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Debt and Debt-Related Parties - Schedule of Mortgage Loan Debt (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Mortgage Loans [Member]    
Long-term Debt, Gross $ 32,908,170 $ 27,834,790
Southern Hills Retirement Center Line of Credit [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [1] 7,229,052  
Long-term Debt, Gross [1] $ 7,119,743 1,873,733
Debt Instrument, Interest Rate Terms [1] 5.25% Fixed  
Debt instrument, maturity date [1] Apr. 28, 2019  
Middle Georgia Nursing Home [Member]    
Debt instrument, maturity date Oct. 26, 2021  
Middle Georgia Nursing Home [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [2],[3] $ 3,570,000  
Long-term Debt, Gross [2],[3] $ 3,561,461 3,643,545
Debt Instrument, Interest Rate Terms [2],[3] 5.50% Fixed  
Debt instrument, maturity date [2],[3] Oct. 26, 2021  
Goodwill Nursing Home [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [2] $ 4,976,316  
Long-term Debt, Gross [2] $ 4,390,082 4,466,375
Debt Instrument, Interest Rate Terms [2] 5.50% Fixed  
Debt instrument, maturity date [2] Mar. 19, 2020  
Goodwill Nursing Home [Member]    
Debt Instrument, Face Amount $ 80,193  
Goodwill Nursing Home [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [4] 80,193  
Long-term Debt, Gross [4] 23,904
Debt Instrument, Interest Rate Terms [4] 5.50% Fixed  
Debt instrument, maturity date [4] Jun. 12, 2018  
Warrenton Nursing Home [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [5] $ 2,720,000  
Long-term Debt, Gross [5] $ 2,287,323 2,376,101
Debt Instrument, Interest Rate Terms [5] 5.50% Fixed  
Debt instrument, maturity date [5] Jan. 20, 2020  
Edwards Redeemer Health & Rehab [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount $ 2,303,815  
Long-term Debt, Gross $ 2,138,128 2,205,934
Debt Instrument, Interest Rate Terms 5.50% Fixed  
Debt instrument, maturity date Jan. 16, 2020  
Glen Eagle Health & Rehab [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [6] $ 2,761,250  
Long-term Debt, Gross [6] $ 2,761,250 2,592,366
Debt Instrument, Interest Rate Terms [6] 5.50% Fixed  
Debt instrument, maturity date [6] May 25, 2021  
Glen Eagle Health & Rehab Line of Credit [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [6] $ 200,365  
Long-term Debt, Gross [6] $ 120,440
Debt Instrument, Interest Rate Terms [6] 6.50% Fixed  
Debt instrument, maturity date [6] Sep. 30, 2019  
Providence of Sparta Nursing Home [Member]    
Debt Instrument, Face Amount $ 3,039,300  
Providence of Sparta Nursing Home [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [7] 3,039,300  
Long-term Debt, Gross [7] $ 2,975,337 3,034,826
Debt Instrument, Interest Rate Terms [7] 3.88% Fixed  
Debt instrument, maturity date [7] Nov. 01, 2047  
Meadowview Healthcare Center [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [8] $ 3,000,000  
Long-term Debt, Gross [8] $ 2,936,400 3,000,000
Debt Instrument, Interest Rate Terms [8] 6.00% Fixed  
Debt instrument, maturity date [8] Oct. 30, 2022  
GL Nursing Home [Member] | Mortgage Loans [Member]    
Debt Instrument, Face Amount [9] $ 5,000,000  
Long-term Debt, Gross [9] $ 4,618,006 $ 4,618,006
Debt Instrument, Interest Rate Terms [9] Prime Plus 1.50%/ 5.75% Floor  
Debt instrument, maturity date [9] Aug. 03, 2037  
[1] On October 31, 2017, the Company, through its wholly-owned subsidiaries Southern Tulsa, LLC and Southern Tulsa TLC, LLC, as Co-Borrowers, consummated a new Line of Credit with First Commercial Bank pursuant to a Promissory Note in the principal amount of $7,229,052 (the "Line of Credit"). Under the Line of Credit, the Company refinanced the prior mortgage on its skilled nursing facility in Tulsa for $1,546,801,funded open market and tender offer purchases of its Industrial Revenue Bonds covering the ALF and ILF as well as provided working capital for improvements to the ALF and ILF. As of December 31, 2017, a total of $1,873,733 was drawn under the Line of Credit, and as of December 31, 2018, a total of $7,119,743 was drawn under the Line of Credit. The interest rate on Line of Credit is 5.25%. Monthly payments of interest began on November 30, 2017 and continue until the Promissory Note is paid in full on the Maturity Date. On May 3, 2018 the Maturity Date was extended from April 30, 2018 to October 30, 2018. The Maturity Date was further extended to February 28, 2019 and subsequently to April 30, 2019, with the intent to convert to an amortizing loan thereafter. The Credit Note is secured by a First Mortgage and Assignment of Rents on Real Property for Southern Hills Rehabilitation Center, a Junior Lien and Assignment of Rents on Real Property for it Southern Hills Independent Living Facility location and a Junior Lien on Real Property for its Southern Hills Assisted Living Facility location. With the retirement of the Tulsa Industrial Authority Bonds effective November 1, 2018, First Commercial Bank moved into a senior position on the ALF and ILF properties.
[2] Mortgage loans are non-recourse to the Company except for the senior loans held by ServisFirst Bank on Meadowview (Ohio), held by Colony Bank on Abbeville, and the Southern Hills line of credit owed to First Commercial Bank, discussed under line of credit.
[3] The loan at Middle Georgia was renewed on November 26, 2018 with the maturity extended to October 26, 2021.
[4] The $80,193 debt at Goodwill Nursing Home was incurred to pay off accrued interest on the original primary note. The balance of this note was paid in full on June 12, 2018.
[5] Amortization expense related to loan costs of this loan totaled $6,160 for the year ended December 31, 2018. The loan was extended on January 19, 2019 to January 20, 2020. The Company has incurred $43,681 in unamortized loan costs to refinance this debt with another lender.
[6] Proceeds of $2,138,126 were disbursed directly to the seller of the property for acquisition and $597,799 was disbursed to the Company as reimbursement for renovation cost, and $38,421 of loan costs and interest were capitalized. The loan has been fully drawn as of December 31, 2018, and amortization expense related to loan costs of this loan totaled $5,342 for the year ended December 31, 2018. Amortizing payments will begin in January 2019. In June 2018 the Company converted the original note to a fixed note which qualified as debt extinguishment, unamortized debt discount on the original note was expensed as a loss on extinguishment of $27,794. In April 2018, the Company capitalized $22,800 in fees and interest and added it to principal. The Company is subject to financial covenants and customary affirmative and negative covenants, including compliance with the covenants of all other notes and bonds. As of December 31, 2018, the Company was not in compliance with some unrelated notes and bonds, which is considered to be a technical Event of Default as defined in the note agreement, but the Company believes that it is in good standing with the Lender. In October 2018 the Lender extended the Company a line of credit with a limit of $200,365 to provide working capital to scale operations at the facility. The line of credit was expanded in February 2019 to $400,000 with a maturity of September 30, 2019.
[7] The senior debt and subordinated debt owed in relation to Providence of Sparta was refinanced into a single senior HUD note during 2017. The total amount borrowed under the new loan is $3,039,300 at time of debt issuance, with the Company receiving only $28,596 in cash. The senior note balance of $1,655,123 on December 31, 2016 was paid off using $29,747 in cash and $1,625,376 using the proceeds from the new loan. The subordinated note balance of $1,050,000 was paid off using loan proceeds, $218,619 went to restricted cash and the rest was used to pay fees. Amortization expense related to loan costs totaled $4,984 for the year ended December 31, 2018.
[8] Amortization expense related to loan costs of this loan totaled $9,303 for the year ended December 31, 2018. The Company is subject to financial covenants and customary affirmative and negative covenants, including compliance with the covenants of all other notes and bonds. As of December 31, 2018, the Company was not in compliance with some unrelated notes and bonds, which is considered to be a technical Event of Default as defined in the note agreement, but the Company believes that it is in good standing with the Lender.
[9] Effective September 19, 2016, we executed a Modification to the mortgage note pursuant to which some accrued payments were deferred and the lender agreed to permit interest only payments through March 2017. The mortgage loan collateralized by the GL Nursing Home is 80% guaranteed by the USDA and requires an annual renewal fee payable in the amount of 0.25% of the USDA guaranteed portion of the outstanding principal balance as of December 31 of each year. The Company is subject to financial covenants and customary affirmative and negative covenants. As of September 30, 2018, the Company was not in compliance with certain of these financial and non-financial covenants which is considered to be a technical Event of Default as defined in the note agreement. The Company is also delinquent in installment payments due under the mortgage. Remedies available to the lender in the event of a continuing Event of Default, at its option, include, but are necessarily limited to the following (1) lender may declare the principal and all accrued interest on the note due and payable; and (2) lender may exercise additional rights and remedies under the note agreement to include taking possession of the collateral or seeking satisfaction from the guarantors. The Company has been notified by the lender regarding the Events of Default. Guarantors under the mortgage loan include Christopher Brogdon. With our consent, Mr. Brogdon has assumed operations of the facility and is dealing with the lender. The Company is in negotiations with Mr. Brogdon to sell him the facility.