount, timing, and uncertainty of cash flows arising from leases.  In July 2018, the FASB issued ASU 2018-11, “Leases (Topic 842): Targeted Improvements,” which includes a practical expedient for lessors that allows them to elect to not separate lease and non-lease components in a contract for the purpose of revenue recognition and disclosure if certain criteria are met.  The Company elected the practical expedient and applied the guidance to all of the leases that qualified under the established criteria.  In December 2018, the FASB issued ASU 2018-20, “Leases  (Topic 842): Narrow-Scope Improvements for Lessors”, which addressed challenges encountered in determining certain lessor costs paid by the lessee directly to third-parties by allowing lessors to exclude these costs from its variable lease payments.  This amendment did not have a material impact on the Company’s financial statements and related disclosures as it conformed ASC 842 to the Company’s historical accounting under ASC 840.  All of the ASC 842 ASU’s are effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company adopted these ASU’s on January 1, 2019 using a modified retrospective approach, which impacted the Company’s consolidated financial statements and related financial statement disclosures; specifically, the Company’s consolidated financial position as it relates to the required presentation for arrangements such as ground or other leases in which the Company is the lessee.  However, the adoption of this ASU did not have a material impact on the Company’s consolidated results of operations or cash flows.

In June 2018, the FASB issued ASU 2018-07, “Compensation – Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting” which expands the scope to include share-based payment transactions for acquiring goods and services from nonemployees. The amendments specify that Topic 718 applies to all share-based payment transactions in which a grantor acquires goods or services to be used or consumed in a grantor’s own operations by issuing share-based payments. The amendments also clarify that this ASU does not apply to share-based payments used to provide financing to the issuer or awards granted in conjunction with selling of goods or services to customers as a part of a contract accounted for under Revenue from Contracts with Customers (Topic 606).  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company adopted ASU 2018-07 on January 1, 2019; the adoption of which did not have a material impact on the Company’s consolidated financial statements.

3. Revenue

The following table represents the disaggregated revenue for resident fees and services during the years ended December 31, 2018 and 2017:

	Years Ended December 31,
Type of Investment	Number of Units				Revenues				Percentage of Revenues
Resident fees and services:	2018		2017		2018		2017		2018			2017
Assisted living		129		67	$	4,200,903	$	2,419,624		71.1	%		73.5	%
Memory care		52		22		1,640,916		847,767		27.8	%		25.8	%
Other revenues	―		―			63,279		22,802		1.1	%		0.7	%
		181		89	$	5,905,098	$	3,290,191		100.0	%		100.0	%

There were no resident fees and services during the year ended December 31, 2016.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

4. Acquisitions

During the year ended December 31, 2018, the Company acquired the following seniors housing community:

		Date	Purchase Price
Name and Location	Structure	Acquired	(in thousands)
Seniors Housing
The Crossings at Riverview	RIDEA	8/31/2018	$	24,250
Riverview, FL ("Tampa")

During the year ended December 31, 2017, the Company acquired the following two properties, which were comprised of one MOB and one seniors housing community:

		Date	Purchase Price
Name and Location	Structure	Acquired	(in thousands)
Medical Office
Mid America Surgery Institute	Modified Lease	12/27/2017	$	14,000
Overland Park, KS ("Kansas City")
Seniors Housing
Summer Vista Assisted Living	RIDEA	3/31/2017		21,400
Pensacola, FL

The following summarizes the purchase price allocation for the above mentioned acquisitions, and the related assets acquired and liabilities assumed in connection with the acquisitions:

	December 31,
	2018			2017
Land and land improvements	$	1,763,342		$	2,650,216
Buildings and building improvements		21,088,267			28,109,037
Furniture, fixtures and equipment		813,773			857,338
Lease intangibles (1)	―				3,752,949
In-place resident agreement intangibles (2)		1,282,869			1,286,507
Other liabilities	―				(340,390	)
Liabilities assumed		(115,779	)		(530,452	)
Total purchase price consideration	$	24,832,472		$	35,785,205

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the year ended December 31, 2017 was approximately 23.5 years.  The acquired lease intangibles were comprised of approximately $2.2 million and $1.5 million of in-place lease intangibles and ground lease intangibles, respectively.

(2) At the acquisition date, the weighted-average amortization period on the acquired in-place resident agreement intangibles was approximately 2.5 years.  

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

5. Real Estate Assets, net

The gross carrying amount and accumulated depreciation of the Company’s three and two properties as of December 31, 2018 and 2017, respectively, are as follows:

	December 31,
	2018			2017
Land and land improvements	$	4,456,564		$	2,683,051
Building and building improvements		49,197,888			28,109,037
Furniture, fixtures and equipment		1,895,316			879,288
Less: accumulated depreciation		(1,976,755	)		(585,437	)
Real estate investment properties, net	$	53,573,013		$	31,085,939

Depreciation expense on the Company’s real estate investment properties, net was approximately $1.4 million and $0.6 million for the years ended December 31, 2018 and 2017, respectively.  There was no depreciation expense for the year ended December 31, 2016.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

6. Intangibles, net

The gross carrying amount and accumulated amortization of the Company’s intangible assets and liabilities as of December 31, 2018 and 2017 are as follows:

	December 31,
	2018			2017
In-place lease intangibles	$	2,209,247		$	2,209,125
In-place resident agreement intangibles		2,569,419			1,286,507
Below-market ground lease intangibles		1,543,911			1,543,824
Less: accumulated amortization		(1,338,950	)		(385,952	)
Intangible assets, net	$	4,983,627		$	4,653,504
Below-market lease intangibles	$	(340,409	)	$	(340,390	)
Less: accumulated amortization		30,553		―
Intangible liabilities, net (1)	$	(309,856	)	$	(340,390	)

FOOTNOTE:

⁽¹⁾ Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

Amortization on the Company’s intangible assets was approximately $1.0 million for the year ended December 31, 2018, of which approximately $40,000 was treated as an increase in property operating expenses and approximately $0.9 million was included in depreciation and amortization in the accompanying consolidated statements of operations.  Amortization on the Company’s intangible assets was approximately $0.4 million for the year ended December 31, 2017, all of which were included in depreciation and amortization in the accompanying consolidated statements of operations.  There was no amortization on the Company’s intangible assets during the year ended December 31, 2016.

Amortization on the Company’s intangible liabilities was approximately $31,000 for the year ended December 31, 2018, all of which was treated as an increase in rental income and tenant reimbursements.  There was no amortization expense on the Company’s intangible liabilities for the years ended December 31, 2017 and 2016.

Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

6. Intangibles, net (continued)

The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2018 is as follows:

	In-place Lease Intangibles		In-Place Resident Agreement Intangibles		Below- market Ground Leases		Total Assets		Below- market Leases		Total Liabilities
2019	$	227,754		899,117		39,587	$	1,166,458	$	30,553	$	30,553
2020		198,365		513,165		39,587		751,117		27,103		27,103
2021		188,568		85,527		39,587		313,682		25,953		25,953
2022		188,568	―			39,587		228,155		25,953		25,953
2023		188,568	―			39,587		228,155		25,953		25,953
Thereafter		989,671	―			1,306,389		2,296,060		174,341		174,341
	$	1,981,494		1,497,809		1,504,324	$	4,983,627	$	309,856	$	309,856

Weighted average remaining useful life as of December 31, 2018 (in years):

In-place Lease Intangibles		In-Place Resident Agreement Intangibles		Below-market Ground Leases		Below-market Leases
	11.9		1.8		38.0		14.1

7. Operating Leases

As of December 31, 2018, the Company owned one MOB property that was leased to multiple tenants on a modified gross basis, and accounted for as operating leases.  The Company’s leases had a weighted average remaining lease term of 7.6 years based on annualized base rents expiring between 2020 and 2027, subject to the tenants’ options to extend the lease periods ranging from five to ten years.  In addition, certain tenants hold options to extend their leases for multiple periods.  

Under the terms of the multi-tenant lease agreements that have third-party property managers, each tenant is generally responsible for the payment of their proportionate share of property taxes, general liability insurance, utilities, repairs and common area maintenance. These amounts are billed monthly and recorded as rental income and tenant reimbursements in the accompanying consolidated statements of operations.

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, in the aggregate, as of December 31, 2018:

2019	$	1,059,884
2020		1,008,129
2021		1,004,516
2022		1,023,166
2023		1,041,795
Thereafter		3,477,001
	$	8,614,491

The above future minimum lease payments to be received excludes tenant reimbursements, straight-line rent adjustments, amortization of above- and below-market lease intangibles and base rent attributable to any renewal options exercised by the tenants in the future.

Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

8. Indebtedness

The following table provides details of the Company’s indebtedness as of December 31, 2018 and 2017:

	December 31,
	2018			2017
Mortgages and notes payable:
Mortgage loans (1)	$	24,500,000		$	19,500,000
Notes payable (2)	―				312,500
Mortgages and notes payable		24,500,000			19,812,500
Loan costs, net		(302,641	)		(279,514	)
Total mortgages and notes payable, net	$	24,197,359		$	19,532,986

FOOTNOTES:

(1) As of December 31, 2018, the Company’s mortgage loans are collateralized by its Summer Vista, Mid America Surgery and Riverview properties.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the sale of Mid America Surgery.

(2) Although the original maturity of these Notes was 2046, the Company repaid the Notes in October 2018.

The fair market value of the mortgages and notes payable was approximately $24.6 million and $19.9 million as of December 31, 2018 and 2017, respectively, which is based on then-current rates and spreads the Company would expect to obtain for similar borrowings.  Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurement of the estimated fair values is categorized as Level 3 on the three-level valuation hierarchy.

As of December 31, 2018, the Company in compliance with all financial covenants and ratios.

The following is a schedule of future principal payments and maturity for the Company’s indebtedness for the next five years and thereafter, in the aggregate, as of December 31, 2018:

2019	$	—
2020		5,787,543
2021		249,168
2022		13,623,546
2023		4,839,743
Thereafter		—
	$	24,500,000

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

8. Indebtedness (continued)

The following table details the Company’s mortgage loans as of December 31, 2018 and 2017 (in thousands):

	Interest Rate at
	December 31,		Maturity	December 31,
Property and Loan Type	2018 (1)	Payment Terms	Date  (2)	2018		2017
Summer Vista Assisted    Living; Mortgage Loan	30-day LIBOR plus 2.70% per annum	Monthly interest only payments through January 2020; principal and interest payments thereafter based on a 30-year amortization schedule	4/1/22	$	13,900	$	13,900
Mid America Surgery    Institute; Mortgage Loan	30-day LIBOR plus 2.20% per annum	Monthly interest only payments through June 2020; principal payment at maturity	12/15/20		5,600		5,600
The Crossings at Riverview;    Mortgage Loan	30-day LIBOR plus 2.25% per annum	Monthly interest only payments through September 2020; principal and interest payments thereafter based on a 30-year amortization schedule	8/31/23		5,000		—
		Total debt		$	24,500	$	19,500

FOOTNOTES:

⁽¹⁾ The 30-day LIBOR was approximately 2.5% as of December 31, 2018.

⁽²⁾ Represents the initial maturity date (or, as applicable, the maturity date as extended).  The maturity date may be extended beyond the date shown subject to certain lender conditions.

9. Related Party Arrangements

The Company is externally advised and has no direct employees. All of the Company’s executive officers are executive officers, or on the board, of managers of the Advisor. In addition, certain directors and officers hold similar positions with CNL Securities Corp., the Dealer Manager of the Offering and a wholly owned subsidiary of CNL. In connection with services provided to the Company, affiliates are entitled to the following fees:

Dealer Manager — From the commencement of the Offering through March 19, 2017, the Dealer Manager received a selling commission of up to 7% of the sale price for each Class A share and 2% of the sale price for each Class T share sold in the Primary Offering, all or a portion of which was reallowed to participating broker dealers.  In addition, the Dealer Manager received a dealer manager fee in an amount equal to 2.75% of the price of each Class A share or Class T share sold in the Primary Offering, all or a portion of which was reallowed to participating broker dealers.  In March 2017, the Company entered into an amended and restated dealer manager agreement pursuant to which the Dealer Manager received a combined selling commission and dealer manager fee of up to 8.5% of the sale price for each Class A share and up to 4.75% of the sale price for each Class T share sold in the

71

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

9. Related Party Arrangements (continued)

Primary Offering, all or a portion of which could be reallowed to participating broker dealers.  In addition for Class T shares sold in the Primary Offering, the Dealer Manager could choose the respective amounts of the commission and dealer manager fee, provided that the selling commission did not exceed 3.0% of the gross proceeds from the completed sale of such Class T shares. The Company paid a distribution and stockholder servicing fee, subject to certain underwriting compensation limits, with respect to the Class T and Class I shares sold in the Primary Offering in an annual amount equal to 1% and 0.50%, respectively, of the then-current gross offering price per Class T or Class I share.  

The Company recorded the annual distribution and stockholder servicing fees as a reduction to capital in excess of par value and measured the related liability in an amount equal to the maximum fees owed in relation to the Class T and Class I shares on the shares’ issuance date.  The liability was relieved over time, as the fees were paid to the Dealer Manager, or adjusted if the fees were no longer owed on any Class T or Class I share that was redeemed or repurchased, as well as upon the earliest occurrence of: (i) a listing on a national securities exchange; (ii) a merger or consolidation of the Company with or into another entity, or the sale or other disposition of all or substantially all of the Company’s assets; (iii) after the termination of the Primary Offering in which the initial shares in the account were sold, the end of the month in which total underwriting compensation paid in the Primary Offering is not less than 10% of the gross proceeds from all share classes of the Primary Offering; (iv) the end of the month in which the total underwriting compensation paid in a Primary Offering with respect to shares purchased in a Primary Offering is not less than 8.5% of the gross offering price of those shares purchased in such Primary Offering (excluding shares purchased through the Reinvestment Plan and those received as stock dividends); or (v) any other conditions described in the Company’s prospectus.

In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were met and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter.  The Class T and Class I shares converted into Class A shares on a one-for-one basis because the then-current estimated NAV per share of $10.06, which was approved by the Company’s board of directors as of December 31, 2017, was the same for all share classes.  Effective October 31, 2018, Class T and Class I shares were no longer subject to class specific expenses upon conversion into Class A shares.  The Company’s obligation to pay the remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares.

CNL Capital Markets, LLC — The Company will pay CNL Capital Markets, LLC, an affiliate of CNL, an annual fee payable monthly based on the average number of total investor accounts that are open during the term of the capital markets service agreement pursuant to which certain administrative services are provided to the Company.  These services may include, but are not limited to, the facilitation and coordination of the transfer agent’s activities, client services and administrative call center activities, financial advisor administrative correspondence services, material distribution services and various reporting and troubleshooting activities.  For the years ended December 31, 2018, 2017 and 2016, the Company incurred approximately $0.1 million, $22,000, and $20 in such fees, respectively.  These amounts are included in general and administrative expenses in the accompanying consolidated statements of operations.

Advisor— The Company will pay the Advisor a monthly asset management fee in an amount equal to 0.0667% of the monthly average of the sum of the Company’s and the Operating Partnership’s respective daily real estate asset value, without duplication, plus the outstanding principal amount of any loans made, plus the amount invested in other permitted investments.  For this purpose, “real estate asset value” equals the amount invested in wholly-owned properties, determined on the basis of cost, and in the case of properties owned by any joint venture or partnership in which the Company is a co-venturer or partner the portion of the cost of such properties paid by the Company, exclusive of acquisition fees and acquisition expenses and will not be reduced for any recognized impairment.  Any recognized impairment loss will not reduce the real estate asset value for the purposes of calculating the asset management fee.  The asset management fee, which will not exceed fees which are competitive for similar services in the same geographic area, may or may not be taken, in whole or in part as to any year, in the Advisor’s sole discretion.  All or any portion of the asset management fee not taken as to any fiscal year shall be deferred without interest and may be taken in such other fiscal year as the Advisor shall determine.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

9. Related Party Arrangements (continued)

The Advisor received an investment services fee of 2.25% of the purchase price of properties for services in connection with the selection, evaluation, structure and purchase of assets.

Refer to Note 14. “Subsequent Events” for additional information related to an amended and restated advisory agreement that reduced the monthly asset management fee and eliminated other fees previously charged by the Advisor.  

The Advisor, its affiliates and related parties also are entitled to reimbursement of certain operating expenses in connection with their provision of services to the Company, including personnel costs, subject to the limitation that the Company will not reimburse the Advisor for any amount by which operating expenses exceed the greater of 2% of its average invested assets or 25% of its net income in any Expense Year unless approved by the independent directors.  The Company commenced its Primary Offering in March 2016 and made its first investment in March 2017.  For the Expense Year ended December 31, 2018, the Company’s total operating expenses were in excess of this limitation by approximately $0.2 million. As of December 31, 2018, the Company had received cumulative approvals by its independent directors for total operating expenses in excess of this limitation of approximately $0.9 million.  The Company’s independent directors determined that the higher relationship of operating expenses to average invested assets was justified based on unattained capital raise expectations, which limited the number of investments, and the cost of operating a public company.

For the year ended December 31, 2016, approximately $84,000 of personnel expenses of affiliates of the Advisor were waived and these 2016 expenses will not be reimbursed by the Company in future periods.

The Advisor will pay all other organizational and offering expenses incurred in connection with the formation of the Company, without reimbursement by the Company.  These expenses include, but are not limited to, SEC registration fees, FINRA filing fees, printing and mailing expenses, blue sky fees and expenses, legal fees and expenses, accounting fees and expenses, advertising and sales literature, transfer agent fees, due diligence expenses, personnel costs associated with processing investor subscriptions, escrow fees and other administrative expenses of the Offering.

For the years ended December 31, 2018, 2017 and 2016, the Company paid cash distributions of approximately $0.2 million, $0.1 million and $47,000, respectively, and issued stock dividends through October 2018 of approximately 2,400 shares, 4,100 shares and 2,400 shares, respectively, to the Advisor.

Pursuant to an expense support arrangement, the Advisor has agreed to accept payment in restricted stock in lieu of cash for services rendered, in the event that the Company does not achieve established distribution coverage targets.  Under the terms of the Expense Support Agreement, for each quarter within a calendar expense support year, the Company will record a proportional estimate of the cumulative year-to-date period based on an estimate of the annual expense support expected for the calendar expense support year.  In exchange for services rendered and in consideration of the expense support provided under this arrangement, the Company shall issue, following each determination date, a number of shares of restricted stock equal to the quotient of the expense support amount provided by the Advisor for the preceding year divided by the board of directors’ most recent determination of NAV per share of the Class A common shares, on the terms and conditions and subject to the restrictions set forth in the Expense Support Agreement.  The Restricted Stock is subordinated and forfeited to the extent that shareholders do not receive a Priority Return on their Invested Capital (as such terms are defined in the Company’s prospectus), excluding for the purposes of calculating this threshold any shares of Restricted Stock owned by the Advisor.  The Advisor has the right to terminate the Expense Support Agreement upon 30 days’ prior written notice.  In March 2019, the Company’s board of directors and the Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019; refer to Note 14. “Subsequent Events” for additional information.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

9. Related Party Arrangements (continued)

The following fees for services rendered have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement for the years ended December 31, 2018, 2017 and 2016 and cumulatively as of December 31, 2018:

							As of
	Years Ended December 31,						December 31,
	2018		2017		2016		2018
Fees for services rendered:
Asset management fees	$	348,388	$	130,366	$	—	$	478,754
Advisor personnel expenses (1)		494,323		436,403		—		930,726
Total fees for services rendered	$	842,711	$	566,769	$	—	$	1,409,480
Then-current NAV	$	9.92	$	10.06	$	—	$	9.92
Restricted Stock shares (2)		84,951		56,339	$	—		141,290
Cash distributions on restricted stock (3)	$	24,339	$	—	$	—	$	24,339
Stock dividends on restricted stock (4)		340		—		—		340

FOOTNOTES:

⁽¹⁾ Amounts consist of personnel and related overhead costs of the Advisor or its affiliates (which, in general, are those expenses relating to the Company’s administration on an on-going basis) that are reimbursable by the Company.

⁽²⁾ Represents Restricted Stock shares that have been or are expected to be issued to the Advisor as of December 31, 2018 pursuant to the Expense Support Agreement.  No fair value was assigned to the Restricted Stock shares as the shares are expected to be valued at zero upon issuance, which represents the lowest possible value estimated at vesting.  In addition, the Restricted Stock shares will be treated as unissued for financial reporting purposes until the vesting criteria are met.

⁽³⁾ The cash distributions on Restricted Stock shares issued for services rendered through December 31, 2017 have been recognized as compensation expense as declared and included in general and administrative expense in the accompanying consolidated statements of operations.

⁽⁴⁾ The par value of stock dividends have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

The fees payable through the termination of the Offering in October 2018 to the Dealer Manager for the years ended December 31, 2018, 2017 and 2016, and related amounts unpaid as of years ended December 31, 2018 and 2017 are as follows:

	Years Ended							Unpaid amounts as of (1)
	December 31,							December 31,
	2018			2017		2016			2018		2017
Selling commissions (2)	$	343,087		$	666,532	$	97,022		$	—	$	10,000
Dealer Manager fees (2)		429,356			619,123		99,883			—		18,150
Distribution and stockholder servicing fees (2) (3)		(539,827	)		757,609		157,225			—		798,524
	$	232,616		$	2,043,264	$	354,130		$	—	$	826,674

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

9. Related Party Arrangements (continued)

The expenses incurred by and reimbursable to the Company’s related parties for the years ended December 31, 2018, 2017 and 2016, and related amounts unpaid as of years ended December 31, 2018 and 2017 are as follows:

	Years Ended						Unpaid amounts as of (1)
	December 31,						December 31,
	2018		2017		2016		2018		2017
Reimbursable expenses:
Operating expenses (4)	$	1,019,174	$	983,493	$	206,868	$	85,902	$	197,235
Acquisition fees and expenses (5)		10,183		29,922		—		—		—
		1,029,357		1,013,415		206,868		85,902		197,235
Investment service fees (6)		545,625		796,500		—		—		—
Asset management fees (7)		348,388		130,366		—		—		—
	$	1,923,370	$	1,940,281	$	206,868	$	85,902	$	197,235

FOOTNOTES:

⁽¹⁾ Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

⁽²⁾ Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity.

⁽³⁾ For the year ended December 31, 2018, the Company incurred approximately $0.8 million in distribution and stockholder servicing fees.  The Company’s obligation to pay these fees ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares.  As such, the Company reversed the then-remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager, which resulted in a net reduction in stock issuance and offering costs of approximately $0.5 million for the year ended December 31, 2018.

⁽⁴⁾ Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets. Amounts include approximately $0.5 million, $0.4 million, and $0.1 million of personnel expenses of affiliates of the Advisor for the years ended December 31, 2018, 2017 and 2016, respectively. These Advisor personnel expenses have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement.

⁽⁵⁾ Amounts are capitalized as a component of the cost of the assets acquired and allocated on a relative fair value basis.

⁽⁶⁾ For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.5 million and $0.8 million, respectively, in investment services fees all of which were capitalized and included in real estate investment properties, net in the accompanying consolidated balance sheets.  There were no such fees incurred for the year ended December 31, 2016.

⁽⁷⁾ For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.3 million and $0.1 million, respectively, in asset management fees, all of which are expected to be or were settled in accordance with the terms of the Expense Support Agreement. There were no such fees incurred for the year ended December 31, 2016.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

10. Equity

Subscription Proceeds — Through the close of the Company’s Offering in October 2018, the Company had received aggregate subscription proceeds of approximately $51.2 million (4.9 million shares), which includes $200,000 (20,000 shares) of subscription proceeds received from the Advisor prior to the commencement of the Offering, approximately $251,250 (25,125 shares) of subscription proceeds received in connection with a Private Placement made in 2016, all of which were redeemed in 2018, and approximately $1.2 million (0.1 million shares) of subscription proceeds pursuant to the Reinvestment Plan.  Concurrent with the close of its Offering, the Company suspended its Reinvestment Plan.

Distributions— For the years ended December 31, 2018, 2017 and 2016, the Company declared and paid cash distributions of approximately $2.1 million, $0.8 million and $57,000, respectively, which were net of class-specific expenses.  As a result of the conversion of Class T shares and Class I shares into Class A shares (discussed below), which was effective October 31, 2018, there were no distributions made for Class T shares and Class I shares after the October 1, 2018 declaration date and only distributions on Class A shares continued subsequent to October 2018.  In addition, the Company declared and issued stock dividends through October 2018 of approximately 35,000, 22,000 and 3,000 shares of common stock during the years ended December 31, 2018, 2017 and 2016, respectively. In connection with the termination of the Offering effective October 1, 2018, the Company’s board of directors determined that it does not intend to authorize additional stock dividends at this time.

For the years ended December 31, 2018, 2017 and 2016, 100% of the cash distributions paid to stockholders were considered a return of capital to stockholders for federal income tax purposes.  No amounts distributed to stockholders for the years ended December 31, 2018, 2017 and 2016 were required to be or have been treated by the Company as a return of capital for purposes of calculating the stockholders’ return on their invested capital as described in the Company’s advisory agreement.  The distribution of new common stock shares is non-taxable.

In December 2018, the Company’s board of directors declared a monthly cash distribution of $0.0480 on each outstanding share of common stock on January 1, 2019, February 1, 2019 and March 1, 2019.  These distributions are to be paid by March 31, 2019.  Refer to Note 14. “Subsequent Events” for additional information related to the suspension of monthly cash distributions to stockholders.

Redemptions— During the year ended December 31, 2018, the Company received and paid requests for the redemption of common stock under its Redemption Plan of approximately $0.4 million, which includes the redemption of all shares raised through the Private Placement.  There were no redemptions requested during the years ended December 31, 2017 and 2016.  In connection with the termination of the Offering and the board of directors’ decision to consider possible strategic alternatives available to the Company, the Redemption Plan was suspended effective October 1, 2018 and the Company no longer accepts or processes any redemption requests received after such date.

Stock Conversions - In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were met and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter. As of December 31, 2018, only Class A shares were outstanding.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

11. Income Taxes

For the years ended December 31, 2018 and 2017, the Company recorded deferred tax assets and net current tax expense related to deferred income at its TRS.  There was no income tax recorded for the year ended December 31, 2016.  The components of the income tax expense for the years ended December 31, 2018 and 2017 are as follows:

	2018			2017
Current:
Federal	$	(2,350	)	$	(111,000	)
State		130			(16,200	)
Total current expense		(2,220	)		(127,200	)
Deferred:
Federal		1,981			23,319
State		(555	)		5,788
Total deferred benefit		1,426			29,107
Income tax expense	$	(794	)	$	(98,093	)

Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. In December 2017, the Tax Cuts and Jobs Act was signed into law and reduced the U.S. federal corporate tax rate to 21%, effective January 1, 2018. All impacts of the Tax Cuts and Jobs Act have been reflected in the financial statements and their footnotes. Significant components of the Company’s deferred tax assets as of December 31, 2018 and 2017 are as follows:

	As of December 31,
	2018		2017
Prepaid and other rent	$	30,533	$	29,107
Deferred tax assets	$	30,533	$	29,107

A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows:

	Years Ended December 31,
	2018					2017
Tax benefit computed at federal statutory rate	$	378,862		21.00	%	$	426,453		35.00	%
Impact of REIT election		(379,231	)	(21.02	)%		(511,104	)	(41.90	)%
Effect of change in future tax rates	―			—	%		(3,030	)	(0.25	)%
State income tax expense		(425	)	(0.02	)%		(10,412	)	(0.87	)%
Income tax expense	$	(794	)	(0.04	)%	$	(98,093	)	(8.02	)%

The Company analyzed its material tax positions and determined that it has not taken any uncertain tax positions. The tax years 2016 and forward remain subject to examination by taxing authorities throughout the United States.

12. Commitments and Contingencies

From time to time, the Company may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, its business, including proceedings to enforce its contractual or statutory rights.  While the Company cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, the Company does not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on its results of operations or financial condition.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

13. Selected Quarterly Financial Data (Unaudited)

The following presents selected unaudited quarterly financial data for the years ended December 31, 2018 and 2017:

2018 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	1,533,341		$	1,561,661		$	1,906,891		$	2,435,423		$	7,437,316
Operating loss		(113,972	)		(73,634	)		(189,005	)		(315,904	)		(692,515	)
Net loss		(390,238	)		(350,193	)		(458,687	)		(606,065	)		(1,805,183	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders		(95,926	)		(76,206	)		(87,907	)		(444,392	)		(661,345	)
Weighted average number of Class A common shares outstanding (1)		825,185			867,723			879,674			3,594,121			1,547,449
Loss per share of Class A common stock	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders		(269,815	)		(246,458	)		(327,896	)		(142,326	)		(1,025,147	)
Weighted average number of Class T common shares outstanding (1)		2,321,014			2,806,307			3,281,231			1,151,093			2,398,691
Loss per share of Class T common stock (2)	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders		(24,497	)		(27,529	)		(42,884	)		(19,347	)		(118,691	)
Weighted average number of Class I common shares outstanding (1)		210,726			313,463			429,142			156,473			277,718
Loss per share of Class I common stock (2)	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)

2017 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	11,430		$	1,071,441		$	1,095,696		$	1,130,248		$	3,308,815
Operating loss		(231,794	)		(175,188	)		(99,164	)		(122,817	)		(628,963	)
Net loss		(251,120	)		(391,681	)		(307,906	)		(365,823	)		(1,316,530	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders		(93,692	)		(141,410	)		(108,891	)		(105,482	)		(438,710	)
Weighted average number of Class A common shares outstanding (1)		383,345			524,191			693,354			769,523			590,225
Loss per share of Class A common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders		(154,012	)		(241,220	)		(189,504	)		(242,753	)		(833,933	)
Weighted average number of Class T common shares outstanding (1)		630,143			894,175			1,206,653			1,770,963			1,121,944
Loss per share of Class T common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders		(3,416	)		(9,051	)		(9,511	)		(17,588	)		(43,887	)
Weighted average number of Class I common shares outstanding (1)		13,978			33,550			60,561			128,308			59,044
Loss per share of Class I common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)

FOOTNOTES:

⁽¹⁾ For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends issued through the October 2018 suspension of stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

⁽²⁾ In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were reached and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter.  As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2018

14. Subsequent Events

In January 2019, the Special Committee engaged SunTrust Robinson Humphrey, Inc., an investment banker, to act as a financial advisor to the Special Committee and, subsequently, the Company committed to a plan to sell its MOB property, Mid America Surgery.  

In March 2019, the Company entered into a Sale Agreement witha subsidiary of HCP, Inc. (NYSE: HCP) related to the MOB Sale for a gross sales price of $15.4 million, subject to certain pro-rations and other adjustments as described in the Sale Agreement.  There can be no assurance that the closing conditions will be satisfied or that the MOB Sale will be consummated.  Approximately $0.3 million has been placed by the buyer in escrow and an additional $0.3 million is due from the buyer on or before the end of the inspection period on April 5, 2019, at which point a total deposit of $0.6 million will be non-refundable, except for a seller breach or default under the Sale Agreement, and will be applied to the purchase price at closing.  The anticipated net sales proceeds are expected to exceed the net carrying value of the property comprising the MOB Sale.

In March 2019, the Company’s advisory agreement, dated as of March 2, 2016, was amended and restated to eliminate acquisition fees and dispositions fees as well as to reduce the AUM Fee to 0.40 percent per annum of average invested assets.  The reduced AUM Fee is further subject and subordinate to an agreed upon hurdle relating to the total operating expenses (as described in the amended and restated advisory agreement) of the Company, though to the extent any portion of the AUM Fee is not paid as a result of total operating expenses exceeding the prescribed limits, it may be recovered by the Advisor if certain Company performance thresholds are subsequently met.  The Company’s board of directors approved renewing the amended and restated advisory agreement through March 2020.

In connection with the Company’s strategic alternatives discussed in Note 1. “Organization,” in March 2019, the Company’s board of directors suspended monthly cash distributions to stockholders effective April 1, 2019. In addition, the Company’s board of directors and the Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019.

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CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

AS OF DECEMBER 31, 2018 (in thousands)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired	Life on which depreciation in latest income statement is computed
Summer Vista    Assisted Living
Pensacola, FL	$	13,900	$	2,269	$	17,612	$	33	$	—	$	—	$	2,302	$	17,612	$	—	$	19,914	$	(862	)	2016	3/31/2017		(1)
Mid America    Surgery Institute
Overland Park,    KS ("Kansas City")		5,600		381		10,497		—		—		—		381		10,497		—		10,878		(295	)	2007	12/27/2017		(1)
The Crossings    at Riverview
Riverview, FL    ("Tampa")		5,000		1,763		21,088		11		—		—		1,774		21,088		—		22,862		(192	)	2015	8/31/2018		(1)
	$	24,500	$	4,413	$	49,197	$	44	$	—	$	—	$	4,457	$	49,197	$	—	$	53,654	$	(1,349	)

Transactions in real estate and accumulated depreciation as of December 31, 2018 are as follows:

Balance December 31, 2016	$	—	Balance December 31, 2016	$	—
2017 Acquisitions		30,759	2017 Depreciation		(369	)
2017 Improvements		33	Balance December 31, 2017	$	(369	)
Balance December 31, 2017	$	30,792	2018 Depreciation		(980	)
2018 Acquisitions		22,851	Balance December 31, 2018	$	(1,349	)
2018 Improvements		11
Balance December 31, 2018	$	53,654

FOOTNOTES:

(1) Buildings and building improvements are depreciated over 39 and 15 years, respectively.

(2) The aggregate cost for federal income tax purposes is approximately $59.5 million.

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Item 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

There were no changes in or disagreements with our independent registered certified public accountants during the period ended December 31, 2018.

Item 9A. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management, including our principal executive officer and principal financial officer, evaluated the effectiveness of our disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation, our management, including our principal executive officer and principal financial officer, concluded that our disclosure controls and procedures are effective at the reasonable assurance level as of the end of the period covered by this report to provide reasonable assurance that information required to be disclosed by us in the reports we filed under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the relevant SEC rules and forms.

Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by us in the reports we file and submit under the Exchange Act is accumulated and communicated to our management, including our principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

Management’s Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Rule 13a-15(f) or 15d-15(f) promulgated under the Exchange Act.

In connection with the preparation of our Form 10-K, our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2018. In making that assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”) in Internal Control-Integrated Framework (2013).

Based on its assessment, our management believes that, as of December 31, 2018, our internal control over financial reporting was effective based on those criteria. There have been no changes in our internal control over financial reporting that occurred during the quarter ended December 31, 2018 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Item 9B. OTHER INFORMATION

None.

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PART III

Item 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

Directors and Executive Officers

Our directors and executive officers as of March 20, 2019 were as follows:

Name	Age	Position
Stephen H. Mauldin	50	Director, Chairman of the Board, President and Chief Executive Officer
Douglas N. Benham	62	Independent Director and Audit Committee Financial Expert
Dianna F. Morgan	67	Independent Director
Ixchell C. Duarte	52	Chief Financial Officer, Senior Vice President and Treasurer (Principal Financial Officer)
John F. Starr	44	Chief Operating Officer and Senior Vice President
Tracey B. Bracco	39	General Counsel, Vice President and Secretary
L. Burke Rainey	36	Chief Accounting Officer and Vice President
		(Principal Accounting Officer)

Stephen H. Mauldin, Director, Chairman of the Board, Chief Executive Officer and President. Mr. Mauldin has served as chairman of the board of directors since January 2018 and as director since November 2015. He served as vice chairman from November 2015 to December 2017.  He has served as our chief executive officer and president since our inception on July 10, 2015. He has served as president of our advisor since July 2015 and has served as chief executive officer since January 2018.  Mr. Mauldin also served as chief operating officer of our advisor from July 2015 to July 2018.  Mr. Mauldin has served as director and vice chairman of CNL Healthcare Properties, Inc., a public, non-traded REIT, since June 2016.  Mr. Mauldin has also served as president of CNL Healthcare Properties, Inc. since September 2011 and chief executive officer since April 2012.  Mr. Mauldin served as chief operating officer of CNL Healthcare Properties, Inc. (September 2011 to April 2012) and its advisor (September 2011 to July 2018).  Mr. Mauldin has served as president of its advisor since September 2011 and as chief executive officer since January 2018. He also served as president from September 2011, chief executive officer since April 2012 and chief operating officer (September 2011 to April 2012) of CNL Lifestyle Properties, Inc., a public‑non‑traded REIT, until its dissolution on December 29, 2017.  Mr. Mauldin served as president and chief operating officer of CNL Lifestyle Advisor Corporation its advisor, from September 2011 to December 31, 2017. Mr. Mauldin also served as president of CNL Growth Properties, Inc., a public, non-traded REIT, from March 2016 and as chief executive officer from August 2016 until its dissolution on October 31, 2017.

Prior to joining the Company, Mr. Mauldin served as a consultant to Crosland, LLC, a privately held real estate development and asset management company headquartered in Charlotte, North Carolina, from March 2011 through August 2011. He previously served as Crosland’s chief executive officer, president and a member of their board of directors from July 2010 until March 2011. Mr. Mauldin originally joined Crosland, LLC in August 2006 and served as its chief financial officer from July 2009 to July 2010 and as president of Crosland’s mixed‑use and multi‑used development division prior to his appointment as chief financial officer. Prior to joining Crosland, LLC, from 1998 to August 2006, Mr. Mauldin was a co‑founder and served as a partner of Crutchfield Capital, LLC, a privately held investment and operating company with a focus on small and medium‑sized companies in the southeastern United States. From 1996 to 1998, Mr. Mauldin held various positions in the capital markets group and the office of the chairman of Security Capital Group, Inc., which prior to its sale in 2002, owned controlling interests in 18 public and private real estate operating companies (eight of which were NYSE‑listed) with a total market capitalization of over $26 billion.  Mr. Mauldin graduated with a B.S. in finance from the University of Tampa and received an M.B.A. with majors in real estate, finance, managerial economics and accounting/information systems from the J.L. Kellogg Graduate School of Management at Northwestern University.

As a result of these professional and other experiences, Mr. Mauldin possesses particular knowledge of real estate investment, including acquisition, development, financing, operation, and disposition, which strengthens the board of directors’ collective knowledge, capabilities and experience.

Douglas N. Benham, Independent Director.  Mr. Benham has served as one of our independent directors since January 2016.  Mr. Benham has served as the audit committee chairman and audit committee financial expert of the Company since September 2018.  Mr. Benham previously served as an independent director of Global Income Trust, Inc., a public, non-traded REIT, from November 2009 until its dissolution in December 2015.  Since April 2006, Mr. Benham has been the president and

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chief executive officer of DNB Advisors, LLC, a restaurant industry consulting firm.  From January 2004 until April 2006, Mr. Benham served as president and chief executive officer of Arby’s Restaurant Group, a quick service restaurant company and subsidiary of Triarc Company (NYSE: TRY).  From August 2003 until January 2004, Mr. Benham was president and chief executive officer of DNB Advisors, LLC.  From January 1989 until August 2003, Mr. Benham served as chief financial officer, and from 1997 until 2003 also served as a member of the board of directors of RTM Restaurant Group, Inc., an Arby’s franchisee, that was later acquired by Triarc Company in July 2005.  Prior to January 1989, Mr. Benham held various positions including at Deloitte & Touche, Bell Atlantic Corp., and Cox Enterprises.  Mr. Benham served as a director of the restaurant operator O’Charley’s Inc. (NASDAQ:CHUX) from March 2008 to May 2012 and as a director of drive-thru restaurant chain operator Sonic Corp. (NASDAQ:SONC) from August 2009 to January 2014.  In January 2012, he joined the board of directors of the restaurant chain operator Quiznos’.  Mr. Benham served on the board of directors of American Residential Properties, Inc. (NASDAQ:ARPI), a fully integrated and internally managed real estate investment company which acquires, renovates, leases and manages single-family properties in select communities in the Southwestern and Southeastern U.S. from May 2012 until it merged with America Homes 4 Rent (NASDAQ:AMH), in February 2016.  In March 2016 Mr. Benham joined the board of directors of America Homes 4 Rent.   Mr. Benham served on the board of directors of Bob Evans Farms, Inc. (NASDAQ:BOBE), a restaurant chain operator and food manufacturer, since October 2014 and became executive chairman in August 2015.  The company was acquired January 2018.  Mr. Benham earned a B.A. in accounting from the University of West Florida in 1978.

As a result of these professional and other experiences, Mr. Benham possesses particular knowledge of financial accounting and business and restaurant management, which strengthens the board of directors’ collective knowledge, capabilities and experience.

Dianna F. Morgan, Independent Director.  Ms. Morgan has served as one of our independent directors since January 2016.   Ms. Morgan enjoyed a long career with the Walt Disney World Company (“Disney”) from 1971 to 2001, most recently serving as senior vice president of public affairs and human resources. She also led the development of The Disney Institute as Disney brought best practices in customer service, people management and leadership development to the marketplace.  Ms. Morgan served as a director of Children’s Miracle Network Hospitals from March 1999 to March 2013, and she served as chairman from 2011 to 2012.  Ms. Morgan was appointed to the University of Florida Board of Trustees in 2001 by then-Governor Jeb Bush and she served as chairman from 2007 to 2009.  Ms. Morgan has served as a director of Orlando Health since March 2001 during which time she served as chairman from March 2013 to March 2015.  Ms. Morgan serves or has served on the board of directors of the following: CNL Bancshares, Inc., a bank holding company (April 2008 to December 2015); Chesapeake Utilities Corp. (“CPK”) (September 2008 to present); Hersha Hospitality Trust (“HT”) (April 2010 to present); Marriott Vacations Worldwide (“VAC”) (April 2013 to present) and CNL Hotels & Resorts, Inc., a public, non-traded REIT (July 2004 to April 2007).  Ms. Morgan received her B.A. in organizational communications from Rollins College where she was named its 2000 Alumna of the Year. 

As a result of these professional and other experiences, Ms. Morgan possesses particular knowledge of, among other things, business management and the healthcare and regulatory industry, which strengthens the board of directors’ collective knowledge, capabilities and experience.

Ixchell C. Duarte, Chief Financial Officer, Senior Vice President and Treasurer.  Ms. Duarte has served as our chief financial officer and treasurer since February 2018 and as senior vice president since January 2016.   Ms. Duarte served as chief accounting officer from January 2016 to June 2017. Ms. Duarte has served as senior vice president and chief accounting officer of our advisor since its inception on July 9, 2015.  Ms. Duarte has served as chief financial officer and treasurer of CNL Healthcare Properties, Inc., a public, non-traded REIT, since February 2018 and as a senior vice president since March 2012.  Ms. Duarte also served as chief accounting officer from March 2012 until June 2017, and was previously a vice president from February 2012 to March 2012.  She also has served as senior vice president and chief accounting officer of CNL Healthcare Corp., the advisor to CNL Healthcare Properties, Inc., since November 2013.  Ms. Duarte served as senior vice president and chief accounting officer of CNL Lifestyle Properties, Inc., a public, non-traded REIT from March 2012 until its dissolution in December, 2017.  Ms. Duarte served as senior vice president and chief accounting officer of its advisor from November 2013 to December 2017.  Ms. Duarte served as senior vice president and chief accounting officer of CNL Growth Properties, Inc., a public non-traded REIT from June 2012 until its dissolution in October 2017.  Ms. Duarte served as senior vice president of its advisor from November 2013 to December 2017.  She also served as senior vice president and chief accounting officer of Global Income Trust, Inc., a public non-traded REIT, from June 2012 until its dissolution in December 2015, and served as a senior vice president of its advisor from November 2013 to December 2016.  Prior to rejoining CNL affiliates in January 2012, Ms. Duarte served as controller at GE Capital, Franchise Finance from February 2007 through January 2012.  Ms. Duarte served as senior vice president and chief accounting officer of Trustreet Properties, Inc., a publicly traded REIT, from February 2005 until the sale of Trustreet to GE Capital in February 2007.  Ms. Duarte served as vice president and controller of CNL

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Restaurant Properties, Inc. from November 1999 through February 2005 and held various positions with CNL affiliates from September 1995 to February 2005, including director of accounting, controller, chief financial officer, secretary and treasurer. Prior to joining CNL’s affiliates, Ms. Duarte worked in the New York City audit practice of KPMG, LLP from September 1988 through August 1990 and for the Orlando, FL audit practice of Coopers & Lybrand from September 1990 through September 1995.  She received a B.S. in accounting from the Wharton School of the University of Pennsylvania in 1988 and is a certified public accountant and a chartered global management accountant.

John F. Starr.  Chief Operating Officer and Senior Vice President.Mr. Starr has served as the Company’s chief operating officer since February 2018 and as senior vice president since January 2016. Mr. Starr has served as senior vice president of our advisor since its inception on July 9, 2015, and as chief operating officer since July 2018. Mr. Starr has served as chief operating officer of CNL Healthcare Properties, Inc., a public, non-traded REIT, since February 2018 and as senior vice president since January 2016.  He has served as senior vice president of CNL Healthcare Corp., the advisor to CNL Healthcare Properties, Inc. since March 2013, and as chief operating officer since July 2018. Mr. Starr served as senior vice president of CNL Lifestyle Properties, Inc., from March 2013 until its dissolution in December 2017.  Mr. Starr served as chief portfolio management officer of CNL Growth Properties, Inc., a public, non-traded REIT from December 2012 until its dissolution in October 2017.    Since 2002, Mr. Starr has held various positions with multiple CNL affiliates.  Mr. Starr served as chief portfolio management officer of Global Income Trust, Inc. from December 2012 until its dissolution in December 2015.  Mr. Starr has served as group chief operating officer at CNL Financial Group Investment Management, LLC since February 2018, and served as chief portfolio management officer (January 2013 to November 2015) and chief portfolio officer (November 2015 to February 2018) responsible for developing and implementing strategies to maximize the financial performance of CNL’s real estate portfolios.  He also served as a senior vice president of CNL Private Equity Corp. from December 2010 until his appointment as the chief portfolio management officer.  Between June 2009 and December 2010, he served as CNL Private Equity Corp.’s senior vice president of asset management, responsible for the oversight and day-to-day management of all real estate assets from origination to disposition.  At CNL Management Corp., Mr. Starr served as senior vice president of asset management, from June 2007 to December 2010.  Between January 2004 and February 2005, Mr. Starr served as vice president of real estate portfolio management at Trustreet, and from February 2005 to February 2007, he served as Trustreet’s vice president of special servicing, and as president of a Trustreet affiliate, where he was responsible for the resolution and value optimization of distressed leases and loans.  From February 2007 to May 2007, following the sale of Trustreet to GE Capital, he served as GE Capital, Franchise Finance’s vice president of special servicing, before rejoining CNL affiliates in June 2007.  Between May 2002 and January 2004, Mr. Starr was assistant vice president of special servicing at CNL Restaurant Properties, Inc.  Prior to joining CNL’s affiliates, Mr. Starr served in various positions in the credit products management group at Wachovia Bank, Orlando, Florida, from December 1997 to May 2002.  Mr. Starr received a B.S. in business and an M.B.A. from the University of Florida in 1997 and 2007, respectively.

Tracey B. Bracco, General Counsel, Vice President and Secretary.  Ms. Bracco has served as our general counsel and secretary since August 23, 2016 and as our vice president since January 2016. Ms. Bracco has served as vice president of our advisor since its inception on July 9, 2015 and has served as secretary of our advisor since March 16, 2018.  Ms. Bracco previously served as our assistant general counsel and assistant secretary from January 2016 until August 2016.  Ms. Bracco has served as group general counsel, fund management of CNL Financial Group Investment Management, LLC since May 2018 and previously served as deputy general counsel, real estate (March 2016 to May 2018) and previously served as assistant general counsel (April 2013 to March 2016), where she oversees the non-traded real estate investment trusts, as well as supervising the acquisition and asset management functions relating to fund management for CNL.  Ms. Bracco has served as general counsel, senior vice president and Secretary of CNL Healthcare Properties, Inc., a public-non-traded REIT since March 2018.  She previously served as assistant general counsel and assistant secretary from June 2014 to March 2018 and as vice president from March 2013 to March 2018. Ms. Bracco has also served as vice president of CNL Healthcare Corp., the advisor to CNL Healthcare Properties, Inc., since November 2013. Ms. Bracco serves as general counsel of CNL Strategic Capital, LLC, a public, non-traded operating company formed to acquire debt and equity of private U.S. businesses. Ms. Bracco served as assistant general counsel and assistant secretary of CNL Lifestyle Properties, Inc., a public, non-traded REIT, from June 2014 and as vice president from March 2013 until its dissolution on December 29, 2017.  Ms. Bracco has also served as vice president of its advisor, CNL Lifestyle Advisor Corporation, from November 2013 to December 31, 2017.  Prior to joining CNL Lifestyle Properties, Inc., Ms. Bracco spent six years in private legal practice, primarily at the law firm of Lowndes, Drosdick, Doster, Kantor & Reed, P.A., in Orlando, Florida.  Ms. Bracco is licensed to practice law in Florida and is a member of the Florida Bar Association and the Association of Corporate Counsel.  She received a B.S. in Journalism from the University of Florida and her J.D. from Boston University School of Law.

L. Burke Rainey.Chief Accounting Officer and Vice President. Mr. Rainey has served as the Company’s chief accounting officer and vice president since June 2017.  He previously served as our controller from the Company’s inception to June 2017.  Mr. Rainey has also served as chief accounting officer and vice president of CNL Healthcare Properties, Inc., a public, non-traded REIT, since June 2017, and previously served as controller from April 2014 to June 2017 and as director of accounting and financial reporting from November 2012 to March 2014.  During this time, Mr. Rainey also served in comparable positions

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at CNL Global Income Trust, Inc., a public, non-traded REIT, from November 2012 through the completion of its exit strategy and dissolution in December 2015.  Prior to joining the Company, Mr. Rainey worked in the assurance practice of Ernst & Young LLP’s Miami office; most recently serving as an audit manager on several multinational clients.  He is a licensed certified public accountant in the State of Florida and a chartered global management accountant.  Mr. Rainey is a member of the American Institute of Certified Public Accountants and the Florida Institute of Certificate Public Accountants.  Mr. Rainey received a B.B.A with a major in accountancy and an M.S.A with a concentration in financial reporting and assurance services from the Mendoza College of Business at the University of Notre Dame.

Audit Committee

The Company has a standing Audit Committee, the members of which are selected by the Board each year. The current membership of the Audit Committee and other descriptive information is summarized below.

Independent Directors	Position
Douglas N. Benham
Dianna F. Morgan	M
# of 2018 Meetings	4

Committee Chair, Audit Committee Financial Expert, M Committee Member

The Audit Committee operates under a written charter adopted by the Board, which can be found in the Corporate Governance section of the Investor Resources page of our website, CNLHealthcarePropertiesII.com.

The Audit Committee assists the Board by providing oversight responsibilities relating to the following:

• The integrity of financial reporting;

• The independence, qualifications and performance of our independent auditors;

• Our systems of internal controls;

• The performance of our internal audit function; and

• Compliance with management’s audit, accounting and financial reporting policies and procedures.

In addition, the Audit Committee engages and is responsible for the compensation and oversight of the Company’s independent auditors and internal auditors. In performing these functions, the Audit Committee meets periodically with the independent auditors, management and internal auditors (including private sessions) to review the results of their work.

The Board has determined that each member of the Audit Committee is independent under our Charter, the Exchange Act and the listing standards of the NYSE, as currently in effect. In addition, the Audit Committee determined that Mr. Benham is an “audit committee financial expert” under the rules and regulations of the Commission for purposes of Section 407 of the Sarbanes-Oxley Act of 2002.

Other Board Committees

In September 2017, the Board initiated a process to estimate the Company’s net asset value per share and created a new committee, comprised solely of Independent Directors, charged with oversight of the Company’s valuation process (the “Valuation Committee”).  

In August 2018, the Board appointed a special committee comprised solely of independent directors (the “Special Committee”) to review and evaluate the possible strategic alternatives and to act as independent and disinterested directors for purposes of Maryland law with respect to the review of possible strategic alternatives and all matters pertaining thereto.

Currently, the Company does not have a nominating committee or a compensation committee. The Board is of the view that it is not necessary to have a nominating committee at this time because the Board is composed of only four members, a majority of whom are “independent” (as defined under our Charter, the Exchange Act and the listing standards of the NYSE, as currently in effect). The Board does not have a compensation committee because the Company is externally advised and does not have any employees. We do not separately compensate our executive officers for their services as officers. At such time, if any, as the Company’s shares of common stock are listed on a national securities exchange such as the NYSE or the NASDAQ

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Stock Market, or the Company has employees to whom it directly provides compensation, the Board will form a compensation committee, the members of which will be selected by the full Board annually.

Committee Charters and Other Corporate Governance Documents

The Board has adopted corporate governance policies and procedures that the Board believes are in the best interest of the Company and its stockholders as well as compliant with the Sarbanes-Oxley Act of 2002 and the rules and regulations of the SEC, more particularly:

• A majority of the Board and all of the members of the Audit Committee are independent, as discussed above under “Board Structure and Director Independence.”

• The Board has adopted a charter for the Audit Committee; and one member of the Audit Committee is an “audit committee financial expert” as defined in the Commission rules.

• The Audit Committee hires, determines compensation of, and decides the scope of services performed by the Company’s independent auditors.

• The Company has adopted a Code of Business Conduct that applies to all directors, managers, officers and employees of the Company, as well as all directors, managers, officers and employees of our Advisor. The Code of Business Conduct sets forth the basic principles to guide their day-to-day activities.  

• The Company has adopted a Whistleblower Policy that applies to the Company and all employees of the Advisor, and establishes procedures for the anonymous submission of employee complaints or concerns regarding financial statement disclosures, accounting, internal accounting controls or auditing matters.

The Audit Committee Charter, and the Whistleblower Policy and the Code of Business Conduct are available in the Corporate Governance section of the Investor Resources page of our website, CNLHealthcarePropertiesII.com, and will be sent to any stockholder who requests them from CNL Client Services, 450 South Orange Avenue, Orlando, Florida 32801, (866) 650-0650.

Section 16(a) Beneficial Ownership Reporting Compliance

Our executive officers and directors are required under Section 16(a) of the Securities Exchange Act of 1934 (the “Exchange Act”) to file with the Commission reports regarding their ownership and changes in their ownership of the Company’s securities. Copies of those reports must also be furnished to us. Based solely on a review of the copies of reports furnished to us with respect to 2018 and written representations that no other reports were required, we believe that our executive officers and directors have complied in a timely manner with all applicable Section 16(a) filing requirements.

Item 11. EXECUTIVE COMPENSATION

Board of Directors Report on Compensation

The following report of the Board should not be deemed “filed” with the Commission or incorporated by reference into any other filing the Company makes under the Securities Act or the Exchange Act except to the extent the Company specifically incorporates this report by reference therein.

The Board reviewed and discussed with management the Compensation Discussion and Analysis set forth below (“CD&A”).  Based on the Board’s review of the CD&A and the Board’s discussions of the CD&A with management, the Board approved including the CD&A in this Annual Report on Form 10-K for filing with the SEC.

The Board of Directors

Stephen H. Mauldin

Douglas N. Benham

Dianna F. Morgan

Compensation Discussion and Analysis

The Company has no employees and all of its executive officers are officers of the Advisor and/or one or more of the Advisor’s affiliates and are compensated by those entities, in part, for their service rendered to the Company. The Company does not separately compensate its executive officers for their service as officers. The Company did not pay any annual salary or bonus or long-term compensation to its executive officers for services rendered in all capacities to the Company during the year

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ended December 31, 2018. See “Certain Relationships and Related Transactions” for a description of the fees paid and expenses reimbursed to the Advisor and its affiliates.

If the Company determines to compensate named executive officers in the future, the board of directors will review all forms of compensation and approve all stock option grants, warrants, stock appreciation rights and other current or deferred compensation payable with respect to the current or future value of the Company’s shares.

Compensation of Directors

One of our directors, Mr. Mauldin, is employed by and receives compensation from affiliates of our Advisor.  We do not separately compensate him for his services as a director to the Company.  Below is information regarding the compensation program in effect during 2018 for our independent directors:

Annual Board Retainer	$25,000
Annual Audit Committee Retainer	$10,000 - Audit Committee Chair
Annual Special Committee Retainer	$15,000 – Special Committee Chair $10,000 – Member of Special Committee
Board and Committee Meeting Attendance Fees	$2,000 for each Board and Committee Meeting attended
Other Fees	$2,000 per day for other meetings and Company related business outside of normally scheduled Board meetings, however, no compensation is paid for attending Annual Meetings of Stockholders.

In addition to the above annual retainers and fees, we pay for or reimburse our independent directors for their meeting-related expenses. The purpose of our independent director compensation program is to allow us to continue to attract and retain qualified Board members and recognize the significant commitment required of our directors.

The following table gives information regarding the compensation we provided to our directors in 2018.

Director Compensation - 2018 Fiscal Year Name	Fees Earned or Paid in Cash (1)		Total Compensation
Stephen H. Mauldin (Chairman)	$	—	$	—
Douglas N. Benham		68,500		68,500
J. Chandler Martin (2)		44,250		44,250
Dianna F. Morgan		61,000		61,000

FOOTNOTES:

⁽¹⁾ All amounts paid in 2018 were earned in 2018.

⁽²⁾ Mr. Chan Martin resigned from his position on the Board and all committees thereof, effective September 30, 2018

Item 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

The following table sets forth information regarding the shares of the Company’s common stock beneficially owned by each director and nominee, by each executive officer and by all executive officers and directors as a group, based upon information furnished by such stockholders, directors and officers. Unless otherwise noted below, such persons have sole investment and voting power over the shares. The address of the named officers and directors is CNL Center at City Commons, 450 South Orange Avenue, Orlando, Florida 32801.

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The number of shares of our common stock beneficially owned by any director or executive officer did not exceed 1% of the total shares outstanding at March 20, 2019.  

Name	Number of Shares		% of Shares
James M. Seneff, Jr. (1)		235,586		4.8	%
Stephen H. Mauldin		2,678		0.1	%
Douglas N. Benham	─		─
Dianna F. Morgan	─		─
Ixchell C. Duarte	─		─
John F. Starr		6,791		0.1	%
Tracey B. Bracco	─		─
L. Burke Rainey	─		─
All directors and executive offers as a group (7 persons)		245,065		5.0	%

FOOTNOTE:

⁽¹⁾ Represents shares held of record by our Advisor, CHP II Advisors, LLC.  While not an executive officer or director of the Company, Mr. Seneff controls the Company’s Advisor and other affiliates and therefore has been included in the above table.

Five Percent Stockholders

There are no persons who are known to us to be the beneficial owners of more than 5% of our outstanding common stock as of December 31, 2018 or March 20, 2019.

Item 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

The Company is externally advised by the Advisor and has no direct employees. In addition, certain directors and officers hold similar positions with the Dealer Manager, our Advisor or their affiliates.  In connection with services provided to the Company, affiliates are entitled to certain fees as described in Note 9 “Related Party Arrangements” in Item 8 “Financial Statements and Supplementary Data.”

During 2018, the Company’s Total Operating Expenses incurred represented approximately 2.4% of Average Invested Assets, as each term is defined in the Company’s Charter.  During 2018, the Company’s Total Operating Expenses incurred represented approximately 184.8% of Net Income, as each item is defined in the Company’s Charter.

Policies Regarding Transactions with Certain Affiliates

Item 404 of the Commission’s Regulation S-K requires disclosure by the Company of any transaction between the Company and any related persons the amount of which exceeds $120,000 in which any related person had or will have a direct or indirect material interest. Related parties include any executive officers, directors, director nominees, beneficial owners of more than 5% of the Company’s voting securities, immediate family members of any of the foregoing persons, and any firm, corporation or other entity in which any of the foregoing persons is employed and in which such person has 10% or greater beneficial ownership interest.

In order to reduce or eliminate certain potential conflicts of interest, the Charter contains restrictions and/or the Board has adopted written procedures, relating to (i) transactions between the Company and its Advisor or its affiliates and (ii) allocation of properties and loans among certain affiliated entities. These restrictions include the following:

Advisor Compensation. The Independent Directors will evaluate at least annually whether the compensation that we contract to pay to our Advisor and its affiliates is reasonable in relation to the nature and quality of services performed and whether such compensation is within the limits prescribed by the Charter. The Independent Directors will supervise the performance of our Advisor and its affiliates and the compensation we pay to them to determine whether the provisions of our compensation arrangements are being carried out.

Our Acquisitions. The Company will not purchase or lease properties in which the Sponsor, the Advisor, any of our directors or any of their affiliates has an interest without the determination by a majority of the directors (including a majority of the Independent Directors) not otherwise interested in such transaction that such transaction is fair and reasonable to the Company and at a price no greater than the cost of the asset to the affiliated seller or lessor, unless there is substantial justification for the

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excess amount and such excess amount is reasonable. In no event may the Company acquire any such real property at an amount in excess of its current appraised value.

Our Charter provides that the consideration we pay for real property will ordinarily be based on the fair market value of the property as determined by a majority of the members of the Board, or the approval of a majority of the members of a committee of the Board, provided that the members of the committee approving the transaction would also constitute a majority of the Board. In cases in which a majority of our Independent Directors so determine, and in all cases in which real property is acquired from our Advisor, our Sponsor, any of our directors or any of their affiliates, the fair market value shall be determined by an independent expert selected by our Independent Directors and having no material current or prior business or personal relationship with our Advisor or any of our directors.

Mortgage Loans Involving Affiliates. Our Charter prohibits us from investing in or making mortgage loans in which the transaction is with the Sponsor, the Advisor, any of our directors or any of their affiliates, unless an independent expert appraises the underlying property. We must keep the appraisal for at least five years and make it available for inspection and duplication by any of our stockholders. In addition, a mortgagee’s or owner’s title insurance policy or commitment as to the priority of the mortgage or the condition of the title must be obtained. Our Charter prohibits us from making or investing in any mortgage loans that are subordinate to any mortgage or equity interest of our Advisor, our Sponsor, any of our directors or any of their affiliates.

Other Transactions Involving Affiliates. A majority of the Board, including a majority of the Independent Directors, not otherwise interested in the transactions must conclude that all other transactions, including joint ventures, between us and our Advisor, our Sponsor, any of our directors or any of their affiliates, are fair and reasonable to us and are either on terms and conditions not less favorable to us than those available from unaffiliated third parties or, in the case of joint ventures, on substantially the same terms and conditions as those received by the other joint venturers.

Limitation on Operating Expenses. On the earlier of four full fiscal quarters after (i) we make our first investment or (ii) six months after the date on which we commenced this public offering, our Advisor must reimburse us the amount by which our aggregate total operating expenses (as defined in the Advisory Agreement) for the four fiscal quarters then ended exceed the greater of 2% of our average invested assets (as defined in the Advisory Agreement) or 25% of our net income, unless the Independent Directors have determined that such excess expenses were justified based on unusual and non-recurring factors.

Issuance of Options and Warrants to Certain Affiliates. We will not issue options or warrants to purchase our common stock to our Advisor, any of our directors, our Sponsor or any of their affiliates, except on the same terms as such options or warrants are sold to the general public. We may issue options or warrants to persons other than our Advisor, our directors, our Sponsor and any of their affiliates prior to listing our common stock on a national securities exchange, but not at exercise prices less than the fair market value of the underlying securities on the date of grant and not for consideration (which may include services) that in the judgment of the Independent Directors has a market value less than the value of such option or warrant on the date of grant. Any options or warrants we issue to our Advisor, any of our directors, our Sponsor or any of their affiliates shall not exceed an amount equal to 10% of the outstanding shares of our common stock on the date of grant.

Repurchase of Our Shares. Our Charter provides that we may not voluntarily repurchase shares of our common stock if such repurchase would impair our capital or operations. In addition, our Charter prohibits us from paying a fee to our Advisor, our Sponsor, any of our directors or any of their affiliates in connection with our repurchase of our common stock.

Loans. We will not make any loans to our Advisor, our Sponsor, any of our directors or any of their affiliates. In addition, we will not borrow from these affiliates unless a majority of the Board, including a majority of the Independent Directors, not otherwise interested in the transaction approves the transaction as being fair, competitive and commercially reasonable and no less favorable to us than comparable loans between unaffiliated parties. These restrictions on loans will only apply to advances of cash that are commonly viewed as loans, as determined by the Board.

Voting of Shares Owned by Affiliates. Our Advisor, any of our directors and any affiliates thereof cannot vote their shares of common stock regarding (i) the removal of any of these affiliates or (ii) any transaction between them and us.

Investment Allocation Procedures. Our Sponsor or its affiliates currently and in the future may offer interests in one or more public or private programs that are permitted to purchase properties of the type to be acquired by us and/or to make or acquire loans or other investments. Subject to the provisions below as specifically applicable to CNL Healthcare Properties, Inc., the Board and our Advisor have agreed that, in the event an investment opportunity becomes available which is suitable for both us and a public or private entity with which our Advisor or its affiliates are affiliated (but not including CNL Healthcare Properties, Inc.) and for which both entities have sufficient uninvested funds, then the entity which has had the longest period of time elapse since it was offered an investment opportunity will first be offered the investment opportunity. The Board and our Advisor have agreed that for purposes of this conflict resolution procedure, an investment opportunity will be considered

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“offered” to us when an opportunity is presented to our Board for its consideration. In determining whether or not an investment opportunity is suitable for more than one program, our Sponsor and its affiliates, in collaboration with our Advisor, will examine such factors, among others, as the cash requirements of each program, the effect of the acquisition both on diversification of each program’s investments by types of properties and geographic area, and on diversification of the tenants of our properties, the anticipated cash flow of each program, the size of the investment, the amount of funds available to each program and the length of time such funds have been available for investment. If a subsequent development, such as a delay in the closing of a property or a delay in the construction of a property, causes any such investment, in the opinion of our Advisor, our Sponsor and its affiliates, to be more appropriate for an entity other than the entity which committed to make the investment, then the investment may be reallocated to the other entity. However, our Advisor has the right to agree that the other entity may make the investment.

In addition to and notwithstanding the foregoing, a particular investment opportunity may be suitable for both us and CNL Healthcare Properties, Inc. With regard to the allocation of investment opportunities between us and CNL Healthcare Properties, Inc., all potential investment opportunities that satisfy the investment criterion deemed suitable for both us and CNL Healthcare Properties, Inc. will be evaluated and administered by an investment allocation committee of an affiliate of our Sponsor. The investment allocation committee will be comprised of officers of our Advisor or its affiliates.

In the event that an investment opportunity becomes available that is suitable for both us and CNL Healthcare Properties, Inc. and for which both entities have sufficient uninvested funds, the investment opportunity will be evaluated by the investment allocation committee and presented to our Advisor and to the advisor of CNL Healthcare Properties, Inc., each of whom will be given a reasonable amount of time to evaluate and express their interest in the opportunity. If only one of either us or CNL Healthcare Properties, Inc. expresses an interest in the opportunity, the opportunity will be allocated to the interested entity, with no action by the investment allocation committee. If, however, both entities express interest in the opportunity, the investment allocation committee will consider and conclusively determine the allocation of the investment. In rendering a decision regarding the allocation of an investment opportunity, the investment allocation committee will comparatively examine such factors, among others that the investment allocation committee may deem relevant, as (i) the existing relationship between a program and the seller, expected tenant, developer, lender or other relevant counterparty for the prospective investment, (ii) the cash requirements of each program, (iii) the effect of the acquisition both on diversification of each program’s investments by types of properties and geographic area, and on diversification of the tenants of each program’s respective properties, (iv) the anticipated cash flow of each program, (v) the size of the investment in conjunction with an analysis of the absolute and relative amount of funds available to each program, (vi) any limitations or restrictions on the availability of funds for investment (in total and by property type) by each program and (vii) the length of time such funds have been available for investment. If a subsequent development, such as a delay in the closing of a property or a delay in the construction of a property, causes any such investment, in the opinion of the investment allocation committee, to be more appropriate for an entity other than the entity which committed to make the investment, then the investment may be reallocated to the other entity. However, our Advisor has the right to agree that the other entity may make the investment. Further, if an investment opportunity has been offered to either us or CNL Healthcare Properties, Inc. after consideration by the investment allocation committee, and the selected entity ultimately does not proceed with the investment opportunity, the other entity will be free to pursue the opportunity.

Allocation decisions by the investment allocation committee require participation by a majority of the members of the committee, either in person (including by telephone, video conference or other similar means), or by email or proxy, and will be determined by a majority vote. Any member of the investment allocation committee may appoint an alternate to act in his or her place, or may grant his or her proxy, as necessary. A record of all allocations made and the reasons therefore will be maintained by the investment allocation committee.

The foregoing policy regarding the allocation of investment opportunities shall apply between us and CNL Healthcare Properties, Inc. and will remain in effect until such time as either we or CNL Healthcare Properties, Inc. are no longer advised by affiliates of CNL, or otherwise in the event of a listing of our shares. It is the duty of our Board, including our Independent Directors, to ensure that these allocation policies are applied fairly to us.

Board Structure and Director Independence

Under our organizational documents, we must have at least three but not more than eleven directors. The Board has currently set the number of directors at three. A majority of these directors must be “independent.” An “Independent Director” is defined under our Second Articles of Amendment and Restatement (the “Charter”) as one who is not, and within the last two years has not been, directly or indirectly associated with the Company, the Sponsor or the Advisor by virtue of (i) owning any interest in, being employed by, having any material business or professional relationship with or serving as an officer or director of our Sponsor, Advisor or their affiliates, (ii) serving as a director of more than three REITs sponsored by our Sponsor or advised by

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our Advisor, or (iii) performing services (other than as an Independent Director) for the Company. An indirect relationship shall include circumstances in which a director’s spouse, parents, children, siblings, mothers- or fathers-in-law, sons- or daughters-in-law or brothers- or sisters-in-law is or has been associated with the Sponsor, the Advisor, any of their affiliates or the Company. A business or professional relationship is considered material if the gross revenue derived by the director from the Sponsor, the Advisor and any of their affiliates exceeds five percent of either the director’s annual gross revenue during either of the last two years or the director’s net worth on a fair market value basis. The Board annually reviews business and professional relationships of directors in order to make a determination as to the independence of each director. Only those directors whom the Board determines have no material relationship with us or our affiliates that would impair their independent judgment are considered Independent Directors. The Board has considered the independence of each director and nominee for election as a director in accordance with (i) the elements of independence set forth in our Charter, (ii) the requirements set forth in the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and applicable Commission rules, and (iii) the elements of independence in the listing standards of the NYSE, even though our shares are not listed on the NYSE. Based upon information solicited from each director, the Board has affirmatively determined that each of Messrs. Benham, Martin and Morgan has no material relationship with the Company (either directly or as a partner, stockholder or officer of an organization that has a relationship with the Company) other than as a director of the Company and each satisfies the elements of independence set forth in our Charter, the Exchange Act and in the listing standards of the NYSE, as currently in effect. There are no familial relationships between any of our directors and executive officers.

Item 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

Auditor Fees

Ernst & Young, LLP serves as the Company’s principal accounting firm and audited the Company’s consolidated financial statements for the years ended December 31, 2018 and 2017.

The following table presents fees for professional audit services rendered by Ernst & Young LLP for the audit of our financial statements for the years ended December 31, 2018 and 2017, and fees billed for other services rendered (for audit and non-audit services and all “out-of-pocket” costs incurred in connection with these services) by Ernst & Young LLP during these periods.

	Years Ended
	December 31,
	2018		2017
Audit fees	$	107,500	$	57,500
Audit-related fees		15,300		9,000
Tax fees		32,754		21,356
All other fees	―		―
Total	$	155,554	$	87,856

Audit Fees – Consists of professional services rendered in connection with the annual audit of the Company’s consolidated financial statements included in the Company’s annual report on Form 10-K and quarterly reviews of the Company’s interim financial statements included in the Company’s quarterly reports on Form 10-Q.  Audit fees also include fees for services performed by our independent auditors that are closely related to the audit and in many cases could only be provided by the Company’s independent auditors.  Such services include consents related to the Company’s registration statements, assistance with, and review of, other documents filed with the Commission and accounting advice on completed transactions.

Audit-Related Fees – Consists of services related to audits of properties acquired, due diligence services related to contemplated property acquisitions and accounting consultations.

Tax Fees – Consists of services related to corporate tax compliance, included preparation of corporate taxreturns, review of the tax treatments for certain expenses and tax due diligence relating to acquisitions.

All Other Fees – There were no professional services rendered by our independent auditors that would be classified as other fees during the years ended December 31, 2018 and 2017.

Audit Committee Pre-Approval Policy

Under the Company’s Audit Committee Charter, the Audit Committee must pre-approve all audit and non-audit services provided by the independent auditors in order to assure that the provisions of such services do not impair the auditor’s

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independence. The policy, as described below and set forth in the Audit Committee Charter sets forth conditions and procedures for such pre-approval of services to be performed by the independent auditor and utilizes both a framework of general pre-approval for certain specified services and specific pre-approval for all other services.

The annual audit services, as well as all audit-related services (assurance and related services that are reasonably related to the performance of the auditor’s review of the financial statements or that are traditionally performed by the independent auditor), requires the specific pre-approval of the Audit Committee. The Audit Committee may, however, grant general pre-approval for other audit services, which are those services that only the independent auditor reasonably can provide (such as comfort letters or consents). The Audit Committee has pre-approved all tax services and may grant general pre-approval for those permissible non-audit services that it has classified as “all other services” because it believes such services are routine and recurring services, and would not impair the independence of the auditor.

The fee amounts for all services to be provided by the independent auditor are established annually by the Audit Committee, and any proposed service fees exceeding approved levels will require specific pre-approval by the Audit Committee. Requests to provide services that require specific approval by the Audit Committee are submitted to the Audit Committee by the independent auditor, the chief financial officer and the chief executive officer, and must include a joint statement as to whether, in their view, the request is consistent with the Commission’s rules on auditor independence.

Audit Committee Report

The information contained in this report shall not be deemed to be “soliciting material” or to be “filed” with the Commission, nor shall such information be incorporated by reference into any previous or future filings under the Securities Act of 1933, as amended (the “Securities Act”), or the Exchange Act except to the extent that the Company incorporates it by specific reference.

Review and Discussions with Management. The Audit Committee has reviewed and discussed the Company’s audited financial statements for the year ended December 31, 2018 with the management of the Company. The Audit Committee also discussed with the Company’s senior management the process for certifications by the Company’s chief executive officer and chief financial officer required by the Commission and the Sarbanes-Oxley Act of 2002 for certain of the Company’s filings with the Commission.

Review and Discussions with Independent Auditors. The Audit Committee has discussed with Ernst & Young LLP, the Company’s independent registered certified public accounting firm, the matters required to be discussed by the Public Company Accounting Oversight Board Standard No. 16, “Communications with Audit Committees”, which includes, among other items, matters related to the conduct of the audit of the Company’s financial statements.  In addition, the Audit Committee has reviewed the selection, application and disclosure of the Company’s critical accounting policies.  The Audit Committee also received from Ernst & Young LLP the written disclosures and the letter required by applicable requirements of the Public Company Accounting Oversight Board regarding Ernst & Young LLP’s communications with the Audit Committee concerning independence, and discussed with Ernst & Young LLP their independence from us. In addition, the Audit Committee considered whether Ernst & Young LLP’s provision of non-audit services is compatible with Ernst & Young LLP’s independence.

Conclusion. Based on the review and discussions referred to above, the Audit Committee recommended to the Board that the Company’s audited financial statements be included in the 2018 Annual Report on Form 10-K for filing with the Commission.

The Audit Committee:

Douglas N. Benham

Dianna F. Morgan

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PART IV

Item 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULE

(a)List of Documents Filed as a Part of This Report:

(1) Index to Consolidated Financial Statements:

CNL Healthcare Properties II, Inc.

Report of Ernst & Young LLP, Independent Registered Public Accounting Firm

Consolidated Balance Sheets as of December 31, 2018 and 2017

Consolidated Statements of Operations for the years ended December 31, 2018, 2017 and 2016

Consolidated Statements of Stockholders’ Equity for the years ended December 31, 2018, 2017 and 2016

Consolidated Statements of Cash Flows for the years ended December 31, 2018, 2017 and 2016

Notes to Consolidated Financial Statements

(2) Index to Financial Statement Schedules:

Schedule III – Real Estate and Accumulated Depreciation as of December 31, 2018

Item 16. FORM 10-K SUMMARY

None.

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EXHIBIT INDEX

The following exhibits are included, or incorporated by reference in this Annual Report on Form 10-K for the year ended December 31, 2018 (and are numbered in accordance with Item 601 of Regulation S-K).

Exhibit No.	Description
3.1	Second Articles of Amendment and Restatement (Previously filed as Exhibit 3.1 to the Current Report on Form 8-K filed March 15, 2017 and incorporated herein by reference.)
3.2	Amended and Restated Bylaws (Previously filed as Exhibit 3.2 to the Quarterly Report on Form 10-Q filed May 6, 2016 and incorporated herein by reference.)
4.1	Form of Subscription Agreement (Previously included as Appendix B to the Prospectus filed with the Company’s Post-Effective Amendment No. 5 to Registration Statement on Form S-11 (File No. 333-206017), filed April 17, 2017 and incorporated herein by reference.)
4.2	Distribution Reinvestment Plan (Previously filed as Exhibit 4.2 to the Quarterly Report on Form 10-Q filed May 6, 2016 and incorporated herein by reference.)
4.3	Amended and Restated Redemption Plan (Previously filed as Exhibit 4.3 to the Current Report on Form 8-K filed April 17, 2017 and incorporated herein by reference.)
4.4	Statement regarding transfer restrictions, preferences, limitations and rights of holders of shares of common stock (to appear on stock certificate or to be sent upon request and without charge to stockholders issued shares without certificates (Previously filed as Exhibit 4.4 to the Company’s Pre-Effective Amendment No. 2 to Registration Statement on Form S-11 (File No. 333-206017), filed January 15, 2016 and incorporated herein by reference.)
10.1	Advisory Agreement (Previously filed as Exhibit 10.1 to the Company’s Quarterly Report on Form 10-Q filed May 6, 2016 and incorporated herein by reference.)
10.2	Amendment No.1 to Advisory Agreement (Previously filed as Exhibit 1.01 to the Company’s Current Report on Form 8-K filed February 13, 2017 and incorporated herein by reference.)
10.3	Amended and Restated Dealer Manager Agreement with Form of Participating Broker Agreement (Previously filed as Exhibit 1.01 to the Company’s Current Report on Form 8-K filed March 24, 2017 and incorporated herein by reference.)
10.4	Amended and Restated Expense Support and Restricted Stock Agreement (Previously filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed May 11, 2016 and incorporated herein by reference.)
10.5	First Amendment to Amended and Restated Expense Support and Restricted Stock Agreement (Previously filed as Exhibit 1.02 to the Company’s Current Report on Form 8-K filed February 13, 2017 and incorporated herein by reference.)
10.6	Second Amendment to Amended and Restated Expense Support and Restricted Stock Agreement (Previously filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed April 4, 2017 and incorporated herein by reference.)
10.7	Asset Purchase Agreement between Summer Vista Assisted Living, LLC, Hardcourt Development No.2, LLC and CHP II Partners, LP, dated February 16, 2017 (Previously filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed February 22, 2017 and incorporated herein by reference.)
10.8	First Amendment to Asset Purchase Agreement dated March 30, 2017, by and between Summer Vista Assisted Living, LLC, Hardcourt Development No.2., and CHP II Summer Vista FL Owner, LLC (Previously filed as Exhibit 10.2 to the Company’s Current Report on Form 8-K filed April 4, 2017 and incorporated herein by reference.)

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10.9	Management Services Agreement dated March 31, 2017, by and between SRI Management, LLC and CHP II Summer Vista FL Tenant, LLC (Previously filed as Exhibit 10.3 to the Company’s Current Report on Form 8-K filed April 4, 2017 and incorporated herein by reference.)
10.10	Loan Agreement dated March 31, 2017, by and between CHP II Summer Vista FL Owner, LLC and Synovus Bank (Previously filed as Exhibit 10.4 to the Company’s Current Report on Form 8-K filed April 4, 2017and incorporated herein by reference.)
10.11	Promissory Note dated March 31, 2017, by and between CHP II Summer Vista, FL Owner, LLC and Synovus Bank (Previously filed as Exhibit 10.5 to the Company’s Current Report on Form 8-K filed April 4, 2017and incorporated herein by reference.)
10.12	Assignment and Assumption of Asset Purchase Agreement dated March 30, 2017, by and between CHP II Partners, LP and CHP II Summer Vista FL Owner, LLC (Previously filed as Exhibit 10.6 to the Company’s Current Report on Form 8-K filed April 4, 2017 and incorporated herein by reference.)
10.13	Asset Purchase Agreement between Mid America Surgery Institute Properties II, LLC, and CHP II Partners, LP, dated October 2, 2017 (Previously filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed October 3, 2017 and incorporated herein by reference.)
10.14	Credit Agreement dated December 15, 2017, by and between CHP II Overland Park KS MOB Owner, LLC and Synovus Bank (Previously filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed January 2, 2018 and incorporated herein by reference.)
10.15	Promissory Note dated December 15, 2017, by and between CHP II Overland Park KS MOB Owner, LLC and Synovus Bank (Previously filed as Exhibit 10.2 to the Company’s Current Report on Form 8-K filed January 2, 2018 and incorporated herein by reference.)
10.16	Leasehold Mortgage / Mortgage and Security Agreement dated December 15, 2017, by and between CHP II Overland Park KS MOB Owner, LLC and Synovus Bank (Previously filed as Exhibit 10.3 to the Company’s Current Report on Form 8-K filed January 2, 2018 and incorporated herein by reference.)
10.17	Asset Purchase Agreement between The Crossings At Riverview, LLC, SSL Riverview, LLC and CHP II Partners, LP, dated July 3, 2018 (Previously filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on July 5, 2018 and incorporated herein by reference.)
10.18	Loan Agreement among CHP II Riverview FL Owner, LLC, CHP II Riverview FL Tenant, LLC, and Florida Community Bank, N.A., dated August 31, 2018 (Previously filed as Exhibit 10.2 to the Company’s Quarterly Report on Form 10-Q filed on November 8, 2018 and incorporated herein by reference.)
10.19	Promissory Note among CHP II Riverview FL Owner, LLC, CHP II Riverview FL Tenant, LLC, and Florida Community Bank, N.A., dated August 31, 2018 (Previously filed as Exhibit 10.3 to the Company’s Quarterly Report on Form 10-Q filed on November 8, 2018 and incorporated herein by reference.)
10.20	Payment Guaranty between CNL Healthcare Properties II, Inc. and Florida Community Bank, N.A., dated August 31, 2018 (Previously filed as Exhibit 10.4 to the Company’s Quarterly Report on Form 10-Q filed on November 8, 2018 and incorporated herein by reference.)
10.21	Mortgage among CHP II Riverview FL Owner, LLC, CHP II Riverview FL Tenant, LLC, and Florida Community Bank, N.A., dated August 31, 2018 (Previously filed as Exhibit 10.5 to the Company’s Quarterly Report on Form 10-Q filed on November 8, 2018 and incorporated herein by reference.)
10.22	Management Services Agreement dated September 1, 2018, by and between Foster Development, Inc. and CHP II Riverview FL Tenant, LLC (Filed herewith)
21	Subsidiaries of the Registrant (Filed herewith.)
31.1	Certification of Chief Executive Officer of CNL Healthcare Properties II, Inc., Pursuant to Rule 13a-14(a), as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. (Filed herewith.)

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31.2	Certification of Chief Financial Officer of CNL Healthcare Properties II, Inc., Pursuant to Rule 13a-14(a), as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. (Filed herewith.)
32.1	Certification of Chief Executive Officer and Chief Financial Officer of CNL Healthcare Properties II, Inc., Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. (Filed herewith.)
101	The following materials from CNL Healthcare Properties II, Inc. Annual Report on Form 10-K for the year ended December 31, 2018, formatted in XBRL (Extensible Business Reporting Language); (i) Consolidated Balance Sheets, (ii) Consolidated Statement of Operations, (iii) Consolidated Statements of Stockholders’ Equity, (iv) Consolidated Statement of Cash Flows, and (v) Notes to the Consolidated Financial Statements.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized, on the 20th day of March 2019.

CNL HEALTHCARE PROPERTIES II, INC.
By:	/s/ Stephen H. Mauldin
	STEPHEN H. MAULDIN
	Chief Executive Officer and President
	(Principal Executive Officer)
By:	/s/ Ixchell C. Duarte
	IXCHELL C. DUARTE
	Chief Financial Officer, Senior Vice President and Treasurer
	(Principal Financial Officer)

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

Signature	Title	Date
/s/    Stephen H. Mauldin	Chairman of the Board, Chief	March 20, 2019
STEPHEN H. MAULDIN	Executive Officer and President
	(Principal Executive Officer)
/s/    Douglas N. Benham	Director	March 20, 2019
DOUGLAS N. BENHAM
/s/   Dianna F. Morgan	Director	March 20, 2019
DIANNA F. MORGAN
	Chief Financial Officer, Senior Vice
/s/    Ixchell C. Duarte	President and Treasurer	March 20, 2019
IXCHELL C. DUARTE	(Principal Financial Officer)
	Chief Accounting Officer and
/s/    L. Burke Rainey	Vice President	March 20, 2019
L. BURKE RAINEY	(Principal Accounting Officer)

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EX-10.22

Exhibit 10.22

MANAGEMENT SERVICES AGREEMENT

by and between

FOSTER DEVELOPMENT, INC.

(Management Company)

and

CHP II RIVERVIEW FL TENANT, LLC

(Tenant)

The Crossings at Riverview

Riverview, Florida

Effective as of September 1, 2018

MANAGEMENT SERVICES AGREEMENT

THIS MANAGEMENT SERVICES AGREEMENT, is made and effective as of the 1st day of September, 2018 (the “Effective Date”) by and between CHP II RIVERVIEW FL TENANT, LLC, a Delaware limited liability company (“Tenant”), and FOSTER DEVELOPMENT, INC., a Missouri corporation (“Management Company”).

WITNESSETH:

WHEREAS, CHP II RIVERVIEW FL OWNER, LLC, a Delaware limited liability company (“Landlord”) is the owner of that certain assisted living and memory care facility known as “The Crossings at Riverview” located at 8451 US-301, Riverview, Florida 33578 (the “Facility”) and all of the furniture, furnishings, equipment and other personal property located at the Facility; and

WHEREAS, Tenant and Landlord have entered into a lease agreement with respect to the Facility; and

WHEREAS, Tenant wishes to engage Management Company, and Management Company wishes to provide certain services to Tenant during the Term, relating to the management of the Facility, on the terms and conditions set forth herein.

NOW, THEREFORE, the parties hereto, intending to be legally bound, in consideration of the mutual provisions and covenants herein contained, agree as follows:

ARTICLE 1.

1.1Definitions.  The following terms shall have the meanings set forth below when capitalized herein:

“Adjusted NOI” means an amount equal to NOI plus an adjustment for Excess Insurance Cost (as hereafter defined) and/or Declined Insurance Savings (as hereinafter defined) as appropriate.  In the event a particular insurance policy is included in the calculation of both Excess Insurance Cost and Declined Insurance Savings, the adjustment to NOI for that policy shall be limited to the greater amount of Excess Insurance Cost or Declined Insurance Savings for that policy and not an adjustment under both concepts.

“Administrator” means such employee of the Management Company or Staffing Company who is responsible for the daily management of the Facility and will be under the direct supervision of Management Company (but at the expense of the Facility as an Operating Expense).

“Affiliate” means the following two entities are “Affiliates” if

(a)one of the entities is a Subsidiary of the other entity;

(b)both of the entities are Subsidiaries of the same entity; or

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(c)both of the entities are Controlled by the same Person.

“Affiliated Agreement” means any Management Services Agreement by and between Management Company or its Affiliate and Tenant or its Affiliate, whether entered into as of the Effective Date or in the future.

“Agreement” means this Management Services Agreement, together with any amendments hereto entered into by the parties from time to time.

“Alternative Program” shall have the meaning set forth in Section 5.2.

“Base Management Fee” shall have the meaning set forth in Section 3.1(a).

“Budget” shall have the meaning set forth in Section 2.5(c).

“Business Day” means any day other than a Saturday, Sunday or legal holiday in the State ofFlorida.

“Capital Expenditures” means certain expenses for renovations, replacements, maintenance, alterations, improvements or renewals to the Facility that are typically classified as capital expenditures in accordance with GAAP; provided however, the parties acknowledge and agree that unit turnover costs shall not be deemed to be Capital Expenditures.

“Control” means:

(a)the right to exercise, directly or indirectly, a majority of the votes which may be voted at a meeting of (i) the shareholders of the corporation, in the case of a corporation, (ii) the shareholders of the general partner, in the case of a limited partnership, or (iii) the equity holders or other voting participants of a Person that is not a corporation or limited partnership; or

(b)the right to elect or appoint, directly or indirectly, a majority of (i) the directors of the corporation, in the case of a corporation, (ii) the directors of the general partner, in the case of a limited partnership, or (iii) a majority of the Persons who have the right to manage or supervise the management of the affairs and business of a Person that is not a corporation or limited partnership,

(c)and “Controlled” has a corresponding meaning.

“Declined Insurance Savings” shall have the meaning set forth in Section 5.2.

“Effective Date” shall have the meaning set forth in the first paragraph of this Agreement.

“Emergency and Evacuation Procedures” shall have the meaning set forth in Section 2.4(p).

“Employee Training Plan” shall have the meaning set forth in Section 2.4(a).

“Excess Cash Flow” shall mean an amount, if any, equal to Adjusted NOI in excess of the Incentive Threshold.

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“Excess Insurance Cost” shall mean the amount, if any, that the cost of insurance required to be maintained by Management Company hereunder is increased due to a change by Tenant in the coverages types or limits required beyond those set forth on Exhibit A; provided, however, that if such annual cost increase is $5,000 or less, Excess Insurance Cost shall be deemed to be “zero”.

“Facility” shall have the meaning set forth in the recitals.

“Facility Employees” shall mean all persons employed in the operation of the Facility, whether employed (at the discretion of the Management Company) directly by the Management Company or by the Staffing Company.

“Facility Mortgage” means any mortgage or deed of trust secured by the Facility.

“FF&E Reserve” shall have the meaning set forth in Section 2.8.

“FF&E Reserve Payment” means an amount equal to $500.00 multiplied by the total number of rental units on an annual basis (but prorated for any partial Fiscal Year during the Term), and increasing on each Increase Date by three percent (3%) over the FF&E Reserve Payment for the prior year, and as may be further adjusted by Tenant and Management Company in connection with the required amounts set forth in the approved Budget pursuant to the terms of Section 2.5, or as otherwise required by Mortgagee.

“Fiscal Year” means each calendar year during the Term.  The period from the Effective Date through December 31, 2018 shall be the first Fiscal Year.

“GAAP” means generally accepted accounting principles in the United States.

“Hazardous Material” shall mean (a) any hazardous waste, any extremely hazardous waste, or any restricted hazardous waste, or words of similar import, as defined in the Resource Conservation and Recovery Act (42 U.S.C. § 6901 et seq.); (b) any hazardous substances as defined in the Comprehensive Environmental Response, Compensation and Liability Act (42 U.S.C. § 9601 et seq.); (c) any toxic substances as defined in the Toxic Substances Control Act (15 U.S.C. § 2601 et seq.); (d) any pollutant as defined in the Clean Water Act (33 U.S.C. § 1251 et seq.); (e) gasoline, petroleum or other hydrocarbon products or by-products; (f) asbestos; (g) any material, substance or waste subject to regulation pursuant to any regulations implementing the National Environmental Policy Act, including, but not limited to, those regulations set forth in 47 C.F.R. § 1.1301 1.1319 (1986), as amended and supplemented from time to time and any similar replacement regulations; or (h) any other materials, substances, or wastes subject to environmental regulation under any applicable federal, state or local law, regulation, or ordinance now or hereafter in effect.

“Incentive Management Fee” shall have the meaning set forth in Section 3.1(b).

“Incentive Threshold” means an amount, commencing in Fiscal Year 2020, equal to the anticipated NOI set forth in the Annual Budget for the applicable Fiscal Year (and prorated for any partial Fiscal Year), and which for Fiscal Year 2020 shall not be less than One Million Nine Hundred Thousand Dollars ($1,900,000).  Should Tenant expand the physical plant or add

4

additional residential units, the foregoing thresholds may be adjusted as mutually agreed by Tenant and Manager.

“Incident” shall have the meaning set forth in Section 2.7.

“Increase Date” means January 1^st of each Fiscal Year during the Term, with the first Increase Date being January 1, 2019.

“Inventories” means inventories as defined by GAAP and provisions in storerooms, medical supplies, other merchandise intended for sale, mechanical supplies, stationery and other expenses, supplies and similar items.

“Landlord” shall have the meaning set forth in the recitals.

“Legal Requirements” means any (i) law, code, rule, ordinance or regulation applicable to Tenant, Management Company and/or the Facility, the ownership or operation thereof or services provided at the Facility by any party; (ii) any order of any governmental authority having jurisdiction over Tenant, Management Company and/or the Facility, the ownership or operation thereof or services provided at the Facility by any party; (iii) any law, code, rule, regulation, bulletin, decision, ruling or opinion applicable to reimbursement by Medicare, Medicaid or any other governmental healthcare program for services or items rendered at the Facility and (iv) any guidance, opinions, directives or other publicly issued statements by a government authority or national accreditation or trade association stating best practices, recommended policies or procedures or similar advice for facilities similar to the Facility.

“Licenses” shall have the meaning set forth in Section 2.2.

“Management Company” shall have the meaning set forth in the recitals.

“Management Company Default” shall have the meaning set forth in Section 7.1.

“Management Company Expenses” shall mean those expenses that, unless otherwise approved as a part of the Budget, or otherwise approved by Tenant, shall be paid by Management Company without reimbursement by Tenant, including, without limitation:

(i)any expenses for Management Company’s corporate office physical plant, equipment or supplies or accounting software, other than as specifically included in the Approved Operating Budget;

(ii)any overhead expense of Management Company incurred in its general offices or salaries of any non-Facility specific executive personnel of Management Company, but excluding Management Company personnel allocated to initiatives for the Facility such as additional marketing or special capital projects as contained in the Budget or approved in writing by the Tenant;

(iii)salaries, wages, and expenses allocable to any personnel for activities with regard to providing in-house accounting services;

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(iv)any salaries, wages, and expenses for any corporate office personnel located at the Facility;

(v)any computer time, equipment, payroll processing service or other expense used or incurred in processing payroll as such expense relates to  non-Facility specific Management Company personnel employed by Management Company, the books and records of the Facility or in preparing any statements or reports (other than the annual audits, tax returns and/or specialized reports required by outside agencies).  Payroll processing charges relating to Management Company personnel who are employed at the Facility will be the responsibility of the Tenant;

(vi)any employee claim which is not covered by insurance, if the claim arose as a result of the gross negligence or intentional misconduct of Management Company, or its employees, representatives or agents;

(vii)costs incurred by Management Company for political contributions;

(viii)costs attributable to losses which are covered by the indemnity obligations of Management Company pursuant to Section 8.2 of this Agreement;

(ix)costs incurred by Management Company for advertising expenses of Management Company (other than costs of marketing the Facility for lease or occupancy and costs of employment ads for positions at the Facility);

(x)costs incurred by Management Company for any in-house risk manager, architect, engineer, accountant or other professional advisor or consultant employed by Management Company (as distinct from third parties engaged for the performance of such services) except for allocations for services rendered directly to the Facility; and

(xi)costs incurred by Management Company for dues of Management Company or any of its employees in professional organizations or for any of Management Company’s employees participating in industry conventions or meetings.

“Management Company Losses” shall have the meaning set forth in Section 8.1.

“Management Fees” means the Base Management Fee and Incentive Management Fee.

“Mortgagee” means the holder of any Facility Mortgage.

“NOI” means Revenues less Operating Expenses.

“Operating Account” shall have the meaning set forth in Section 2.8(a).

“Operating Expenses” means any or all, as the context requires, of the following: (i) all costs and expenses incurred in connection with the operation, management and maintenance of the Facility, including, without limitation, all administrative, financial reporting, and general expenses,

6

expenses relating to employment of Facility Employees (each of such expenses shall be “at cost” with no additional fee or mark-up including salaries, payroll taxes, benefits, cost of payroll, etc.); (ii) advertising and business promotion expenses; (iii) Management Fees; (iv) the cost of Inventories and Supplies consumed in the operation of the Facility; (v) costs and expenses for preparation of claims and billing submissions and collection of Receivables and other monies; (vi) insurance costs; (vii) all real property and personal property taxes and assessments; (viii) those costs and expenses that are expressly identified as Operating Expenses in this Agreement; (ix) costs related to accounting and management software fees and Management Company’s server utilization fees; (x) costs incurred to prepare a unit for an incoming resident; (xi) costs of maintenance and repairs not included in Capital Expenditures; (xii) food; (xiii) cost of compliance with Legal Requirements; (xiv) expenses related to the provision of services including, except to the extent billed directly to the resident, home health services; and (xv) any other non-capital costs and expenses incurred in connection with the operation of the Facility or as are specifically provided for elsewhere in this Agreement.  Operating Expenses shall not include any Management Company Expenses or deductions for: property debt service; depreciation or amortization; income taxes, franchise taxes or similar taxes; rent payable from Tenant to Landlord pursuant to the lease for the Facility; or costs relating to the Landlord’s or Tenant’s ownership structure (all of which shall be paid directly by Landlord or Tenant, as the case may be) or expenses incurred due to failure of Management Company to cause the Facility to comply with the Legal Requirements, subject to the terms hereof.  Notwithstanding the foregoing, Operating Expenses shall not include the FF&E Reserve.

“Performance Threshold” means an amount equal to the anticipated NOI set forth in the Annual Budget for the applicable Fiscal Year (and prorated for any partial Fiscal Year), but which, commencing with the Budget for Fiscal Year 2019, shall be: (a) One Million Six Hundred Thousand Dollars ($1,600,000) for Fiscal Year 2019, (b) One Million Eight Hundred Thousand Dollars ($1,800,000) for Fiscal Year 2020, (c) One Million Nine Hundred Thousand Dollars ($1,900,000) for Fiscal Year 2021, and (d) increased by two percent (2%) over the previous Fiscal Year for each Fiscal Year thereafter..

“Person” means any natural person, firm, corporation, general or limited partnership, limited liability company, association, joint venture, trust, estate, Governmental Authority or other legal entity, in each case whether in its own or a representative capacity.

“Portfolio Sale” shall have the meaning set forth in Section 7.5.

“Receivables” shall mean all billed and unbilled accounts receivable, trade receivables, work in progress, notes receivable and other receivables arising out of or related to the provision of services in connection with the Facility.

“Revenues” means, for the applicable period of time, but without duplication, all gross revenues and receipts of every kind derived by or for the benefit of Tenant, Management Company or their affiliates from operating or causing the operation of or arising out of the provision of services in connection with the Facility and all departments and parts thereof, determined in accordance with GAAP for each accounting period (with the exception of any pass-through fees), including, but not limited to: income from both cash and credit transactions (after reasonable deductions for rent concessions or rebates given, paid or returned in ordinary course of obtaining

7

Revenues, bad debt allowance, discounts for prompt or cash payments, refunds and credit card payment fees) from rental or subleasing of every kind; community fees; monthly occupancy fees; healthcare fees and ancillary service fees received pursuant to various agreements with residents of the Facility; license, lease and concession fees and rentals, off premises catering, if any, and parking; income from vending machines; proceeds, if any, from business interruption (but only to the extent it reimburses Tenant for lost income and not for additional or other expenses) or other loss of income insurance; club membership fees; income from food and beverage and catering sales; wholesale and retail sales of merchandise (other than proceeds from the sale of furnishings, fixtures and equipment no longer necessary to the operation of the Facility); and service charges, to the extent not distributed to Facility Employees as gratuities; all determined in accordance with GAAP; provided, however, that Revenues shall not include the following: (i) management fees or reimbursements paid by Tenant to Management Company pursuant to this Agreement; (ii) gross receipts of revenue generated by lessees, sublessees, licensees or concessionaires and not paid to Tenant, Management Company or their affiliates; (iii) gratuities to Facility Employees; (iv) federal, state or municipal excise, sales, occupancy, use or similar taxes collected directly from residents or guests of the Facility or included as part of the sales price of any goods or services; (v) proceeds of any insurance policy (except for loss of income insurance as provided above) or condemnation or other taking; (vi) any proceeds from any sale of the Facility or any other capital transaction; (vii) proceeds of any financing or refinancing of any debt encumbering the Facility or any portion thereof; (viii); proceeds from the disposition of furnishings, fixtures and equipment or any capital asset no longer necessary for the operation of the Facility; (ix) interest received or accrued with respect to amounts deposited in any operating or reserve accounts of the Facility; (x) security deposits until such time as the same are applied to current fees due for services rendered for the Facility; (xi) awards of damages, settlement proceeds and other payments received by Tenant in respect of any litigation other than litigation to collect fees due for services rendered from the Facility or otherwise compensating Tenant or Landlord for lost revenue; and (xii) payments under any policy of title insurance.  Any community fees or deposits or other amounts that are refunded to a resident shall be credited against Revenues during the month in which such refunds are made, if previously included in Revenues.  

“Senior Living Facility” shall have the meaning set forth in Section 8.3(d).

“Severe Incident” shall have the meaning set forth in Section 2.7(a).

“Significant Property Damage” shall have the meaning set forth in Section 2.7(b).

“Staffing Company” means an entity affiliated with Management Company which will be the employer of all Facility Employees, except for supervisory employees identified by Management Company as key employees such as administrators, directors of health and welfare, and dietary supervisors who may be the employed by Management Company.

“Staffing Company Agreement” means the Agreement entered into by Management Company and Staffing Company under which Staffing Company agrees to be the employer of all Facility employees, in the form of Schedule 1.1 hereto.

“Subordinated Base Management Fee” shall have the meaning set forth in Section 3.1(c).

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“Subordination Threshold” means, commencing with Fiscal Year 2020, an amount agreed upon by Tenant and Management Company as part of the Budget, but which in no event shall be less than One Million Nine Hundred Thousand Dollars ($1,900,000) for Fiscal Year 2020.  Should Tenant expand the physical plant or add additional residential units, the foregoing thresholds may be adjusted as mutually agreed by Tenant and Manager.

“Subsidiary” means, in respect of any Person:

(a)any corporation of which more than 50% of the outstanding capital stock having ordinary voting power to elect the majority of the board of directors of such corporation is at the time directly or indirectly owned by (i) such Person, (ii) such Person and one or more subsidiaries of such Person, or (iii) one or more subsidiaries of such Person; or

(b)any limited or general partnership, joint venture, limited liability company or other entity as to which (i) such Person, (ii) such Person and one or more of its subsidiaries, or (iii) one or more subsidiaries of such Person owns, more than a 50% ownership, equity or similar interest or has power to direct or cause the direction of management and policies, or the power to elect the general partner or managing partner (or equivalent thereof), of such limited or general partnership, joint venture, limited liability company or other entity, as the case may be.

“Supplies” means supply items necessary for the operation of the Facility.

“Tenant” shall have the meaning set forth in the first paragraph of this Agreement.

“Tenant Default” shall have the meaning set forth in Section 7.2.

“Tenant Losses” shall have the meaning set forth in Section 8.2.

“Tenant’s Insurance” shall have the meaning set forth in Section 5.2.

“Term” shall have the meaning set forth in Section 2.1.

1.2Recitals.  The recitals set forth above are hereby incorporated as if set forth herein in their entirety.

ARTICLE 2.
OPERATING TERMS AND APPOINTMENT AND EMPLOYMENT OF MANAGEMENT COMPANY AS AGENT AND GENERAL MANAGEMENT COMPANY OF THE FACILITY

2.1Term. The term of this Agreement shall commence on the Effective Date and shall continue for a period of five (5)years thereafter subject to earlier termination as set forth in Article 7 hereof (the “Term”).  After the expiration of the initial five (5) year Term, the Term shall be automatically extended for consecutive periods of one (1) year each unless written notice of an intent not to extend is provided by Tenant or Management Company to the other not less than one hundred twenty (120) days prior to the expiration of the then-current Term.

2.2Employment of Management Company. Tenant hereby appoints Management

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Company as the sole and exclusive manager of the Facility and subject to Tenant’s ultimate responsibilities as the holder of the Licenses (as defined below) and in accordance with all Legal Requirements, Management Company agrees to act as the manager of the Facility.  In connection therewith, Management Company shall supervise, direct and control the day to day business activities, management and operation of the Facility and all phases of its operation and management in the name of and on behalf of Tenant upon the terms and conditions hereinafter stated. Management Company shall be responsible for managing the Facility in a professional, competent and business-like manner, in material compliance with all Legal Requirements and the terms and provisions of this Agreement. Management Company shall, subject to compliance of Tenant with its obligations hereunder, do all things as may be reasonably required to obtain, maintain and preserve all necessary licenses, permits, authorizations, certifications and approvals to operate the Facility so as to comply with all applicable Legal Requirements (collectively, the “Licenses”).

2.3Retention of Legal Ownership by Tenant. Tenant shall at all times continue to exercise legal ownership and control over the assets and operations of the Facility, and Management Company shall perform its responsibilities as described in this Agreement as agent to Tenant in accordance with written policies and directives adopted by Tenant.  By entering into this Agreement, Tenant does not delegate to Management Company any of the powers, duties, and responsibilities vested in the Tenant by Legal Requirements, or by its articles of incorporation or bylaws.  Management Company, at Tenant’s request, will propose written policies and directives from time to time for consideration and possible adoption by the Tenant.  Management Company will adopt, implement, and follow such written policies and directives that Tenant shall require, subject to any limitations stated herein.  Whenever this Agreement calls for the approval of Tenant, such approval shall be considered granted only if expressed in writing, which may be by email, and executed by a duly authorized officer of Tenant. In the absence of any requirement for Tenant consent, then Management Company shall be entitled, to the extent permitted by Legal Requirements, to rely upon its reasonable business judgment, consistent with the terms of this Agreement and the Budget, and act accordingly as agent for the Tenant.  

2.4Management Services to be Provided by Management Company.  During the Term, Management Company shall, as agent and on behalf of Tenant, manage all aspects of the day-to-day operation of the Facility.  Management Company shall act in good faith and use its best reasonable efforts to perform its obligations hereunder. In connection therewith, to the extent permitted by Legal Requirements and in accordance with the Budget, Management Company (either directly or through supervision of Facility Employees) shall:

(a) Use care and due diligence to select, employ (in the name of the Staffing Company), supervise, train and discharge an adequate staff of housekeepers, maintenance, food service, activity, office and other employees, including an Administrator (who may be replaced, from time to time), and promote, direct, assign and discharge all such employees at Management Company’s sole discretion.  All costs and expenses relating to Facility Employees, including compensation and benefits incurred by the Staffing Company, shall constitute an Operating Expense to be paid or reimbursed at Management Company’s actual cost, without additional

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mark-up.  Management Company shall provide for and maintain a comprehensive employee training and testing program with objective standards for all categories of employees which meets or exceeds all governmental and industry requirements and standards for minimum levels of training and degrees of experience, all as specified in the employee, operating procedure or other similar manual for the Facility, and will provide a level of staffing for all categories of employees consistent with first class standards at facilities offering similar services and at least equal to the minimum level of staffing required by Legal Requirements. Management Company shall provide for and maintain fidelity bonds and other appropriate protections with respect to any person with access to funds belonging to the Facility. Such training shall be implemented pursuant to a comprehensive program for training of Facility Employees which Management Company shall develop and implement meeting the Legal Requirements for use by the Facility (the “Employee Training Plan”).  Tenant hereby approves the Staffing Company Agreement.

(b) Establish general salary scales, personnel policies and appropriate employee benefits for all Facility Employees. Facility Employee benefits may include insurance benefits, incentive plans for key employees, and holiday, vacation, personal leave and sick leave policy, consistent with the current policies of Management Company;

(c) Issue appropriate bills for services and materials furnished by the Facility and use its commercially reasonable efforts to collect Receivables and monies owed to the Facility; design and maintain customary accounting, billing, resident and collection records; and prepare and file insurance, and any and all other necessary or desirable applications, reports and claims related to revenue production. All rates for services provided by Tenant and for the use of the Facility, and any changes therein, shall be subject to approval through the Budget. Tenant expressly assigns, to the extent permitted by Legal Requirements, to Management Company the full right, power and authority as its agent to administer, process and collect on Tenant’s behalf and in its name, all Receivables and monies owed to the Facility. Any and all refunds, volume discounts, rebates, reduced rates for timely payment, or other benefits derived from business done at, on or through the Facility shall belong to Tenant and not to Management Company;

(d) Plan, supervise and conduct a program of regular maintenance and repair of the Facility. Management Company shall not make any additions to the Facility increasing or decreasing the square foot area, unit count, or licensed bed capacity, without the prior written approval of Tenant, which approval may be granted or withheld in Tenant’s sole and absolute discretion. Management Company shall maintain a maintenance log of all repairs, replacements or improvements made to the Facility which are capitalized under generally accepted accounting principles;

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(e) Provide directly, or through contracts, all necessary services, food, beverages, cleaning and other supplies, equipment, furniture and furnishings for the operation and maintenance of for the account of Tenant.  Unless the consent of Tenant is otherwise obtained, all contracts or agreements entered into by Management Company for the account of the Tenant shall be for a term of one (1) year or less (unless for an amount of less than $10,000 in expected annual compensation for certain contracts that customarily have a term of more than one year (such as elevator maintenance contracts)) and be less than $25,000 (or $50,000, provided such contract may be terminated by Tenant without fee or penalty upon no more than thirty (30) days’ notice) in expected annual compensation, and shall provide for payments contemplated by the then current Budget.  To the extent permitted by Legal Requirements and the terms offered by vendors, Management Company will offer to the Facility the opportunity to participate in any group or volume purchasing contracts in which Management Company may from time to time participate wherein such participation by the Facility, in the sole opinion of Management Company, is deemed to be appropriate and practical, provided that if any such group or volume purchasing contract provides for an administrative fee payable to Management Company or its Affiliates, (i) such administrative fee shall be reasonable and reflect arms-length market rate terms and shall be first disclosed to Tenant before the Facility participates in such contract and (ii) Tenant shall have the right to disapprove the Facility’s participation in such contract in Tenant’s sole and absolute discretion.  The Facility shall receive, pro rata if applicable, the financial benefits of any purchasing contract concessions, discounts or rebates with respect to any such contracts in which it participates.  Any contracts, the expense of which is not provided for in the Budget, will be subject to the approval of the Tenant.

(f) Administer, supervise and schedule resident and other services of the Facility as required under any residency agreement, including the provision of food, and other ancillary services;

(g) Provide for the orderly payment of accounts payable, all payments to the Staffing Company for payroll services provided to the Facility, taxes, insurance premiums and all other customary obligations of the Facility, and timely file all applicable sales tax and/or personal property tax returns for the Facility;

(h) Institute standards and procedures for admitting and discharging residents pursuant to Legal Requirements, for charging residents for services and for collecting the charges from residents or third parties;

(i) Furnish to the Facility any and all policy manuals needed for the operation of the Facility, including, but not limited to, the Employee Training Plan, and propose revisions to said policy manuals as is needed from time to time to assure, to the best of Management Company’s ability, that the Facility

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complies with all applicable Legal Requirements.  All manuals, procedures, guidelines, work product, and other materials generated by Management Company (except for the Employee Training Plan and any manuals existing at the Facility on the Effective Date or any manuals that are produced as part of the Operating Expenses, excluding policy and procedure manuals of Management Company), however, are and shall remain the physical and intellectual property of Management Company and shall remain the exclusive property of Management Company even upon the expiration or termination of this Agreement;

(j) If requested by Tenant, procure as an Operating Expense (i) the insurance set forth in Article 5 and Exhibit A or (ii) such insurance as may otherwise be required from time to time by a Mortgagee, Tenant or applicable Legal Requirements.

(k) Negotiate and enter into, in the name of and on behalf of Tenant, such agreements, contracts and orders on a competitive price basis as it may deem necessary or advisable for the furnishing of services, concessions and supplies for the operation and maintenance of the Facility, subject to the limitations set forth in Section 2.4(e).

(l) Handle and settle all employee relations matters, provided however, that except as may be required by any Legal Requirements, without the prior participation and consent of Tenant, which may be withheld in its sole and absolute discretion, Management Company shall not contact, recognize, initiate or respond formally to communication with any organized labor union regarding the Facility by any means including, without limitation, execution of any instrument which recognizes any labor union with respect to Facility Employees, any collective bargaining agreement, neutrality or any labor contract resulting therefrom non-voluntarily agree to collectively bargain with Facility Employees in any proposed bargaining unit at the Facility;

(m) Obtain and maintain, on Tenant’s behalf and in Tenant’s name, pursuant to Section 2.9, Licenses required by Legal Requirements for the operation of the Facility;

(n) Maintain an accounting and internal control system using accounts and classifications consistent with those used in similar communities and as may be directed by Tenant from time to time, including suitable books and records of control and accounts as are necessary or required in order to comply with all Legal Requirements;

(o) Coordinate, on arm’s length, market rate terms as approved by Tenant, but not provide unless otherwise licensed to do so, the provision of home health care and other ancillary services to residents of the Facility as Management Company may deem reasonable, necessary or desirable in connection with

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the management of the Facility;

(p) Prepare and present to on-site personnel written emergency and evacuation procedures for the protection, warning, and safe and timely evacuation of the Facility of all residents, guests, invitees, and staff (the “Emergency and Evacuation Procedures”). Management Company agrees to consult with insurance carrier loss prevention consultants from time to time, and to change such Emergency and Evacuation Procedures if reasonably recommended by them; provided, that the Emergency and Evacuation Procedures shall at all times comply with all Legal Requirements. Management Company shall take such steps as it deems appropriate to assure the proper training of Facility Employees, and shall assure that all residents receive and are knowledgeable about such Emergency and Evacuation Procedures.

(q) Management Company shall take such action as shall be necessary to ensure that the Facility and the management thereof by Management Company comply in all material respects with all Legal Requirements applicable to the Facility or the management thereof by Management Company.  The parties agree that, to the extent required by Legal Requirements, the services provided under this Agreement will comply in all material respects with all federal and state-mandated regulations, rules, or orders applicable to the services provided herein, including but not limited to regulations promulgated under Title II, Subtitle F of the Health Insurance Portability and Accountability Act (Public Law 104-91).  Each party shall promptly provide to the other party within ten (10) days after receipt, all (i) notices, reports or correspondence from governmental agencies that assert deficiencies or charges against the Facility or that otherwise relate to the suspension, revocation, or any other action adverse to any License, all plans of correction submitted in response thereto and all correspondence relating thereto and (ii) all notices or demands from third parties alleging any violation of the Legal Requirements including, but not limited to, those related to the services provided at the Facility to residents.

(r) Management Company shall take such action as may be necessary to comply promptly with any and all orders, evaluations, reports, or other Legal Requirements or, with Tenant’s prior consent (which consent may be granted or withheld in Tenant’s sole and absolute discretion), appeal or otherwise contest any action taken by any governmental agency against the Facility.   In connection with any such appeal, Tenant shall adequately secure and protect Management Company from loss, cost, damage or expense by bond or other means reasonably satisfactory to Management Company in order to contest by proper legal proceedings the validity of any such Legal Requirement. Notwithstanding the foregoing, Tenant shall have no obligation to secure and protect Management Company from any loss, cost, damage or expense that arises directly out of Management Company’s breach of any of its covenants under this Agreement.  Tenant, after having

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given its written approval, shall cooperate with Management Company with regard to the contest, and Tenant shall pay all reasonable attorneys’ fees incurred with regard to the contest from the Operating Accounts. Counsel for any such contest shall be selected by Management Company and approved by Tenant. Management Company shall, with the consent of Tenant and at Tenant’s cost and expense, process all third party payment claims for the services provided at the Facility, including, without limitation, consent to the exhaustion of all applicable administrative proceedings or procedures, adjustments and denials by governmental agencies or their fiscal intermediaries as third party payors.

(s) To the extent modification of this Agreement is required to comply with Legal Requirements, Management Company and Tenant agree to make such modification to cause this Agreement to comply with all Legal Requirements. Expenses incurred as the result of the noncompliance, cure and/or appeal shall, unless caused by breach of Management Company’s obligations hereunder, be the responsibility of Tenant. Management Company, however, shall not take any action under this Section so long as Management Company has been informed that Tenant is contesting, or has affirmed its intention to contest any such order or requirement, unless a failure to comply promptly with any such order or requirement would expose Management Company to civil or criminal liability.

(t) Management Company immediately shall deliver to Tenant copies of all notices received by it or received at the Facility from any Mortgagee.

(u) Management Company shall oversee all capital projects involving Capital Expenditures set forth in the Approved Capital Budget.  Except as otherwise approved in writing by an officer or authorized representative of Tenant (in Tenant’s sole and absolute discretion), all Capital Expenditures shall be made only in accordance with an Approved Capital Budget. In the event of any emergency requiring prompt action for the protection and safety of the Facility or the residents and staff therein, in which it is not practicable to obtain prior approval from the Tenant or a representative of the Tenant, Management Company shall be entitled to take any required or necessary action without Tenant’s prior approval.  Management Company shall provide a report to Tenant as soon as practicable outlining the emergency situation and the actions taken.

(v) Management Company shall establish and maintain records and procedures to account for any resident funds deposited with the Facility.  In the event the Facility shall receive any such resident funds, one or more “resident trust accounts” shall be established in accordance with the terms hereof and all disbursements therefrom and records and procedures relating thereto shall conform with the requirements of third party reimbursement, licensure and all other applicable requirements and the terms hereof.

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(w) Management Company shall maintain adequate systems and procedures governed by written policies and procedures covering all aspects of its operational and fiscal processes and sufficient to ensure that the Facility’s assets and business are safeguarded in all material respects.

(x) To the extent any removals or remediation of Hazardous Materials are required by Tenant or applicable law, the Management Company shall coordinate and implement such removals and remediation measures, and any amounts paid in connection with such action shall be considered an Operating Expense.

(y) Management Company shall undertake reasonable efforts to notify Tenant concerning the presence of any Hazardous Materials on or under the Facility of which the Management Company has knowledge; provided, however, that unless required by Legal Requirements, the parties shall otherwise maintain such information confidential.

2.5Budget.

(a) The Approved Operating Budget and Approved Capital Budget for Fiscal Year 2018 are attached hereto as Exhibit B.

(b) For each Fiscal Year thereafter, Management Company shall submit to Tenant in Microsoft Excel format and at least sixty (60) days prior to the beginning of such Fiscal Year during the Term, an annual budget covering the operations of, and proposed Capital Expenditures to be made with respect to, the Facility containing the following items:

(i)A capital expenditure budget (the “Proposed Capital Budget”) setting forth, on a cash basis, an estimate of the Capital Expenditures to be incurred for the Facility, on a monthly basis for the next Fiscal Year.  Tenant may approve or reject each proposed Capital Expenditure in its sole and absolute discretion, except those required by Legal Requirements.  All Capital Expenditures shall be paid from the FF&E Reserve; provided, however, that Capital Expenditures that do not qualify under the Facility Mortgage for payment from the FF&E Reserve shall be paid for from the Operating Account.  Notwithstanding anything herein to the contrary, if and as required pursuant to any Facility Mortgage, the Proposed Capital Budget shall generally provide for at least $500 per unit of Capital Expenditures for the Facility to be expended from the FF&E Reserve on a rolling twelve (12) month basis;

(ii)An operating budget (the “Proposed Operating Budget”) setting forth, on an accrual basis and in sufficient line item detail, an estimate of the following items for the Facility, on a monthly basis for the next Fiscal Year:

(a)unit occupancy and resident census;

(b) Revenues, including sufficient detail of room and board charges,

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and resident care and ancillary services fees; and

(c)Operating Expenses, including the costs for repairs and maintenance not included in Capital Expenditures.

(c) Tenant shall approve or disapprove of the Proposed Operating Budget and Proposed Capital Budget in writing to Management Company, detailing the basis for disapproval, within thirty (30) days after receipt.  Tenant shall have the right to disapprove any Proposed Capital Budget which contemplates expenditures in excess of the FF&E Reserve, unless such expenditures are required by applicable Legal Requirements.  If Tenant does not approve or disapprove of the Proposed Operating Budget or Proposed Capital Budget within such thirty (30) day period then Tenant shall be deemed to have disapproved the Proposed Operating Budget or Proposed Capital Budget, as applicable.  If Tenant disapproves the Proposed Operating Budget or Proposed Capital Budget in the manner described above, Management Company will resubmit the Proposed Operating Budget or Proposed Capital Budget within fifteen (15) days after initial rejection.  Tenant shall approve or disapprove any such resubmitted Proposed Operating Budget or Proposed Capital Budget within fifteen (15) days of its receipt thereof.  The Tenant shall not unreasonably withhold or delay its approval of any Proposed Operating Budget or Proposed Capital Budget submitted by Management Company.  If Tenant does not approve or disapprove of such resubmitted Proposed Operating Budget or resubmitted Proposed Capital Budget within such fifteen (15) day period, then Tenant shall be deemed to have approved such resubmitted Proposed Operating Budget or resubmitted Proposed Capital Budget, as applicable.  The Operating Budget and the Capital Budget as so finally approved by Tenant shall constitute the “Approved Operating Budget” and the “Approved Capital Budget”, respectively, for purposes hereof.  The Approved Operating Budget and the Approved Capital Budget shall be known collectively as the “Budget” for purposes hereof.  Should the budgeting process be delayed for any reason, until such delay is resolved, Management Company will manage the Facility under the prior Fiscal Year’s Budget.

(d) An Approved Operating Budget shall constitute authorization for Management Company to expend funds to manage the Facility pursuant to such Approved Operating Budget, and Management Company may do so without further approval. Management Company shall adhere to the Approved Operating Budget provided, however, that Management Company may exceed the Approved Operating Budget for any given month provided that the excess expenditure does not exceed the greater of 10% or $10,000 for each operating expense functional line item of the Approved Operating Budget.

(e) If at any time circumstances indicate that the Approved Operating Budget does not properly take into account the projected needs of the Facility,

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Management Company shall notify Tenant of the same and shall submit to Tenant a proposed revision to the Approved Operating Budget which Tenant shall approve or disapprove within thirty (30) days after submission. If the proposed revision is disapproved by Tenant, Tenant and Management Company shall endeavor to agree on a revised Approved Operating Budget. Once and if approved, Management Company’s authority as to any revised Approved Operating Budget is the same as that authorized for the original Approved Operating Budget.

(f) The Approved Capital Budget shall constitute authorization for Management Company to make the Capital Expenditures contemplated thereby. Tenant must approve in writing, in its sole and absolute discretion, Management Company entering into any contract with any Affiliate of Management Company and terms of any such contract in connection therewith before any work commences.  If Management Company believes the purchase or installation of new or replacement equipment or other capital items not contemplated by the Approved Capital Budget is or will be necessary or desirable, Management Company shall advise Tenant thereof, but shall cause such items to be purchased and installed only after obtaining the prior written authorization of Tenant, which authorization may be granted or withheld in Tenant’s sole and absolute discretion.

2.6Reports to Tenant.

(a) During the Term, Management Company shall deliver to Tenant the following statements for the Facility prepared in accordance with GAAP applied consistently from period to period (which shall be certified by an officer of Management Company as being true and accurate in all material respects) by the fifteenth (15^th) calendar day of the month, except for the rent roll which shall be submitted within the fifth (5^th) Business Day of the month, and except for those items set forth immediately below at Sections 2.6(a)(i), 2.6(a)(ii) and 2.6(a)(x) which shall be submitted within the tenth (10^th) calendar day of the month:

(i)Balance sheet and income statement, including a comparison of actual monthly Revenues against the estimated amount set forth in the Approved Operating Budget;

(ii)Trial balance (in Microsoft Excel format)

(iii)rent roll;

(iv)Report of daily census for the month;

(v)Marketing report in a form used for such reports by Management Company internally;

(vi)Twelve month rolling cash flow projection;

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(vii)Detail of Management Fees calculations;

(viii)Capital Expenditure reconciliation to the Approved Capital Budget, with supporting documentation, including but not limited to invoices and contracts (in Microsoft Excel format);

(ix)Disclosure of any material communications with regulatory agencies and state surveys;

(x)Reconciliation Statement that sets forth any activity in the equity account of Tenant resulting from additional deposits into or withdrawals from the FF&E Reserve or the Operating Account by Tenant or one of its Affiliates, together with underlying documentation (including, but not limited to, invoices and contracts)(in Microsoft Excel format);

(xi)Most recent sales tax and personal property tax filings, if and as applicable, with the monthly reporting submittals;

(xii)Written report showing expenditures that vary from what is allocated in either Approved Operating Budget or Approved Capital Budget by the greater of five percent (5%) or five thousand and no/100 dollars ($5,000.00) with a written explanation for such variance; and

(xiii)any other information relating to the Facility reasonably requested by Tenant.

(b) As an Operating Expense, Management Company shall prepare the following final reports consistent with GAAP (which shall be certified by an officer of Management Company as being true and accurate in all material respects) and management status reports of the Facility, to be submitted to Tenant within thirty-five (35) days after the end of each Fiscal Year:

(i)Balance sheet and income statement, including a comparison of actual Revenues against the estimated amount set forth in the Approved Operating Budget;

(ii)Calculations of Management Fee;

(iii)Fixed asset additions;

(iv)Capital expense reconciliation to the Approved Capital Budget;

(v)Communications with any regulatory agencies; and

(vi)Management Company will cooperate in providing other reports as reasonably requested by Tenant.

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(c) Management Company shall also provide any assistance as reasonably requested by the independent accountants for the Facility, selected by Tenant, in the preparation of audited financial statements for the Facility. Such audited financial statements shall be prepared at Tenant’s expense in accordance with GAAP and delivered to Management Company and Tenant.  

(d) Management Company shall provide to Tenant all accounting, financial statement, and compliance-related deliverables described on and within the timeframes outlined on Exhibit C attached hereto by e-mail as directed by Tenant and, if applicable, using the corresponding template as set forth on Exhibit C.  In the event there shall be any inconsistency between the terms and conditions set out in this Section 2.6 and the terms and conditions of Exhibit C, this Section 2.6 shall prevail.

(e) Management Company shall also provide the following services related to the monthly and annual reports:

(i)Management Company shall make available to Tenant for inspection and/or copying by Tenant upon request, all books, records and financial data relating to the Facility in Management Company’s possession.  Tenant shall notify Management Company at least five (5) Business Days in advance of such inspection and shall conduct such inspection during mutually agreeable business hours.

(ii)Management Company shall promptly provide Tenant with (a) copies of all findings and reports made pursuant to all licensure and/ or certification surveys conducted at the Facility, all plans of correction submitted in response thereto, and all correspondence relating to any deficiencies noted pursuant to such surveys and (b) all documents related to any threatened or pending litigation with respect to the Facility.

(iii)Management Company shall reasonably assist the Tenant and its accountants in preparing and delivering to any lender, including Mortgagee, any required monthly and annual reports.

(iv)Management Company shall provide Tenant annually with information concerning any new competing community, and shall provide Tenant annually with any revisions to the marketing plan for the Facility, and an annual competitive analysis showing the Facility’s position in the market with a survey of pertinent data of competing communities (to the extent requested by Tenant).

(v)Management Company shall provide Tenant with a market analysis on or before the time of submission of the Proposed Operating Budget, setting forth basic demographic data relating to the market area of the Facility, including, population growth, employment and unemployment levels, age and other

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significant demographic characteristics of the population, major employers and housing starts.

(vi)Management Company shall provide Tenant with disclosure of any material communications with regulatory agencies, public payors, providers of ancillary services as the Facility such as, but not limited to, home health, therapy, pharmacy and hospice services and state surveys within three (3) days of receipt of such communications.

2.7Incident Reporting.  In the event of a Severe Incident (defined in Section 2.7(a) below) or Significant Property Damage (defined in Section 2.7(b) below) (in each case,  an "Incident"), Management Company shall notify Tenant within twenty-four (24) hours of learning of the occurrence of any such Incident via email at notice@cnl.com.  Such email notification shall include, at a minimum, (i) the names and contact information of the parties involved in the Incident, to the extent known at that time, (ii) a brief description of the Incident, and (iii) all measures that Management Company (or any other Person(s), to the knowledge of Management Company) is currently undertaking, or plans to undertake to the extent known, to resolve the Incident and to prevent, in connection with a Severe Incident and/or Significant Property Damage, any further harm to person or damage to property as result of such Incident.

(a) Severe Incident.  The defined term "Severe Incident" shall mean any material or significant accident, incident, claim, cause of action, loss of or damage to the Facility or any other property of third parties, or injury to or death of a person occurring on or about the Facility or adjoining sidewalks or rights of way under Management Company's control during the Term, including, but not limited to, the following: (i) a fatality, (ii) claim of abuse, assault or molestation, (iii) personal injury resulting in the amputation of a limb, brain injury, burns over fifty percent (50%) or more of a person's body, hearing or sight loss, internal injury resulting in impaired organ function, spinal cord injury resulting in any degree of paralysis, or substantial disfigurement, (iv) a mass casualty event, such as a flood, wildfire or building fire, earthquake, or building collapse, or (v) the elopement of a resident or a missing resident.  Notwithstanding the foregoing, Management Company shall not have to provide any information regarding a Severe Incident which would violate HIPAA or any similar patient confidentiality law or act, nor shall Tenant have to report any deaths which occur in the ordinary course of medical care and not out of an unusual incident.

(b) Significant Property Damage.  The defined term "Significant Property Damage" shall mean any incident resulting in significant damage to the Facility including, but not limited to the following: fires, floods, hail, severe wind, hurricanes and/or tornados, earthquakes, catastrophic structure failure, roof collapse, or any Force Majeure Event caused by either man or nature.

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2.8Bank Accounts and Cash Balance.

(a) Management Company shall deposit all Revenues received into a separate, segregated bank account (the “Operating Account”) established in Tenant’s name at a bank approved by Tenant and Management Company, and shall supervise the disbursements from the Operating Account on behalf of Tenant of such amounts and at such times as the same are required in Management Company’s reasonable business judgment, and in accordance with the provisions of this Agreement. Management Company shall discharge such supervisory responsibilities in accordance with reasonable and customary business standards and practices.  All Operating Expenses, including Management Fees, shall be paid out of the Operating Account.  Tenant and Management Company shall specify the signatory or signatories of Management Company required on all checks or other documents of withdrawal submitted by Management Company on the Operating Account. Funds in the Operating Accounts shall not be commingled with any other funds controlled by Management Company, unless approved by Tenant and will be disbursed only in accordance with this Agreement and, from time to time, upon the specific instructions of Tenant. Management Company shall not withdraw any monies from the Operating Account to pay any item other than Operating Expenses permitted pursuant to the Approved Operating Budget or the Approved Capital Budget, as applicable, including the Management Fee and all amounts due Management Company or its affiliates pursuant to any other agreement in respect of the Facility, or any emergency expenses pursuant to Section 2.4 hereof.

(b) Landlord shall establish a reserve account (the “FF&E Reserve”) at a bank approved by Management Company, such approval not to be unreasonably withheld or delayed.  Each month during the Term, Management Company shall transfer into the FF&E Reserve an amount equal to one twelfth (1/12) of the FF&E Reserve Payment.  Transfers into the FF&E Reserve shall be made on or before the fifteenth (15^th) day of each month.  Funds deposited into the FF&E Reserve shall be disbursed in accordance with the Approved Capital Budget.  Management Company and Tenant or Landlord shall each be signatories on the FF&E Reserve, but the Landlord shall be the account holder and all funds contained therein shall be the property of Landlord.  

(c) All rights granted to Management Company under the terms of this Agreement, including the payment of Management Fees, are and shall be subordinate to the liens of lenders securing the current indebtedness of Tenant (however, any Management Fees which are not paid due to the foregoing subordination provision shall accrue and Management Company shall have the right to terminate this Agreement in accordance with the terms of Section 7.2(a)(iv)).

(d) Tenant will maintain a minimum cash balance of $50,000 in the Operating Account. Tenant will also fund all reasonable cash requests of Management

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Company to maintain the foregoing cash balance in the Operating Account.  Without limiting the foregoing, on the Effective Date, Tenant will fund the Operating Account with a minimum of $50,000.  

(e) Tenant may sweep, on a monthly basis, all cash in excess of the above-described minimum cash balance, by the 20th calendar day of the following month.

2.9Licenses.

(a) Management Company, as agent of Tenant, shall assist Tenant in its application for, and maintenance of, in Tenant’s name, all Licenses from all governmental agencies which have jurisdiction over the Tenant and operation of the Facility.

(b) Neither Tenant nor Management Company shall knowingly take any action or fail to take any action which could reasonably be expected to cause a governmental authority having jurisdiction over the operation of the Facility to institute any proceeding to suspend, rescind or revoke any License.

2.10Quality Controls. Management Company shall activate and maintain on a continuing basis, a quality assurance program which provides objective measurements of the quality of services provided at the Facility.  In connection therewith, Management Company shall utilize such techniques (e.g. resident interviews and periodic inspections) as Management Company may reasonably deem necessary to maintain the quality of the Facility.

2.11Use of Management Company’s Personnel. Representatives of Management Company shall visit the Facility as often as Management Company deems necessary.  All reasonable out-of-pocket expenses arising from travel and lodging connected with such visitations shall be borne by the Facility as an Operating Expense, except that any such expenses which are not reasonable in amount or nature and those which do not provide support to the services provided by Management Company hereunder shall be borne by the Management Company.

2.12Taxes.  Any applicable income taxes of Tenant, any federal, state or local taxes, assessments or other governmental charges imposed on the Facility are the obligations of Tenant, not of Management Company, and all of the foregoing, with the exception of any applicable income taxes (which shall be paid directly by Tenant), shall be paid out of the Operating Account of the Facility as Operating Expenses.  With the Tenant’s prior written consent, Management Company may, and at Tenant’s direction shall, contest the validity or amount of any such tax or imposition on the Facility.  Management Company shall cause all Social Security and federal and state income tax withholding and other employee taxes related to all Facility Employees which may be due and payable to be paid promptly from the Operating Account of the Facility as Operating Expenses before the payment of any other Operating Expenses therefrom.

2.13Information Regarding the Facility.  Management Company shall maintain and provide to Tenant, upon Tenant’s request or upon termination of this Agreement, a complete set of the following:

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(a) books and records of the Facility held by Management Company;

(b) personal property relating to the Facility;

(c) service contracts relating to the Facility;

(d) all necessary records relating to the operation of the Facility and the personal property located at the Facility belonging to Tenant;

(e) all licenses, permits, operating or occupancy certificates, employment contracts, service contracts, cooperation agreements, and transfer or transportation agreements, relating to the maintenance and operation of the Facility;

(f) a copy of Management Company’s documented crisis and/or disaster communication and management plan for the Facility in form and substance required by applicable Legal Requirements; and

(g) the Employee Training Plan, provided, however, that Management Company may remove its policies and procedures manuals from same.

Management Company shall be responsible for the due and proper maintenance of all items on the foregoing lists, the cost of which shall be an Operating Expense.

Management Company, upon request by the Tenant, will make available to the Tenant for review at the corporate offices of Management Company, all facility operational materials, including policy and procedure manuals and standard operational materials and other similar materials.  Management Company agrees to change any policy and/or procedure which violates any Legal Requirement so as to cause such policy or procedure to comply with all Legal Requirements.  In addition, if Tenant requests any other change to any policy or procedure, Management Company and Tenant will work together to revise such policy or procedures but will not be required to implement changes which are based solely on business considerations.  Any and all changes in the standard management program of Management Company will be documented and clearly expressed in the “Policies and Procedures Exceptions Manual” which will be maintained in the Facility.

2.14Audit Rights.  Tenant shall have the right, at its sole cost and expense, to perform an audit on any of the reports provided by Management Company, and Management Company agrees to reasonably cooperate with any such audit. Subject to Legal Requirements, Tenant shall have access to Management Company’s books and records relating to the Facility and shall have the right to audit such books and records, including, with respect to any reports furnished by Management Company to Tenant pursuant to the terms of this Agreement, during the period of this Agreement and for a period of five (5) years after termination of this Agreement. Subject to Legal Requirements, Tenant also reserves the right, upon reasonable notice and during business hours, to perform any and all additional audits relating to Management Company’s activities either at the Facility or at Management Company’s office located at 1240 East Independence Avenue, Suite 200, Springfield, MO 65804.  If Tenant’s employees or agents discover either weaknesses in internal control or material errors in record keeping, Management Company shall correct such

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discrepancies either upon discovery or within a commercially reasonable period of time using diligent, efforts to remedy same and Management Company shall make any reasonable process changes to correct internal control weaknesses and to ensure any material errors in record keeping do not reoccur. Management Company shall inform Tenant in writing of the action taken to correct such audit discrepancies. If Management Company fails to correct such discrepancies, Tenant shall have the right to (i) require Management Company to outsource the necessary accounting functions to Tenant-approved third-party service providers or (ii) terminate this Agreement. Any and all such audits conducted either by Tenant’s employees or agents shall be at the sole expense of Tenant. However, if an audit reveals any material weaknesses or significant deficiencies in internal controls as defined by the Public Company Accounting Oversight Board, any material errors in record keeping, any misappropriation of funds by Management Company, its agents or employees or if the audit reveals that the net cash flow from the Facility for the period audited exceeded the net cash flow reported by Management Company in the reports submitted to Tenant pursuant to the terms of this Agreement for such period by 3%, the cost of the audit shall be borne by Management Company.  Tenant’s right to require Management Company to pay the cost of audit under these circumstances shall be in addition to any other rights or remedies that Tenant may have under this Agreement or in law or equity.

ARTICLE 3.
MANAGEMENT FEE

3.1Management Fees.  Compensation to Management Company shall be comprised of the following:

(a) Base Management Fee. During the Term, Management Company shall receive five percent (5%) of the gross collected Revenues received each month (“Base Management Fee”). The Base Management Fee for each month shall be paid to Management Company from the Operating Account of the Facility no later than fifteen (15) days following the end of that month.

(b) Incentive Management Fee. Management Company shall receive an “Incentive Management Fee” equal to fifty percent (50%) of Excess Cash Flow in any given Fiscal Year.  Notwithstanding the foregoing, the Incentive Management Fee shall not exceed a cap equal to two percent (2%) of Revenues collected for the applicable Fiscal Year.  The calculation of the Incentive Management Fee shall be measured and paid (if at all) each Fiscal Year quarter, but reconciled on an annual Fiscal Year basis, with a final measurement done within sixty (60) days following the end of each Fiscal Year. Each Fiscal Year’s calculation shall stand alone and not accrue or accumulate from year to year.  The Incentive Management Fee shall be considered an Operating Expense, but shall be excluded when computing the Incentive Management Fee and Subordinated Base Management Fee, as described below.  The amount of Incentive Management Fee to be paid at any Fiscal Year quarter will be the Incentive Management Fee expense less any Incentive Management Fee expense previously paid for the Fiscal Year being measured.

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(c) Subordination of Base Management Fee.  During the Term, in the event Adjusted NOI does not equal or exceed the Subordination Threshold (before funding debt service and the FF&E Reserve, but after Base Management Fee) (a “Threshold Shortfall”) for any Fiscal Year, then the lesser of the amount of such Threshold Shortfall or forty percent (40%) of the Base Management Fee (the lesser of such amount, the “Subordinated Base Management Fee”) shall not be paid and shall accrue and be payable to Management Company in accordance with the terms of this Section 3.1(c).  The calculation shall be measured each quarter and reconciled on an annual basis.  The Subordinated Base Management Fee shall be payable to Management Company if the Facility NOI exceeds the Subordination Threshold for two consecutive calendar years by an amount equal to or greater than the Threshold Shortfall.  In no event shall Subordinated Base Management Fee be paid from sources other than cash flow resulting from Adjusted NOI above the Subordination Threshold.  The payment of the Subordinated Base Management Fee shall occur in the same manner as the payment of the Incentive Management Fee, and shall be subject to a reconciliation on a quarterly and annual basis.

(d) The Management Fee shall be Management Company’s only compensation under this Agreement. Without limiting the foregoing, except as otherwise expressly agreed in writing between the parties or in an Approved Operating Budget, the Management Fee will be the sole source of funds available from the operation of the Facility to cover Management Company Expenses.

ARTICLE 4.
OTHER TRANSACTIONS WITH MANAGEMENT COMPANY OR ITS AFFILIATES

4.1Transactions with Management Company and Its Affiliates.  Notwithstanding anything else herein contained, Management Company shall not, without the prior written consent of Tenant after full disclosure by Management Company of such affiliation and interest, cause Tenant to enter into any contract with Management Company or any Affiliate thereof for services required to be provided by Management Company under this Agreement, or pay any amount to Management Company or its Affiliates, other than Management Fees described in Article 3 hereof, or reimbursement of bona fide expenses to unrelated third parties.

ARTICLE 5.
INSURANCE

5.1As of the Effective Date, Tenant or Landlord shall procure and maintain as an Operating Expense the Property Insurance required pursuant to this Agreement and Management Company shall procure and maintain as an Operating Expense the Liability Insurance required pursuant to this Agreement.  The carrier and the amount of coverage of each policy of insurance shall be satisfactory to Tenant in its commercially reasonable discretion.  Tenant or Landlord may elect, in its sole discretion, to procure and maintain as an Operating Expense some or all insurance policies required and set forth on Exhibit A, except for Management Company’s Workers’ Compensation, Employer’s Liability, Employment Practices and Professional Liability insurance

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policies, upon sixty (60) days written notice to Management Company.  In the event Tenant or Landlord elects to procure directly any of the required insurance policies, then Tenant or Landlord shall be the named insured under each policy and Management Company shall be named as an additional insured.

5.2Notwithstanding anything contained herein to the contrary, when preparing the Proposed Operating Budget for each Fiscal Year, Management Company shall have the opportunity to suggest the replacement of any Tenant or Landlord-provided insurance coverages hereunder (“Tenant’s Insurance”) with an alternative program (“Alternative Program”) meeting all insurance requirements (including carrier-rating, current property replacement values, comparable coverages, sublimits and other insurance provisions as may be quoted for no more than a one year policy term) set forth in this Agreement.  If the cost of such Alternative Program is less than the cost of Tenant’s Insurance by at least ten percent (10%) and Tenant elects to continue with Tenant’s Insurance, then for purposes of calculating NOI under this Agreement for the applicable Fiscal Year, Management Company shall receive a credit for the difference between the cost of the Alternative Program and the actual cost of Tenant’s Insurance for said Fiscal Year (the “Declined Insurance Savings”).  The amount of such credit shall be an addition to the NOI used in calculating the Subordination Threshold and Incentive Management Fee Threshold.

ARTICLE 6.
REPRESENTATIONS AND WARRANTIES

6.1Representations and Warranties of Tenant.  Tenant makes the following representations and warranties which are material representations and warranties upon which Management Company relied as an inducement to enter into this Agreement:

(a) Status of Tenant.  Tenant is a limited liability company duly organized and validly existing in good standing under the laws of the State of Delaware qualified in other jurisdictions where necessary in order to conduct its business and has all necessary power to carry on its business as now being conducted, to operate its properties as now being operated, to carry on its contemplated business, to enter into this Agreement and to observe and perform its terms.

(b) Authority of Due Execution.  Tenant has full power and authority to execute and deliver this Agreement and all related documents and to carry out the transactions contemplated herein; which actions will not with the passing of time, the giving of notice, or both, result in a default under or a breach or violation of (i) the Tenant’s articles of incorporation or bylaws; or (ii) any Legal Requirement, or any Facility Mortgage, note, bond, indenture, agreement, lease, license, permit or other instrument or obligation to which Tenant is now a party or by which Tenant or any of its assets may be bound or affected.

(c) Litigation.  There is no litigation, claim, investigation, challenge or other proceeding pending or, to the knowledge of Tenant, threatened against

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Tenant, its properties or business which seeks to enjoin or prohibit it from entering into this Agreement.

(d) Exclusion.  Tenant represents and warrants to Management Company, to the best of Tenant’s knowledge, that neither Tenant nor any of its owners, officers, directors, managers, or employees are excluded from participation in any federal health care programs, as defined under 42 U.S.C. 1320a-7b(f), or any form of state Medicaid program (each, an “Exclusion”), and to Tenant’s knowledge, there are no pending or threatened governmental investigations that may lead to such Exclusion.  Tenant agrees to notify Management Company of the commencement of any such Exclusion or investigation within seven (7) Business Days of Tenant’s first learning of it.  Management Company shall have the right to terminate this Agreement upon learning of any investigation which may result, with reasonably probability, in Tenant’s Exclusion, after giving Tenant not less than sixty (60) days prior written notice of such election.  Tenant agrees to notify Management Company of the status of any such investigation.  In the event of Tenant’s Exclusion, Management Company shall have the right to terminate this Agreement effective as of the earlier to occur of the following:  (i) sixty (60) days after notice from Management Company of such termination; or (ii) the date on which Tenant shall enter into an agreement with a replacement Management Company.  In the event Management Company shall give notice to Tenant following Tenant’s Exclusion under this Section 6.1(d), Tenant agrees to use its best efforts in good faith to enter into an agreement with a replacement Management Company as soon as possible following Management Company’s notice.  Tenant agrees to indemnify Management Company and save it harmless from any penalty, loss, cost or damage Management Company may incur as a result of Tenant’s Exclusion.

6.2Representation, Warranties and Covenants of Management Company.  Management Company makes the following representations and warranties which are material representations and warranties upon which Tenant relied as an inducement to enter this Agreement.

(a) Status of Management Company.  Management Company is a corporation duly organized and validly existing in good standing under the laws of the State of Missouri, and has all necessary power to carry on its business as now being conducted, to carry on its contemplated business, to enter into this Agreement and to observe and perform its terms.

(b) Authority and Due Execution.  Management Company has full power and authority to execute and to deliver this Agreement and all related documents and to carry out the transactions contemplated herein; which actions will not with the passing of time, the giving of notice, or both, result in a default under or a breach or violation of (i) Management Company’s Operating Agreement, or (ii) any Legal Requirement, or any Facility Mortgage, note, bond indenture, agreement, lease, license, permit or other instrument or

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obligation to which Management Company is now a party or by which Management Company or any of its assets may be bound or affected.  This Agreement constitutes a valid and binding obligation of Management Company, enforceable in accordance with its terms, except to the extent that its enforceability is limited by applicable bankruptcy, reorganization, insolvency, receivership or other laws of general application or equitable principals related to or affecting the enforcement of creditor’s rights.

(c) Litigation.  There is no litigation, claim, investigation, challenge or other proceeding pending or, to the knowledge of Management Company, threatened against Management Company, its properties or business which seeks to enjoin or prohibit it from entering into this Agreement.

(d) Ownership of Management Company.  Attached hereto as Schedule 6.2(d) is a true and accurate organizational chart depicting the ownership structure of Management Company.

(e) Qualifications of Management Company.  Management Company possesses the requisite skills, expertise, and knowledge to perform its obligations hereunder.

(f) Exclusion.  Management Company represents and warrants to Tenant that, to the best of its knowledge, neither Management Company nor any of its owners, officers, directors, managers, or employees have incurred an Exclusion, and to Management Company’s knowledge, there are no pending or threatened governmental investigations that may lead to such Exclusion.  Management Company agrees to notify Tenant of the commencement of any such Exclusion or investigation within seven (7) business days of Management Company’s first learning of it.  Tenant shall have the right to terminate this Agreement upon learning of any such investigation which may result, with reasonable probability, in Management Company’s Exclusion, after giving Management Company not less than sixty (60) days prior written notice of such election.  Management Company agrees to notify Tenant of the status of any such investigation.  In the event of Management Company’s Exclusion, Tenant shall have the right to terminate this Agreement effective as of the earlier to occur of the following:  (i) sixty (60) days after notice from Tenant of such termination; or (ii) the date on which Tenant shall enter into an agreement with a replacement Management Company.  In the event Tenant shall give notice to Management Company following Management Company’s Exclusion under this Section 6.2(f), Tenant agrees to use its best efforts in good faith to enter into an agreement with a replacement Management Company as soon as possible following Tenant’s notice.  Management Company agrees to indemnify Tenant and save it harmless from any penalty, loss, cost or damage Tenant may incur as a result of Management Company’s Exclusion.

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ARTICLE 7.TERMINATION

7.1Tenant Termination.  Tenant shall have the right to terminate this Agreement, without paying any fee or penalty, when and if one or more of the following events occur (hereinafter collectively referred to as “Management Company Default”), after which Tenant shall have the right, but not the obligation, to declare a termination of this Agreement in accordance with the termination protocols set forth below:

(a) appointment of a receiver or trustee to manage the assets of Management Company or its Affiliates;

(b) assignment for the benefit of creditors of the assets of Management Company or its Affiliates;

(c) ban on admissions, suspension of any License, or termination or revocation of any License, if not corrected within five (5) Business Days;

(d) Management Company’s negligence or willful misconduct;

(e) any voluntary act of bankruptcy by Management Company or its Affiliates, or any involuntary bankruptcy proceeding commenced against Management Company or its Affiliates and not dismissed within sixty (60) days of the commencement thereof;

(f) any event(s) resulting in none of Susan Foster, John Foster or Kevin Maddron maintaining operational control of Manager, or any other change in control of Management Company, whether by (i) sale of assets, (ii) sale, pledge, assignment, exchange or transfer of stock or other equity interests, or (iii) merger, consolidation, or otherwise, not previously approved by Tenant; or

(g) Management Company’s breach of any provisions of this Agreement, where such breach has not been cured within thirty (30) days after the giving of written notice specifying the nature of the breach or such longer period as may reasonably be required to diligently effect such cure, provided such longer period does not violate the Legal Requirements and Management Company diligently prosecutes a cure; or

(h) Any “Management Company Default” by Management Company or its Affiliate under any Affiliated Agreement.

7.2Management Company Termination.  Management Company shall have the right to terminate this Agreement:

(a) if and when one or more of the following events occur (hereinafter “Tenant Default”), after which Management Company shall have the right, but not

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the obligation, to declare a termination of this Agreement in accordance with the termination protocols set forth below:

(i)appointment of a receiver or trustee to manage the assets of Tenant;

(ii)assignment for the benefit of creditors of the assets of Tenant, except Management Company shall agree to enter into any agreements which may be required on behalf of the Mortgagee in order for the Landlord to obtain financing, so long as the Management Fees and other amounts due to Management Company set forth herein are not materially affected;

(iii)any voluntary act of bankruptcy by Tenant, or any involuntary proceeding commenced against Tenant and not dismissed within sixty days of the commencement thereof;

(iv)if there are insufficient funds in the Operating Account to pay the same, failure by Tenant to pay Management Company in accordance with ARTICLE 3 hereof within ten (5) Business Days after a demand in writing for same delivered by Management Company to Tenant;

(v)failure by Tenant to comply with its obligations under Section 2.7(d), above, to fund the Operating Account within ten (10) calendar days after a demand in writing for same delivered by Management Company to Tenant; or

(vi)Tenant’s breach of any provision of this Agreement, where such breach has not been cured within thirty (30) days after the giving of written notice specifying the nature of the breach or such longer period as may reasonably be required to diligently effect such cure.

(b) Management Company shall have the right, but not the obligation, to terminate this agreement within one hundred twenty days (120) of the sale of any or all of the Facility; provided that such termination shall not be effective until ninety (90) days following written notice from Management Company to Tenant of such election.

(c) Management Company shall have the right, but not the obligation, to terminate this agreement within one hundred twenty days (120) in the event there shall be a change of ownership or control of Tenant so that the Tenant is no longer an Affiliate of CNL Healthcare Properties II, Inc., or Tenant shall sublease or sublet the Facility to another operator which is not an Affiliate of CNL Healthcare Properties II, Inc.; Provided, however, that such termination shall not be effective until ninety (90) days following written notice from Management Company to Tenant of such election.

7.3Performance Termination.  Commencing with the expiration of Fiscal Year 2020, in the event that Adjusted NOI at any time does not equal or exceed eighty-seven and one half percent (87.5%) of the Performance Threshold as calculated on a rolling twelve (12) month basis, then the Tenant shall have the option to terminate this Agreement by providing a ninety (90) day

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written notice to Management Company.  

7.4Force Majeure.  Notwithstanding anything else herein contained, neither party shall have the right to terminate this Agreement as a result of any of the reasons set forth in Section 7.1(g) or in Section 7.2(a)(v) above, if the event is caused by strikes, other labor disturbances, fires, windstorm, earthquake, arbitrary and capricious action by third party payors, war or other state of national emergency, terrorism, or acts of God, in which the negligence of the party seeking to avoid termination is not a materially contributing factor to the occurrence of such event.  

7.5Termination Without Cause.  At any time during the Term, Tenant shall have the right to terminate this Agreement for any reason or for no reason upon sixty (60) days prior written notice to Management Company and payment to Management Company, upon the effective date of such termination, of an amount (the “Termination Fee”) equal to:

(a) if terminated during the first two (2) years of the Agreement, the average of the Management Fees (Base Management Fee plus Incentive Management Fee) for the prior three (3) months multiplied by twelve (12);

(b) if terminated during the third year of the Agreement, the average of the Management Fees (Base Management Fee plus Incentive Management Fee) for the prior three (3) months multiplied by nine (9);

(c) if terminated during the fourth year of the Agreement, the average of the Management Fees (Base Management Fee plus Incentive Management Fee) for the prior three (3) months multiplied by six (6);

(d) if terminated thereafter, the lesser of (i) the average of the Management Fees (Base Management Fee plus Incentive Management Fee) for the prior three (3) months multiplied by three (3); or (ii) the average of the Management Fees for the prior three (3) months (Base Management Fee plus Incentive Management Fee) multiplied by the number of months remaining in the Term.

Notwithstanding the foregoing, no Termination Fee shall be due to Property Manager: (i) in the event this Agreement is terminated in connection with a sale of the Facility and the purchaser of the Facility enters into a new management agreement with Management Company or its Affiliate, or (ii) in the event this Agreement is terminated in connection with the sale of greater than seventy-five percent (75%) of the senior housing assets owned by CNL Healthcare Properties II, Inc. (a “Portfolio Sale”), but excluding any Portfolio Sale to CNL Healthcare Properties, Inc. or any of its Affiliates.  However, in the event this Agreement is terminated in connection with a sale of the Facility (other than a Portfolio Sale) and the purchaser of the Facility does not either assume Tenant’s position under this Agreement or enter into a new management agreement with Management Company or its Affiliate, then in addition to the Termination Fee owing hereunder, Tenant also shall pay the Management Company a disposition fee of $25,000 to compensate Management Company for work performed by it during the sales process.

7.6Payment of Termination Fee.  In addition to and not in substitution for, its other obligations arising under this Agreement, Tenant shall have the obligation to pay the Termination

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Fee calculated as provided in Section 7.5above to Management Company in each of the following circumstances:

(a) In the event Management Company shall terminate this Agreement pursuant to Section 7.2(a), above;

(b) In the event Tenant shall terminate this Agreement pursuant to Section 7.5, above;

(c) In the event Tenant shall terminate this Agreement pursuant to Section 7.8, below.

7.7 Termination Upon Casualty or Condemnation.  Either party has the option to terminate this Agreement without payment of fee or penalty upon 30 days prior written notice to the other upon the occurrence of either of the following events:

(a) the Facility or any material portion thereof is damaged or destroyed to the extent that, in the written opinion of an independent architect or engineer chosen by Tenant and reasonably acceptable to Management Company: (1) it is not practicable or desirable to rebuild, repair or restore the Facility to its condition immediately preceding such damage within a period of six (6) months; or (2) the conduct of normal operations of the Facility is interrupted for a period of six (6) months or more; or

(b) title to or possession of all or substantially all of the Facility is taken, on either a permanent or temporary basis, under the exercise of the power of eminent domain by a government authority or person, firm or corporation acting under governmental authority which in the opinion of an independent architect or engineer reasonably acceptable to both parties, prevents or is likely to prevent the conduct of normal operations at the Facility for a period of at least six (6) months.

7.8Termination Upon Foreclosure.  Tenant, at the direction of Mortgagee, or Mortgagee shall have the option to terminate this Agreement, subject to the rights of Management Company herein, upon ten (10) days’ prior written notice to Management Company in connection with a foreclosure or delivery of a deed in lieu thereof that is related to any Facility Mortgage, without any further obligation to Management Company (except for the obligations of Tenant to pay any Termination Fee under Section 6.6 above and any accrued Management Fees for previous periods which have not been paid, each of which shall be the obligation of Tenant but not Mortgagee).  Upon the request of Tenant, Management Company shall enter into a written agreement acknowledging that its rights under the Agreement are subordinate to any Facility Mortgage.

7.9Management Company’s Obligations After Termination or Expiration of Agreement.  

(a) Upon the expiration or termination of this Agreement, Management Company shall, if requested:

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(i)deliver to Tenant, or such other person or persons designated by Tenant, copies of all books and records of the Facility (including the Employee Training Plan, provided, however, that Management Company may remove its policies and procedures manuals from same) and all funds in the possession of Management Company belonging to Tenant or received by Management Company pursuant to the terms of this Agreement;

(ii)assign, transfer, or convey to Tenant, or such other person or persons designated by Tenant, all service contracts and personal property relating to or used in the operation and maintenance of the Facility, except any personal property which was paid for and is owned by Management Company;

(iii)remove, at Management Company’s expense, all signs that it may have placed at the Facility indicating that it is manager of same and replace and restore the damage resulting therefrom; provided, however, that, Management Company hereby grants Tenant a license or sublicense, as applicable, to use all intellectual property used by Management Company in connection with the operation of the Facility for a period of three (3) months after termination of this Agreement so as to allow Tenant sufficient time to rebrand the Facility;

(iv)cooperate with Tenant in transitioning management to a new manager in accordance with the Legal Requirements; and

Upon any termination or the expiration pursuant to this Section, the obligations of the parties hereto (except those specified as surviving) shall cease as of the date specified in the notice of termination, except that Management Company shall comply with the applicable provisions of this Section and shall be entitled to receive any and all compensation which may be due Management Company hereunder through the effective date of such termination or expiration.

(b) Tenant shall use commercially reasonable, good faith efforts to cause the new operator or new manager (the “New Manager”) of the Facility to enter into an Operations Transfer Agreement with the Management Company in a form reasonably acceptable to all parties thereto.  

(c) Tenant agrees to pay for the costs of any goods delivered and third-party services rendered to the Facility and which would otherwise qualify as Operating Expenses hereunder for time periods through the termination or expiration of this Agreement (the “Termination Date”).  Management Company and Tenant shall prorate the cost of any goods and services delivered to the Facility and qualifying as Operating Expenses for both before and after the Termination Date.

(d) Tenant shall or shall direct the Staffing Company to make payment to each employee of the Facility of his or her vacation pay, sick pay, holiday pay and any other pay required for time off accrued as of the Termination Date,

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unless and to the extent the obligation to pay the same is assumed by the New Manager as of the Termination Date.

(e) Management Company shall use commercially reasonable efforts at no material cost to Management Company to assist Tenant in winding down Tenant’s and/or Management Company’s affairs and operations of the Facility.  

(f) Management Company agrees to deliver to Tenant each of the reports required hereunder for time periods through the Termination Date.  

(g) The parties acknowledge that accounting and management of the Facility will be performed during the Term by the use of software licensed by Tenant and Staffing Company from MDI Solutions (the “MDI Software”) pursuant to the license.  The parties acknowledge that the term of the license for the MDI Software will need to be continued subsequent to the Termination Date with different applications of the software being terminated at different dates and with all MDI Software terminated effective as of a date following the Termination Date, in order for the Management Company to complete its obligations under this Agreement.  The parties further acknowledge that the Operating Expenses shall include any and all reasonable licensing and termination fees payable to MDI.

(h) The parties agree that all books, records and financial data relating to the Facility in Management Company’s possession shall be delivered to Tenant as soon as possible after the Termination Date, but in no event later than sixty (60) days after the Termination Date in accordance with this Section 6.8 at Tenant’s sole cost.

(i) The following records to the extent they are in Management Company’s possession or control and relate to the Facility for time periods arising under this Agreement shall be delivered at Tenant’s cost to Tenant:

a.Accounting books and records, including all profit and loss statements, balance sheets, general ledgers, accounts payable, paid invoices, accounts receivable and all supporting documents;

b.Tax returns and reports together with supporting documents;

(j) Admission and treatment records of all residents of the Facility shall be delivered to New Manager.

(k) The parties agree that in calculating NOI, each of the following shall be disregarded:

(i)the Termination Fee to be paid by Tenant;

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(ii)the cost of delivery of Tenants records pursuant to Section 6.9(h) and (i) above; and

(iii)any cost incurred for the use of the MDI Software during the period after the Termination Date and for the termination of the licensing agreement for the MDI Software, as provided in Section 7.9(g) above.

ARTICLE 8.MISCELLANEOUS COVENANTS

8.1Indemnification by Tenant.  Subject to the limitations set forth in this ARTICLE 8 and except with respect to all matters for which Management Company is obligated to indemnify Tenant pursuant hereto, Tenant agrees to indemnify and hold harmless Management Company  against and with respect to any and all claims, demands, losses, costs, expenses, obligations, liabilities, damages, recoveries, and deficiencies, including interest, penalties, and reasonable attorneys’ fees and expenses, costs of litigation and costs of investigation (but not including any adjustments or credits expressly provided for in this Agreement) (together referred to as “Management Company Losses”):

(a) resulting from any breach of a representation or warranty contained in Section 6.1 of this Agreement;

(b) resulting from gross negligence or willful misconduct of Tenant in exercising its duties and responsibilities hereunder;

(c) an uncured Tenant Default; or

(d) caused by Landlord’s or Tenant’s failure to fund Capital Expenditures previously approved in the Approved Capital Budget that results in personal injury of a resident of the Facility, provided that Management Company’s or Staffing Company’s negligence or willful misconduct was not a contributing factor with respect to such injury.

Tenant and Management Company agree that the parties hereto shall first look to any insurance for coverage with respect to any of the indemnification obligations contemplated by this Section 8.1. This Section 8.1 shall survive the termination or expiration of this Agreement.

8.2Indemnification by Management Company.  Subject to the limitations set forth in this ARTICLE 8, Management Company hereby agrees to indemnify and hold harmless Tenant against and with respect to any and all claims, demands, losses, costs, expenses, obligations, liabilities, damages, recoveries, and deficiencies, including interest, penalties, and reasonable attorneys’ fees and expenses, costs of litigation and costs of investigation (but not including any adjustments or credits expressly provided for in this Agreement) (“Tenant Losses”):

(a) resulting from any breach of a representation or warranty contained in Section 6.2 of this Agreement;

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(b) resulting from negligence or willful misconduct of Management Company or Staffing Company in exercising its duties and responsibilities hereunder; or

(c) Management Company’s uncured breach of this Agreement.

Tenant and Management Company agree that the parties hereto shall first look to any insurance for coverage with respect to any of the indemnification obligations contemplated by this Section 8.2. This Section 8.2 shall survive the termination or expiration of this Agreement.

8.3Additional Covenants of Management Company. Management Company hereby makes the additional covenants set forth in this Section, which are material covenants and upon which Tenant relies as an inducement to enter into this Agreement:

(a) Assignment. Management Company may not assign its rights and obligations hereunder without Tenant’s prior approval.  Any purported assignment in violation of this Section 8.3(a) is void ab initio.  For purposes of this Section 8.3(a), a change in fifty percent (50%) or more in the ownership or a change in Control of Management Company, shall be deemed to be an effective assignment of this Agreement requiring Tenant’s prior approval. For purposes of clarification, it shall not be deemed unreasonable for Tenant to withhold consent to any such transfer if the transferee lacks, in Tenant’s reasonable opinion, (w) assignee does not qualify as an “eligible independent contractor” pursuant to Section 8.17  below, (x) the financial wherewithal, (y) the character (which determination may be made, in whole or in part, based on Tenant’s or its Affiliate’s past dealings with the intended transferee), or (z) the quality and relevant experience necessary to satisfy the obligations of Tenant hereunder.  Any proposed transferee shall be required to provide adequate assurances to Tenant: (l) that Revenues shall not decline substantially after the date of such transfer; (m) of the continuous operation of the Facility in strict accordance with the requirements of this Agreement; and (n) of such other matters as Tenant may reasonably require at the time of such transfer.  Management Company shall provide written notice to Tenant in the event that there is any change in the ownership of Management Company, whether direct or indirect, regardless of whether such change constitutes a change of more than fifty percent (50%) of the direct or indirect ownership of Management Company, which notice shall be delivered no later than five (5) Business Days following the effectuation of any such change.  Management Company shall also provide Tenant with an updated organizational chart showing the direct and indirect ownership interests in and to Management Company that is true, complete and correct within five (5) Business Days following the effectuation of any such change.

(b) Tenant Assignment.  Management Company acknowledges and agrees that Tenant may assign its rights and obligations under this Agreement without

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prior approval of Management Company to an Affiliate of Tenant or to a third party in connection with the sale of the Facility.

(c) Transfer of Residents.  Management Company agrees that it will not, during the Term, without the prior written consent of the Tenant, encourage or solicit the transfer of any resident of the Facility to another facility in which Management Company has an interest which is not owned by Tenant, unless the physical or medical condition of the resident indicates that such a transfer would be appropriate.

(d) Non-Compete.  Management Company hereby covenants and agrees that, for a period commencing on the Effective Date and ending two (2) years following the expiration or earlier termination of this Agreement, Management Company shall not, and shall cause all of its Subsidiaries and Affiliates (each, a “Covered Person”) not to, either (1) Compete, directly or indirectly, with the Facility by engaging, in any capacity, in owning, operating or managing an independent living facility for senior residents, an assisted living facility or a memory care unit (collectively, a “Senior Living Facility”) within seven (7) driving miles of the Facility or (2) solicit any Facility Employees for employment or resident of the Facility to live at another facility owned or controlled by a Covered Person (provided nothing herein shall prevent a Covered Person from hiring any employee of the Facility who responds to a Covered Person’s advertisement or other notice that is not specifically targeted at employees of the Facility).  For purposes of this provision, “Compete” means (i) to, directly or indirectly, conduct, facilitate, participate or engage in, or bid for or otherwise pursue a Senior Living Facility, whether as a principal, sole proprietor, partner, stockholder, or agent of, or consultant to or manager for, any Person, or (ii) to, directly or indirectly, have any ownership interest in any Person or business which conducts, facilitates, participates or engages in, or bids for or otherwise pursues a Senior Living Facility whether as a principal, sole proprietor, partner, stockholder, or agent of, or consultant to or manager for, any such Person, in each case except as a passive investor with a non-controlling interest in such Person.  Notwithstanding the foregoing, this Section 8.3(d) shall not apply to or in any way prohibit or restrict (x) any existing ownership interests or operations of a Covered Person as of the Effective Date, (y) acting as a consultant or manager to a Senior Living Facility owned (directly or indirectly) by CNL Healthcare Properties II, Inc., or (z) any Senior Living Facility acquired as part of a portfolio transaction of seven or more facilities. The parties recognize and acknowledge that a breach of this Section 8.3(d) by Management Company or any of its Subsidiaries or Affiliates will cause irreparable and material loss and damage to Tenant and hereby consent to the granting by any court of competent jurisdiction of an injunction or other equitable relief, without the necessity of posting a bond, cash or otherwise, and without the necessity of actual monetary loss being proved or Tenant’s establishing the inadequacy of any remedy at law, and order that the breach or threatened breach of such

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provisions may be effectively restrained.  The provisions of this Section 8.3(d) shall expressly survive the expiration or earlier termination of this Agreement.  This provision, however, shall not apply following any termination of this Agreement arising out of Section 7.2 or Section 7.8.

(e) Non-Solicitation.  Management Company hereby covenants and agrees that, for a period commencing on the Effective Date and ending one (1) year following the expiration or earlier termination of this Agreement.  Management Company, on behalf of itself and its Subsidiaries and Affiliates, shall not directly or indirectly solicit or divert business from any resident, or customer of or to the Facility to the detriment of Tenant or any Affiliate of Tenant, or otherwise interfere with the relationship between Tenant or any Affiliate of Tenant in connection with the Facility and any resident, customer, supplier, distributor or manufacturer of or to Tenant or any Affiliate of Tenant to the detriment of Tenant or any Affiliate of Tenant in connection with the Facility.  The parties recognize and acknowledge that a breach of this Section 8.3(e) by Management Company or any of its Subsidiaries or Affiliates will cause irreparable and material loss and damage to Tenant and hereby consent to the granting by any court of competent jurisdiction of an injunction or other equitable relief, without the necessity of posting a bond, cash or otherwise, and without the necessity of actual monetary loss being proved or Tenant’s establishing the inadequacy of any remedy at law, and order that the breach or threatened breach of such provisions may be effectively restrained.  The provisions of and obligations under this Section 8.3(e) shall apply throughout the Term and shall expressly survive the expiration or earlier termination of this Agreement for a period of one (1)year following such expiration or earlier termination.  This provision, however, shall not apply following any termination of this Agreement arising out of Section 7.2 or Section 7.8.  Nothing in this Section 8.3(e) shall prohibit residents or employees from answering general solicitation through media advertisements placed by Management Company.

8.4Additional Covenants of Tenant. Tenant hereby makes the additional covenants set forth in this Section, which are material covenants and upon which Management Company relies as an inducement to enter into this Agreement:

(a) Tenant will cooperate with Management Company in every reasonable respect and will furnish Management Company with all information required by it for the performance of its services hereunder and will permit Management Company to examine and copy any data in the possession or control of Tenant affecting Management Company and/or operation of the Facility and will in every way cooperate with Management Company to enable Management Company to perform its services hereunder.

(b) Tenant will examine documents submitted by Management Company and render decisions pertaining thereto, when required, promptly to avoid

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unreasonable delay in the progress of Management Company’s work. Tenant agrees that it will not unreasonably fail to execute and deliver all applications and other documents that may be reasonably deemed by Management Company to be necessary or proper to be executed by Tenant in connection with the Facility, subject to the limitations in this Agreement with respect to the Budget and other rights of Tenant.

(c) Tenant acknowledges that Management Company retains all ownership and other rights in all proprietary systems, manuals, materials, trade names, branding and other information, in whatever form, developed by Management Company in the performance of its services hereunder (other than any trademarks, trade names or other intellectual property acquired by Tenant or Landlord in connection with the acquisition of the Facility), and nothing contained in this Agreement shall be construed as a license or transfer of such information either during the Term or thereafter. Upon termination of this Agreement all such proprietary systems manuals, materials and other information in whatever form shall be removed from the Facility by Management Company.  For the avoidance of doubt, this Section does not apply to the Employee Training Plan, excluding policy and procedure manuals of Management Company.

(d) Tenant shall comply with all Legal Requirements which are applicable to Tenant provided that Tenant, at its sole expense and without cost to Management Company, shall have the right to contest by proper legal proceedings the validity, so far as applicable to it, of any such Legal Requirement, provided that such contest shall not result in a suspension of operations of the Facility. Notwithstanding the foregoing, however, Tenant shall not be deemed to be in breach of the covenant contained in this clause (d) if Tenant’s failure to so comply is the result of a failure by Management Company to comply with any of its obligations under this Agreement.

8.5Binding Agreement. The terms, covenants, conditions, provisions and agreements herein contained shall be binding upon and inure to the benefit of the parties hereto, their successors and assigns.

8.6Relationship of Parties. Nothing contained in this Agreement shall constitute or be construed to be or to create a partnership, joint venture or lease between Tenant and Management Company with respect to the Facility. Management Company shall have no right or authority, express or implied, to commit or otherwise obligate Tenant in any manner whatsoever except to the extent specifically provided in this Agreement.

8.7Notices.

(a) If Management Company shall desire the approval of Tenant to any matter, Management Company will give written notice by mail or email to Tenant that it requests such approval, specifying in the notice the matter as to which approval is requested and reasonable detail respecting the matter. Any

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provisions hereto to the contrary notwithstanding in emergency situations (as reasonably determined by Management Company), Management Company shall not be required to seek or obtain Tenant’s approval for any actions or omissions which Management Company, in its sole judgment, deems necessary or appropriate to respond to such situations, provided Management Company promptly thereafter reports such action or omission to Tenant in writing, by mail and by email.

(b) Any notice pursuant to this Agreement shall be given in writing by (a) personal delivery, (b) reputable overnight delivery service with proof of delivery, (c) United States Mail, postage prepaid, registered or certified mail, return receipt requested, or (d) legible facsimile transmission with a confirmation sheet or e-mail, sent to the intended addressee at the address set forth below, or to such other address or to the attention of such other Person as the addressee shall have designated by written notice sent in accordance herewith.  Any notice so given shall be deemed to have been given upon receipt or refusal to accept delivery, or, in the case of facsimile transmission or e-mail, as of the date of the facsimile transmission or e-mail provided that such facsimile or email is also sent to the intended addressee by means described in clauses (a), (b) or (c) above.  Unless changed in accordance with the preceding sentence, the addresses for notices given pursuant to this Agreement shall be as follows:

(i)To Tenant, by addressing the same to:

CHP II Riverside FL Tenant, LLC

c/o CNL Healthcare Properties II, Inc.

450 South Orange Avenue

Orlando, Florida 32801

Attention: Chief Financial Officer and General Counsel

Telephone No.: (407) 835-3201

Facsimile No.:  (407) 540-2576

E-Mail: Tracey.Bracco@cnl.com
Ixchell.Duarte@cnl.com

With a copy to:

Lowndes, Drosdick, Doster, Kantor & Reed, P.A.

215 North Eola Drive

Post Office Box 2809

Orlando, Florida 32802

Attention: John D. Ruffier, Esquire

Telephone No.: (407) 843-4600

Facsimile No.: (407) 843-4444

E-Mail:  John.Ruffier@lowndes-law.com

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(ii)To Management Company, by addressing the same to:

Foster Development, Inc.

ATTN: John Foster

1240 East Independence Ave, Suite 200

Springfield, MO 65804

Telephone No.:  (417) 831-0174

Facsimile No.:  (417) 831-1873

E-Mail:  jdfost@spamarrest.com

With a copy to:

Foley & Lardner

111 North Orange Avenue, Suite 1800

Orlando, FL 32801-2386

Attention:  Michael Okaty, Esquire

Telephone No:  (407) 244-3229

Facsimile No.:  (407) 648-1743

E-Mail:  mokaty@foley.com

(c) All notices sent by a party (or its counsel as contemplated below) under this Agreement shall be deemed to have been received by the party to whom such notice is sent upon (a) delivery to the address, facsimile number or e-mail address of the recipient party, provided that such delivery is made prior to 5:00 p.m. (local time for the recipient party) on a Business Day, otherwise the following Business Day, or (b) the attempted delivery of such notice if (i) such recipient party refuses delivery of such notice, or (ii) such recipient party is no longer at such address, facsimile number or e-mail address, and such recipient party failed to provide the sending party with its current address, facsimile number or e-mail address pursuant to Section 8.7(c).

(d) Change of Address.  The parties and their respective counsel shall have the right to change their respective address, facsimile number or e-mail address for the purposes of this Section 8.7 by providing a notice of such change in address, facsimile number or e-mail address as required under this Section 8.7.

(e) Delivery by party’s Counsel.  The parties agree that the attorney for a party shall have the authority to deliver notices on such party’s behalf to the other parties hereto

8.8Entire Agreement: This Agreement contains the entire agreement between the parties hereto with respect to the subject matter and no prior oral or written, and no contemporaneous oral representations or agreements between the parties with respect to the subject matter of this Agreement shall be of force and effect. Any additions, amendments or modifications to this Agreement shall be of no force and effect unless in writing and signed by both Tenant and Management Company.

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8.9Applicable Law; Jurisdiction and Venue. This Agreement shall be governed by, and construed in accordance with, the laws of the State of Florida. Tenant and Management Company agree to submit exclusively to the jurisdiction of applicable federal and state courts in Orange County, Florida in connection with any claims or controversy arising out of this Agreement and that venue for such actions shall exclusively be in Orange County, Florida.  Tenant and Management Company hereby submit to jurisdiction and consent to venue in such courts, and waive any defense based on forum non conveniens.

8.10Captions and Headings. The captions and headings throughout this Agreement are for convenience and reference only, and the words contained therein shall in no way be held or deemed to define, limit, describe, explain, modify, amplify or add to the interpretation, construction or meaning of any provision of or the scope or intent of this Agreement nor in any way affect this Agreement.

8.11Non-Recourse Nature of Obligation.

(a) Notwithstanding anything else herein contained, the obligations of Tenant hereunder shall be limited to its interest in the Facility and the revenues thereof and Receivables and accounts related thereto, and Management Company shall have no right to proceed against any other assets of Tenant to satisfy any obligation of Tenant. No officer, director, or member of Tenant shall have any personal liability hereunder.  The liability of Tenant to Management Company is limited to actual damages suffered by Management Company as a direct and proximate result of any of the matters set forth in Section 8.1 hereof.

(b) No officer, director, or member of Management Company shall have any personal liability hereunder.  The liability of Management Company to Tenant is limited to actual damages suffered by Tenant as a direct and proximate result of any of the matters set forth in Section 7.2 hereof.  

8.12Additional Reports.  In connection with Tenant’s responsibility to maintain effective internal controls over financial reporting and the Tenant’s requirements for complying with the Sarbanes–Oxley Act of 2002, Management Company hereby agrees to provide, as an Operating Expense, access and reasonable assistance as may be requested by Tenant that will allow Tenant to conduct activities necessary to satisfy its responsibilities, as previously outlined, including, without limitation, the activities necessary to comply Sections 302 and 404 of The Sarbanes–Oxley Act, standards issued by the Public Company Accounting Oversight Board and adopted by the Securities and Exchange Commission, or other similarly promulgated guidance by other regulatory agencies.  Management Company hereby agrees to provide, at Tenant’s request and as an Operating Expense, (i) evidence of Management Company documented policies regarding “whistleblower” procedures and regarding the reporting of fraud or misstatements involving Facility financial reporting, and (ii) access for the Tenant to conduct such procedures as Tenant reasonably considers necessary to make a determination that Management Company has maintained an effective system of internal controls over financial reporting.  In addition to the foregoing, Management Company shall provide Tenant with access to the books and records of the Facility in order to perform miscellaneous other internal audit procedures as deemed

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reasonably appropriate by Tenant.  Notwithstanding the other terms, covenants and conditions of this Section 8.12, the parties acknowledge and agree that Management Company shall have no responsibility or obligation with regard to Tenant’s obligations stipulated by the Public Company Accounting Oversight Board or under the Sarbanes–Oxley Act of 2002, except to comply with requests which may be made by Tenant under this Section 8.12.  Notwithstanding the other terms, covenants and conditions of this Agreement, if Management Company shall be required to incur a cost in excess of Five Thousand Dollars ($5,000) in any calendar year to comply with its obligations under this Section 8.12, such costs shall be disregarded as an Operating Expense in calculating NOI.

8.13Legal Fees and Costs. In the event either party elects to incur legal expenses to enforce or interpret any provision of this Agreement against the other party to this Agreement, the prevailing party shall be entitled to recover such legal expenses, including without limitation, reasonable attorney’s fees, costs and necessary disbursements, in addition to any other relief to which such party shall be entitled.

8.14Counterparts.  This Agreement may be executed in two or more counterparts, each of which shall be deemed an original and all of which together shall constitute but one and the same instrument.

8.15WAIVER OF JURY TRIAL.  THE PARTIES HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVE, TO THE MAXIMUM EXTENT PERMITTED BY LEGAL REQUIREMENTS, ANY RIGHT THAT EITHER PARTY OR THEIR HEIRS, PERSONAL REPRESENTATIVES, SUCCESSORS OR ASSIGNS MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT OR ANY OTHER DOCUMENTS EXECUTED IN CONNECTION HEREWITH, OR IN RESPECT OF ANY COURSE OF CONDUCT, STATEMENTS (WHETHER ORAL OR WRITTEN), OR ACTIONS OF ANY PARTY.  THIS PROVISION IS A MATERIAL INDUCEMENT FOR EACH OF THE PARTIES TO ENTER INTO THIS AGREEMENT.

8.16Protection of REIT Status.  Manager acknowledges that CNL Healthcare Properties II, Inc., a Maryland corporation (“CNL REIT”) and an indirect owner of Landlord and Tenant, has elected to be treated as a real estate investment trust (a “REIT”) within the meaning of Sections 856 through 860 of the Internal Revenue Code of 1986, as amended (the “Code”), and Manager agrees that without the prior written consent of Landlord (which may be given or withheld in Landlord’s sole discretion), it will not (a) accept, or cause or allow to be earned, any rents or license fees or other amounts to be paid by a tenant or occupant at the Facility that would be based, in whole or in part, on the income or profits derived by the business activities of such tenant or occupant, (b) lease or license space to any person in which Landlord or CNL REIT owns a ten percent (10%) or greater interest, directly or indirectly (by applying the constructive ownership rules set forth in Section 856(d)(5) of the Code), or (c) accept, or cause or allow to be earned, any payments or other amounts which would fail to qualify as “revenue from qualified healthcare property” as described in Section 856(d) and (e) of the Code.  Without limiting the generality of the foregoing, with respect to any of the services to be rendered by Manager for the Facility, Manager agrees that it will not enter into any subcontract with or otherwise engage the services of any person from whom Landlord or CNL REIT, directly or indirectly, derives any

44

revenue (including, for example, from a tenant of the Facility), without the prior written consent of Landlord.  Manager further represents and warrants that neither Landlord nor CNL REIT, directly or indirectly, derives any revenue from Manager or its Affiliates, except for rent, if any, paid by Manager to occupy management space to manage the Facility, which space shall be used solely for the management of the Facility.

8.17Eligible Independent Contractor.  Management Company is and shall at all times be an “eligible independent contractor” as defined in Section 856(d)(9) of the Code (and taking into account the restrictions on ownership of Management Company by shareholders of CNL Healthcare Properties II, Inc. (“CNL REIT”), and restrictions on ownership of CNL REIT by owners of Management Company set forth in Section 856(d)(3)), and Management Company will and shall cause the Facility to be managed in such a manner so that it qualifies as a “qualified health care facility” within the meaning of Section 856(e)(6)(D)(i) of the Code at all times.  In the event that Tenant reasonably concludes that the terms of this Agreement will have any effect as to cause the rent under Tenant’s lease of the Facility to fail to qualify as “rents from real property” within the meaning of Section 856(d) of the Code, Management Company hereby agrees to enter into an amendment to this Agreement as proposed by Tenant modifying such terms in such a way as to cause rent under Tenant’s lease of the Facility to so qualify as “rent from real property” in the reasonable opinion of Tenant and its counsel; provided however, no such modifications shall affect the amount of Management Fees or the practical realization of the rights and benefits of Management Company hereunder.  Management Company further represents and warrants that none of Tenant, Landlord or CNL Healthcare Properties II, Inc., directly or indirectly, derives any revenue from Management Company, except for rent (if any) paid by Management to occupy management space to manage the Facility, which space shall be used solely for the management of the Facility.

8.18Estoppels.  Either party shall, within ten (10) business days after the other party’s request, execute and deliver to the requesting party a written declaration, in form and substance reasonably acceptable to the requesting party, in recordable form: (a) ratifying this Agreement; (b) expressing the Effective Date and termination date hereof; (c) certifying that this Agreement is in full force and effect and has not been assigned, modified, supplemented or amended (except by such writing as shall be stated); (d) certifying that neither Management Company nor Tenant is in default under this Agreement (or specifying the existence and nature of any such default); and (e) such other information as the requesting party may reasonably request.  Lenders and/or purchasers shall be entitled to rely upon such declaration. A party’s failure to furnish any estoppel certificate within ten (10) business days after request therefor shall be deemed a default hereunder.

(Signature Page to Follow)

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IN WITNESS WHEREOF, the parties hereto have executed, sealed and delivered this Agreement through their duly authorized representatives, as of the day and year first above written.

TENANT:

CHP II RIVERVIEW FL TENANT, LLC, a Delaware limited liability company

By:  /s/ Brett S. Bryant

Name: Brett S. Bryant

Title:   Vice President

MANAGEMENT COMPANY:

FOSTER DEVELOPMENT, INC.

a Missouri corporation

/s/ John Foster

By:  John Foster

Its:  President

SCHEDULE 1.1

Staffing Company Agreement

This Staffing Company Agreement (“Agreement”) is made as of ___________ __, 201_ (the “Effective Date”) by and between FOSTER DEVELOPMENT, INC., a Missouri corporation (“Management Company”) and CROSSINGS RIVERVIEW OPCO, LLC, a Missouri limited liability company (“Staffing Company”).

RECITALS

A.CHP II RIVERVIEW FL OWNER, LLC (“Landlord”) is the owner of the following senior living community (the “Facility”): Crossings at Riverview, 8451 US Highway 301, Riverview, Florida 33578.

B.Landlord has leased the Facility to CHP II RIVERVIEW FL TENANT, LLC (“Tenant”) under a Lease Agreement dated as of September 1, 2018 which provides that the term of the Lease shall commence on the Closing Date under the PSA.  

C.Tenant and Management Company entered into a Management Services Agreement (the “Management Agreement”) under which Tenant engaged Management Company to provide certain management services to Tenant for a term commencing on the Closing Date as defined in the Purchase and Sale Agreement.  Capitalized terms defined in the Management Agreement shall have the same meaning in this Agreement, unless otherwise stated.

D.Under the Management Agreement, Tenant and Management Company agreed that all the employees at the Facility shall be employees of Staffing Company rather than Tenant or Management Company, except for supervisory employees identified by Management Company as key employees such as administrators, directors of health and welfare, and dietary supervisors who may be the employed by Management Company.

E.Staffing Company wishes to provide all the employees for the Facility on the terms and conditions set out in this Agreement.

NOW, THEREFORE, the parties, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, agree as follows:

1.RIGHTS AND RESPONSIBILITIES.

1.01Duties and Responsibilities of Staffing Company.  Management Company hereby appoints Staffing Company as the sole and exclusive provider of employees at the Facility except as hereafter provided and grants Staffing

Schedule 1.1-Page 1

Company all the authority necessary to carry out, in the manner deemed best by Staffing Company and consistent with the objectives and obligations set forth in this Agreement, the providing of such employees of the Facility on behalf of the Management Company.  Notwithstanding anything provided herein to the contrary, Tenant shall retain the control and authority (a) required by law for Tenant to maintain the assisted-care living Facility license from the State of Missouri, and (b) not otherwise specifically delegated to Staffing Company hereunder.  Management Company, Tenant and Staffing Company are not partners or joint-venturers and it is agreed that Staffing Company is acting solely as the agent of Management Company in performing services to be provided hereunder.  As the primary provider of employees to perform all services at the Facility, Staffing Company shall perform the following, but only with respect to the Facility and subject to the rights and responsibilities of the Tenant:

(a)Recruit, hire, train and supervise all Facility Staffing Employees (as hereafter defined), with no such personnel being employed by Tenant or Management Company except for supervisory employees identified by Management Company as key employees such as administrators, directors of health and welfare, and dietary supervisors who may be the employed by Management Company;

(b)Prepare, keep and provide Management Company with access during regular business hours to all contracts, books, records, documents, policies and other information necessary for the lawful operation and sound financial management of the Facility.

(c)Prepare all books, records, payroll registers and other documents which may be requested by Management Company from time to time and deliver same to the Management Company on a timely basis so that Management Company is able to make the payments as described in Section 1.05 below.

1.02Insurance.

(a)Each policy or contract for insurance coverage for the Facility procured by Management Company under the Management Agreement shall name Staffing Company as an additional named insured, as its interests may appear.

(b) All certificates of insurance provided for under this Section shall state that the insurance shall not be canceled or materially changed without at least thirty (30) days' prior written notice to the certificate holder and to Staffing Company.

1.03Employees; Proprietary Interest.

(a)All persons employed in the operation of the Facility (“Facility Staffing Employees”) shall be employees of the Staffing Company, except as otherwise provided below.  All persons employed in the operation of the Facility shall be Facility

Schedule 1.1-Page 2

Staffing Employees.  All Facility Staffing Employees shall be employees of the Staffing Company, except for supervisory employees identified by Management Company as key employees such as administrators, directors of health and welfare, and dietary supervisors who may be the employed by Management Company.  Using the Revenues (supplemented, if necessary, by Tenant’s funds), Management Company shall make disbursements and deposits for all compensation and other amounts payable with respect to Facility  Staffing Employees, specifically including, but not limited to, unemployment insurance, social security, benefits, workers' compensation, and other charges imposed by a governmental authority or provided for in a union agreement.  All payroll costs, specifically including, but not limited to, those enumerated above, of the Facility Staffing Employees are Operating Expenses (as defined in the Management Agreement) of Tenant to be reimbursed to Staffing Company or Management Company (as appropriate) from Revenues (supplemented, if necessary, by Tenant's funds).  All home office payroll costs and overhead expenses for employees of Management Company who are not Facility Staffing Employees are corporate administrative costs to be borne by Management Company without reimbursement.

2.COMPENSATION TO STAFFING COMPANY.In consideration of Staffing Company’s performance of the services required under this Agreement, Staffing Company shall be compensated by Management Company from the funds of Tenant as follows:

2.01Management Company shall pay from funds of Tenant in a manner as determined by Management Company all payroll costs of Staffing Company and Management Company for all of Facility Staffing Employees as set out in Section 1.02 above, whether employed by Staffing Company or by Management Company.

2.02Subject to, and on the terms and conditions set out in the Management Agreement, Management Company shall pay from funds of Tenant all other costs and expenses incurred by Staffing Company and/or Management Company in connection with or related to the Facility Staffing Employees.  

3.TERM AND TERMINATION.

3.01Term.  Subject to Section 3.02, this Agreement shall have a term (the “Term”) commencing on the Effective Date and terminating on the earlier of (i) the (5^th) anniversary of the Effective Date, or (ii) the date on which the Management Agreement shall expire or be terminated by either party for any reason whatever.

3.02Termination.

(a)Management Company shall have the right to terminate this Agreement, without paying any fee or penalty, when and if one of the following events occur (hereinafter

Schedule 1.1-Page 3

collectively referred to as “Staffing Company’s Default”), after which Management Company shall have the right – but not the obligation – to declare a termination of this Agreement in accordance with the termination protocols set forth below:

(i) expiration or termination by either party for any reason whatever of the Management Agreement;

(ii) appointment of a receiver or trustee to manage the assets of Staffing Company;

(iii) assignment for the benefit of creditors of the assets of Staffing Company;

(iv) ban on admissions, suspension of any operating license, or termination or revocation of any license, if not corrected within five (5) business days, or longer as may be required to reinstate or otherwise make effect any license;

(v) Staffing Company’s gross negligence or willful misconduct;

(vi) any voluntary act of bankruptcy by Staffing Company, or any involuntary proceeding commenced against Staffing Company and not dismissed within sixty days of the commencement thereof ; and/or

(vii) Staffing Company's breach of any provisions of this Agreement, (viii) where such breach has not been cured within thirty (30) days after the giving of written notice of the breach or such longer period as agreed to by Management Company and as may reasonably be required to diligently effect such cure, specifying the nature of the breach, and complying with all provisions regarding mediation set forth herein.

(b)Staffing Company shall have the right to terminate this Agreement if and when one of the following events occur (hereinafter “Management Company Default”), after which Staffing Company shall have the right – but not the obligation – to declare a termination of this Agreement in accordance with the termination protocols set forth below:

(i) expiration or termination by either party for any reason whatever of the Management Agreement;

(ii) appointment of a receiver or trustee to manage the assets of Management Company;

(iii) assignment for the benefit of creditors of the assets of Management Company, except Staffing Company shall agree to enter into any agreements which may be required on behalf of the Mortagee in order for the Landlord to obtain financing;

Schedule 1.1-Page 4

(iv) any voluntary act of bankruptcy by Management Company, or any involuntary proceeding commenced against Management Company and not dismissed within sixty days of the commencement thereof ; and/or

(v) Management Company's breach of any material term, where such breach has not been cured within thirty (30) days after the giving of written notice of the breach or such longer period as may reasonably be required to diligently effect such cure, specifying the nature of the breach, and complying with all provisions regarding mediation set forth herein.

(c)Staffing Company shall have the right but not the obligation to terminate this agreement within one hundred twenty days (120) of the sale of any or all of the Facility; provided, however, that in the event Tenant shall assign its rights and obligations under the Management Agreement, this Agreement shall remain in full force and effect.

(d)Staffing Company shall have the right but not the obligation to terminate this Agreement effective on any date when the Management Agreement is terminated for any reason whatever.  Any such termination notice shall be delivered by Staffing Company not later than thirty (30) days after Staffing Company requires notice of termination of the Management Services Agreement.

3.03Effect of Termination.  Upon termination of this Agreement for Default (and irrespective of which Party terminates this Agreement), all of the following shall apply:

(a)Staffing Company shall turn over to Management Company a complete set of books and records pertaining to the Facility within three (3) business days after the termination has become effective;

(b)Each party shall make information related to this Agreement and the Facility available to the requesting party for tax and other reporting purposes; and

(c)All sums due Staffing Company hereunder, whether pertaining to expenses, unreimbursed expenses or the Management Fees shall be due and payable by Tenant to Staffing Company within ten (10) calendar days after the effective date of the termination.

4.EXCLUSIONS.

4.01Exclusion of Management Company.  Management Company represents and warrants to Staffing Company that neither Management Company nor any of its owners, officers, directors, Management Companys, or employees are excluded from participation in any federal health care programs, as defined under 42 U.S.C. 1320a-7b(f), or any form of state Medicaid program, and to Management Company's knowledge, there are no pending or threatened governmental investigations that may lead to such exclusion.  Management Company agrees to notify Tenant and

Schedule 1.1-Page 5

Staffing Company of the commencement of any such exclusion or investigation within seven (7) business days of Management Company's first learning of it.  Staffing Company shall have the right immediately to terminate this Agreement upon learning of any such exclusion or investigation.  Management Company agrees to notify Staffing Company of the status of any such investigation.

4.02Exclusion of Staffing Company.  Staffing Company represents and warrants to Management Company that neither Staffing Company nor any of its owners, officers, directors, Management Companies, or employees are excluded from participation in any federal health care programs, as defined under 42 U.S.C. 1320a-7b(f), or any form of state Medicaid program, and to Staffing Company’s knowledge, there are no pending or threatened governmental investigations that may lead to such exclusion.  Staffing Company agrees to notify Management Company of the commencement of any such exclusion or investigation within seven (7) business days of Staffing Company's first learning of it.  Management Company shall have the right immediately to terminate this Agreement upon learning of any such exclusion or investigation.  Staffing Company agrees to notify Management Company of the status of any such investigation.  

5.INDEMNIFICATION.

5.01Indemnification by Management Company.  Management Company hereby agrees to indemnify and hold harmless Staffing Company at all times from and after the Effective Date against and with respect to any and all claims, demands, losses, costs, expenses, obligations, liabilities, damages, recoveries, and deficiencies, including interest, penalties, and reasonable attorneys’ fees and expenses, costs of litigation and costs of investigation (but not including any adjustments or credits expressly provided for in this Agreement):

(a)resulting from any breach of a representation, warranty, covenant or agreement of Management Company contained in this Agreement;

(b)resulting from gross negligence or willful misconduct of Management Company in exercising its duties and responsibilities hereunder;

(c)or Management Company’s uncured breach of this Agreement.

6.MISCELLANEOUS.

6.01No Third Party Beneficiaries.  Any provision hereof to the contrary notwithstanding, nothing in this Agreement is intended, nor shall it be deemed, to confer upon any Person other than the parties hereto and their respective successors and assigns as any rights or remedies under or by reason of this Agreement.

Schedule 1.1-Page 6

6.02Binding Effect; Successors and Assigns.  This Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors and assigns, including any representative appointed to administer or liquidate their respective estates in any way whatsoever.

6.03Assignment.  Neither of the parties hereto may assign any of its rights or obligations hereunder without the prior written consent of the other party hereto, which consent shall not be wrongfully withheld, conditioned or delayed, except this Agreement may be assigned to either a lender at the Tenant’s request or to a buyer as part of a Facility sale.  Notwithstanding any of the other terms, covenants and conditions of this Agreement, this Agreement may not be assigned by either party unless the Management Agreement for the Facility shall be assigned on the same date to the same assignee and such assignee shall accept such assignment.

6.04Subordination. This Agreement shall be subordinate to any mortgage, deed of trust, master lease, or ground lease affecting the Facility. Management Company shall promptly within 15 days enter into agreements reasonably requested by any holder of any mortgage or deed of trust or the lessor under any master lease or ground lease evidencing such subordination.

6.05Entire Agreement; Modification.  This Agreement, together with the exhibits and schedules hereto, is the entire agreement between the parties hereto with respect to the subject matter hereof, and supersedes all prior and contemporaneous communications, agreements and understandings with respect to the subject matter hereof, express or implied, oral or written, all of which are merged herein.  In the event of a conflict between this Agreement and the Management Agreement, the Management Agreement shall control.

6.06Costs.  Except as expressly provided herein, each party hereto shall bear its own costs, including counsel fees and accounting fees, incurred in connection with the negotiation, preparation and execution of this Agreement, and all matters incident thereto.  In any action or proceeding to enforce any of the provisions of this Agreement, the unsuccessful party to such proceeding, as determined by the court or arbitrator in any final judgment or decree, shall pay to the successful party or parties all costs, expenses, and reasonable attorneys' fees and expenses incurred by the successful party or parties, and if the successful party recovers a judgment, such costs, expenses and fees shall be included in and as a part of such judgment.

6.07Interpretation.  The parties hereto acknowledge and agree that this Agreement has been negotiated at arm's length and between parties equally sophisticated and knowledgeable in the matters dealt with in this Agreement, and that each party has been advised by counsel of its choosing with respect hereto.  Accordingly, any rule of law or legal decision that would require interpretation of any ambiguities in this Agreement against the party that has drafted it is not applicable and

Schedule 1.1-Page 7

is hereby waived.  The terms of this Agreement shall be interpreted in a reasonable manner in order to affect the intent of the parties as set forth herein.

6.08Severability.  Except as expressly provided to the contrary herein, each Article, Section, term and provision of this Agreement, and any portion thereof, shall be considered severable and if for any reason any such portion of this Agreement is held to be invalid, contrary to, or in conflict with any applicable present or future law or regulation in a final, un-appealable ruling issued by any court, agency or tribunal with competent jurisdiction, that ruling shall not impair the operation of, or have any other effect upon, such other portions of this Agreement as may remain otherwise intelligible, which shall continue to be given full force and effect and binding upon the parties hereto, although any portion held to be invalid shall be deemed not to be part of this Agreement.

6.09Waiver of Obligations.  Neither party shall be deemed to have waived or impaired any right, power, or option reserved by this Agreement (including, without limitation, its right to demand exact compliance with every term, condition and covenant herein) by virtue of (i) any custom of the parties at variance with the terms hereof; (ii) any failure by such party to demand strict compliance with this Agreement; or (iii) any waiver, forbearance, delay, failure or omission to exercise any right, power or option.  No failure, refusal or neglect to exercise any right under this Agreement or to insist upon full compliance by the other parties hereto with their obligations hereunder shall constitute a waiver of any provision of this Agreement.

6.10Counterparts and Execution.  This Agreement may be executed in multiple counterparts, each of which shall be deemed an original Agreement for all purposes, and all of which when taken together shall constitute one Agreement among each of the parties hereto, notwithstanding that all of the parties are not signatories to the original or the same counterpart.  

6.11Rights and Remedies Cumulative.  The rights and remedies provided by this Agreement are cumulative and the use of any one right or remedy by any party shall not preclude or waive its right to use any or all other remedies.  Such rights and remedies are given in addition to any other rights the parties may have by law, statute, ordinance, or otherwise.

6.12Notices.  Any notice called for hereunder shall be in writing and shall be deemed properly given if (i) sent by certified mail, return receipt requested, (ii) personally delivered, (iii) dispatched by any form of private or governmental express mail or delivery service providing receipted delivery, (iv) sent by facsimile or (v) sent e-mail, to the following addresses or to such other address as either party may designate by notice in accordance with this Section:

If to Management Company:

Schedule 1.1-Page 8

Foster Development, Inc.

ATTN: John Foster

1240 East Independence Ave, Suite 200

Springfield, MO 65804

If to Staffing Company:

Crossings Riverview OPCO, LLC

ATTN: Greg Smith

1240 East Independence Ave, Suite 200

Springfield, MO 65804

Notice shall be deemed given on the earlier of (i) actual receipt by the receiving party, (ii) the date shown on a facsimile transmission confirmation, (iii) the date reflected on a signed delivery receipt, or (iv) two (2) Business Days following tender of delivery or dispatch by express mail or delivery service.

6.13Survival.  All representations, warranties, indemnifications, covenants and undertakings set forth herein shall survive the Effective Date and shall remain binding on the parties hereto.

6.14Approval of Tenant; Agreement of Parties.  Unless otherwise specifically provided, (i) any approval to be given by Tenant hereunder must be in writing to be effective and may be granted or withheld in Tenant's sole and absolute discretion, and (ii) any matter to be agreed to by the parties must be in writing to be effective and the decision whether or not to enter into such agreement will be in the parties' sole and absolute discretion.

6.15Governing Law.  All issues relating to this Agreement and its formation, performance and enforcement shall be governed by and construed in accordance with the substantive laws of the State of Missouri and/or Arkansas in the United States of America without reference to the rules governing conflict of laws.

6.16HIPAA Compliance.  The parties agree that the services provided under this Agreement will comply in all material respects with all federal and state-mandated regulations, rules, or orders applicable to the services provided herein, including but not limited to regulations promulgated under Title II, Subtitle F of the Health Insurance Portability and Accountability Act (Public Law 104-91) (“HIPAA”), and that protected medical and health information will be handled and maintained in conformance with the requirements set forth in ExhibitA.  Furthermore, the parties shall amend this Agreement or execute any additional documentation to amend the Agreement to conform with HIPAA or any new or revised legislation, rules, and regulations to which they are subject now or in the future, including, without limitation,

Schedule 1.1-Page 9

the Standards for Privacy of Individually Identifiable Health Information or similar legislation (collectively, “Laws”) in order to ensure that the parties are at all times in conformance with all Laws.

[Signatures page follows]

Schedule 1.1-Page 10

IN WITNESS WHEREOF, the undersigned have executed this Agreement as of the day and year first above written.

MANAGEMENT COMPANY:

FOSTER DEVELOPMENT, INC.

a Missouri corporation

________________________________________

By:  JOHN FOSTER

Its:   President

STAFFING COMPANY:

CROSSINGS RIVERVIEW OPCO, LLC,

A Missouri limited liability company

By:  GREG SMITH

Its:   CFO

Schedule 1.1-Page 11

EXHIBIT A TO STAFFING COMPANY AGREEMENT

BUSINESS ASSOCIATE AGREEMENT

THIS BUSINESS ASSOCIATE AGREEMENT (“Agreement”) is entered into this _____ day of ________________, 2018 (“Effective Date”) by and between FOSTER DEVELOPMENT, INC. (“Covered Entity”) and CROSSINGS RIVERVIEW OPCO, LLC (“Business Associate”).

WHEREAS, Covered Entity and Business Associate wish to enter into or have entered into an arrangement or arrangements whereby Business Associate will provide services to or on behalf of Covered Entity (collectively “Arrangement”) and, in providing those services, may electronically exchange or have access to Protected Health Information  (“PHI”) as defined below;

WHEREAS, Covered Entity is obligated under the Health Insurance Portability and Accountability Act of 1996, and its implementing regulations, including but not limited to, the standards set forth at 45 CFR Parts 160, 162 and 164, and the requirements of the Health Information Technology for Economic and Clinical Health Act (collectively, “HIPAA”) to safeguard PHI and ensure that Business Associate maintains the integrity of PHI and uses and discloses PHI in accordance with HIPAA; and

WHEREAS, Business Associate understands and acknowledges that the terms of this Agreement and HIPAA shall govern the use and disclosure of PHI disclosed to, provided by, received by, or created by Business Associate in the course of providing the services under the Arrangement.

NOW, THEREFORE, the parties agree as follows:

1.Definitions

a.HIPAA Defined Terms.  All terms that are capitalized in this Agreement, when they would not be capitalized normally, have the meanings set forth in this Agreement, or the meanings set forth in HIPAA.

b.Protected Health Information.  “Protected Health Information” or “PHI” shall have the meaning given to such term under HIPAA and shall include, but not be limited to, any information, whether oral or recorded in any form or medium including, but not limited to, electronic formats or media: (1) that relates to the past, present or future physical or mental condition of an individual; provision of health care to an individual; or past, present or future payment for the provision of health care to an individual; and (2) that identifies the individual or with respect to which there is a reasonable basis to believe that the information can be used to identify the individual.

c.Unsecured Protected Health Information.  “Unsecured Protected Health Information” or “Unsecured PHI” means PHI that is not secured: (1) by a technology or methodology specified by the Secretary of the Department of Health and Human Services (“HHS”); or (2) by a technology standard that renders PHI at rest or PHI in motion unusable,

Exhibit A to Schedule 1.1-Page 1

unreadable, or indecipherable to unauthorized individuals and that is developed or endorsed by a standards developing organization accredited by the American National Standards Institute.

2.Obligations of Business Associate

a.Confidentiality of Information.  Business Associate understands and acknowledges that in the course of providing services, Business Associate may have or be given access to PHI and that unauthorized use or disclosure of PHI is strictly prohibited.  To that end, Business Associate shall comply with all policies and applicable laws governing PHI and shall not use or disclose PHI other than as permitted or required by this Agreement or as required by law.  Furthermore, Business Associate shall not permit access to any PHI by any unauthorized person or disclose any access code or authorization assigned to Business Associate that allows it to access PHI to any unauthorized person or use such access code or authorization in an unauthorized manner.   Finally, Business Associate shall direct all questions regarding the use or disclosure of PHI to Covered Entity's Privacy Officer.

b.Permitted Uses of Protected Health Information.  Except as otherwise provided in this Agreement, Business Associate shall use PHI solely for meeting its obligations and performing any functions, activities, or services for or on behalf of Covered Entity covered by the Arrangement.  Any use of PHI by Business Associate may not violate HIPAA or any other applicable law, rule or regulation.

c.Permitted Disclosures of Protected Health Information.  Business Associate shall not disclose PHI in any manner that would constitute a violation of HIPAA if disclosed by Covered Entity except that Business Associate may disclose PHI as necessary for the proper management and administration of Business Associate or to carry out the legal responsibilities of Business Associate if: (1) the disclosure is required by law; or (2) Business Associate obtains reasonable assurances from the third-party that receives the disclosed PHI that the privacy and security of the PHI will be maintained according to the same terms and conditions set forth in this Agreement, that PHI will be further disclosed only as required by law or for the purpose for which it was disclosed and that third-party will notify Business Associate of any breaches of privacy or security of PHI.

d.Aggregation of Data. Business Associate may aggregate PHI received or obtained from Covered Entity with other PHI in its possession provided that the purpose of such aggregation is to provide Covered Entity with data analyses related to Covered Entity’s “health care operations” as that term is defined in HIPAA.  Under no circumstances may Business Associate disclose PHI received from or prepared for Covered Entity to another entity covered by HIPAA absent the explicit authorization of Covered Entity.

e.Appropriate Safeguards.  Business Associate agrees to use commercially reasonable and appropriate efforts to maintain the privacy and security of PHI and to prevent unauthorized use or disclosure of PHI.   Such efforts shall include the adoption and enforcement of policies and procedures to effectively implement the requirements of HIPAA and securing PHI according to HIPAA requirements.

Exhibit A to Schedule 1.1-Page 2

f.Reporting Improper Uses or Disclosures.  Business Associate agrees to report to Covered Entity within twenty-four (24) hours any actual or suspected breach of security or any unauthorized use or disclosure of PHI or Unsecured PHI of which it becomes aware, including those involving agents and subcontractors, and to establish procedures for mitigating, to the greatest extent possible, any harmful effect that is created by any improper use or disclosure of PHI or Unsecured PHI in violation of the Agreement.  For purposes of this Agreement, a breach shall be treated as discovered as of the first day on which such breach is known to Business Associate (including any person, other than the individual committing the breach, that is an agent, employee or officer of Business Associate) or should reasonably have been known to Business Associate to have occurred.  

(1) Contents of Report Required by this Section.  Consistent with HIPAA and the requirements set forth in this Agreement, Business Associate agrees to provide Covered Entity notice that Unsecured PHI may have been subject to an actual or suspected breach or an unauthorized use or disclosure.  The notification shall include:

(a)identification of all affected individuals;

(b) a brief description of the security breach, including when it occurred, and when the breach was discovered;

(c) a description of the types of Unsecured PHI that were involved in the breach (e.g., name, date of birth, social security number, home address, account number, disability code);

(d) the steps the individual should take to protect himself or herself from potential harm from the breach;

(e) a brief description of how the Business Associate plans to address the breach, mitigate losses, and to prevent further breaches; and

(f) Business Associate contact information for the individual to ask questions, which includes a toll-fee number, an electronic mail address, website, or physical address.  

(2) Notifying Individuals of Improper Use or Disclosure of Unsecured PHI.  Covered Entity shall provide any notices to individuals required by HIPAA concerning incidents reported by Business Associate, except Business Associate agrees to provide any such notice (subject to review by Covered Entity) if requested to do so by Covered Entity, in which case the notice will be provided by the earlier of the deadline imposed by HIPAA or three (3) business days after the Business Associate receives the request.

(3) Notifying Media Outlets and HHS of Improper Use or Disclosure of Unsecured PHI.  Consistent with HIPAA and the requirements set forth in this Agreement,

Exhibit A to Schedule 1.1-Page 3

Business Associate agrees to consult and coordinate with Covered Entity in providing notice to local media outlets and HHS when an actual or suspected breach of security or an unauthorized use or disclosure of Unsecured PHI involves five hundred (500) or more individuals.  Business Associate further agrees to maintain a log of all security breaches or unauthorized uses or disclosures of Unsecured PHI that involve less than five hundred (500) individuals and annually submit such log to HHS consistent with HIPAA requirements.

g.Reporting Compelled Disclosure.  If Business Associate is requested or required by legal or administrative process to disclose PHI, Business Associate shall immediately notify Covered Entity so that, if necessary, Covered Entity may seek an appropriate protective order or other relief.  In any case, Business Associate will: (1) disclose only the minimum necessary amount of PHI that is required to comply with the compelled disclosure; (2) use its reasonable efforts to ensure that such PHI is treated confidentially; and (3) notify Covered Entity as soon as reasonably practical of PHI so disclosed.

h.Agents of Business Associate.  Business Associate shall ensure that all of its agents and subcontractors to whom it discloses PHI agree in writing to be bound by the same restrictions and obligations contained in this Agreement whenever PHI is made accessible to such agents or subcontractors.  Business Associate shall disclose only the minimum necessary PHI for the agent or subcontractor to perform or fulfill the authorized subcontracted services.

i.Auditing, Inspections and Enforcement.  Business Associate shall make available, and shall cause any authorized subcontractors to make available to Covered Entity and HHS, or HHS's designee, copies of Business Associate’s internal practices, books and records relating to the security, use and disclosure of PHI for the purposes of determining Covered Entity’s compliance with HIPAA.

j. Training.  Business Associate shall provide appropriate training regarding the requirements of this Agreement to any employee, agent or subcontractor of Business Associate who will have access to or make use of PHI and require that any employee, agent or subcontractor receiving such training attest to his or her knowledge of and compliance with those policies and procedures.  Such training shall encompass the Business Associate’s system of sanctions for any employee, agent or subcontractor who violates this Agreement Business Associate agrees that Covered Entity shall have the right to immediately terminate access to PHI of any employee, agent or subcontractor of the Business Associate where Covered Entity identifies an actual or threatened breach of security or unauthorized use or disclosure of PHI or any actual or suspected use or disclosure of PHI in violation of any applicable federal or state laws or regulations.

k.Access to PHI.  Business Associate shall, at the request and direction of Covered Entity, make PHI maintained by Business Associate or its agents and subcontractors available to Covered Entity or the subject thereof for inspection and copying within five (5) days of receipt of such a request from Covered Entity.  Such PHI shall be provided electronically if it is maintained in such a format and requested to be produced in that format.

Exhibit A to Schedule 1.1-Page 4

l.Amendment of PHI.  Business Associate shall, within five (5) days of a request from Covered Entity, make PHI maintained by Business Associate or its agents or subcontractors, available for amendment and, as directed by Covered Entity, shall incorporate any amendment or related statements into the information held by Business Associate and any of its agents or subcontractors.  If any individual or entity directly requests that Business Associate or its agents or subcontractors amend PHI, Business Associate or its agents or subcontractors shall notify Covered Entity in writing within five (5) days of such request and, at a minimum, five (5) days before acting upon any such request.

m.Accounting of Disclosures.  Business Associate and its agents and subcontractors shall, within five (5) days of a request from Covered Entity, make available the information necessary for Covered Entity to provide an individual with an accounting of the disclosures of his or her PHI (including disclosures of PHI contained in an electronic health record for treatment, payment and operations purposes) as required under HIPAA.  At a minimum, such information shall include: (1) the date of the disclosure; (2) the name and address of the entity or person receiving the PHI; (3) a brief description of the PHI disclosed; and (4) a brief description of the reason for the disclosure or a copy of the written request for the disclosure.  Such information must be maintained by Business Associate and its agents and subcontractors for a period of six (6) years from the date of each disclosure.  If any individual directly requests that Business Associate or its agents or subcontractors provide an accounting of disclosures of PHI, Business Associate or its agents or subcontractors shall notify Covered Entity within five (5) days of such request.

n.Restrictions on Use and Disclosure. Business Associate shall comply with any restrictions on use or disclosure of PHI when so notified by Covered Entity.

o.Minimum Necessary.  Business Associate agrees that it will not request, use or disclose more than the minimum amount of PHI necessary to accomplish the purpose of the request, use or disclosure.

p.Compliance with Standard Transaction Requirements.  If Business Associate conducts on behalf of Covered Entity any of the standard electronic health care transactions designated in 45 CFR Parts 160 and 162, Business Associate will comply, and will require any subcontractor or agent involved with the conduct of such standard electronic health care transactions to comply, with each applicable requirement of 45 CFR Parts 160 and 162.  Business Associate will not enter into, or permit its subcontractors or agents to enter into, any agreement in connection with the conduct of such standard electronic health care transactions on behalf of Covered Entity that:

(1) changes the definition, data condition, or use of a data element or segment in those standard electronic health care transactions;

(2) adds any data elements or segments to the maximum defined data set;

(3) uses any code or data element that is marked “not used” in the implementation specification of the standard electronic health care transaction or is not in the standard electronic health care transaction implementation specification; or

Exhibit A to Schedule 1.1-Page 5

(4) changes the meaning or intent of the standard electronic health care transaction implementation specification.

q.Compliance with Security Requirements.  If Covered Entity and Business Associate exchange PHI electronically, Business Associate will comply, and will require any subcontractor or agent involved with such electronic data exchange to comply, with the following security requirements in addition to those set forth in this Agreement and HIPAA.  At a minimum, Business Associate and any agent or subcontractor of Business Associate must:

(1) subject electronic data files to a virus check prior to transmission to Covered Entity;

(2) use or maintain technological systems and procedures to guard against unauthorized access to electronically maintained PHI, including encrypting PHI at rest and PHI in motion with a technology standard that is developed or endorsed by a standards developing organization accredited by the American National Standards Institute.

(3) maintain a designated individual to serve as Business Associate’s system security officer responsible for supervising Business Associate’s system security and data integrity, and for communicating with Covered Entity on system security matters;

(4) maintain policies and procedures as necessary to prevent unauthorized parties from accessing, using, disclosing, processing, copying, modifying, corrupting, rendering unavailable, introducing computer code into, or otherwise performing unauthorized and undesired activities related to PHI maintained electronically;

(5) notify Covered Entity immediately in the event of any proven or suspected incident in which Business Associate has reason to believe any unauthorized person may have had access to the electronic data systems of Business Associate or of Covered Entity (if Business Associate has access to Covered Entity’s data systems to perform its duties under the Arrangement); and

(6) assess its information security policies and procedures at least once annually and in response to any material breach of security of Business Associate’s systems.

3.Obligations of Covered Entity

a.Notice of Privacy Practices.  Covered Entity agrees to inform Business Associate of its current privacy practices and any future changes to those practices by providing Business Associate with updated copies of its notice of privacy practices.  

b.Revocation of Authorization by Individual.  Covered Entity agrees to inform Business Associate of any change to or revocation of an individual’s authorization to use or disclose PHI to the extent that such changes may affect Business Associate’s use or disclosure of PHI.

Exhibit A to Schedule 1.1-Page 6

c.Restrictions on Use and Disclosure.  Covered Entity agrees to notify Business Associate of any restrictions to the use or disclosure of PHI agreed to by Covered Entity in accordance with HIPAA to the extent that such restriction may affect Business Associate’s use or disclosure of PHI.

d.Permissible Requests.  Covered Entity shall not request Business Associate to use or disclose PHI in any manner that would not be permissible under HIPAA if done by Covered Entity.

4.Indemnification

Business Associate shall indemnify and hold harmless Covered Entity from and against any and all losses, expense, damage or injury that Covered Entity may sustain as a result of, or arising out of a breach of this Agreement by Business Associate or its agents or subcontractors, including but not limited to any breach of security or unauthorized use or disclosure of PHI.

5.Remedies

Business Associate understands and acknowledges that the restrictions and obligations accepted by Business Associate pursuant to this Agreement are reasonable and necessary in order to protect the interests of Covered Entity, its patients and employees and that Business Associate’s failure to comply with this Agreement in any respect could cause irreparable harm to Covered Entity, its patients and employees for which there may be no adequate legal remedy.  Business Associate therefore understands and agrees, notwithstanding any contrary provision in any other agreement between the parties, that Covered Entity retains its full rights to pursue legal or equitable remedies in the event of any breach or threatened breach of this Agreement, and may prevent Business Associate, any of its agents or subcontractors, or any third party who has received PHI from Business Associate from violating this Agreement by any legal means available.  Business Associate further understands that violation of this Agreement may subject Business Associate to applicable legal penalties, including those provided under HIPAA and termination of any Arrangement entered into between Covered Entity and Business Associate.

6.Term and Termination

a.Term.  This Agreement shall be effective from the Effective Date until all PHI provided by or created for Covered Entity is destroyed or returned to Covered Entity or, if it is infeasible to return or destroy PHI, protections are extended to such PHI in accordance with the terms of this Agreement.

b.Material Breach.  A breach by Business Associate of any material provision of this Agreement or HIPAA, as determined by Covered Entity, shall constitute a material breach of this Agreement and shall provide grounds for the immediate termination of this Agreement, the Arrangement and access to PHI. Covered Entity also may immediately terminate this Agreement, the Arrangement and access to PHI if Business Associate is named as a defendant in a criminal

Exhibit A to Schedule 1.1-Page 7

proceeding resulting from a violation of HIPAA or if there is a finding or stipulation that Business Associate has violated any standard or requirement of HIPAA or other security or privacy law.

c.Reasonable Steps to Cure Breach.  If Covered Entity knows of a pattern of activity or practice of Business Associate that constitutes a material breach or violation of Business Associate’s obligations under this Agreement or HIPAA, Covered Entity may provide Business Associate with an opportunity to cure the breach or violation.  Should Business Associate fail to cure the breach or violation to the satisfaction of Covered Entity within fifteen (15) days of receiving notice from Covered Entity of such breach or violation, Covered Entity shall have the right to immediately terminate this Agreement, the Arrangement and access to PHI.  In the event termination or cure is not feasible, Covered Entity shall report Business Associate’s breach or violation to HHS.

d.Effect of Termination.  Upon termination of this Agreement, the Arrangement or access to PHI, Business Associate shall return or destroy all PHI in its possession or the possession of its agents or subcontractors that was created for or received from Covered Entity.  Upon mutual agreement of the parties that return or destruction of PHI is infeasible, Business Associate shall provide to Covered Entity a complete written description of all PHI that it is infeasible to return or destroy.  Business Associate and its agents or subcontractors shall continue to extend the protections contained in this Agreement to such PHI that is not returned or destroyed and limit further use of such PHI to those purposes that make the return or destruction of such PHI infeasible.  Business Associate agrees that it will not retain any copies of PHI in any form or medium except as required by law.  If PHI is destroyed, Business Associate agrees to provide Covered Entity with appropriate documentation and a certification evidencing such destruction.

7.Miscellaneous

a.Relationship of Parties.  None of the provisions of this Agreement are intended to create or shall be deemed to create any relationship between the Parties other than that of independent parties contracting with each other solely for the purposes of effecting the provisions of this Agreement and any other Arrangement between the Parties.

b.Ownership of PHI.  PHI and any related information created for or received from Covered Entity is, and will remain, the property of Covered Entity.  Business Associate agrees that it acquires no ownership rights to or title in any PHI.  

c.No Third Party Beneficiaries.  Nothing express or implied in this Agreement is intended to confer, nor shall anything herein confer, upon any person or entity other than the individual who is the subject of the PHI, Covered Entity or Business Associate and their respective successors and assigns, any rights, remedies, obligations or liabilities whatsoever.

d.Successors and Assigns.  This Agreement shall be binding on the parties and their successors, but neither party may assign the Agreement without the prior written consent of the other, which consent shall not be unreasonably withheld.

Exhibit A to Schedule 1.1-Page 8

e.Waiver.  No change, waiver or discharge of any liability or obligation hereunder on any one or more occasions shall be deemed a waiver of performance of any continuing or other obligation, or shall prohibit enforcement of any obligation, on any occasion.

f.Severability.  In the event that any provision of this Agreement is held by a court of competent jurisdiction to be invalid or unenforceable, the remainder of the provisions of this Agreement shall remain in full force and effect.  

g.Modification to Comply with Law.  The Parties acknowledge that state and federal laws relating to the security and privacy of PHI are rapidly evolving and that modification of this Agreement may be required to provide for procedures to ensure compliance with such developments.  The Parties specifically agree to take such action as is necessary to implement the standards and requirements of HIPAA.  The Parties understand and agree that Covered Entity must receive satisfactory written assurances from Business Associate that Business Associate will adequately safeguard all PHI.   Upon request of either party, the other party agrees to promptly enter into negotiations concerning the terms of a modification to this Agreement embodying written assurances consistent with the standards and requirements of HIPAA.  Covered Entity may terminate the Arrangement and access to PHI upon thirty (30) days written notice in the event: (1) Business Associate does not promptly enter into negotiations to modify this Agreement when requested by Covered Entity under this section; or (2) Business Associate does not enter into a modification of this Agreement providing assurances regarding the safeguarding of PHI that Covered Entity, in its sole discretion deems sufficient to satisfy the standards and the requirements of HIPAA.

h.Amendment.  This Agreement may be amended or modified only in writing signed by the Parties.

i.Interpretation.  This Agreement shall be governed by the laws of the State of Missouri and interpreted as broadly as necessary to implement and comply with HIPAA.  The Parties agree that any ambiguity in this Agreement shall be resolved in favor of a meaning that complies and is consistent with HIPAA.  

Exhibit A to Schedule 1.1-Page 9

IN WITNESS WHEREOF, the Parties have executed this Agreement as of the day and year first written above.

COVERED ENTITY BUSINESS ASSOCIATE

FOSTER DEVELOPMENT, INC.CROSSINGS RIVERVIEW OPCO, LLC

______________________________________________________________________

John FosterGreg Smith

PresidentCFO

Exhibit A to Schedule 1.1-Page 10

EXHIBIT A

REQUIRED INSURANCE

Tenant’s Insurance

Tenant or Landlord shall procure and maintain, or cause to be procured and maintained, throughout the term of this Agreement and any extended periods specified herein, with insurers authorized to conduct business in the state in which the Facility is located:

Commercial Property Insurance (and to the extent applicable, Builders Risk insurance), including boiler and machinery and/or equipment breakdown coverage to the building(s) and contents by risks commonly covered by an ISO Special Cause of Loss form or its equivalent.  The amount of such insurance shall be not less than one hundred percent (100%) of the full replacement cost of the Facility and its improvements, furniture, furnishings, fixtures, equipment and other items included in the Facility and owned by Tenant or Landlord (and not by residents) from time to time, without deduction for depreciation (less cost of land, excavations, foundations and footings below the lowest basement floor, blueprints or drawings or such other expenses that would not be re-incurred in the event of a loss). Coverage shall include Tenant’s Business Interruption (including loss of rents and necessary continuing expense) in an amount sufficient to provide proceeds which will cover the “Actual Loss Sustained” during restoration of any portion of the building(s) or  improvements for a period of not less than twelve (12) months plus an extended period of indemnity to be selected by Tenant.  

Tenant may elect at its sole discretion to purchase Flood, Earthquake, Pollution, Terrorism or other insurance required by Landlord with coverage and limits determined at Tenant’s sole discretion.  During any period of construction at the Facility, or any structural renovation or alteration to the improvements, Builder’s Risk or equivalent course of construction coverage shall be provided with a limit equivalent to the completed value of the project.

Management Company’s Insurance

Management Company shall procure and maintain, or cause to be procured and maintained, throughout the term of this Agreement and any extended periods specified herein, with insurers authorized to conduct business in the state in which the Facility is located:

(a.) Commercial General Liability insurance on an occurrence form (ISO CG0001 or its equivalent) with unimpaired limits not less than One Million and NO/100 Dollars ($1,000,000.00) per occurrence and Two Million and NO/100 Dollars ($2,000,000.00) per location aggregate. Such coverage shall include Abuse and Molestation coverage.  An endorsement shall be included naming Tenant as an additional insured in respect to any liability arising from Management Company’s work, operations, use, occupancy or maintenance of the Facility by or on behalf of Management Company.

(b.) Umbrella (CGL) insurance on an occurrence form with unimpaired limits not less than Ten Million and NO/100 Dollars ($10,000,000.00) per occurrence and Ten Million and NO/100 Dollars ($10,000,000.00) per location aggregate written on a form excess over and no less

Exhibit A-Page 1

broad than the Commercial General Liability, Commercial Automobile Liability and Employer’s Liability coverages referenced herein.  Coverage must drop down for exhausted aggregate limits under Commercial General Liability, subject to a deductible or self-insured retention not to exceed $10,000 per occurrence or accident.

(c.) Professional Liability insurance of not less than Two Million and NO/100 Dollars ($2,000,000.00) per occurrence and Five Million and NO/100 Dollars ($5,000,000.00) general aggregate.  Coverage shall be provided for medical professional liability as well as property manager’s errors and omissions.  Should a “Claims Made” policy be obtained the coverage must be continuously maintained with a retroactive date preceding the Effective Date of this Agreement, and shall continue for a period following the expiration or termination of this Agreement that is sufficient to cover any applicable statute of limitations. With respect to any “Claims Made” professional liability insurance obtained during the Term, which is subsequently terminated for any reason, Management Company shall purchase, as an Operating Expense of the Facility, a new “Claims Made” policy or a tail coverage insurance policy with an extended reporting period that is sufficient to cover any applicable statute of limitations, but not less than two (2) consecutive years, with retroactive coverage continuously maintained prior to the earlier of the Effective Date of this Agreement or commencement of Management Company’s services, which shall name Tenant as the named insured.

(d.) Employee Dishonesty/Crime insurance with limits in amounts acceptable to Tenant provided that maintenance of the deductible shall be commercially reasonable and similar to those maintained by owners and operators of properties similar in type, location and quality as the Facility.

(e.) Liquor liability (if applicable) is required with limits, coverage and deductibles reasonable and customary to other similar properties

(f.) Commercial Automobile Liability coverage for any automobile including, but not limited to, all owned, non-owned, leased, hired and borrowed automobiles with unimpaired coverage limits of at least One Million and NO/100 Dollars ($1,000,000.00) combined single limit per accident. 

(g.) Workers’ Compensation coverage subject to the workers’ compensation laws of the applicable state and Employer’s Liability coverage in the minimum amounts of One Million and NO/100 Dollars ($1,000,000.00) each accident, One Million and NO/100 Dollars ($1,000,000.00) Disease – Policy Limit, and One Million and NO/100 Dollars ($1,000,000.00) Disease - each employee, or such amounts as are required by law customary or available on a voluntary basis.  These limits may be maintained through a combination of Employers’ Liability and Umbrella Liability policies.

(h.) Employment Practices liability insurance with limits of not less than One Million and NO/100 Dollars ($1,000,000.00) per occurrence /policy aggregate including third party liability.

Exhibit A-Page 2

(i.) Such other insurance as may from time to time be required by Tenant against other insurable hazards or casualties and similar to coverage maintained by owners and operators of properties similar in type, location and quality as the Facility or as may be required by Legal Requirements.  Tenant hereby retains the right to periodically review they types and the amounts of insurance being maintained by Management Company and approve such limits or require an increase in the amount of said insurance should Tenant deem an increase to be prudent under then-existing circumstances.  Any premiums for such extra or additional types or levels of insurance required by Landlord shall be deemed an Operating Expense.

Contractors/Subcontractors Insurance

Before permitting any contractor or subcontractor (collectively called “Contractor”) to perform work at the Facility, Management Company shall require each Contractor to maintain, at their expense, the following insurance in such amounts and against such risks as follows:

(a). Commercial General Liability insurance with limits in an amount of One Million and NO/100 Dollars ($1,000,000.00) per occurrence and Two Million and NO/100 Dollars ($2,000,000.00) general aggregate including contractual liability coverages, limits for personal and advertising injury, products/completed operations, and damage to the premises; and such limits may be provided by a combination of primary and excess policies.  Further, liquor liability coverage shall be provided to the extent such exposure exists.  Should “Claims Made” coverage be obtained, the coverage under such policy must be continuously maintained with a retroactive date preceding the commencement date of this Agreement, and shall continue for a period following the expiration or termination of this Agreement that is sufficient to cover any applicable statute of limitations.

(b). Commercial Automobile Liability insurance providing coverage for owned, hired and non-owned vehicles, in an amount not less than One Million and NO/100 Dollars ($1,000,000.00) combined single limit per accident;

(c). Workers’ Compensation coverage subject to the Workers’ Compensation laws of the applicable state and Employer’s Liability coverage in the minimum amounts of One Million and NO/100 Dollars ($1,000,000.00) each accident, One Million and NO/100 Dollars ($1,000,000.00) Disease – Policy Limit, and One Million and NO/100 Dollars ($1,000,000.00) Disease - each employee, or such other amounts as are required by law or available on a voluntary basis.  These limits may be maintained through a combination of Employers’ Liability and Umbrella Liability policies.

(d). Umbrella / Excess Liability insurance above the required Commercial General Liability, coverage with limits not less than Two Million and NO/100 Dollars ($2,000,000.00) per occurrence and Five Million and NO/100 Dollars ($5,000,000.00) general aggregate, written on a form excess over and no less broad than the Commercial General Liability coverage referenced above.

Exhibit A-Page 3

(e). Professional Liability insurance as may be reasonably appropriate based on the level and type of services provided by Contractor.  Should any medical professional services be provided by or on behalf of a Contractor, coverage shall be provided for medical professional liability.

General Insurance Provisions

All such insurance required herein shall: (i) be with insurers authorized to do business in the state within which the Facility is located, (ii) currently have and at all times during this Agreement maintain a rating of at least A (or its equivalent) from Standard & Poor’s, a Division of The McGraw-Hill Companies, Inc. or an AM Best Rating of A-VIII or better; (iii) specifically identify insured location(s) by name and contain the complete address of the Facility; (iv) be for terms of at least one (1) year, (v) contain deductibles approved by Tenant in its reasonable discretion; and (vi) be subject to the commercially reasonable approval of Tenant as to insurance companies, amounts, content, forms of policies, method by which premiums are paid, and expiration dates.  Without limitation to the generality of the foregoing, all coverages under this Exhibit, except Earthquake and Flood, shall be required to cover perils of terrorism and acts of terrorism to the extent commercially available.

Management Company shall, as of the Effective Date, deliver to Tenant (i) evidence that said insurance policies have been paid current as of the Effective Date; (ii) original Certificates of Insurance including applicable additional insured, waiver of subrogation and notice of cancellation endorsements signed by an authorized agent of the applicable insurance companies evidencing such insurance satisfactory to Tenant; and (iii) as to all liability policies procured by Management Company (excluding Employer’s Liability, Employee Dishonesty/Crime, Professional Liability and Employment Practices Liability) shall include an endorsement naming Tenant and Landlord as additional insureds and as a named insured and loss payee on any required property coverages, and (iv) at the request of Tenant, Management Company shall deliver a copy of each policy bearing certification of the insurance company underwriter(s), that the policy(s) is a complete copy of the policy issued with all endorsements.  Management Company shall renew all such insurance and deliver to Tenant certificates and endorsements evidencing such renewals at least ten (10) business days prior to applicable expiration dates.

Without limiting the required endorsements to the insurance policies, Management Company agrees that all such policies shall include a standard, non-contributory mortgagee clause naming any Mortgagee identified by Tenant as: (i) an additional insured under all liability insurance policies, except for Employment Practices, Professional Liability, and Workers’ Compensation; (ii) as the first mortgagee on all Property Insurance policies, if maintained by Management Company on behalf of Tenant; and (iii) as the lenders loss payee as their interests may appear on all Business Interruption, including loss of rents. 

Management Company further agrees that all such insurance policies: (i) shall provide for at least thirty (30) days’ prior written notice to Tenant and Landlord prior to any cancellation, non-renewal, termination or adverse material reduction of the coverages required herein; (ii) any loss shall be payable by the insurer to Tenant, Landlord or a Mortgagee designated by Landlord, as their interest may appear in accordance with the terms of such policy notwithstanding any act or negligence of Management Company which might otherwise result in forfeiture of such insurance; and (iii) shall waive all rights of subrogation against Tenant as

Exhibit A-Page 4

respects any claims covered, or which should have been covered, by valid and collectible insurance including any deductibles or self-insurance maintained thereunder.  Tenant shall not be responsible for, or incur, any liability for the sufficiency of any insurance, the insolvency of the insurer, or any other failure of the insurer to perform, even though Tenant has caused the insurance to be placed with the insurer after failure of Management Company to furnish such insurance in accordance herewith.  Management Company shall not obtain insurance for the Facility in addition to that required by Tenant without the prior written consent of Tenant, which consent will not be unreasonably withheld, provided that (i) Tenant and any designees thereof are named insureds on such insurance, (ii) Tenant receives complete copies of all policies evidencing such insurance, and (iii) such insurance and the related insurer comply with all of the applicable requirements set forth herein.

Exhibit A-Page 5

EXHIBIT B

2018 Approved Operating Budget and Approved Capital Budget

The Crossings at Riverview
Capital and Transition Budget
Friday, August 17, 2018
Name tags	$500
Uniforms	$1,500
Policy Notebooks	$250
Bus logo	$500
Letterhead	$500
Marketing collateral	$4,000
Business cards	$300
Note cards	$400
IT Items (Firewall)	$5,000
Point Click Care	$2,825
Matrix Software	$6,603
Website and design	$5,500
Transition travel costs	$7,000
Transition	$34,878
Model furniture for AL	$10,000
Model furniture for MC	$7,500
Foyer Entry furniture	$7,000
Landscaping	$10,000
MC Flooring issues	$60,000
Smaller transport vehicle	$0
Washer and dryer allowance	$3,200
Electrical modifications	$5,000
Capital	$102,700
	$137,578

Exhibit B-Page 1

EXHIBIT C

Accounting, Financial Statement and Compliance-Related Deliverables

Deliverables	Template	Due Date
1.Submit the property trial balance meeting the following guidelines: a.The trial balance is submitted in Microsoft Excel format, b.The trial balance is submitted via email to an email address designated by Tenant.	Not applicable.	Monthly, by the 10th day of the following month.
2.Submit a detailed property balance sheet and income statement, including a comparison of actual monthly results (not Revenues only) compared against the estimated amount set forth in the Approved Operating Budget, in Microsoft Excel format. In addition, a written report should be included explaining expenditures that vary from what is allocated in either the Approved Operating Budget or the Approved Capital Budget by the greater of five percent (5%) or Five Thousand and No/100 Dollars ($5,000.00) for such variance.	Not applicable.	Monthly, by the 10th day of the following month.
3.Submit the detail of all transactions in the owner clearing accounts in Microsoft Excel format via email to an email address designated by Tenant.	Schedule 1	Monthly, by the 10th day of the following month.
4.Submit the signed manager's certification on the accuracy and completeness of the financial statements for March, June, September and December in PDF format via email to an email address designated by Tenant and a final trial balance based on the requirements of deliverable 1 above.	Schedule 2	Quarterly, by the 20th day following the quarter end month
5.Submit the monthly cash flow budget in Microsoft Excel format via email to an email address designated by Tenant using the template in		Monthly, by the 20th day of the following month.
6.Submit reconciliation for the month of cash to revenue in Microsoft Excel format.		Month, by the 30th day of the following month.

Exhibit C-Page 1

7.Submit all balance sheet reconciliations for General Ledger accounts over $10,000 as of February, May, August and December, in Microsoft Excel format.  Balance sheet reconciliations include, but are not limited to the following: •Bank Reconciliations including the bank statements and listings of the outstanding checks for all bank accounts listed in Article 7. •Accounts Receivable aging including the following categories: 1-30 days, 31-60 days, 61-90 days and 91 & over days past due. •Schedule of deferred revenue •Prepaid and other asset schedules •Other liabilities schedules	Not Applicable	Quarterly, by the 25th day following the quarter end month.
8.Submit all check registers for the 30 days subsequent to March, June and September and for the 60 days subsequent to December.  Provide copies of all checks and invoices for payments over $10,000.  Provide listing of accounts payable and/or accrued expenses showing whether any of the selected payments were accrued, in Microsoft Excel format.	Not Applicable	Quarterly, by the 30th day following the quarter end month and by the 30th and 60th day following the year end month.
9.Submit a summary of all bank reconciliations as of September 30 and December 31 in Microsoft Excel format via email to an email address designated by Tenant.		Within 30 days.
10.Submit a computation of the incentive management fee as of May 31 in Microsoft Excel format via email to an email address designated by Tenant.	Not Applicable	Yearly, by 5/31.
11.Submit all owner requests, internal auditor and external auditor requests via email as directed.	Not Applicable	Ongoing, within 5 business days.
12.Submit copies of all sales tax and tangible personal property tax returns filed and proof of payment via email to an email address designated by Tenant.	Not Applicable	Monthly, within 10 days of filing tax return.
13.Submit detail of capital items incurred but not budget approved.  Submit scans of all invoices on the detail of capital items expensed.	Schedule 3	Monthly, within 20 days of the following month.

Exhibit C-Page 2

14.Submit quarterly compliance report. Schedule 4 Quarterly, by the 20th day following the quarter end month.

Exhibit C-Page 3

Schedule 1 to Exhibit C

See attached

PROPERTY NAME

OWNER CLEARING SCHEDULE

For the Period ended December 31, _____

XXXX

XXXX

XXXX

XXXX

XXXX

XXXX

XXXX

XXXX

XXXX

XXXX

XXXX

Opening Balance Sheet

Opening Balance Sheet Adjustments

Transition Expenses

Transition Capital Items

Property Owner Funding

AOI

Capital Reserve Purchases

Capital Lease Payment

Capital Reserve Payment

Insurance Payments

CNL Payments

Date

Description

Amount

-

-

-

-

-

-

-

-

Owner Clearing Balance

-

-

-

-

-

-

-

-

-

-

-

-

Exhibit C-Page 4

Schedule 2 to Exhibit CQuarterly Certification

QUARTERLY 302 ASSESSMENT SUMMARY

Assessment as of quarter ending:

Property Name or Investment Description:

Assessor Name:

Assessor Title:

Date Signed:

If an additional comment or note is necessary to clarify an assessment, please document in the box to right of each statement.

Assessment Detail

#	QUESTION	RESPONSE COMMENTS/ATTACHMENT DETAILS
1	To Manager’s knowledge, the consolidated income statement and balance sheet (the “Reports”) of the Facility delivered on  ___________ fairly present in all material respects the financial position and results of operations of the Facility at the dates and for the periods presented in the Reports, with respect to the matters addressed by such Reports, all in accordance with United States generally accepted accounting principles consistently applied (subject to normal year end adjustments).
2	Manager is not aware of any significant deficiencies or material weaknesses in Manager’s design or operation of internal control over financial reporting which are reasonably likely to adversely affect Manager’s ability to record, process, summarize and report financial information with respect to the Facility.
3	Manager is not aware of any material fraud that involves management or other employees who have a significant role in Manager’s internal control over financial reporting.

___________________________________

Signature

Exhibit C-Page 5

Schedule 3 to Exhibit C

PROPERTY NAME
Capital Items Expensed (not budget approved)
For the Period ended December 31, ____
Date	Vendor	Description	Invoice #	Amount
			Total	-
Please complete this schedule from 1/1/20__ through 12/31/20__.
Please submit scans of all invoices.

Exhibit C-Page 6

Schedule 4 to Exhibit C

QUARTERLY COMPLIANCE REPORT TO __________ (“Tenant”)

[DATE]

Update On Previously Reported Action Items

Bullet point descriptions of carry over issues that will be reported on and, at minimum, an oral report including the following:

a.identifying staff who have ownership of the action items

b.specifying the timeframe from the initial report date to Tenant

Report Certifying Completion Of Regularly Scheduled Employee Training

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.identifying scheduled training completed during the reporting period

b.identifying any scheduled training not completed during the reporting period, the reasons for failure to complete, and remedial steps underway to affect completion and prevent recurrence

Report On Regularly Scheduled Internal Auditing Functions For Company Billing

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.identifying scheduled audits completed during the reporting period

b.identifying any scheduled audits not completed during the reporting period, the reasons for failure to complete, and remedial steps underway to affect completion and prevent recurrence

Significant New Incident/Complaint/Potential Or Actual Terminations For Cause

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.identifying staff who have ownership of the action item response

b.describing circumstances of terminations for cause

c.report on whether an assessment has been made on whether outside counsel or consulting expertise is needed to analyze properly the new incident

Exhibit C-Page 7

Report On Monitoring Of Trends Of Significant New Incident or Complaint Issues

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.provide summary of monthly or quarterly trends in the incidence of significant compliance issues; trends period reported should compare to trailing 12 month reporting periods whether monthly or quarterly

b.specific reporting on any outlier trends developing regarding non-compliance

Report On New Or Anticipated Local, State or Federal Regulatory Or Statutory Changes That Could Affect the Company

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.description of the new or anticipated change and timeframe for adoption

b.identification of steps taken to determine how the Company will achieve compliance

c.identification of employees with ownership of these compliance steps

Reporting of External Government Regulatory, Audits, Inquiries Or Investigations Of Company By Any Local, State or Federal Regulators

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.identifying information regarding the government entity engaged in the audit, inquiry or investigation

b.specifying the subject matter of the regulatory inquiry [including but not limited to CMS, State Medicaid Agencies, OSHA, GL claims, patient care matters, insurance claims]

specifying the timeframe for the initiation of the audit, inquiry or investigation and estimate of duration

c.early estimate of likelihood of the audit, investigation or inquiry resulting into a material adverse event for the Company

d.report on whether an assessment has been made on whether outside counsel or consulting expertise is needed to analyze properly the new incident

Exhibit C-Page 8

Report On Pending Or Threatened Litigation By Private Parties

Bullet point descriptions of issues that will be reported on and, at minimum, an oral report including the following:

a.identifying information regarding the potential claim against the Facility

b.early estimate of likelihood of a claim or demand being lodged, litigation being initiated, prospects for early resolution

c.early estimate of the likelihood that the claim could result in a material adverse event for the Company

d.report on whether an assessment has been made on whether outside counsel or consulting expertise is needed to analyze properly the new incident

Date:

Signature of Compliance Officer (orresponsible officer)

Exhibit C-Page 9

SCHEDULE 6.2(d)

MANAGEMENT COMPANY ORGANIZATIONAL CHART

100%

Foster Development, Inc.

John Foster

Susan Foster

Schedule 6.2(d)-Page 1

EX-21

EXHIBIT 21

CNL Healthcare Properties II, Inc.

Subsidiaries of the Registrant

All entities were formed in Delaware, unless otherwise noted, and all entities do business under the name listed, unless otherwise noted.

1. CHP II GP, LLC

2. CHP II MOB Holding, LLC

3. CHP II Overland Park KS MOB Owner, LLC

4. CHP II Partners, LP

5. CHP II SL Owner Holding I, LLC

6. CHP II Summer Vista FL Owner, LLC

7. CHP II Summer Vista FL Tenant, LLC

8. CHP II TRS Holding, Inc.

9. CHP II Riverview FL Owner, LLC

10. CHP II Riverview FL Tenant, LLC

EX-31.1

EXHIBIT 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

OF CNL HEALTHCARE PROPERTIES II, INC.

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Stephen H. Mauldin, certify that:

1. I have reviewed this annual report on Form 10-K of CNL Healthcare Properties II, Inc. (the “Registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this report;

4. The Registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

(a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) disclosed in this report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5. The Registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of the Registrant’s board of directors (or persons performing the equivalent functions):

(a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

(b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.

Date:  March 20, 2019	By:	/s/ Stephen H. Mauldin
		STEPHEN H. MAULDIN
		Chief Executive Officer and President
		(Principal Executive Officer)

EX-31.2

EXHIBIT 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER

OF CNL HEALTHCARE PROPERTIES II, INC.

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Ixchell C. Duarte, certify that:

1. I have reviewed this annual report on Form 10-K of CNL Healthcare Properties II, Inc. (the “Registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this report;

4. The Registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

(a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) disclosed in this report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5. The Registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of the Registrant’s board of directors (or persons performing the equivalent functions):

(a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

(b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.

Date:  March 20, 2019	By:	/s/ Ixchell C. Duarte
		IXCHELL C. DUARTE
		Chief Financial Officer, Senior Vice President and Treasurer
		(Principal Financial Officer)

EX-32.1

EXHIBIT 32.1

CERTIFICATION

PURSUANT TO 18 U.S.C. SECTION 1350 AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the annual report of CNL Healthcare Properties II, Inc. (the “Company”) on Form 10-K for the period ended December 31, 2018, as filed with the United States Securities and Exchange Commission on the date hereof (the “Report”), I, Stephen H. Mauldin, Chief Executive Officer and Ixchell C. Duarte, Chief Financial Officer and Treasurer of the Company, each certify, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:  March 20, 2019	By:	/s/ Stephen H. Mauldin
		Stephen H. Mauldin
		Chief Executive Officer and President
Date:  March 20, 2019	By:	/s/ Ixchell C. Duarte
		IXCHELL C. DUARTE
		Chief Financial Officer, Senior Vice President and Treasurer

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Document and Entity Information - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Mar. 15, 2019	Jun. 30, 2018
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2018
Document Fiscal Year Focus	2018
Document Fiscal Period Focus	FY
Trading Symbol	CHPII
Entity Registrant Name	CNL Healthcare Properties II, Inc.
Entity Central Index Key	0001648383
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Non-accelerated Filer
Entity Shell Company	false
Entity Small Business	true
Entity Emerging Growth Company	true
Entity Ex Transition Period	true
Entity Common Stock, Shares Outstanding		4,899,139
Entity Public Float			$ 48.9

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CONSOLIDATED BALANCE SHEETS - USD ($)	Dec. 31, 2018	Dec. 31, 2017
ASSETS
Real estate investment properties, net	$ 53,573,013	$ 31,085,939
Cash	8,003,576	12,310,920
Intangibles, net	4,983,627	4,653,504
Other assets	495,188	192,423
Restricted cash	233,971	110,999
Total assets	67,289,375	48,353,785
Liabilities:
Mortgages and notes payable, net	24,197,359	19,532,986
Accounts payable and accrued liabilities	888,816	836,647
Other liabilities	452,063	450,311
Due to related parties	85,902	1,023,909
Total liabilities	25,624,140	21,843,853
Commitments and contingencies (Note 12)
Stockholders' equity:
Preferred stock, $0.01 par value per share, 10,000,000 shares authorized; none issued or outstanding
Capital in excess of par value	48,039,220	28,984,932
Accumulated loss	(3,464,160)	(1,658,977)
Accumulated distributions	(2,958,820)	(846,200)
Total stockholders' equity	41,665,235	26,509,932
Total liabilities and stockholders' equity	67,289,375	48,353,785
Class A Common Stock
Stockholders' equity:
Common stock value	48,995	8,080
Total stockholders' equity	$ 48,995	8,080
Class T Common Stock
Stockholders' equity:
Common stock value		20,492
Total stockholders' equity		20,492
Class I Common Stock
Stockholders' equity:
Common stock value		1,605
Total stockholders' equity		$ 1,605

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CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Dec. 31, 2018	Dec. 31, 2017
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	10,000,000	10,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Class A Common Stock
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	1,200,000,000	1,200,000,000
Common stock, shares issued	4,899,139	808,011
Common stock, shares outstanding	4,899,139	808,011
Class T Common Stock
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	700,000,000	700,000,000
Common stock, shares issued	0	2,049,223
Common stock, shares outstanding	0	2,049,223
Class I Common Stock
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	100,000,000	100,000,000
Common stock, shares issued	0	160,490
Common stock, shares outstanding	0	160,490

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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	12 Months Ended
	Dec. 31, 2018		Dec. 31, 2017		Dec. 31, 2016
Revenues:
Resident fees and services	$ 5,905,098		$ 3,290,191		$ 0
Type of Revenue [Extensible List]	us-gaap:HealthCareResidentServiceMember		us-gaap:HealthCareResidentServiceMember		us-gaap:HealthCareResidentServiceMember
Rental income and tenant reimbursements	$ 1,532,218		$ 18,624
Total revenues	7,437,316		3,308,815
Operating expenses:
Property operating expenses	4,230,905		1,852,057
General and administrative expenses	1,211,915		917,700		$ 309,998
Property management fees	$ 381,465		$ 196,632
Type of Cost, Good or Service [Extensible List]	us-gaap:ManagementServiceMember		us-gaap:ManagementServiceMember		us-gaap:ManagementServiceMember
Depreciation and amortization	$ 2,304,728		$ 971,389
Acquisition fees and expenses	818				$ 2,500
Total operating expenses	8,129,831		3,937,778		312,498
Operating loss	(692,515)		(628,963)		(312,498)
Other income (expense):
Interest and other income	15,819		66
Interest expense and loan cost amortization	(1,127,693)		(589,540)		(29,949)
Total other expense	(1,111,874)		(589,474)		(29,949)
Loss before income taxes	(1,804,389)		(1,218,437)		(342,447)
Income tax expense	794		98,093		0
Net loss attributable to common stockholders	(1,805,183)		(1,316,530)		(342,447)
Class A Common Stock
Other income (expense):
Net loss attributable to common stockholders	$ (661,345)		$ (438,710)		$ (242,824)
Net loss per share of common stock outstanding (basic and diluted)	$ (0.43)		$ (0.74)		$ (0.79)
Weighted average number of common shares outstanding (basic and diluted)	1,547,449	[1]	590,225	[1]	306,844
Distributions declared per common share	$ 0.5760		$ 0.5370		$ 0.1750
Class T Common Stock
Other income (expense):
Net loss attributable to common stockholders	$ (1,025,147)		$ (833,933)		$ (91,108)
Net loss per share of common stock outstanding (basic and diluted)	$ (0.43)	[2]	$ (0.74)		$ (0.79)
Weighted average number of common shares outstanding (basic and diluted)	2,398,691	[1]	1,121,944	[1]	115,128
Distributions declared per common share	$ 0.3922		$ 0.4254		$ 0.1533
Class I Common Stock
Other income (expense):
Net loss attributable to common stockholders	$ (118,691)		$ (43,887)		$ (8,515)
Net loss per share of common stock outstanding (basic and diluted)	$ (0.43)	[2]	$ (0.74)		$ (0.79)
Weighted average number of common shares outstanding (basic and diluted)	277,718	[1]	59,044	[1]	10,760
Distributions declared per common share	$ 0.4375		$ 0.5026		$ 0.1750

[1] For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends issued through the October 2018 suspension of stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

[2] In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were reached and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter. As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($)	Total	Common Stock	Capital in Excess of Par Value	Accumulated Loss	Accumulated Distributions	Class A Common Stock	Class T Common Stock	Class I Common Stock
Beginning Balance at Dec. 31, 2015	$ 200,000	$ 200	$ 199,800
Beginning Balance (in shares) at Dec. 31, 2015		20,000
Conversion of initial common stock shares		$ (200)				$ 200
Conversion of initial common stock shares (in shares)		(20,000)				20,000
Subscriptions received for common stock, including distribution reinvestments	$ 6,386,693		6,380,503			$ 3,024	$ 3,082	$ 84
Subscriptions received for common stock, including distribution reinvestments (in shares)						302,430	308,138	8,375
Stock dividends issued			(32)			$ 27	$ 4	$ 1
Stock dividends issued (in shares)	3,000					2,689	449	79
Stock issuance and offering costs	$ (354,130)		(354,130)
Net loss	(342,447)			$ (342,447)
Cash distributions declared	(57,361)				$ (57,361)
Ending Balance at Dec. 31, 2016	5,832,755		6,226,141	(342,447)	(57,361)	$ 3,251	$ 3,086	$ 85
Ending Balance (in shares) at Dec. 31, 2016						325,119	308,587	8,454
Subscriptions received for common stock, including distribution reinvestments	$ 24,825,810		24,802,273			$ 4,752	$ 17,271	$ 1,514
Subscriptions received for common stock, including distribution reinvestments (in shares)						475,217	1,727,141	151,414
Stock dividends issued			(218)			$ 77	$ 135	$ 6
Stock dividends issued (in shares)	22,000					7,675	13,495	622
Stock issuance and offering costs	$ (2,043,264)		(2,043,264)
Net loss	(1,316,530)			(1,316,530)
Cash distributions declared	(788,839)				(788,839)
Ending Balance at Dec. 31, 2017	26,509,932		28,984,932	(1,658,977)	(846,200)	$ 8,080	$ 20,492	$ 1,605
Ending Balance (in shares) at Dec. 31, 2017						808,011	2,049,223	160,490
Conversion of initial common stock shares						$ 40,107	$ (35,395)	$ (4,712)
Conversion of initial common stock shares (in shares)						4,010,714	(3,539,521)	(471,193)
Subscriptions received for common stock, including distribution reinvestments	$ 19,752,442		19,733,531			$ 941	$ 14,803	$ 3,167
Subscriptions received for common stock, including distribution reinvestments (in shares)						93,664	1,480,250	316,664
Stock dividends issued			(352)			$ 80	$ 245	$ 27
Stock dividends issued (in shares)	35,000					8,021	24,541	2,696
Redemptions of common stock	$ (446,720)		(446,275)			$ (213)	$ (145)	$ (87)
Redemptions of common stock, shares						(21,271)	(14,493)	(8,657)
Stock issuance and offering costs	(232,616)		(232,616)
Net loss	(1,805,183)			(1,805,183)
Cash distributions declared	(2,112,620)				(2,112,620)
Ending Balance at Dec. 31, 2018	$ 41,665,235		$ 48,039,220	$ (3,464,160)	$ (2,958,820)	$ 48,995
Ending Balance (in shares) at Dec. 31, 2018						4,899,139	0	0

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Operating activities:
Net loss	$ (1,805,183)	$ (1,316,530)	$ (342,447)
Adjustments to reconcile net loss to net cash from operating activities:
Depreciation and amortization	2,304,728	971,389
Amortization of loan costs	88,522	33,000
Amortization of above and below market intangibles	9,314
Straight-line rent adjustments	(68,277)	46,175
Deferred income tax benefit	(1,426)	(29,107)
Changes in operating assets and liabilities:
Other assets	(198,436)	(111,387)	(48,928)
Due to related parties	(111,333)	123,689	73,545
Accounts payable and accrued liabilities	(63,611)	320,659	23,263
Other liabilities	(2,619)	6,622
Net cash flows provided by (used in) operating activities	151,679	44,510	(294,567)
Investing activities:
Acquisition of properties	(24,832,472)	(35,779,205)
Capital expenditures	(213,241)	(54,785)
Net cash used in investing activities	(25,045,713)	(35,833,990)
Financing activities:
Subscriptions received for common stock through primary offering	18,909,961	24,437,278	6,132,100
Subscriptions received for common stock through private placement			251,250
Payment of underwriting compensation	(1,059,290)	(1,383,696)	(184,532)
Payment of cash distributions, net of distribution reinvestments	(1,270,140)	(400,306)	(56,510)
Redemptions of common stock	(446,720)
Proceeds from mortgages and notes payable	5,000,000	21,650,000	312,500
Repayments on mortgages and notes payable	(312,500)	(2,150,000)
Payment of loan costs	(111,649)	(302,118)
Net cash flows provided by financing activities	20,709,662	41,851,158	6,454,808
Net (decrease) increase in cash and restricted cash	(4,184,372)	6,061,678	6,160,241
Cash and restricted cash at beginning of year	12,421,919	6,360,241	200,000
Cash and restricted cash at end of year	8,237,547	12,421,919	6,360,241
Supplemental disclosure of cash flow information:
Cash paid during the period for interest	1,009,139	506,787	29,363
Cash paid during the period for income taxes	201,550	300
Amounts incurred but not paid (including amounts due to related parties):
Acquisition fees and expenses related to asset acquisition		6,000
Selling commissions and Dealer Manager fees		28,150	12,373
Annual distribution and stockholder servicing fee		798,525	$ 154,733
Assumption of liabilities on acquisition of property	$ 115,779	$ 530,452

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Organization

12 Months Ended

Dec. 31, 2018

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Organization

1. Organization

CNL Healthcare Properties II, Inc. is a Maryland corporation that incorporated on July 10, 2015 and elected to be taxed as a REIT for U.S. federal income tax purposes beginning with the year ended December 31, 2017. The Company is sponsored by CNL Financial Group, LLC.

The Company is externally managed and advised by CHP II Advisors, LLC, an affiliate of CNL.  The Advisor provides advisory services to the Company relating to substantially all aspects of its investments and operations, including real estate acquisitions and dispositions, asset management and other operational matters.  

On March 2, 2016, pursuant to a registration statement on Form S-11 under the Securities Act of 1933, the Company commenced its Primary Offering of up to $1.75 billion, in any combination, of Class A, Class T and Class I shares of common stock on a “best efforts” basis, which meant that the Dealer Manager, an affiliate of the Sponsor, used its best efforts but was not required to sell any specific amount of shares.  The Company also offered up to $250 million, in any combination, of Class A, Class T and Class I shares pursuant to its Reinvestment Plan.  

On August 31, 2018, the Company’s board of directors approved the termination of its Offering and the suspension of its Reinvestment Plan, effective October 1, 2018.  The Company also suspended its Redemption Plan and discontinued its stock dividends concurrently.  In October 2018, the Company deregistered the unsold shares of its common stock under its previous registration statement on Form S-11.  In addition, the Company announced it had formed a Special Committee consisting solely of its independent directors to consider possible strategic alternatives available to the Company, including, without limitation, (i) an orderly disposition of the Company’s assets or one or more of the Company’s asset classes and the distribution of the net sale proceeds thereof to the stockholders of the Company and (ii) a potential business combination or other transaction with an unrelated third-party or affiliated party of the Company’s Sponsor.  Although the Company has formed the Special Committee for the exploration of possible strategic alternatives, the Company is not obligated to enter into any particular transaction or any transaction at all.  Refer to Note 14. “Subsequent Events” for information related to the engagement of a financial advisor during 2019 and the Sale Agreement that was entered into in March 2019 for the MOB Sale.

Through the close of its Offering, the Company had received aggregate proceeds of approximately $51.2 million (4.9 million shares), including approximately $1.2 million (0.1 million shares) of proceeds pursuant to the Reinvestment Plan.  The Company has contributed the net proceeds from its Offering to CHP II Partners, LP in exchange for partnership interests.  The Company owns substantially all of its assets either directly or indirectly through the Operating Partnership in which the Company is the sole limited partner and its wholly-owned subsidiary, CHP II GP, LLC, is the sole general partner.  The Operating Partnership owns assets through: (1) a wholly-owned TRS, TRS Holdings and (2) property owner subsidiaries, which are single purpose entities.

As of December 31, 2018, the Company owned three properties consisting of two seniors housing communities and one MOB.  The Company has leased its two seniors housing properties to single member limited liability companies wholly-owned by TRS Holdings and engaged independent third-party managers under management agreements to operate the properties as permitted under RIDEA structures; whereas, its medical office building has been leased on a net or modified gross basis to third-party tenants.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

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Summary of Significant Accounting Policies

12 Months Ended

Dec. 31, 2018

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the Operating Partnership and its subsidiaries.  All material intercompany accounts and transactions have been eliminated in consolidation.  

Use of Estimates — The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts in the Company’s consolidated financial statements and accompanying notes.  Actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions — Upon acquisition of real estate, the Company first determines whether substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or a group of similar identifiable assets in order to determine whether the acquisition should be accounted for as an asset acquisition.  If the substantially all threshold is not met, the Company then determines whether the acquisition meets the definition of a business (i.e. does it include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs).

The Company estimates the fair value of acquired tangible assets (consisting of land and improvements, building and improvements, and furniture, fixtures and equipment), intangible assets (consisting of in-place leases and above- or below-market leases) and liabilities assumed in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, the Company considers information obtained about each property as a result of its due diligence and utilizes various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.  The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land and building.

The purchase price is allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease(s).  Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses.  Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual rents to be paid pursuant to the lease and management’s estimate of the fair market lease rates for each in-place lease and may include assumptions for lease renewals of below-market leases.

Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized.  Repair and maintenance costs are charged to expense as incurred and significant costs incurred for replacements and improvements are capitalized.  Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life.  Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets.  Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are limited to 39 and 15 years, respectively, or the remaining life of the ground lease.  Furniture, fixtures and equipment are depreciated on the straight-line method over their estimated useful lives, which generally range between three and five years. Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease-related costs not deemed to be recoverable.

Impairment of Real Estate Assets— Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators, including property operating performance and general market conditions, that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired.  To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group.  Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors.  In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value of the asset group.

2. Summary of Significant Accounting Policies (continued)

Cash— Cash consists of demand deposits at commercial banks with original maturities of three months or less.  As of December 31, 2018, certain of the Company’s cash deposits exceeded federally insured amounts.  However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal.  The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.

Restricted Cash — Certain cash balances are escrowed to fund capital expenditures, property taxes and/or insurance as required by the loan or lease terms.

Loan Costs — Loan costs paid in connection with obtaining indebtedness are deferred and amortized over the estimated life of the indebtedness using the effective interest method.  Loan costs are presented as a direct deduction from the carrying amount of the related indebtedness in the balance sheet.  As of December 31, 2018 and 2017, the accumulated amortization of loan costs was approximately $0.1 million and $33,000, respectively.

Deferred Lease-Related Costs – The Company defers lease-related costs that it incurs to obtain new or extend existing leases. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized deferred lease-related costs not deemed to be recoverable. 

Mortgages and Notes Payable — Mortgages and notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s property.  Mortgages and notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.

Revenue Recognition — Resident fees and services are operating revenues relating to the Company’s managed seniors housing properties, which are operated under RIDEA structures.  Resident fees and services directly relate to the provision of monthly goods and services that are generally bundled together under a single resident agreement.  The Company accounts for its resident agreements as a single performance obligation under ASC 606 given the Company’s overall promise to provide a series of stand-ready goods and services to its residents each month.  Resident fees and services are recorded in the period in which the goods are provided and the services performed and generally consist of (1) monthly rent, which covers occupancy of the residents’ unit as well as basic services, such as utilities, meals and certain housekeeping services, and (2) service level charges, such as assisted living care, memory care and ancillary services.  Resident agreements are generally short-term in nature, billed monthly in advance and cancelable by the residents with a 30-day notice.  Resident agreements may require the payment of upfront fees prior to moving into the community with any non-refundable portion of such fees being recorded as deferred revenue and amortized over the estimated resident stay.

Rental income and tenant reimbursements includes rental income that is recorded on the straight-line basis over the terms of the leases for new leases and the remaining terms of existing leases for those acquired as part of a property acquisition. The straight-line method records the periodic average amount of base rent earned over the term of a lease, taking into account contractual rent increases over the lease term.  The Company records the difference between base rent revenues earned and amounts due per the respective lease agreements, as applicable, as an increase or decrease to deferred rent.  Rental income and tenant reimbursements also includes amounts for which tenants are required to reimburse the Company related to expenses incurred on behalf of the tenants, in accordance with the terms of the leases.  Tenant reimbursements are recognized in the period in which the related reimbursable expenses are incurred, such as real estate taxes, common area maintenance, and similar items.

Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2017.  In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its annual REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for

2. Summary of Significant Accounting Policies (continued)

taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends.  If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the IRS grants the Company relief under certain statutory provisions.  Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income.

The Company has formed a subsidiary that has elected to be taxed as a TRS for U.S. federal income tax purposes.  Under the provisions of the Internal Revenue Code and applicable state laws, a TRS is subject to taxation on taxable income from its operations. The Company accounts for federal and state income taxes with respect to a TRS using the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and respective tax bases and operating losses and tax-credit carry forwards.

Fair Value Measurements— GAAP emphasizes that fair value is a market-based measurement, not an entity-specific measurement.  Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability.  GAAP requires the use of observable market data, when available, in making fair value measurements. Observable inputs are inputs that the market participants would use in pricing the asset or liability developed based on market data obtained from sources independent of ours. When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement. As a basis for considering market participant assumptions in fair value measurements, GAAP establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). The three levels of inputs used to measure fair value are as follows:

• Level 1 – Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company as the ability to access.

• Level 2 – Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.

• Level 3 – Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity.

Share-Based Payments to Non-Employees — In connection with an expense support arrangement described in Note 9. “Related Party Arrangements,” the Company may issue Class A shares of Restricted Stock to the Advisor on an annual basis in lieu of cash for services rendered, in the event that the Company does not achieve established distribution coverage targets.

2. Summary of Significant Accounting Policies (continued)

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event of the Company.  Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to Accounting Standards Codification (“ASC”) 505-50.  On the date in which the Advisor satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Per Share Data — Net loss per share for the period presented is computed by dividing net loss by the weighted average number of common stock shares outstanding for each share class during the period in which the Company was operational.  Diluted loss per share is computed based on the weighted average number of common stock shares outstanding for each share class and all potentially dilutive securities, if any.  For purposes of determining the weighted average number of shares of common stock outstanding, stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

Segment Information— Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance.  The Company has determined that it operates in one operating segment, real estate ownership.  The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis and by tenant or operator.  The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed).  Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.

Adopted Accounting Pronouncements — In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” as a new ASC topic (Topic 606).  The core principle of this ASU is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  The ASU further provides guidance for any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets, unless those contracts are within the scope of other standards (for example, lease contracts).  The FASB subsequently issued ASU 2015-14 to defer the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with earlier adoption permitted. In addition, the FASB issued ASU 2017-05, “Other Income – Gains and Losses from the Derecognition of Nonfinancial Assets (Subtopic 610-20),” which clarifies the scope of subtopic 610-20, that was issued as a part of ASU 2014-09, as it relates to an in substance nonfinancial asset and must be adopted concurrently with ASC 606.  Both ASUs can be adopted using one of two retrospective transition methods: (i) retrospectively to each prior reporting period presented or (ii) as a cumulative-effect adjustment as of the date of adoption. The Company adopted these ASUs using the modified retrospective approach as its transition method effective January 1, 2018; the adoption of which did not have a material impact to its consolidated financial statements.

In August 2017, the FASB issued ASU 2017-12 “Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities,” which amended the hedge accounting model to better reflect an entity’s risk management activities.  The ASU expands an entities ability to hedge nonfinancial and financial risk components as well as reduce the complexity related to fair value hedges of interest rate risk. The ASU further eliminates the requirement to separately measure and report hedge ineffectiveness and generally requires the entire change in the fair value of a hedging instrument to be presented in the same income statement line as the hedged item.  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company early adopted this ASU prospectively on January 1, 2018; the adoption of which did not have a material impact on the Company’s consolidated financial statements.

2. Summary of Significant Accounting Policies (continued)

Recent Accounting Pronouncements — In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU also requires qualitative and quantitative disclosures designed to give financial statement users additional information on the amount, timing, and uncertainty of cash flows arising from leases.  In July 2018, the FASB issued ASU 2018-11, “Leases (Topic 842): Targeted Improvements,” which includes a practical expedient for lessors that allows them to elect to not separate lease and non-lease components in a contract for the purpose of revenue recognition and disclosure if certain criteria are met.  The Company elected the practical expedient and applied the guidance to all of the leases that qualified under the established criteria.  In December 2018, the FASB issued ASU 2018-20, “Leases  (Topic 842): Narrow-Scope Improvements for Lessors”, which addressed challenges encountered in determining certain lessor costs paid by the lessee directly to third-parties by allowing lessors to exclude these costs from its variable lease payments.  This amendment did not have a material impact on the Company’s financial statements and related disclosures as it conformed ASC 842 to the Company’s historical accounting under ASC 840.  All of the ASC 842 ASU’s are effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company adopted these ASU’s on January 1, 2019 using a modified retrospective approach, which impacted the Company’s consolidated financial statements and related financial statement disclosures; specifically, the Company’s consolidated financial position as it relates to the required presentation for arrangements such as ground or other leases in which the Company is the lessee.  However, the adoption of this ASU did not have a material impact on the Company’s consolidated results of operations or cash flows.

In June 2018, the FASB issued ASU 2018-07, “Compensation – Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting” which expands the scope to include share-based payment transactions for acquiring goods and services from nonemployees. The amendments specify that Topic 718 applies to all share-based payment transactions in which a grantor acquires goods or services to be used or consumed in a grantor’s own operations by issuing share-based payments. The amendments also clarify that this ASU does not apply to share-based payments used to provide financing to the issuer or awards granted in conjunction with selling of goods or services to customers as a part of a contract accounted for under Revenue from Contracts with Customers (Topic 606).  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company adopted ASU 2018-07 on January 1, 2019; the adoption of which did not have a material impact on the Company’s consolidated financial statements.

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Revenue

12 Months Ended

Dec. 31, 2018

Revenue From Contract With Customer [Abstract]

Revenue

3. Revenue

The following table represents the disaggregated revenue for resident fees and services during the years ended December 31, 2018 and 2017:

	Years Ended December 31,
Type of Investment	Number of Units				Revenues				Percentage of Revenues
Resident fees and services:	2018		2017		2018		2017		2018			2017
Assisted living		129		67	$	4,200,903	$	2,419,624		71.1	%		73.5	%
Memory care		52		22		1,640,916		847,767		27.8	%		25.8	%
Other revenues	―		―			63,279		22,802		1.1	%		0.7	%
		181		89	$	5,905,098	$	3,290,191		100.0	%		100.0	%

There were no resident fees and services during the year ended December 31, 2016.

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Acquisitions

12 Months Ended

Dec. 31, 2018

Business Combinations [Abstract]

Acquisitions

4. Acquisitions

During the year ended December 31, 2018, the Company acquired the following seniors housing community:

		Date	Purchase Price
Name and Location	Structure	Acquired	(in thousands)
Seniors Housing
The Crossings at Riverview	RIDEA	8/31/2018	$	24,250
Riverview, FL ("Tampa")

During the year ended December 31, 2017, the Company acquired the following two properties, which were comprised of one MOB and one seniors housing community:

		Date	Purchase Price
Name and Location	Structure	Acquired	(in thousands)
Medical Office
Mid America Surgery Institute	Modified Lease	12/27/2017	$	14,000
Overland Park, KS ("Kansas City")
Seniors Housing
Summer Vista Assisted Living	RIDEA	3/31/2017		21,400
Pensacola, FL

The following summarizes the purchase price allocation for the above mentioned acquisitions, and the related assets acquired and liabilities assumed in connection with the acquisitions:

	December 31,
	2018			2017
Land and land improvements	$	1,763,342		$	2,650,216
Buildings and building improvements		21,088,267			28,109,037
Furniture, fixtures and equipment		813,773			857,338
Lease intangibles (1)	―				3,752,949
In-place resident agreement intangibles (2)		1,282,869			1,286,507
Other liabilities	―				(340,390	)
Liabilities assumed		(115,779	)		(530,452	)
Total purchase price consideration	$	24,832,472		$	35,785,205

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the year ended December 31, 2017 was approximately 23.5 years.  The acquired lease intangibles were comprised of approximately $2.2 million and $1.5 million of in-place lease intangibles and ground lease intangibles, respectively.

(2) At the acquisition date, the weighted-average amortization period on the acquired in-place resident agreement intangibles was approximately 2.5 years.  

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Real Estate Assets, net

12 Months Ended

Dec. 31, 2018

Real Estate [Abstract]

Real Estate Assets, net

5. Real Estate Assets, net

The gross carrying amount and accumulated depreciation of the Company’s three and two properties as of December 31, 2018 and 2017, respectively, are as follows:

	December 31,
	2018			2017
Land and land improvements	$	4,456,564		$	2,683,051
Building and building improvements		49,197,888			28,109,037
Furniture, fixtures and equipment		1,895,316			879,288
Less: accumulated depreciation		(1,976,755	)		(585,437	)
Real estate investment properties, net	$	53,573,013		$	31,085,939

Depreciation expense on the Company’s real estate investment properties, net was approximately $1.4 million and $0.6 million for the years ended December 31, 2018 and 2017, respectively.  There was no depreciation expense for the year ended December 31, 2016.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

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Intangibles, net

12 Months Ended

Dec. 31, 2018

Goodwill And Intangible Assets Disclosure [Abstract]

Intangibles, net

6. Intangibles, net

The gross carrying amount and accumulated amortization of the Company’s intangible assets and liabilities as of December 31, 2018 and 2017 are as follows:

	December 31,
	2018			2017
In-place lease intangibles	$	2,209,247		$	2,209,125
In-place resident agreement intangibles		2,569,419			1,286,507
Below-market ground lease intangibles		1,543,911			1,543,824
Less: accumulated amortization		(1,338,950	)		(385,952	)
Intangible assets, net	$	4,983,627		$	4,653,504
Below-market lease intangibles	$	(340,409	)	$	(340,390	)
Less: accumulated amortization		30,553		―
Intangible liabilities, net (1)	$	(309,856	)	$	(340,390	)

FOOTNOTE:

⁽¹⁾ Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

Amortization on the Company’s intangible assets was approximately $1.0 million for the year ended December 31, 2018, of which approximately $40,000 was treated as an increase in property operating expenses and approximately $0.9 million was included in depreciation and amortization in the accompanying consolidated statements of operations.  Amortization on the Company’s intangible assets was approximately $0.4 million for the year ended December 31, 2017, all of which were included in depreciation and amortization in the accompanying consolidated statements of operations.  There was no amortization on the Company’s intangible assets during the year ended December 31, 2016.

Amortization on the Company’s intangible liabilities was approximately $31,000 for the year ended December 31, 2018, all of which was treated as an increase in rental income and tenant reimbursements.  There was no amortization expense on the Company’s intangible liabilities for the years ended December 31, 2017 and 2016.

Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

6. Intangibles, net (continued)

The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2018 is as follows:

	In-place Lease Intangibles		In-Place Resident Agreement Intangibles		Below- market Ground Leases		Total Assets		Below- market Leases		Total Liabilities
2019	$	227,754		899,117		39,587	$	1,166,458	$	30,553	$	30,553
2020		198,365		513,165		39,587		751,117		27,103		27,103
2021		188,568		85,527		39,587		313,682		25,953		25,953
2022		188,568	―			39,587		228,155		25,953		25,953
2023		188,568	―			39,587		228,155		25,953		25,953
Thereafter		989,671	―			1,306,389		2,296,060		174,341		174,341
	$	1,981,494		1,497,809		1,504,324	$	4,983,627	$	309,856	$	309,856

Weighted average remaining useful life as of December 31, 2018 (in years):

In-place Lease Intangibles		In-Place Resident Agreement Intangibles		Below-market Ground Leases		Below-market Leases
	11.9		1.8		38.0		14.1

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Operating Leases

12 Months Ended

Dec. 31, 2018

Leases [Abstract]

Operating Leases

7. Operating Leases

As of December 31, 2018, the Company owned one MOB property that was leased to multiple tenants on a modified gross basis, and accounted for as operating leases.  The Company’s leases had a weighted average remaining lease term of 7.6 years based on annualized base rents expiring between 2020 and 2027, subject to the tenants’ options to extend the lease periods ranging from five to ten years.  In addition, certain tenants hold options to extend their leases for multiple periods.  

Under the terms of the multi-tenant lease agreements that have third-party property managers, each tenant is generally responsible for the payment of their proportionate share of property taxes, general liability insurance, utilities, repairs and common area maintenance. These amounts are billed monthly and recorded as rental income and tenant reimbursements in the accompanying consolidated statements of operations.

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, in the aggregate, as of December 31, 2018:

2019	$	1,059,884
2020		1,008,129
2021		1,004,516
2022		1,023,166
2023		1,041,795
Thereafter		3,477,001
	$	8,614,491

The above future minimum lease payments to be received excludes tenant reimbursements, straight-line rent adjustments, amortization of above- and below-market lease intangibles and base rent attributable to any renewal options exercised by the tenants in the future.

Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the MOB Sale.

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Indebtedness

12 Months Ended

Dec. 31, 2018

Debt Disclosure [Abstract]

Indebtedness

8. Indebtedness

The following table provides details of the Company’s indebtedness as of December 31, 2018 and 2017:

	December 31,
	2018			2017
Mortgages and notes payable:
Mortgage loans (1)	$	24,500,000		$	19,500,000
Notes payable (2)	―				312,500
Mortgages and notes payable		24,500,000			19,812,500
Loan costs, net		(302,641	)		(279,514	)
Total mortgages and notes payable, net	$	24,197,359		$	19,532,986

FOOTNOTES:

(1) As of December 31, 2018, the Company’s mortgage loans are collateralized by its Summer Vista, Mid America Surgery and Riverview properties.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the sale of Mid America Surgery.

(2) Although the original maturity of these Notes was 2046, the Company repaid the Notes in October 2018.

The fair market value of the mortgages and notes payable was approximately $24.6 million and $19.9 million as of December 31, 2018 and 2017, respectively, which is based on then-current rates and spreads the Company would expect to obtain for similar borrowings.  Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurement of the estimated fair values is categorized as Level 3 on the three-level valuation hierarchy.

As of December 31, 2018, the Company in compliance with all financial covenants and ratios.

The following is a schedule of future principal payments and maturity for the Company’s indebtedness for the next five years and thereafter, in the aggregate, as of December 31, 2018:

2019	$	—
2020		5,787,543
2021		249,168
2022		13,623,546
2023		4,839,743
Thereafter		—
	$	24,500,000

8. Indebtedness (continued)

The following table details the Company’s mortgage loans as of December 31, 2018 and 2017 (in thousands):

	Interest Rate at
	December 31,		Maturity	December 31,
Property and Loan Type	2018 (1)	Payment Terms	Date  (2)	2018		2017
Summer Vista Assisted    Living; Mortgage Loan	30-day LIBOR plus 2.70% per annum	Monthly interest only payments through January 2020; principal and interest payments thereafter based on a 30-year amortization schedule	4/1/22	$	13,900	$	13,900
Mid America Surgery    Institute; Mortgage Loan	30-day LIBOR plus 2.20% per annum	Monthly interest only payments through June 2020; principal payment at maturity	12/15/20		5,600		5,600
The Crossings at Riverview;    Mortgage Loan	30-day LIBOR plus 2.25% per annum	Monthly interest only payments through September 2020; principal and interest payments thereafter based on a 30-year amortization schedule	8/31/23		5,000		—
		Total debt		$	24,500	$	19,500

FOOTNOTES:

⁽¹⁾ The 30-day LIBOR was approximately 2.5% as of December 31, 2018.

⁽²⁾ Represents the initial maturity date (or, as applicable, the maturity date as extended).  The maturity date may be extended beyond the date shown subject to certain lender conditions.

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Related Party Arrangements

12 Months Ended

Dec. 31, 2018

Related Party Transactions [Abstract]

Related Party Arrangements

9. Related Party Arrangements

The Company is externally advised and has no direct employees. All of the Company’s executive officers are executive officers, or on the board, of managers of the Advisor. In addition, certain directors and officers hold similar positions with CNL Securities Corp., the Dealer Manager of the Offering and a wholly owned subsidiary of CNL. In connection with services provided to the Company, affiliates are entitled to the following fees:

Dealer Manager — From the commencement of the Offering through March 19, 2017, the Dealer Manager received a selling commission of up to 7% of the sale price for each Class A share and 2% of the sale price for each Class T share sold in the Primary Offering, all or a portion of which was reallowed to participating broker dealers.  In addition, the Dealer Manager received a dealer manager fee in an amount equal to 2.75% of the price of each Class A share or Class T share sold in the Primary Offering, all or a portion of which was reallowed to participating broker dealers.  In March 2017, the Company entered into an amended and restated dealer manager agreement pursuant to which the Dealer Manager received a combined selling commission and dealer manager fee of up to 8.5% of the sale price for each Class A share and up to 4.75% of the sale price for each Class T share sold in the

9. Related Party Arrangements (continued)

Primary Offering, all or a portion of which could be reallowed to participating broker dealers.  In addition for Class T shares sold in the Primary Offering, the Dealer Manager could choose the respective amounts of the commission and dealer manager fee, provided that the selling commission did not exceed 3.0% of the gross proceeds from the completed sale of such Class T shares. The Company paid a distribution and stockholder servicing fee, subject to certain underwriting compensation limits, with respect to the Class T and Class I shares sold in the Primary Offering in an annual amount equal to 1% and 0.50%, respectively, of the then-current gross offering price per Class T or Class I share.  

The Company recorded the annual distribution and stockholder servicing fees as a reduction to capital in excess of par value and measured the related liability in an amount equal to the maximum fees owed in relation to the Class T and Class I shares on the shares’ issuance date.  The liability was relieved over time, as the fees were paid to the Dealer Manager, or adjusted if the fees were no longer owed on any Class T or Class I share that was redeemed or repurchased, as well as upon the earliest occurrence of: (i) a listing on a national securities exchange; (ii) a merger or consolidation of the Company with or into another entity, or the sale or other disposition of all or substantially all of the Company’s assets; (iii) after the termination of the Primary Offering in which the initial shares in the account were sold, the end of the month in which total underwriting compensation paid in the Primary Offering is not less than 10% of the gross proceeds from all share classes of the Primary Offering; (iv) the end of the month in which the total underwriting compensation paid in a Primary Offering with respect to shares purchased in a Primary Offering is not less than 8.5% of the gross offering price of those shares purchased in such Primary Offering (excluding shares purchased through the Reinvestment Plan and those received as stock dividends); or (v) any other conditions described in the Company’s prospectus.

In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were met and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter.  The Class T and Class I shares converted into Class A shares on a one-for-one basis because the then-current estimated NAV per share of $10.06, which was approved by the Company’s board of directors as of December 31, 2017, was the same for all share classes.  Effective October 31, 2018, Class T and Class I shares were no longer subject to class specific expenses upon conversion into Class A shares.  The Company’s obligation to pay the remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares.

CNL Capital Markets, LLC — The Company will pay CNL Capital Markets, LLC, an affiliate of CNL, an annual fee payable monthly based on the average number of total investor accounts that are open during the term of the capital markets service agreement pursuant to which certain administrative services are provided to the Company.  These services may include, but are not limited to, the facilitation and coordination of the transfer agent’s activities, client services and administrative call center activities, financial advisor administrative correspondence services, material distribution services and various reporting and troubleshooting activities.  For the years ended December 31, 2018, 2017 and 2016, the Company incurred approximately $0.1 million, $22,000, and $20 in such fees, respectively.  These amounts are included in general and administrative expenses in the accompanying consolidated statements of operations.

Advisor— The Company will pay the Advisor a monthly asset management fee in an amount equal to 0.0667% of the monthly average of the sum of the Company’s and the Operating Partnership’s respective daily real estate asset value, without duplication, plus the outstanding principal amount of any loans made, plus the amount invested in other permitted investments.  For this purpose, “real estate asset value” equals the amount invested in wholly-owned properties, determined on the basis of cost, and in the case of properties owned by any joint venture or partnership in which the Company is a co-venturer or partner the portion of the cost of such properties paid by the Company, exclusive of acquisition fees and acquisition expenses and will not be reduced for any recognized impairment.  Any recognized impairment loss will not reduce the real estate asset value for the purposes of calculating the asset management fee.  The asset management fee, which will not exceed fees which are competitive for similar services in the same geographic area, may or may not be taken, in whole or in part as to any year, in the Advisor’s sole discretion.  All or any portion of the asset management fee not taken as to any fiscal year shall be deferred without interest and may be taken in such other fiscal year as the Advisor shall determine.

9. Related Party Arrangements (continued)

The Advisor received an investment services fee of 2.25% of the purchase price of properties for services in connection with the selection, evaluation, structure and purchase of assets.

Refer to Note 14. “Subsequent Events” for additional information related to an amended and restated advisory agreement that reduced the monthly asset management fee and eliminated other fees previously charged by the Advisor.  

The Advisor, its affiliates and related parties also are entitled to reimbursement of certain operating expenses in connection with their provision of services to the Company, including personnel costs, subject to the limitation that the Company will not reimburse the Advisor for any amount by which operating expenses exceed the greater of 2% of its average invested assets or 25% of its net income in any Expense Year unless approved by the independent directors.  The Company commenced its Primary Offering in March 2016 and made its first investment in March 2017.  For the Expense Year ended December 31, 2018, the Company’s total operating expenses were in excess of this limitation by approximately $0.2 million. As of December 31, 2018, the Company had received cumulative approvals by its independent directors for total operating expenses in excess of this limitation of approximately $0.9 million.  The Company’s independent directors determined that the higher relationship of operating expenses to average invested assets was justified based on unattained capital raise expectations, which limited the number of investments, and the cost of operating a public company.

For the year ended December 31, 2016, approximately $84,000 of personnel expenses of affiliates of the Advisor were waived and these 2016 expenses will not be reimbursed by the Company in future periods.

The Advisor will pay all other organizational and offering expenses incurred in connection with the formation of the Company, without reimbursement by the Company.  These expenses include, but are not limited to, SEC registration fees, FINRA filing fees, printing and mailing expenses, blue sky fees and expenses, legal fees and expenses, accounting fees and expenses, advertising and sales literature, transfer agent fees, due diligence expenses, personnel costs associated with processing investor subscriptions, escrow fees and other administrative expenses of the Offering.

For the years ended December 31, 2018, 2017 and 2016, the Company paid cash distributions of approximately $0.2 million, $0.1 million and $47,000, respectively, and issued stock dividends through October 2018 of approximately 2,400 shares, 4,100 shares and 2,400 shares, respectively, to the Advisor.

Pursuant to an expense support arrangement, the Advisor has agreed to accept payment in restricted stock in lieu of cash for services rendered, in the event that the Company does not achieve established distribution coverage targets.  Under the terms of the Expense Support Agreement, for each quarter within a calendar expense support year, the Company will record a proportional estimate of the cumulative year-to-date period based on an estimate of the annual expense support expected for the calendar expense support year.  In exchange for services rendered and in consideration of the expense support provided under this arrangement, the Company shall issue, following each determination date, a number of shares of restricted stock equal to the quotient of the expense support amount provided by the Advisor for the preceding year divided by the board of directors’ most recent determination of NAV per share of the Class A common shares, on the terms and conditions and subject to the restrictions set forth in the Expense Support Agreement.  The Restricted Stock is subordinated and forfeited to the extent that shareholders do not receive a Priority Return on their Invested Capital (as such terms are defined in the Company’s prospectus), excluding for the purposes of calculating this threshold any shares of Restricted Stock owned by the Advisor.  The Advisor has the right to terminate the Expense Support Agreement upon 30 days’ prior written notice.  In March 2019, the Company’s board of directors and the Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019; refer to Note 14. “Subsequent Events” for additional information.

9. Related Party Arrangements (continued)

The following fees for services rendered have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement for the years ended December 31, 2018, 2017 and 2016 and cumulatively as of December 31, 2018:

							As of
	Years Ended December 31,						December 31,
	2018		2017		2016		2018
Fees for services rendered:
Asset management fees	$	348,388	$	130,366	$	—	$	478,754
Advisor personnel expenses (1)		494,323		436,403		—		930,726
Total fees for services rendered	$	842,711	$	566,769	$	—	$	1,409,480
Then-current NAV	$	9.92	$	10.06	$	—	$	9.92
Restricted Stock shares (2)		84,951		56,339	$	—		141,290
Cash distributions on restricted stock (3)	$	24,339	$	—	$	—	$	24,339
Stock dividends on restricted stock (4)		340		—		—		340

FOOTNOTES:

⁽¹⁾ Amounts consist of personnel and related overhead costs of the Advisor or its affiliates (which, in general, are those expenses relating to the Company’s administration on an on-going basis) that are reimbursable by the Company.

⁽²⁾ Represents Restricted Stock shares that have been or are expected to be issued to the Advisor as of December 31, 2018 pursuant to the Expense Support Agreement.  No fair value was assigned to the Restricted Stock shares as the shares are expected to be valued at zero upon issuance, which represents the lowest possible value estimated at vesting.  In addition, the Restricted Stock shares will be treated as unissued for financial reporting purposes until the vesting criteria are met.

⁽³⁾ The cash distributions on Restricted Stock shares issued for services rendered through December 31, 2017 have been recognized as compensation expense as declared and included in general and administrative expense in the accompanying consolidated statements of operations.

⁽⁴⁾ The par value of stock dividends have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

The fees payable through the termination of the Offering in October 2018 to the Dealer Manager for the years ended December 31, 2018, 2017 and 2016, and related amounts unpaid as of years ended December 31, 2018 and 2017 are as follows:

	Years Ended							Unpaid amounts as of (1)
	December 31,							December 31,
	2018			2017		2016			2018		2017
Selling commissions (2)	$	343,087		$	666,532	$	97,022		$	—	$	10,000
Dealer Manager fees (2)		429,356			619,123		99,883			—		18,150
Distribution and stockholder servicing fees (2) (3)		(539,827	)		757,609		157,225			—		798,524
	$	232,616		$	2,043,264	$	354,130		$	—	$	826,674

9. Related Party Arrangements (continued)

The expenses incurred by and reimbursable to the Company’s related parties for the years ended December 31, 2018, 2017 and 2016, and related amounts unpaid as of years ended December 31, 2018 and 2017 are as follows:

	Years Ended						Unpaid amounts as of (1)
	December 31,						December 31,
	2018		2017		2016		2018		2017
Reimbursable expenses:
Operating expenses (4)	$	1,019,174	$	983,493	$	206,868	$	85,902	$	197,235
Acquisition fees and expenses (5)		10,183		29,922		—		—		—
		1,029,357		1,013,415		206,868		85,902		197,235
Investment service fees (6)		545,625		796,500		—		—		—
Asset management fees (7)		348,388		130,366		—		—		—
	$	1,923,370	$	1,940,281	$	206,868	$	85,902	$	197,235

FOOTNOTES:

⁽¹⁾ Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

⁽²⁾ Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity.

⁽³⁾ For the year ended December 31, 2018, the Company incurred approximately $0.8 million in distribution and stockholder servicing fees.  The Company’s obligation to pay these fees ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares.  As such, the Company reversed the then-remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager, which resulted in a net reduction in stock issuance and offering costs of approximately $0.5 million for the year ended December 31, 2018.

⁽⁴⁾ Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets. Amounts include approximately $0.5 million, $0.4 million, and $0.1 million of personnel expenses of affiliates of the Advisor for the years ended December 31, 2018, 2017 and 2016, respectively. These Advisor personnel expenses have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement.

⁽⁵⁾ Amounts are capitalized as a component of the cost of the assets acquired and allocated on a relative fair value basis.

⁽⁶⁾ For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.5 million and $0.8 million, respectively, in investment services fees all of which were capitalized and included in real estate investment properties, net in the accompanying consolidated balance sheets.  There were no such fees incurred for the year ended December 31, 2016.

⁽⁷⁾ For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.3 million and $0.1 million, respectively, in asset management fees, all of which are expected to be or were settled in accordance with the terms of the Expense Support Agreement. There were no such fees incurred for the year ended December 31, 2016.

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Equity

12 Months Ended

Dec. 31, 2018

Equity [Abstract]

Equity

10. Equity

Subscription Proceeds — Through the close of the Company’s Offering in October 2018, the Company had received aggregate subscription proceeds of approximately $51.2 million (4.9 million shares), which includes $200,000 (20,000 shares) of subscription proceeds received from the Advisor prior to the commencement of the Offering, approximately $251,250 (25,125 shares) of subscription proceeds received in connection with a Private Placement made in 2016, all of which were redeemed in 2018, and approximately $1.2 million (0.1 million shares) of subscription proceeds pursuant to the Reinvestment Plan.  Concurrent with the close of its Offering, the Company suspended its Reinvestment Plan.

Distributions— For the years ended December 31, 2018, 2017 and 2016, the Company declared and paid cash distributions of approximately $2.1 million, $0.8 million and $57,000, respectively, which were net of class-specific expenses.  As a result of the conversion of Class T shares and Class I shares into Class A shares (discussed below), which was effective October 31, 2018, there were no distributions made for Class T shares and Class I shares after the October 1, 2018 declaration date and only distributions on Class A shares continued subsequent to October 2018.  In addition, the Company declared and issued stock dividends through October 2018 of approximately 35,000, 22,000 and 3,000 shares of common stock during the years ended December 31, 2018, 2017 and 2016, respectively. In connection with the termination of the Offering effective October 1, 2018, the Company’s board of directors determined that it does not intend to authorize additional stock dividends at this time.

For the years ended December 31, 2018, 2017 and 2016, 100% of the cash distributions paid to stockholders were considered a return of capital to stockholders for federal income tax purposes.  No amounts distributed to stockholders for the years ended December 31, 2018, 2017 and 2016 were required to be or have been treated by the Company as a return of capital for purposes of calculating the stockholders’ return on their invested capital as described in the Company’s advisory agreement.  The distribution of new common stock shares is non-taxable.

In December 2018, the Company’s board of directors declared a monthly cash distribution of $0.0480 on each outstanding share of common stock on January 1, 2019, February 1, 2019 and March 1, 2019.  These distributions are to be paid by March 31, 2019.  Refer to Note 14. “Subsequent Events” for additional information related to the suspension of monthly cash distributions to stockholders.

Redemptions— During the year ended December 31, 2018, the Company received and paid requests for the redemption of common stock under its Redemption Plan of approximately $0.4 million, which includes the redemption of all shares raised through the Private Placement.  There were no redemptions requested during the years ended December 31, 2017 and 2016.  In connection with the termination of the Offering and the board of directors’ decision to consider possible strategic alternatives available to the Company, the Redemption Plan was suspended effective October 1, 2018 and the Company no longer accepts or processes any redemption requests received after such date.

Stock Conversions - In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were met and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter. As of December 31, 2018, only Class A shares were outstanding.

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Income Taxes

12 Months Ended

Dec. 31, 2018

Income Tax Disclosure [Abstract]

Income Taxes

11. Income Taxes

For the years ended December 31, 2018 and 2017, the Company recorded deferred tax assets and net current tax expense related to deferred income at its TRS.  There was no income tax recorded for the year ended December 31, 2016.  The components of the income tax expense for the years ended December 31, 2018 and 2017 are as follows:

	2018			2017
Current:
Federal	$	(2,350	)	$	(111,000	)
State		130			(16,200	)
Total current expense		(2,220	)		(127,200	)
Deferred:
Federal		1,981			23,319
State		(555	)		5,788
Total deferred benefit		1,426			29,107
Income tax expense	$	(794	)	$	(98,093	)

Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. In December 2017, the Tax Cuts and Jobs Act was signed into law and reduced the U.S. federal corporate tax rate to 21%, effective January 1, 2018. All impacts of the Tax Cuts and Jobs Act have been reflected in the financial statements and their footnotes. Significant components of the Company’s deferred tax assets as of December 31, 2018 and 2017 are as follows:

	As of December 31,
	2018		2017
Prepaid and other rent	$	30,533	$	29,107
Deferred tax assets	$	30,533	$	29,107

A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows:

	Years Ended December 31,
	2018					2017
Tax benefit computed at federal statutory rate	$	378,862		21.00	%	$	426,453		35.00	%
Impact of REIT election		(379,231	)	(21.02	)%		(511,104	)	(41.90	)%
Effect of change in future tax rates	―			—	%		(3,030	)	(0.25	)%
State income tax expense		(425	)	(0.02	)%		(10,412	)	(0.87	)%
Income tax expense	$	(794	)	(0.04	)%	$	(98,093	)	(8.02	)%

The Company analyzed its material tax positions and determined that it has not taken any uncertain tax positions. The tax years 2016 and forward remain subject to examination by taxing authorities throughout the United States.

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Commitment and Contingencies

12 Months Ended

Dec. 31, 2018

Commitments And Contingencies Disclosure [Abstract]

Commitments and Contingencies

12. Commitments and Contingencies

From time to time, the Company may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, its business, including proceedings to enforce its contractual or statutory rights.  While the Company cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, the Company does not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on its results of operations or financial condition.

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Selected Quarterly Financial Data (Unaudited)

12 Months Ended

Dec. 31, 2018

Quarterly Financial Information Disclosure [Abstract]

Selected Quarterly Financial Data (Unaudited)

13. Selected Quarterly Financial Data (Unaudited)

The following presents selected unaudited quarterly financial data for the years ended December 31, 2018 and 2017:

2018 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	1,533,341		$	1,561,661		$	1,906,891		$	2,435,423		$	7,437,316
Operating loss		(113,972	)		(73,634	)		(189,005	)		(315,904	)		(692,515	)
Net loss		(390,238	)		(350,193	)		(458,687	)		(606,065	)		(1,805,183	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders		(95,926	)		(76,206	)		(87,907	)		(444,392	)		(661,345	)
Weighted average number of Class A common shares outstanding (1)		825,185			867,723			879,674			3,594,121			1,547,449
Loss per share of Class A common stock	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders		(269,815	)		(246,458	)		(327,896	)		(142,326	)		(1,025,147	)
Weighted average number of Class T common shares outstanding (1)		2,321,014			2,806,307			3,281,231			1,151,093			2,398,691
Loss per share of Class T common stock (2)	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders		(24,497	)		(27,529	)		(42,884	)		(19,347	)		(118,691	)
Weighted average number of Class I common shares outstanding (1)		210,726			313,463			429,142			156,473			277,718
Loss per share of Class I common stock (2)	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)

2017 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	11,430		$	1,071,441		$	1,095,696		$	1,130,248		$	3,308,815
Operating loss		(231,794	)		(175,188	)		(99,164	)		(122,817	)		(628,963	)
Net loss		(251,120	)		(391,681	)		(307,906	)		(365,823	)		(1,316,530	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders		(93,692	)		(141,410	)		(108,891	)		(105,482	)		(438,710	)
Weighted average number of Class A common shares outstanding (1)		383,345			524,191			693,354			769,523			590,225
Loss per share of Class A common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders		(154,012	)		(241,220	)		(189,504	)		(242,753	)		(833,933	)
Weighted average number of Class T common shares outstanding (1)		630,143			894,175			1,206,653			1,770,963			1,121,944
Loss per share of Class T common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders		(3,416	)		(9,051	)		(9,511	)		(17,588	)		(43,887	)
Weighted average number of Class I common shares outstanding (1)		13,978			33,550			60,561			128,308			59,044
Loss per share of Class I common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)

FOOTNOTES:

⁽¹⁾ For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends issued through the October 2018 suspension of stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

⁽²⁾ In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were reached and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter.  As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

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Subsequent Events

12 Months Ended

Dec. 31, 2018

Subsequent Events [Abstract]

Subsequent Events

14. Subsequent Events

In January 2019, the Special Committee engaged SunTrust Robinson Humphrey, Inc., an investment banker, to act as a financial advisor to the Special Committee and, subsequently, the Company committed to a plan to sell its MOB property, Mid America Surgery.  

In March 2019, the Company entered into a Sale Agreement witha subsidiary of HCP, Inc. (NYSE: HCP) related to the MOB Sale for a gross sales price of $15.4 million, subject to certain pro-rations and other adjustments as described in the Sale Agreement.  There can be no assurance that the closing conditions will be satisfied or that the MOB Sale will be consummated.  Approximately $0.3 million has been placed by the buyer in escrow and an additional $0.3 million is due from the buyer on or before the end of the inspection period on April 5, 2019, at which point a total deposit of $0.6 million will be non-refundable, except for a seller breach or default under the Sale Agreement, and will be applied to the purchase price at closing.  The anticipated net sales proceeds are expected to exceed the net carrying value of the property comprising the MOB Sale.

In March 2019, the Company’s advisory agreement, dated as of March 2, 2016, was amended and restated to eliminate acquisition fees and dispositions fees as well as to reduce the AUM Fee to 0.40 percent per annum of average invested assets.  The reduced AUM Fee is further subject and subordinate to an agreed upon hurdle relating to the total operating expenses (as described in the amended and restated advisory agreement) of the Company, though to the extent any portion of the AUM Fee is not paid as a result of total operating expenses exceeding the prescribed limits, it may be recovered by the Advisor if certain Company performance thresholds are subsequently met.  The Company’s board of directors approved renewing the amended and restated advisory agreement through March 2020.

In connection with the Company’s strategic alternatives discussed in Note 1. “Organization,” in March 2019, the Company’s board of directors suspended monthly cash distributions to stockholders effective April 1, 2019. In addition, the Company’s board of directors and the Advisor agreed to terminate the Expense Support Agreement effective April 1, 2019.

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SCHEDULE III-Real Estate and Accumulated Depreciation

12 Months Ended

Dec. 31, 2018

Real Estate And Accumulated Depreciation Disclosure [Abstract]

SCHEDULE III-Real Estate and Accumulated Depreciation

CNL HEALTHCARE PROPERTIES II, INC. AND SUBSIDIARIES

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

AS OF DECEMBER 31, 2018 (in thousands)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired	Life on which depreciation in latest income statement is computed
Summer Vista    Assisted Living
Pensacola, FL	$	13,900	$	2,269	$	17,612	$	33	$	—	$	—	$	2,302	$	17,612	$	—	$	19,914	$	(862	)	2016	3/31/2017		(1)
Mid America    Surgery Institute
Overland Park,    KS ("Kansas City")		5,600		381		10,497		—		—		—		381		10,497		—		10,878		(295	)	2007	12/27/2017		(1)
The Crossings    at Riverview
Riverview, FL    ("Tampa")		5,000		1,763		21,088		11		—		—		1,774		21,088		—		22,862		(192	)	2015	8/31/2018		(1)
	$	24,500	$	4,413	$	49,197	$	44	$	—	$	—	$	4,457	$	49,197	$	—	$	53,654	$	(1,349	)

Transactions in real estate and accumulated depreciation as of December 31, 2018 are as follows:

Balance December 31, 2016	$	—	Balance December 31, 2016	$	—
2017 Acquisitions		30,759	2017 Depreciation		(369	)
2017 Improvements		33	Balance December 31, 2017	$	(369	)
Balance December 31, 2017	$	30,792	2018 Depreciation		(980	)
2018 Acquisitions		22,851	Balance December 31, 2018	$	(1,349	)
2018 Improvements		11
Balance December 31, 2018	$	53,654

FOOTNOTES:

(1) Buildings and building improvements are depreciated over 39 and 15 years, respectively.

(2) The aggregate cost for federal income tax purposes is approximately $59.5 million.

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Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2018

Accounting Policies [Abstract]

Basis of Presentation and Consolidation

Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the Operating Partnership and its subsidiaries.  All material intercompany accounts and transactions have been eliminated in consolidation.  

Use of Estimates

Use of Estimates — The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts in the Company’s consolidated financial statements and accompanying notes.  Actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions

Allocation of Purchase Price for Real Estate Acquisitions — Upon acquisition of real estate, the Company first determines whether substantially all of the fair value of the gross assets acquired is concentrated in a single identifiable asset or a group of similar identifiable assets in order to determine whether the acquisition should be accounted for as an asset acquisition.  If the substantially all threshold is not met, the Company then determines whether the acquisition meets the definition of a business (i.e. does it include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create outputs).

The Company estimates the fair value of acquired tangible assets (consisting of land and improvements, building and improvements, and furniture, fixtures and equipment), intangible assets (consisting of in-place leases and above- or below-market leases) and liabilities assumed in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, the Company considers information obtained about each property as a result of its due diligence and utilizes various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.  The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land and building.

The purchase price is allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease(s).  Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses.  Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual rents to be paid pursuant to the lease and management’s estimate of the fair market lease rates for each in-place lease and may include assumptions for lease renewals of below-market leases.

Depreciation and Amortization

Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized.  Repair and maintenance costs are charged to expense as incurred and significant costs incurred for replacements and improvements are capitalized.  Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life.  Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets.  Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are limited to 39 and 15 years, respectively, or the remaining life of the ground lease.  Furniture, fixtures and equipment are depreciated on the straight-line method over their estimated useful lives, which generally range between three and five years. Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease-related costs not deemed to be recoverable.

Impairment of Real Estate Assets

Impairment of Real Estate Assets— Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators, including property operating performance and general market conditions, that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired.  To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group.  Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors.  In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value of the asset group.

Cash

Cash— Cash consists of demand deposits at commercial banks with original maturities of three months or less.  As of December 31, 2018, certain of the Company’s cash deposits exceeded federally insured amounts.  However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal.  The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.

Restricted Cash

Restricted Cash — Certain cash balances are escrowed to fund capital expenditures, property taxes and/or insurance as required by the loan or lease terms.

Loan Costs

Loan Costs — Loan costs paid in connection with obtaining indebtedness are deferred and amortized over the estimated life of the indebtedness using the effective interest method.  Loan costs are presented as a direct deduction from the carrying amount of the related indebtedness in the balance sheet.  As of December 31, 2018 and 2017, the accumulated amortization of loan costs was approximately $0.1 million and $33,000, respectively.

Deferred Lease-Related Costs

Deferred Lease-Related Costs – The Company defers lease-related costs that it incurs to obtain new or extend existing leases. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized deferred lease-related costs not deemed to be recoverable. 

Mortgages and Notes Payable

Mortgages and Notes Payable — Mortgages and notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s property.  Mortgages and notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.

Revenue Recognition

Revenue Recognition — Resident fees and services are operating revenues relating to the Company’s managed seniors housing properties, which are operated under RIDEA structures.  Resident fees and services directly relate to the provision of monthly goods and services that are generally bundled together under a single resident agreement.  The Company accounts for its resident agreements as a single performance obligation under ASC 606 given the Company’s overall promise to provide a series of stand-ready goods and services to its residents each month.  Resident fees and services are recorded in the period in which the goods are provided and the services performed and generally consist of (1) monthly rent, which covers occupancy of the residents’ unit as well as basic services, such as utilities, meals and certain housekeeping services, and (2) service level charges, such as assisted living care, memory care and ancillary services.  Resident agreements are generally short-term in nature, billed monthly in advance and cancelable by the residents with a 30-day notice.  Resident agreements may require the payment of upfront fees prior to moving into the community with any non-refundable portion of such fees being recorded as deferred revenue and amortized over the estimated resident stay.

Rental income and tenant reimbursements includes rental income that is recorded on the straight-line basis over the terms of the leases for new leases and the remaining terms of existing leases for those acquired as part of a property acquisition. The straight-line method records the periodic average amount of base rent earned over the term of a lease, taking into account contractual rent increases over the lease term.  The Company records the difference between base rent revenues earned and amounts due per the respective lease agreements, as applicable, as an increase or decrease to deferred rent.  Rental income and tenant reimbursements also includes amounts for which tenants are required to reimburse the Company related to expenses incurred on behalf of the tenants, in accordance with the terms of the leases.  Tenant reimbursements are recognized in the period in which the related reimbursable expenses are incurred, such as real estate taxes, common area maintenance, and similar items.

Income Taxes

Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2017.  In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its annual REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for

2. Summary of Significant Accounting Policies (continued)

taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends.  If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the IRS grants the Company relief under certain statutory provisions.  Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income.

The Company has formed a subsidiary that has elected to be taxed as a TRS for U.S. federal income tax purposes.  Under the provisions of the Internal Revenue Code and applicable state laws, a TRS is subject to taxation on taxable income from its operations. The Company accounts for federal and state income taxes with respect to a TRS using the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities and respective tax bases and operating losses and tax-credit carry forwards.

Fair Value Measurements

Fair Value Measurements— GAAP emphasizes that fair value is a market-based measurement, not an entity-specific measurement.  Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability.  GAAP requires the use of observable market data, when available, in making fair value measurements. Observable inputs are inputs that the market participants would use in pricing the asset or liability developed based on market data obtained from sources independent of ours. When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement. As a basis for considering market participant assumptions in fair value measurements, GAAP establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). The three levels of inputs used to measure fair value are as follows:

• Level 1 – Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company as the ability to access.

• Level 2 – Inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly.

• Level 3 – Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity.

Share-Based Payments to Non-Employees

Share-Based Payments to Non-Employees — In connection with an expense support arrangement described in Note 9. “Related Party Arrangements,” the Company may issue Class A shares of Restricted Stock to the Advisor on an annual basis in lieu of cash for services rendered, in the event that the Company does not achieve established distribution coverage targets.

2. Summary of Significant Accounting Policies (continued)

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event of the Company.  Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to Accounting Standards Codification (“ASC”) 505-50.  On the date in which the Advisor satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Per Share Data

Per Share Data — Net loss per share for the period presented is computed by dividing net loss by the weighted average number of common stock shares outstanding for each share class during the period in which the Company was operational.  Diluted loss per share is computed based on the weighted average number of common stock shares outstanding for each share class and all potentially dilutive securities, if any.  For purposes of determining the weighted average number of shares of common stock outstanding, stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

Segment Information

Segment Information— Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance.  The Company has determined that it operates in one operating segment, real estate ownership.  The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis and by tenant or operator.  The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed).  Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.

Adopted Accounting Pronouncements

Adopted Accounting Pronouncements — In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” as a new ASC topic (Topic 606).  The core principle of this ASU is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  The ASU further provides guidance for any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets, unless those contracts are within the scope of other standards (for example, lease contracts).  The FASB subsequently issued ASU 2015-14 to defer the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with earlier adoption permitted. In addition, the FASB issued ASU 2017-05, “Other Income – Gains and Losses from the Derecognition of Nonfinancial Assets (Subtopic 610-20),” which clarifies the scope of subtopic 610-20, that was issued as a part of ASU 2014-09, as it relates to an in substance nonfinancial asset and must be adopted concurrently with ASC 606.  Both ASUs can be adopted using one of two retrospective transition methods: (i) retrospectively to each prior reporting period presented or (ii) as a cumulative-effect adjustment as of the date of adoption. The Company adopted these ASUs using the modified retrospective approach as its transition method effective January 1, 2018; the adoption of which did not have a material impact to its consolidated financial statements.

In August 2017, the FASB issued ASU 2017-12 “Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities,” which amended the hedge accounting model to better reflect an entity’s risk management activities.  The ASU expands an entities ability to hedge nonfinancial and financial risk components as well as reduce the complexity related to fair value hedges of interest rate risk. The ASU further eliminates the requirement to separately measure and report hedge ineffectiveness and generally requires the entire change in the fair value of a hedging instrument to be presented in the same income statement line as the hedged item.  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company early adopted this ASU prospectively on January 1, 2018; the adoption of which did not have a material impact on the Company’s consolidated financial statements.

Recent Accounting Pronouncements

Recent Accounting Pronouncements — In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU also requires qualitative and quantitative disclosures designed to give financial statement users additional information on the amount, timing, and uncertainty of cash flows arising from leases.  In July 2018, the FASB issued ASU 2018-11, “Leases (Topic 842): Targeted Improvements,” which includes a practical expedient for lessors that allows them to elect to not separate lease and non-lease components in a contract for the purpose of revenue recognition and disclosure if certain criteria are met.  The Company elected the practical expedient and applied the guidance to all of the leases that qualified under the established criteria.  In December 2018, the FASB issued ASU 2018-20, “Leases  (Topic 842): Narrow-Scope Improvements for Lessors”, which addressed challenges encountered in determining certain lessor costs paid by the lessee directly to third-parties by allowing lessors to exclude these costs from its variable lease payments.  This amendment did not have a material impact on the Company’s financial statements and related disclosures as it conformed ASC 842 to the Company’s historical accounting under ASC 840.  All of the ASC 842 ASU’s are effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company adopted these ASU’s on January 1, 2019 using a modified retrospective approach, which impacted the Company’s consolidated financial statements and related financial statement disclosures; specifically, the Company’s consolidated financial position as it relates to the required presentation for arrangements such as ground or other leases in which the Company is the lessee.  However, the adoption of this ASU did not have a material impact on the Company’s consolidated results of operations or cash flows.

In June 2018, the FASB issued ASU 2018-07, “Compensation – Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting” which expands the scope to include share-based payment transactions for acquiring goods and services from nonemployees. The amendments specify that Topic 718 applies to all share-based payment transactions in which a grantor acquires goods or services to be used or consumed in a grantor’s own operations by issuing share-based payments. The amendments also clarify that this ASU does not apply to share-based payments used to provide financing to the issuer or awards granted in conjunction with selling of goods or services to customers as a part of a contract accounted for under Revenue from Contracts with Customers (Topic 606).  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018.  The Company adopted ASU 2018-07 on January 1, 2019; the adoption of which did not have a material impact on the Company’s consolidated financial statements.

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Revenue (Tables)

12 Months Ended

Dec. 31, 2018

Revenue From Contract With Customer [Abstract]

Schedule of Disaggregated Revenue for Resident Fees and Services

The following table represents the disaggregated revenue for resident fees and services during the years ended December 31, 2018 and 2017:

	Years Ended December 31,
Type of Investment	Number of Units				Revenues				Percentage of Revenues
Resident fees and services:	2018		2017		2018		2017		2018			2017
Assisted living		129		67	$	4,200,903	$	2,419,624		71.1	%		73.5	%
Memory care		52		22		1,640,916		847,767		27.8	%		25.8	%
Other revenues	―		―			63,279		22,802		1.1	%		0.7	%
		181		89	$	5,905,098	$	3,290,191		100.0	%		100.0	%

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Acquisitions (Tables)

12 Months Ended

Dec. 31, 2018

Business Combinations [Abstract]

Schedule of Business Acquisitions

During the year ended December 31, 2018, the Company acquired the following seniors housing community:

		Date	Purchase Price
Name and Location	Structure	Acquired	(in thousands)
Seniors Housing
The Crossings at Riverview	RIDEA	8/31/2018	$	24,250
Riverview, FL ("Tampa")

During the year ended December 31, 2017, the Company acquired the following two properties, which were comprised of one MOB and one seniors housing community:

		Date	Purchase Price
Name and Location	Structure	Acquired	(in thousands)
Medical Office
Mid America Surgery Institute	Modified Lease	12/27/2017	$	14,000
Overland Park, KS ("Kansas City")
Seniors Housing
Summer Vista Assisted Living	RIDEA	3/31/2017		21,400
Pensacola, FL

Summary of Purchase Price Allocation and Related Assets Acquired and Liabilities Assumed

The following summarizes the purchase price allocation for the above mentioned acquisitions, and the related assets acquired and liabilities assumed in connection with the acquisitions:

	December 31,
	2018			2017
Land and land improvements	$	1,763,342		$	2,650,216
Buildings and building improvements		21,088,267			28,109,037
Furniture, fixtures and equipment		813,773			857,338
Lease intangibles (1)	―				3,752,949
In-place resident agreement intangibles (2)		1,282,869			1,286,507
Other liabilities	―				(340,390	)
Liabilities assumed		(115,779	)		(530,452	)
Total purchase price consideration	$	24,832,472		$	35,785,205

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the year ended December 31, 2017 was approximately 23.5 years.  The acquired lease intangibles were comprised of approximately $2.2 million and $1.5 million of in-place lease intangibles and ground lease intangibles, respectively.

(2) At the acquisition date, the weighted-average amortization period on the acquired in-place resident agreement intangibles was approximately 2.5 years.  

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Real Estate Assets, net (Tables)

12 Months Ended

Dec. 31, 2018

Real Estate [Abstract]

Schedule of Company's Three and Two Properties

The gross carrying amount and accumulated depreciation of the Company’s three and two properties as of December 31, 2018 and 2017, respectively, are as follows:

	December 31,
	2018			2017
Land and land improvements	$	4,456,564		$	2,683,051
Building and building improvements		49,197,888			28,109,037
Furniture, fixtures and equipment		1,895,316			879,288
Less: accumulated depreciation		(1,976,755	)		(585,437	)
Real estate investment properties, net	$	53,573,013		$	31,085,939

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Intangibles, net (Tables)

12 Months Ended

Dec. 31, 2018

Goodwill And Intangible Assets Disclosure [Abstract]

Schedule of Gross Carrying Amount and Accumulated Amortization of Intangibles

The gross carrying amount and accumulated amortization of the Company’s intangible assets and liabilities as of December 31, 2018 and 2017 are as follows:

	December 31,
	2018			2017
In-place lease intangibles	$	2,209,247		$	2,209,125
In-place resident agreement intangibles		2,569,419			1,286,507
Below-market ground lease intangibles		1,543,911			1,543,824
Less: accumulated amortization		(1,338,950	)		(385,952	)
Intangible assets, net	$	4,983,627		$	4,653,504
Below-market lease intangibles	$	(340,409	)	$	(340,390	)
Less: accumulated amortization		30,553		―
Intangible liabilities, net (1)	$	(309,856	)	$	(340,390	)

FOOTNOTE:

⁽¹⁾ Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

Schedule of Estimated Future Amortization of Intangibles

6. Intangibles, net (continued)

The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2018 is as follows:

	In-place Lease Intangibles		In-Place Resident Agreement Intangibles		Below- market Ground Leases		Total Assets		Below- market Leases		Total Liabilities
2019	$	227,754		899,117		39,587	$	1,166,458	$	30,553	$	30,553
2020		198,365		513,165		39,587		751,117		27,103		27,103
2021		188,568		85,527		39,587		313,682		25,953		25,953
2022		188,568	―			39,587		228,155		25,953		25,953
2023		188,568	―			39,587		228,155		25,953		25,953
Thereafter		989,671	―			1,306,389		2,296,060		174,341		174,341
	$	1,981,494		1,497,809		1,504,324	$	4,983,627	$	309,856	$	309,856

Schedule of Weighted Average Remaining Useful Life

Weighted average remaining useful life as of December 31, 2018 (in years):

In-place Lease Intangibles		In-Place Resident Agreement Intangibles		Below-market Ground Leases		Below-market Leases
	11.9		1.8		38.0		14.1

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Operating Leases (Tables)

12 Months Ended

Dec. 31, 2018

Leases [Abstract]

Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, in the aggregate, as of December 31, 2018:

2019	$	1,059,884
2020		1,008,129
2021		1,004,516
2022		1,023,166
2023		1,041,795
Thereafter		3,477,001
	$	8,614,491

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Indebtedness (Tables)

12 Months Ended

Dec. 31, 2018

Debt Disclosure [Abstract]

Schedule of Indebtedness

The following table provides details of the Company’s indebtedness as of December 31, 2018 and 2017:

	December 31,
	2018			2017
Mortgages and notes payable:
Mortgage loans (1)	$	24,500,000		$	19,500,000
Notes payable (2)	―				312,500
Mortgages and notes payable		24,500,000			19,812,500
Loan costs, net		(302,641	)		(279,514	)
Total mortgages and notes payable, net	$	24,197,359		$	19,532,986

FOOTNOTES:

(1) As of December 31, 2018, the Company’s mortgage loans are collateralized by its Summer Vista, Mid America Surgery and Riverview properties.  Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the sale of Mid America Surgery.

(2) Although the original maturity of these Notes was 2046, the Company repaid the Notes in October 2018.

Schedule of Future Principal Payments and Maturity

The following is a schedule of future principal payments and maturity for the Company’s indebtedness for the next five years and thereafter, in the aggregate, as of December 31, 2018:

2019	$	—
2020		5,787,543
2021		249,168
2022		13,623,546
2023		4,839,743
Thereafter		—
	$	24,500,000

Schedule of Company's Mortgage Loans

The following table details the Company’s mortgage loans as of December 31, 2018 and 2017 (in thousands):

	Interest Rate at
	December 31,		Maturity	December 31,
Property and Loan Type	2018 (1)	Payment Terms	Date  (2)	2018		2017
Summer Vista Assisted    Living; Mortgage Loan	30-day LIBOR plus 2.70% per annum	Monthly interest only payments through January 2020; principal and interest payments thereafter based on a 30-year amortization schedule	4/1/22	$	13,900	$	13,900
Mid America Surgery    Institute; Mortgage Loan	30-day LIBOR plus 2.20% per annum	Monthly interest only payments through June 2020; principal payment at maturity	12/15/20		5,600		5,600
The Crossings at Riverview;    Mortgage Loan	30-day LIBOR plus 2.25% per annum	Monthly interest only payments through September 2020; principal and interest payments thereafter based on a 30-year amortization schedule	8/31/23		5,000		—
		Total debt		$	24,500	$	19,500

FOOTNOTES:

⁽¹⁾ The 30-day LIBOR was approximately 2.5% as of December 31, 2018.

⁽²⁾ Represents the initial maturity date (or, as applicable, the maturity date as extended).  The maturity date may be extended beyond the date shown subject to certain lender conditions.

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Related Party Arrangements (Tables)

12 Months Ended

Dec. 31, 2018

Related Party Arrangement, Fees and Expenses Incurred By, Reimbursable, Settled and Paid

The expenses incurred by and reimbursable to the Company’s related parties for the years ended December 31, 2018, 2017 and 2016, and related amounts unpaid as of years ended December 31, 2018 and 2017 are as follows:

	Years Ended						Unpaid amounts as of (1)
	December 31,						December 31,
	2018		2017		2016		2018		2017
Reimbursable expenses:
Operating expenses (4)	$	1,019,174	$	983,493	$	206,868	$	85,902	$	197,235
Acquisition fees and expenses (5)		10,183		29,922		—		—		—
		1,029,357		1,013,415		206,868		85,902		197,235
Investment service fees (6)		545,625		796,500		—		—		—
Asset management fees (7)		348,388		130,366		—		—		—
	$	1,923,370	$	1,940,281	$	206,868	$	85,902	$	197,235

FOOTNOTES:

⁽¹⁾ Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

⁽²⁾ Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity.

⁽³⁾ For the year ended December 31, 2018, the Company incurred approximately $0.8 million in distribution and stockholder servicing fees.  The Company’s obligation to pay these fees ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares.  As such, the Company reversed the then-remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager, which resulted in a net reduction in stock issuance and offering costs of approximately $0.5 million for the year ended December 31, 2018.

⁽⁴⁾ Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets. Amounts include approximately $0.5 million, $0.4 million, and $0.1 million of personnel expenses of affiliates of the Advisor for the years ended December 31, 2018, 2017 and 2016, respectively. These Advisor personnel expenses have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement.

⁽⁵⁾ Amounts are capitalized as a component of the cost of the assets acquired and allocated on a relative fair value basis.

⁽⁶⁾ For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.5 million and $0.8 million, respectively, in investment services fees all of which were capitalized and included in real estate investment properties, net in the accompanying consolidated balance sheets.  There were no such fees incurred for the year ended December 31, 2016.

⁽⁷⁾ For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.3 million and $0.1 million, respectively, in asset management fees, all of which are expected to be or were settled in accordance with the terms of the Expense Support Agreement. There were no such fees incurred for the year ended December 31, 2016.

Dealer Manager

Related Party Arrangement, Fees and Expenses Incurred By, Reimbursable, Settled and Paid

The fees payable through the termination of the Offering in October 2018 to the Dealer Manager for the years ended December 31, 2018, 2017 and 2016, and related amounts unpaid as of years ended December 31, 2018 and 2017 are as follows:

	Years Ended							Unpaid amounts as of (1)
	December 31,							December 31,
	2018			2017		2016			2018		2017
Selling commissions (2)	$	343,087		$	666,532	$	97,022		$	—	$	10,000
Dealer Manager fees (2)		429,356			619,123		99,883			—		18,150
Distribution and stockholder servicing fees (2) (3)		(539,827	)		757,609		157,225			—		798,524
	$	232,616		$	2,043,264	$	354,130		$	—	$	826,674

Expense Support Agreement

Related Party Arrangement, Fees and Expenses Incurred By, Reimbursable, Settled and Paid

The following fees for services rendered have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement for the years ended December 31, 2018, 2017 and 2016 and cumulatively as of December 31, 2018:

							As of
	Years Ended December 31,						December 31,
	2018		2017		2016		2018
Fees for services rendered:
Asset management fees	$	348,388	$	130,366	$	—	$	478,754
Advisor personnel expenses (1)		494,323		436,403		—		930,726
Total fees for services rendered	$	842,711	$	566,769	$	—	$	1,409,480
Then-current NAV	$	9.92	$	10.06	$	—	$	9.92
Restricted Stock shares (2)		84,951		56,339	$	—		141,290
Cash distributions on restricted stock (3)	$	24,339	$	—	$	—	$	24,339
Stock dividends on restricted stock (4)		340		—		—		340

FOOTNOTES:

⁽¹⁾ Amounts consist of personnel and related overhead costs of the Advisor or its affiliates (which, in general, are those expenses relating to the Company’s administration on an on-going basis) that are reimbursable by the Company.

⁽²⁾ Represents Restricted Stock shares that have been or are expected to be issued to the Advisor as of December 31, 2018 pursuant to the Expense Support Agreement.  No fair value was assigned to the Restricted Stock shares as the shares are expected to be valued at zero upon issuance, which represents the lowest possible value estimated at vesting.  In addition, the Restricted Stock shares will be treated as unissued for financial reporting purposes until the vesting criteria are met.

⁽³⁾ The cash distributions on Restricted Stock shares issued for services rendered through December 31, 2017 have been recognized as compensation expense as declared and included in general and administrative expense in the accompanying consolidated statements of operations.

⁽⁴⁾ The par value of stock dividends have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2018

Income Tax Disclosure [Abstract]

Components of Income Tax Expense

For the years ended December 31, 2018 and 2017, the Company recorded deferred tax assets and net current tax expense related to deferred income at its TRS.  There was no income tax recorded for the year ended December 31, 2016.  The components of the income tax expense for the years ended December 31, 2018 and 2017 are as follows:

	2018			2017
Current:
Federal	$	(2,350	)	$	(111,000	)
State		130			(16,200	)
Total current expense		(2,220	)		(127,200	)
Deferred:
Federal		1,981			23,319
State		(555	)		5,788
Total deferred benefit		1,426			29,107
Income tax expense	$	(794	)	$	(98,093	)

Significant Components of Deferred Tax Assets

Significant components of the Company’s deferred tax assets as of December 31, 2018 and 2017 are as follows:

	As of December 31,
	2018		2017
Prepaid and other rent	$	30,533	$	29,107
Deferred tax assets	$	30,533	$	29,107

Reconciliation of Income Tax Expense

A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows:

	Years Ended December 31,
	2018					2017
Tax benefit computed at federal statutory rate	$	378,862		21.00	%	$	426,453		35.00	%
Impact of REIT election		(379,231	)	(21.02	)%		(511,104	)	(41.90	)%
Effect of change in future tax rates	―			—	%		(3,030	)	(0.25	)%
State income tax expense		(425	)	(0.02	)%		(10,412	)	(0.87	)%
Income tax expense	$	(794	)	(0.04	)%	$	(98,093	)	(8.02	)%

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Selected Quarterly Financial Data (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2018

Quarterly Financial Information Disclosure [Abstract]

Schedule of Selected Unaudited Quarterly Financial Data

The following presents selected unaudited quarterly financial data for the years ended December 31, 2018 and 2017:

2018 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	1,533,341		$	1,561,661		$	1,906,891		$	2,435,423		$	7,437,316
Operating loss		(113,972	)		(73,634	)		(189,005	)		(315,904	)		(692,515	)
Net loss		(390,238	)		(350,193	)		(458,687	)		(606,065	)		(1,805,183	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders		(95,926	)		(76,206	)		(87,907	)		(444,392	)		(661,345	)
Weighted average number of Class A common shares outstanding (1)		825,185			867,723			879,674			3,594,121			1,547,449
Loss per share of Class A common stock	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders		(269,815	)		(246,458	)		(327,896	)		(142,326	)		(1,025,147	)
Weighted average number of Class T common shares outstanding (1)		2,321,014			2,806,307			3,281,231			1,151,093			2,398,691
Loss per share of Class T common stock (2)	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders		(24,497	)		(27,529	)		(42,884	)		(19,347	)		(118,691	)
Weighted average number of Class I common shares outstanding (1)		210,726			313,463			429,142			156,473			277,718
Loss per share of Class I common stock (2)	$	(0.12	)	$	(0.09	)	$	(0.10	)	$	(0.12	)	$	(0.43	)

2017 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	11,430		$	1,071,441		$	1,095,696		$	1,130,248		$	3,308,815
Operating loss		(231,794	)		(175,188	)		(99,164	)		(122,817	)		(628,963	)
Net loss		(251,120	)		(391,681	)		(307,906	)		(365,823	)		(1,316,530	)
Class A common stock (basic and diluted):
Net loss attributable to Class A stockholders		(93,692	)		(141,410	)		(108,891	)		(105,482	)		(438,710	)
Weighted average number of Class A common shares outstanding (1)		383,345			524,191			693,354			769,523			590,225
Loss per share of Class A common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)
Class T common stock (basic and diluted):
Net loss attributable to Class T stockholders		(154,012	)		(241,220	)		(189,504	)		(242,753	)		(833,933	)
Weighted average number of Class T common shares outstanding (1)		630,143			894,175			1,206,653			1,770,963			1,121,944
Loss per share of Class T common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)
Class I common stock (basic and diluted):
Net loss attributable to Class I stockholders		(3,416	)		(9,051	)		(9,511	)		(17,588	)		(43,887	)
Weighted average number of Class I common shares outstanding (1)		13,978			33,550			60,561			128,308			59,044
Loss per share of Class I common stock	$	(0.24	)	$	(0.27	)	$	(0.16	)	$	(0.14	)	$	(0.74	)

FOOTNOTES:

⁽¹⁾ For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends issued through the October 2018 suspension of stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

⁽²⁾ In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were reached and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter.  As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

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Organization - Additional Information (Details)	1 Months Ended	12 Months Ended
	Oct. 31, 2018 shares	Dec. 31, 2018 USD ($) Property shares	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)	Mar. 02, 2016 USD ($)
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Aggregate offering proceeds		$ 18,909,961	$ 24,437,278	$ 6,132,100
Common stock, shares sold | shares	4,900,000
Number of properties owned | Property		3
Seniors Housing Communities
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Number of properties owned | Property		2
MOB
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Number of properties owned | Property		1
Initial Public Offering
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Common stock, value authorized					$ 1,750,000,000
Aggregate offering proceeds		$ 51,200,000
Common stock, shares sold | shares		4,900,000
Reinvestment Plan
Organization Consolidation And Presentation Of Financial Statements Disclosure [Line Items]
Common stock, value authorized					$ 250,000,000
Aggregate offering proceeds		$ 1,200,000
Common stock, shares sold | shares		100,000

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Summary of Significant Accounting Policies - Additional Information (Details)	12 Months Ended
	Dec. 31, 2018 USD ($) Segment	Dec. 31, 2017 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Accumulated amortization of loan costs | $	$ 100,000	$ 33,000
Lease termination, notice period	30 days
Number of operating segments | Segment	1
Minimum
Summary Of Significant Accounting Policies [Line Items]
Percentage of taxable income for distribution to stockholders	90.00%
Annualized return of investment	6.00%
Building | Maximum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	39 years
Building Improvements | Maximum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	15 years
Furniture, Fixtures and Equipment | Maximum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	5 years
Furniture, Fixtures and Equipment | Minimum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	3 years

XML

Revenue - Schedule of Disaggregated Revenue for Resident Fees and Services (Details)	12 Months Ended
	Dec. 31, 2018 USD ($) ResidentialUnit	Dec. 31, 2017 USD ($) ResidentialUnit	Dec. 31, 2016 USD ($)
Disaggregation Of Revenue [Line Items]
Resident fees and services: Number of Units | ResidentialUnit	181	89
Resident fees and services: Revenues	$ 5,905,098	$ 3,290,191	$ 0
Resident fees and services: Percentage of Revenues	100.00%	100.00%
Assisted Living
Disaggregation Of Revenue [Line Items]
Resident fees and services: Number of Units | ResidentialUnit	129	67
Resident fees and services: Revenues	$ 4,200,903	$ 2,419,624
Resident fees and services: Percentage of Revenues	71.10%	73.50%
Memory Care
Disaggregation Of Revenue [Line Items]
Resident fees and services: Number of Units | ResidentialUnit	52	22
Resident fees and services: Revenues	$ 1,640,916	$ 847,767
Resident fees and services: Percentage of Revenues	27.80%	25.80%
Other Revenues
Disaggregation Of Revenue [Line Items]
Resident fees and services: Revenues	$ 63,279	$ 22,802
Resident fees and services: Percentage of Revenues	1.10%	0.70%

XML

Revenue - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Disaggregation Of Revenue [Abstract]
Resident fees and services	$ 5,905,098	$ 3,290,191	$ 0

XML

Acquisitions - Schedule of Business Acquisitions (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
The Crossings at Riverview | Seniors Housing | Riverview, FL
Business Acquisition [Line Items]
Structure	RIDEA
Date Acquired	Aug. 31, 2018
Purchase Price (in thousands)	$ 24,250
Mid America Surgery Institute | Medical Office | Overland Park, KS
Business Acquisition [Line Items]
Structure		Modified Lease
Date Acquired		Dec. 27, 2017
Purchase Price (in thousands)		$ 14,000
Summer Vista Assisted Living | Seniors Housing | Pensacola, FL
Business Acquisition [Line Items]
Structure		RIDEA
Date Acquired		Mar. 31, 2017
Purchase Price (in thousands)		$ 21,400

XML

Acquisitions - Additional Information (Details)	12 Months Ended
	Dec. 31, 2017 Property
Business Combinations [Abstract]
Number of properties acquired	2

XML

Acquisitions - Summary of Purchase Price Allocation and Related Assets Acquired and Liabilities Assumed (Details) - The Crossings at Riverview, Mid America Surgery Institute and Summer Vista Assisted Living - USD ($)		Dec. 31, 2018	Dec. 31, 2017
Business Acquisition [Line Items]
Land and land improvements		$ 1,763,342	$ 2,650,216
Buildings and building improvements		21,088,267	28,109,037
Furniture, fixtures and equipment		813,773	857,338
Other liabilities			(340,390)
Liabilities assumed		(115,779)	(530,452)
Total purchase price consideration		24,832,472	35,785,205
Lease Intangibles
Business Acquisition [Line Items]
Intangibles	[1]		3,752,949
In-place Resident Agreement Intangibles
Business Acquisition [Line Items]
Intangibles	[2]	$ 1,282,869	$ 1,286,507

[1] At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the year ended December 31, 2017 was approximately 23.5 years. The acquired lease intangibles were comprised of approximately $2.2 million and $1.5 million of in-place lease intangibles and ground lease intangibles, respectively.

[2] At the acquisition date, the weighted-average amortization period on the acquired in-place resident agreement intangibles was approximately 2.5 years.

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Acquisitions - Summary of Purchase Price Allocation and Related Assets Acquired and Liabilities Assumed (Parenthetical) (Details) - The Crossings at Riverview, Mid America Surgery Institute and Summer Vista Assisted Living - USD ($)		12 Months Ended
		Dec. 31, 2018	Dec. 31, 2017
Business Acquisition [Line Items]
Weighted average amortization period on acquired intangibles			23 years 6 months
In-place Lease
Business Acquisition [Line Items]
Acquired lease intangibles			$ 2,200,000
Ground Lease
Business Acquisition [Line Items]
Acquired lease intangibles			$ 1,500,000
In-place Resident Agreement
Business Acquisition [Line Items]
Weighted average amortization period on acquired intangibles		2 years 6 months	2 years 6 months
Acquired lease intangibles	[1]	$ 1,282,869	$ 1,286,507

[1] At the acquisition date, the weighted-average amortization period on the acquired in-place resident agreement intangibles was approximately 2.5 years.

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Real Estate Assets, net - Schedule of Company's Three and Two Properties (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Real Estate [Abstract]
Land and land improvements	$ 4,456,564	$ 2,683,051
Building and building improvements	49,197,888	28,109,037
Furniture, fixtures and equipment	1,895,316	879,288
Less: accumulated depreciation	(1,976,755)	(585,437)
Real estate investment properties, net	$ 53,573,013	$ 31,085,939

XML

Real Estate Assets, net - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Real Estate Investment Properties
Real Estate Properties [Line Items]
Depreciation expense	$ 1,400,000	$ 600,000	$ 0

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Intangibles, net - Schedule of Gross Carrying Amount and Accumulated Amortization of Intangibles (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Goodwill And Intangible Assets Disclosure [Abstract]
In-place lease intangibles	$ 2,209,247	$ 2,209,125
In-place resident agreement intangibles	2,569,419	1,286,507
Below-market ground lease intangibles	1,543,911	1,543,824
Less: accumulated amortization	(1,338,950)	(385,952)
Intangible assets, net	4,983,627	4,653,504
Below-market lease intangibles	(340,409)	(340,390)
Less: accumulated amortization	30,553
Intangible liabilities, net	$ (309,856)	$ (340,390)

XML

Intangibles, net - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Finite Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	$ 1,000,000	$ 400,000	$ 0
Amortization of intangible liabilities		$ 0	$ 0
Property Operating Expenses
Finite Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	40,000
Depreciation And Amortization
Finite Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	900,000
Rental Income from Operating Leases
Finite Lived Intangible Assets And Liabilities [Line Items]
Amortization of intangible liabilities	$ 31,000

XML

Intangibles, net - Schedule of Estimated Future Amortization of Intangibles (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Finite Lived Intangible Assets And Liabilities [Line Items]
2019	$ 1,166,458
2020	751,117
2021	313,682
2022	228,155
2023	228,155
Thereafter	2,296,060
Intangible assets, net	4,983,627	$ 4,653,504
2019	30,553
2020	27,103
2021	25,953
2022	25,953
2023	25,953
Thereafter	174,341
Below-market lease intangibles	309,856	$ 340,390
2019	30,553
2020	27,103
2021	25,953
2022	25,953
2023	25,953
Thereafter	174,341
Finite-lived intangible liabilities	309,856
In-Place Lease Intangibles
Finite Lived Intangible Assets And Liabilities [Line Items]
2019	227,754
2020	198,365
2021	188,568
2022	188,568
2023	188,568
Thereafter	989,671
Intangible assets, net	1,981,494
In-place Resident Agreement
Finite Lived Intangible Assets And Liabilities [Line Items]
2019	899,117
2020	513,165
2021	85,527
Intangible assets, net	1,497,809
Below-Market Ground Leases
Finite Lived Intangible Assets And Liabilities [Line Items]
2019	39,587
2020	39,587
2021	39,587
2022	39,587
2023	39,587
Thereafter	1,306,389
Intangible assets, net	$ 1,504,324

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Intangibles, net - Schedule of Weighted Average Remaining Useful Life (Details)	12 Months Ended
	Dec. 31, 2018
Finite Lived Intangible Assets And Liabilities [Line Items]
Weighted average remaining useful life, below-market lease	14 years 1 month 6 days
In-Place Lease Intangibles
Finite Lived Intangible Assets And Liabilities [Line Items]
Weighted average remaining useful life, intangible assets	11 years 10 months 24 days
In-place Resident Agreement
Finite Lived Intangible Assets And Liabilities [Line Items]
Weighted average remaining useful life, intangible assets	1 year 9 months 18 days
Below-Market Ground Leases
Finite Lived Intangible Assets And Liabilities [Line Items]
Weighted average remaining useful life, intangible assets	38 years

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Operating Leases - Additional Information (Details)	12 Months Ended
	Dec. 31, 2018 Property
Operating Leased Assets [Line Items]
Number of properties owned	3
Weighted average remaining lease term	7 years 7 months 6 days
MOB
Operating Leased Assets [Line Items]
Number of properties owned	1
Minimum
Operating Leased Assets [Line Items]
Lease expiration year	2020
Extended lease period	5 years
Maximum
Operating Leased Assets [Line Items]
Lease expiration year	2027
Extended lease period	10 years

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Operating Leases - Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases (Details)	Dec. 31, 2018 USD ($)
Leases [Abstract]
2019	$ 1,059,884
2020	1,008,129
2021	1,004,516
2022	1,023,166
2023	1,041,795
Thereafter	3,477,001
Total	$ 8,614,491

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Indebtedness - Schedule of Indebtedness (Details) - USD ($)		Dec. 31, 2018	Dec. 31, 2017
Mortgages and notes payable:
Mortgage loans	[1]	$ 24,500,000	$ 19,500,000
Notes payable	[2]		312,500
Mortgages and notes payable		24,500,000	19,812,500
Loan costs, net		(302,641)	(279,514)
Total mortgages and notes payable, net		$ 24,197,359	$ 19,532,986

[1] As of December 31, 2018, the Company’s mortgage loans are collateralized by its Summer Vista, Mid America Surgery and Riverview properties. Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the sale of Mid America Surgery.

[2] Although the original maturity of these Notes was 2046, the Company repaid the Notes in October 2018.

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Indebtedness - Schedule of Indebtedness (Parenthetical) (Details) - Notes Payable	12 Months Ended
	Dec. 31, 2018
Debt Instrument [Line Items]
Debt instrument original maturity year	2046
Debt instrument repaid month and year	2018-10

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Indebtedness - Additional Information (Details) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Level 3
Debt Instrument [Line Items]
Mortgage and notes payable, fair market value	$ 24.6	$ 19.9

XML

Indebtedness - Schedule of Future Principal Payments and Maturity (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Debt Disclosure [Abstract]
2020	$ 5,787,543
2021	249,168
2022	13,623,546
2023	4,839,743
Mortgages and notes payable	$ 24,500,000	$ 19,812,500

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Indebtedness - Schedule of Company's Mortgage Loans (Details) - USD ($)		12 Months Ended
		Dec. 31, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Mortgage loans	[1]	$ 24,500,000	$ 19,500,000
Summer Vista Assisted Living | Mortgage Loan
Debt Instrument [Line Items]
Debt instrument, description of variable rate basis		30-day LIBOR plus 2.70% per annum
Debt instrument, payment terms		Monthly interest only payments through January 2020; principal and interest payments thereafter based on a 30-year amortization schedule
Debt instrument, date of interest payment, month and year		2020-01
Debt instrument, amortization preiod		30 years
Debt instrument, maturity date	[2]	Apr. 01, 2022
Mortgage loans		$ 13,900,000	13,900,000
Summer Vista Assisted Living | Mortgage Loan | 30-day LIBOR
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	[3]	2.70%
Mid America Surgery Institute | Mortgage Loan
Debt Instrument [Line Items]
Debt instrument, description of variable rate basis		30-day LIBOR plus 2.20% per annum
Debt instrument, payment terms		Monthly interest only payments through June 2020; principal payment at maturity
Debt instrument, date of interest payment, month and year		2020-06
Debt instrument, maturity date	[2]	Dec. 15, 2020
Mortgage loans		$ 5,600,000	$ 5,600,000
Mid America Surgery Institute | Mortgage Loan | 30-day LIBOR
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	[3]	2.20%
The Crossings at Riverview | Mortgage Loan
Debt Instrument [Line Items]
Debt instrument, description of variable rate basis		30-day LIBOR plus 2.25% per annum
Debt instrument, payment terms		Monthly interest only payments through September 2020; principal and interest payments thereafter based on a 30-year amortization schedule
Debt instrument, date of interest payment, month and year		2020-09
Debt instrument, amortization preiod		30 years
Debt instrument, maturity date	[2]	Aug. 31, 2023
Mortgage loans		$ 5,000,000
The Crossings at Riverview | Mortgage Loan | 30-day LIBOR
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate	[3]	2.25%

[1] As of December 31, 2018, the Company’s mortgage loans are collateralized by its Summer Vista, Mid America Surgery and Riverview properties. Refer to Note 14. “Subsequent Events” for information related to the Sale Agreement that was entered into in March 2019 for the sale of Mid America Surgery.

[2] Represents the initial maturity date (or, as applicable, the maturity date as extended). The maturity date may be extended beyond the date shown subject to certain lender conditions.

[3] The 30-day LIBOR was approximately 2.5% as of December 31, 2018.

XML

Indebtedness - Schedule of Company's Mortgage Loans (Parenthetical) (Details)	12 Months Ended
	Dec. 31, 2018
Debt Disclosure [Abstract]
Percentage of 30-day LIBOR	2.50%

XML

Related Party Arrangements - Additional Information (Details) - USD ($)		1 Months Ended			12 Months Ended
	Mar. 19, 2017	Mar. 20, 2019	Oct. 31, 2018	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Related Party Transaction [Line Items]
Conversion of stock, description					The Class T and Class I shares converted into Class A shares on a one-for-one basis because the then-current estimated NAV per share of $10.06, which was approved by the Company’s board of directors as of December 31, 2017, was the same for all share classes.
Then-current estimated NAV per share						$ 10.06
Distribution and stockholder servicing fees liability					$ 1,400,000
Fees					100,000	$ 22,000	$ 20
Cash distributions paid					$ 1,270,140	$ 400,306	$ 56,510
Stock dividends issued (in shares)					35,000	22,000	3,000
Expense Support Agreement
Related Party Transaction [Line Items]
Then-current estimated NAV per share					$ 9.92	$ 10.06
Expense Support Agreement | Subsequent Event
Related Party Transaction [Line Items]
Agreement effective termination date		Apr. 01, 2019
Advisor
Related Party Transaction [Line Items]
Monthly asset management fee as percentage of real estate value					0.0667%
Investment service fee as percentage of purchase price of properties					2.25%
Operating expenses in excess of limitation					$ 200,000
Operating expenses in excess of limitation approved					900,000
Personnel expenses of affiliates							$ 84,000
Cash distributions paid					$ 200,000	$ 100,000	$ 47,000
Stock dividends issued (in shares)					2,400	4,100	2,400
Class A Common Stock
Related Party Transaction [Line Items]
Stock dividends issued (in shares)					8,021	7,675	2,689
Class T Common Stock
Related Party Transaction [Line Items]
Selling commission	2.00%
Distribution and stockholder servicing fee					1.00%
Cash distributions paid			$ 0
Stock dividends issued (in shares)					24,541	13,495	449
Class I Common Stock
Related Party Transaction [Line Items]
Distribution and stockholder servicing fee					0.50%
Cash distributions paid			$ 0
Stock dividends issued (in shares)					2,696	622	79
Maximum
Related Party Transaction [Line Items]
Underwriting compensation percentage on gross proceeds from shares of primary offering					10.00%
Underwriting compensation percentage on gross offering price from shares of primary offering					8.50%
Maximum | Advisor
Related Party Transaction [Line Items]
Operating expenses reimbursement percentage of average invested assets					2.00%
Operating expenses reimbursement percentage of net income					25.00%
Maximum | Class A Common Stock
Related Party Transaction [Line Items]
Selling commission	7.00%
Dealer manager fee	2.75%
Selling commission and dealer manager fee				8.50%
Maximum | Class T Common Stock
Related Party Transaction [Line Items]
Selling commission					3.00%
Dealer manager fee	2.75%
Selling commission and dealer manager fee				4.75%

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Related Party Arrangements - Summary of Fees for Services Rendered Expected to be Settled in Restricted Stock (Details) - USD ($)		12 Months Ended
		Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Fees for services rendered:
Asset management fees	[1]	$ 348,388	$ 130,366
Then-current NAV			$ 10.06
Stock dividends issued (in shares)		35,000	22,000	3,000
Expense Support Agreement
Fees for services rendered:
Asset management fees		$ 478,754
Advisor personnel expenses	[2]	930,726
Total fees for services rendered		1,409,480
Asset management fees		348,388	$ 130,366
Advisor personnel expenses	[2]	494,323	436,403
Total fees for services rendered		$ 842,711	$ 566,769
Then-current NAV		$ 9.92
Then-current NAV		$ 9.92	$ 10.06
Expense Support Agreement | Restricted Stock
Fees for services rendered:
Restricted Stock shares	[3]	141,290
Cash distributions on restricted stock	[4]	$ 24,339
Stock dividends on restricted stock	[5]	340
Restricted Stock shares	[3]	84,951	56,339
Cash distributions on restricted stock	[4]	$ 24,339
Stock dividends issued (in shares)	[5]	340

[1] For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.3 million and $0.1 million, respectively, in asset management fees, all of which are expected to be or were settled in accordance with the terms of the Expense Support Agreement. There were no such fees incurred for the year ended December 31, 2016.

[2] Amounts consist of personnel and related overhead costs of the Advisor or its affiliates (which, in general, are those expenses relating to the Company’s administration on an on-going basis) that are reimbursable by the Company.

[3] Represents Restricted Stock shares that have been or are expected to be issued to the Advisor as of December 31, 2018 pursuant to the Expense Support Agreement. No fair value was assigned to the Restricted Stock shares as the shares are expected to be valued at zero upon issuance, which represents the lowest possible value estimated at vesting. In addition, the Restricted Stock shares will be treated as unissued for financial reporting purposes until the vesting criteria are met.

[4] The cash distributions on Restricted Stock shares issued for services rendered through December 31, 2017 have been recognized as compensation expense as declared and included in general and administrative expense in the accompanying consolidated statements of operations.

[5] The par value of stock dividends have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

XML

Related Party Arrangements - Summary of Fees for Services Rendered Expected to be Settled in Restricted Stock (Parenthetical) (Details)	12 Months Ended
	Dec. 31, 2018 USD ($)
Related Party Transactions [Abstract]
Restricted stock fair value	$ 0

XML

Related Party Arrangements - Fees and Expenses Incurred and Reimbursable to Affiliates and Related Parties (Details) - USD ($)		12 Months Ended
		Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Related Party Transaction [Line Items]
Distribution and stockholder servicing fees			$ 798,525	$ 154,733
Acquisition fees and expenses		$ 818		2,500
Total reimbursable expenses		1,029,357	1,013,415	206,868
Investment service fees	[1]	545,625	796,500
Asset management fees	[2]	348,388	130,366
Total reimbursable expenses, net		1,923,370	1,940,281	206,868
Operating expenses, Unpaid amount	[3]	85,902	197,235
Total reimbursable expenses due	[3]	85,902	197,235
Related parties, Unpaid amount	[3]	85,902	197,235
Reimbursable Expense
Related Party Transaction [Line Items]
Operating expenses	[4]	1,019,174	983,493	206,868
Acquisition fees and expenses	[5]	10,183	29,922
Dealer Manager
Related Party Transaction [Line Items]
Selling commissions	[6]	343,087	666,532	97,022
Dealer manager fees	[6]	429,356	619,123	99,883
Distribution and stockholder servicing fees	[6],[7]	(539,827)	757,609	157,225
Total offering expenses		$ 232,616	2,043,264	$ 354,130
Selling commissions, Unpaid amount	[3]		10,000
Dealer Manager fees, Unpaid amount	[3]		18,150
Distribution and stockholder servicing fees, Unpaid amount	[3]		798,524
Total offering expenses unpaid	[3]		$ 826,674

[1] For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.5 million and $0.8 million, respectively, in investment services fees all of which were capitalized and included in real estate investment properties, net in the accompanying consolidated balance sheets. There were no such fees incurred for the year ended December 31, 2016.

[2] For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.3 million and $0.1 million, respectively, in asset management fees, all of which are expected to be or were settled in accordance with the terms of the Expense Support Agreement. There were no such fees incurred for the year ended December 31, 2016.

[3] Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

[4] Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets. Amounts include approximately $0.5 million, $0.4 million, and $0.1 million of personnel expenses of affiliates of the Advisor for the years ended December 31, 2018, 2017 and 2016, respectively. These Advisor personnel expenses have been or are expected to be settled in the form of Restricted Stock pursuant to the Expense Support Agreement.

[5] Amounts are capitalized as a component of the cost of the assets acquired and allocated on a relative fair value basis.

[6] Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity.

[7] For the year ended December 31, 2018, the Company incurred approximately $0.8 million in distribution and stockholder servicing fees. The Company’s obligation to pay these fees ceased effective October 31, 2018 upon the conversion of the Class T and Class I shares into Class A Shares. As such, the Company reversed the then-remaining distribution and stockholder servicing fees liability of approximately $1.4 million to the Dealer Manager, which resulted in a net reduction in stock issuance and offering costs of approximately $0.5 million for the year ended December 31, 2018.

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Related Party Arrangements - Fees and Expenses Incurred and Reimbursable to Affiliates and Related Parties (Parenthetical) (Details) - USD ($)		12 Months Ended
		Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Related Party Transaction [Line Items]
Distribution and stockholder servicing fees		$ 800,000
Distribution and stockholder servicing fees liability		1,400,000
Net reduction in stock issuance and offering cost		500,000
Investment service fees	[1]	545,625	$ 796,500
Investment Services Fees
Related Party Transaction [Line Items]
Investment service fees		500,000	800,000	$ 0
Expense Support Agreement
Related Party Transaction [Line Items]
Advisor personnel expenses		500,000	400,000	100,000
Asset management fees		300,000	$ 100,000	$ 0
Dealer Manager
Related Party Transaction [Line Items]
Distribution and stockholder servicing fees liability		$ 1,400,000

[1] For the years ended December 31, 2018 and 2017, the Company incurred approximately $0.5 million and $0.8 million, respectively, in investment services fees all of which were capitalized and included in real estate investment properties, net in the accompanying consolidated balance sheets. There were no such fees incurred for the year ended December 31, 2016.

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Equity - Additional Information (Details) - USD ($)				1 Months Ended			12 Months Ended
	Mar. 01, 2019	Feb. 01, 2019	Jan. 01, 2019	Dec. 31, 2018	Oct. 31, 2018	Oct. 31, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Class Of Stock [Line Items]
Aggregate proceeds from public offering					$ 51,200,000
Common stock, shares sold					4,900,000
Subscription proceeds pursuant to the Reinvestment Plan					$ 1,200,000
Subscription proceeds pursuant to the Reinvestment Plan, shares					100,000
Cash distributions declared net of class-specific expenses							$ 2,100,000	$ 800,000	$ 57,000
Cash distributions paid net of class-specific expenses							2,100,000	800,000	57,000
Cash distributions paid							$ 1,270,140	$ 400,306	$ 56,510
Stock dividends declared							35,000	22,000	3,000
Stock dividends issued (in shares)							35,000	22,000	3,000
Percentage of cash distributions considered as return on capital for income tax purposes							100.00%	100.00%	100.00%
Amount of distributions to stockholders considered as return of capital by the company							$ 0	$ 0	$ 0
Monthly cash distributions less class-specific expenses per share				$ 0.0480			$ 0.0480
Distributions to be paid and distributed date				Mar. 31, 2019
Dividends payable, date declared				2018-12			2018-12
Redemptions of common stock							$ 446,720
Subsequent Event
Class Of Stock [Line Items]
Cash distribution and stock dividend declared date	Mar. 01, 2019	Feb. 01, 2019	Jan. 01, 2019
Class T Common Stock
Class Of Stock [Line Items]
Common stock, shares sold							1,480,250	1,727,141	308,138
Cash distributions paid						$ 0
Stock dividends issued (in shares)							24,541	13,495	449
Class I Common Stock
Class Of Stock [Line Items]
Common stock, shares sold							316,664	151,414	8,375
Cash distributions paid						$ 0
Stock dividends issued (in shares)							2,696	622	79
Private Placement
Class Of Stock [Line Items]
Aggregate proceeds from public offering									$ 251,250
Common stock, shares sold									25,125
Redemptions of common stock							$ 400,000	$ 0	$ 0
Advisor
Class Of Stock [Line Items]
Cash distributions paid							$ 200,000	$ 100,000	$ 47,000
Stock dividends issued (in shares)							2,400	4,100	2,400
Advisor | Prior to Commencement of Offering
Class Of Stock [Line Items]
Aggregate proceeds from public offering					$ 200,000
Common stock, shares sold					20,000

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Income Taxes - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Tax Disclosure [Abstract]
Income tax expense	$ 794	$ 98,093	$ 0
US federal corporate tax rate	21.00%	35.00%

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Income Taxes - Components of Income Tax Expense (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Current:
Federal	$ (2,350)	$ (111,000)
State	130	(16,200)
Total current expense	(2,220)	(127,200)
Deferred:
Federal	1,981	23,319
State	(555)	5,788
Total deferred benefit	1,426	29,107
Income tax expense	$ (794)	$ (98,093)	$ 0

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Income Taxes - Significant Components of Deferred Tax Assets (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Income Tax Disclosure [Abstract]
Prepaid and other rent	$ 30,533	$ 29,107
Deferred tax assets	$ 30,533	$ 29,107

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Income Taxes - Reconciliation of Income Tax Expense (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Tax Disclosure [Abstract]
Tax benefit computed at federal statutory rate	$ 378,862	$ 426,453
Impact of REIT election	(379,231)	(511,104)
Effect of change in future tax rates		(3,030)
State income tax expense	(425)	(10,412)
Income tax expense	$ (794)	$ (98,093)	$ 0
Tax benefit computed at federal statutory rate	21.00%	35.00%
Impact of REIT election	(21.02%)	(41.90%)
Effect of change in future tax rates		(0.25%)
State income tax expense	(0.02%)	(0.87%)
Income tax expense	(0.04%)	(8.02%)

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Selected Quarterly Financial Data (Unaudited) - Schedule of Selected Unaudited Quarterly Financial Data (Details) - USD ($)	3 Months Ended																12 Months Ended
	Dec. 31, 2018		Sep. 30, 2018		Jun. 30, 2018		Mar. 31, 2018		Dec. 31, 2017		Sep. 30, 2017		Jun. 30, 2017		Mar. 31, 2017		Dec. 31, 2018		Dec. 31, 2017		Dec. 31, 2016
Selected Quarterly Financial Information [Line Items]
Total revenues	$ 2,435,423		$ 1,906,891		$ 1,561,661		$ 1,533,341		$ 1,130,248		$ 1,095,696		$ 1,071,441		$ 11,430		$ 7,437,316		$ 3,308,815
Operating loss	(315,904)		(189,005)		(73,634)		(113,972)		(122,817)		(99,164)		(175,188)		(231,794)		(692,515)		(628,963)		$ (312,498)
Net loss attributable to common stockholders	(606,065)		(458,687)		(350,193)		(390,238)		(365,823)		(307,906)		(391,681)		(251,120)		(1,805,183)		(1,316,530)		(342,447)
Class A Common Stock (Basic and Diluted):
Selected Quarterly Financial Information [Line Items]
Net loss attributable to common stockholders	$ (444,392)		$ (87,907)		$ (76,206)		$ (95,926)		$ (105,482)		$ (108,891)		$ (141,410)		$ (93,692)		$ (661,345)		$ (438,710)		$ (242,824)
Weighted average number of common shares outstanding (basic and diluted)	3,594,121	[1]	879,674	[1]	867,723	[1]	825,185	[1]	769,523	[1]	693,354	[1]	524,191	[1]	383,345	[1]	1,547,449	[1]	590,225	[1]	306,844
Loss per share of common stock	$ (0.12)		$ (0.10)		$ (0.09)		$ (0.12)		$ (0.14)		$ (0.16)		$ (0.27)		$ (0.24)		$ (0.43)		$ (0.74)		$ (0.79)
Class T Common Stock (Basic and Diluted):
Selected Quarterly Financial Information [Line Items]
Net loss attributable to common stockholders	$ (142,326)		$ (327,896)		$ (246,458)		$ (269,815)		$ (242,753)		$ (189,504)		$ (241,220)		$ (154,012)		$ (1,025,147)		$ (833,933)		$ (91,108)
Weighted average number of common shares outstanding (basic and diluted)	1,151,093	[1]	3,281,231	[1]	2,806,307	[1]	2,321,014	[1]	1,770,963	[1]	1,206,653	[1]	894,175	[1]	630,143	[1]	2,398,691	[1]	1,121,944	[1]	115,128
Loss per share of common stock	$ (0.12)	[2]	$ (0.10)	[2]	$ (0.09)	[2]	$ (0.12)	[2]	$ (0.14)		$ (0.16)		$ (0.27)		$ (0.24)		$ (0.43)	[2]	$ (0.74)		$ (0.79)
Class I Common Stock (Basic and Diluted):
Selected Quarterly Financial Information [Line Items]
Net loss attributable to common stockholders	$ (19,347)		$ (42,884)		$ (27,529)		$ (24,497)		$ (17,588)		$ (9,511)		$ (9,051)		$ (3,416)		$ (118,691)		$ (43,887)		$ (8,515)
Weighted average number of common shares outstanding (basic and diluted)	156,473	[1]	429,142	[1]	313,463	[1]	210,726	[1]	128,308	[1]	60,561	[1]	33,550	[1]	13,978	[1]	277,718	[1]	59,044	[1]	10,760
Loss per share of common stock	$ (0.12)	[2]	$ (0.10)	[2]	$ (0.09)	[2]	$ (0.12)	[2]	$ (0.14)		$ (0.16)		$ (0.27)		$ (0.24)		$ (0.43)	[2]	$ (0.74)		$ (0.79)

[1] For the purposes of determining the weighted average number of shares of common stock outstanding, stock dividends issued through the October 2018 suspension of stock dividends are treated as if such shares were outstanding as of July 11, 2016 (the date when the Company commenced operations).

[2] In connection with the close of the Offering effective October 1, 2018, certain underwriting compensation limits were reached and, effective October 31, 2018, each Class T and Class I share automatically converted into a Class A share pursuant to the terms of the Company’s charter. As such, there were no Class T or Class I shares outstanding as of December 31, 2018.

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Selected Quarterly Financial Data (Unaudited) - Schedule of Selected Unaudited Quarterly Financial Data (Parenthetical) (Details) - shares	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Class T Common Stock
Selected Quarterly Financial Information [Line Items]
Common stock, shares outstanding	0	2,049,223	308,587
Class I Common Stock
Selected Quarterly Financial Information [Line Items]
Common stock, shares outstanding	0	160,490	8,454

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Subsequent Events - Additional Information (Details) - Subsequent Event $ in Millions	1 Months Ended
	Mar. 20, 2019 USD ($)
Subsequent Event [Line Items]
Reduction in AUM fee percentage of average invested assets	0.40%
Expense Support Agreement
Subsequent Event [Line Items]
Agreement effective termination date	Apr. 01, 2019
Sale Agreement | Subsidiary of HCP, Inc.
Subsequent Event [Line Items]
Amount placed by buyer in escrow	$ 0.3
Additional amount due from buyer	$ 0.3
Buyer on or before the end of inspection period	Apr. 05, 2019
Non-refundable deposit	$ 0.6
MOB | Sale Agreement | Subsidiary of HCP, Inc.
Subsequent Event [Line Items]
Gross sales price of properties	$ 15.4

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Schedule III-Real Estate And Accumulated Depreciation (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2018		Dec. 31, 2017
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 24,500
Initial Costs, Land & Land Improvements		4,413
Initial Costs, Building and Building Improvements		49,197
Costs Capitalized Subsequent to Acquisition, Land & Land Improvements		44
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,457
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	49,197
Total		53,654	[1]	$ 30,792
Accumulated Depreciation		(1,349)		$ (369)
Summer Vista Assisted Living
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	13,900
Initial Costs, Land & Land Improvements	[2]	2,269
Initial Costs, Building and Building Improvements	[2]	17,612
Costs Capitalized Subsequent to Acquisition, Land & Land Improvements	[2]	33
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,302
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	17,612
Total	[1],[2]	19,914
Accumulated Depreciation	[2]	$ (862)
Date of Construction	[2]	2016
Date Acquired	[2]	Mar. 31, 2017
Mid America Surgery Institute
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 5,600
Initial Costs, Land & Land Improvements	[2]	381
Initial Costs, Building and Building Improvements	[2]	10,497
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	381
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	10,497
Total	[1],[2]	10,878
Accumulated Depreciation	[2]	$ (295)
Date of Construction	[2]	2007
Date Acquired	[2]	Dec. 27, 2017
The Crossings at Riverview
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 5,000
Initial Costs, Land & Land Improvements	[2]	1,763
Initial Costs, Building and Building Improvements	[2]	21,088
Costs Capitalized Subsequent to Acquisition, Land & Land Improvements	[2]	11
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,774
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	21,088
Total	[1],[2]	22,862
Accumulated Depreciation	[2]	$ (192)
Date of Construction	[2]	2015
Date Acquired	[2]	Aug. 31, 2018

[1] The aggregate cost for federal income tax purposes is approximately $59.5 million.

[2] Buildings and building improvements are depreciated over 39 and 15 years, respectively.

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Schedule III-Real Estate And Accumulated Depreciation Transactions in Real Estate and Accumulated Depreciation (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018		Dec. 31, 2017
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Real Estate gross carrying value, Beginning Balance	$ 30,792
Acquisitions	22,851		$ 30,759
Improvements	11		33
Real Estate gross carrying value, Ending Balance	53,654	[1]	30,792
Real Estate accumulated depreciation, Beginning Balance	(369)
Depreciation	(980)		(369)
Real Estate accumulated depreciation, Ending Balance	$ (1,349)		$ (369)

[1] The aggregate cost for federal income tax purposes is approximately $59.5 million.

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Schedule III-Real Estate And Accumulated Depreciation (Parenthetical) (Details) $ in Millions	12 Months Ended
	Dec. 31, 2018 USD ($)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Aggregate cost for federal income tax purpose	$ 59.5
Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	39 years
Building Improvements
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	15 years