Certain information contained in this report constitutes "Forward-Looking
Statements" within the meaning of Section 27A of the Securities Act of 1933, as
amended, and Section 21E of the Securities Exchange Act of 1934, as amended,
which can be identified by the use of forward-looking terminology such as "may,"
"will," "would," "intend," "could," "believe," "expect," "anticipate,"
"estimate" or "continue" or the negative thereof or other variations thereon or
comparable terminology. Examples of forward-looking statements, include, without
limitation, those relating to the Company's future business prospects and
strategies, financial results, working capital, liquidity, capital needs and
expenditures, interest costs, insurance availability and contingent liabilities.
Forward-looking statements are subject to certain risks and uncertainties that
could cause the Company's actual results and financial condition to differ
materially from those indicated in the forward-looking statements, including,
but not limited to, the Company's ability to generate sufficient cash flows from
operations, additional proceeds from debt refinancings, and proceeds from the
sale of assets to satisfy its short- and long-term debt and lease obligations
and to fund the Company's capital improvement projects to expand, redevelop,
and/or reposition its senior living communities; the Company's ability to obtain
additional capital on terms acceptable to it; the Company's ability to extend or
refinance its existing debt as such debt matures; the Company's compliance with
its debt and lease agreements, including certain financial covenants and the
terms and conditions of its recent forbearance agreements, and the risk of
cross-default in the event such non-compliance occurs; the Company's ability to
complete acquisitions and dispositions upon favorable terms or at all; the risks
related to an epidemic, pandemic, or other health crisis, such as the recent
outbreak of the novel coronavirus (COVID-19); the risk of oversupply and
increased competition in the markets which the Company operates; the risk of
increased competition for skilled workers due to wage pressure and changes in
regulatory requirements; the departure of the Company's key officers and
personnel; the cost and difficulty of complying with applicable licensure,
legislative oversight, or regulatory changes; the risks associated with a
decline in economic conditions generally; the adequacy and continued
availability of the Company's insurance policies and the Company's ability to
recover any losses it sustains under such policies; changes in accounting
principles and interpretations; and the other risks and factors identified from
time to time in the Company's reports filed with the SEC.

Overview



The following discussion and analysis addresses (i) the Company's results of
operations on a historical consolidated basis for the years ended December 31,
2019 and 2018, and (ii) liquidity and capital resources of the Company, and
should be read in conjunction with the Company's historical consolidated
financial statements and the selected financial data contained elsewhere in this
report.

The Company is one of the largest operators of senior housing communities in the
United States. The Company's operating strategy is to provide value to its
senior living residents by providing quality senior living services at
reasonable prices, while achieving and sustaining a strong, competitive position
within its geographically concentrated regions, as well as continuing to enhance
the performance of its operations. The Company provides senior living services
to the 75+ population, including independent living, assisted living, and memory
care services at reasonable prices. Many of the Company's communities offer a
continuum of care to meet its residents' needs as they change over time. This
continuum of care, which integrates independent living, assisted living, and
memory care, and is bridged by home care through independent home care agencies,
sustains residents' autonomy and independence based on their physical and mental
abilities.

As of December 31, 2019, the Company operated 126 senior housing communities in
23 states with an aggregate capacity of approximately 16,000 residents,
including 80 senior housing communities that the Company owned and 46 senior
housing communities that the Company leased.

Significant Financial and Operational Highlights



The Company primarily derives its revenue by providing senior living housing and
services to the 75+ population. When comparing fiscal 2019 to fiscal 2018, the
Company generated total revenues of approximately $447.1 million compared to
total revenues of approximately $460.0 million, respectively, representing a
decrease of approximately $12.9 million, or 2.8%. Our resident revenue was
positively impacted by the lease-up of our two communities impacted by the
aftermath of Hurricane Harvey. These communities were closed beginning in the
third quarter of 2017 for physical repairs. The Company began accepting
residents during the third quarter of fiscal 2018, which resulted in an increase
of approximately $3.2 million in our resident revenue during fiscal 2019 when
compared to fiscal 2018. However, the increase in resident revenue from the two
properties impacted by Hurricane Harvey was fully offset by a

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decrease in resident revenue at the Company's other communities of approximately
$16.1 million, which was primarily due to a 2.4% decrease in average financial
occupancies.

Excluding the two senior housing communities impacted by Hurricane Harvey and
the three communities sold during 2019, the weighted average financial occupancy
rate for fiscal 2019 and 2018 was 82.6% and 85.0%, respectively. Although our
occupancies declined, we achieved a 0.2% increase in average monthly rental
rates when comparing fiscal 2019 to fiscal 2018. The increase in average monthly
rental rates during fiscal 2019 was primarily the result of annual rent
increases for our existing residents and the capital improvements we have
invested in our communities for unit conversions which enable us to provide a
broader range of senior living services at higher levels of care.

On December 23, 2019, the Company obtained $31.5 million of mortgage debt from
Fifth Third Bank on its Autumn Glen and Cottonwood Village senior housing
communities. The new mortgage loan is interest-only and has a two-year term and
an initial variable interest rate of LIBOR plus 3.25%. The Company incurred
approximately $0.6 million in deferred financing costs related to this loan,
which are being amortized over the term of the loan. On the same date, the
Company amended and repaid $24.5 million in principal on its interest-only
mortgage loan with BBVA USA, secured by the Company's Cottonwood Village,
Georgetowne Place, Harrison at Eagle Valley, and Rose Arbor communities. As a
result of the amendment, BBVA USA released the Cottonwood Village assets from
collateral for the mortgage and extended the maturity date from July 11, 2020 to
December 10, 2021. The Company had previously exercised its option to extend
such mortgage loan from May 11, 2020 to July 11, 2020. The amended mortgage has
an interest-only variable rate of LIBOR plus 4.5%.

As mentioned above, the Company had two of its senior housing communities
located in southeast Texas impacted by Hurricane Harvey during the third quarter
of fiscal 2017. We maintain insurance coverage on these communities which
includes damage caused by flooding. The insurance claim for this incident
required a deductible of $100,000 that was expensed as a component of operating
expenses in the Company's Consolidated Statement of Operations and Comprehensive
Loss in the third quarter of fiscal 2017. Physical repairs have been completed
to restore the communities to their condition prior to the incident and these
communities reopened and began accepting residents in July 2018. We have
incurred approximately $6.2 million in clean-up and physical repair costs,
almost all of which have been recovered through insurance proceeds. At December
31, 2019, we expected to receive an additional $0.3 million in insurance
proceeds from our carriers relating to such costs. In addition to the repairs of
physical damage to the buildings, the Company's insurance coverage includes loss
of business income ("Business Interruption"). Business Interruption includes
reimbursement for lost revenue as well as incremental expenses incurred as a
result of such Hurricane. The Company received payments from our insurance
underwriters during fiscal 2019 and 2018 totaling approximately $2.5 million and
$5.1 million related to Business Interruption, respectively, which have been
included as a reduction to operating expenses in the Company's Consolidated
Statement of Operations and Comprehensive Loss for each respective year.
Business Interruption payments ceased in accordance with our insurance policy in
July 2019.

Facility Leases

As of December 31, 2019, the Company leased 46 senior housing communities from
certain real estate investment trusts ("REITs"). The lease terms are generally
for 10-15 years with renewal options for five-20 years at the Company's option.
Under these lease agreements, the Company is responsible for all operating
costs, maintenance and repairs, insurance and property taxes. No new facility
leases were entered into by the Company during fiscal 2019.

Ventas



As of December 31, 2019, the Company leased seven senior housing communities
(collectively the "Ventas Lease Agreements") from Ventas. Effective January 31,
2017, the Company acquired from Ventas the underlying real estate associated
with four of its operating leases for a total acquisition price of $85.0 million
(the "Four Property Lease Transaction"). The Company obtained interim,
interest-only, bridge financing from Commercial Mortgage LLC ("Berkadia") for
$65.0 million of the acquisition price with an initial variable interest rate of
LIBOR plus 4.0% and a 36-month term, with an option to extend six months, and
the balance of the acquisition price paid was from the Company's existing cash
resources. Prior to the Four Property Lease Transaction, the Company previously
leased 11 senior housing communities from Ventas.

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During the second quarter of fiscal 2015, the Company executed amendments to the
master lease agreements with Ventas to facilitate up to $24.5 million of
leasehold improvements for 10 communities within the Ventas lease portfolio and
extend the lease terms until September 30, 2025, with two five-year renewal
extensions available at the Company's option. During the second quarter of
fiscal 2016, the Company executed amendments to the master lease agreements with
Ventas to increase the funds budgeted for leasehold improvements (the "Special
Project Funds") from $24.5 million to $28.5 million and extend the date for
completion of the leasehold improvements to June 30, 2017. During the second
quarter of fiscal 2017, the Company executed amendments to the master lease
agreements with Ventas to decrease the Special Project Funds for leasehold
improvements from $28.5 million to approximately $17.0 million due to the Four
Property Lease Transaction and extend the date for completion of the leasehold
improvements to June 30, 2018. During the second quarter of fiscal 2019, the
Company executed amendments to the master lease agreements with Ventas to
increase the Special Project Funds for leasehold improvements from approximately
$17.0 million to approximately $20.0 million and extend the date for completion
of the leasehold improvements to December 31, 2020. The initial lease rates
under each of the Ventas Lease Agreements ranged from 6.75% to 8% and are
subject to contingent rent escalation clauses. When a contingency is resolved
and an escalation occurs, the amount is included within lease payments and
reflected in the right-of-use "(ROU") asset and lease liability.

On March 10, 2020, the Company entered into an agreement with Ventas, which was
subsequently amended on March 26, 2020, providing for the early termination of a
Master Lease Agreement between it and Ventas covering seven
communities. Pursuant to such agreement, among other things, from February 1,
2020 through December 31, 2020, the Company agreed to pay Ventas rent of
approximately $1.0 million per month for such communities as compared to
approximately $1.3 million per month that would otherwise have been due and
payable under the Master Lease Agreements. The Company will not be required to
comply with certain financial covenants of the Master Lease Agreements during
the forbearance period.  In conjunction with the agreement, the Company agreed
to release $3.9 million in security deposits held by Ventas.  In addition, the
agreement with Ventas provides for the conversion of the lease agreements
covering the communities into property management agreements with the Company on
December 31, 2020 if Ventas has not transitioned such communities to a successor
operator.

Healthpeak

As of December 31, 2019, the Company leased 15 senior housing communities
(collectively the "Healthpeak Lease Agreements") from Healthpeak Properties,
Inc., formerly HCP, Inc. ("Healthpeak"). During the fourth quarter of fiscal
2013, the Company executed an amendment to the master lease agreement with
Healthpeak to facilitate up to $3.3 million of leasehold improvements for one
community within the Healthpeak lease portfolio and extend the initial lease
terms for nine communities until October 31, 2020. During the second quarter of
fiscal 2015, the Company exercised its right to extend the lease term with
Healthpeak for the remaining six communities in the Healthpeak lease portfolio
until April 30, 2026. The initial lease rates under the Healthpeak Lease
Agreements ranged from 7.25% to 8% and are subject to certain conditional
escalation clauses. When a contingency is resolved and an escalation occurs, the
amount is included within lease payments and reflected in the ROU asset and
lease liability.

On October 22, 2019, the Company executed an amendment to the master lease
agreement with Healthpeak, which was later amended, to transition one of the
Healthpeak communities to a new operator on or around January 15, 2020, and to
sell the remaining eight communities as soon as possible to one or more
buyers. The Company was obligated to pay a $250,000 termination fee on the
transition of the one community to a new operator. On March 1, 2020, the Company
executed an agreement providing for the early termination of its master lease
agreement with Healthpeak, previously scheduled to mature in April 2026. The
master lease agreement was converted to a management agreement under a RIDEA
structure pursuant to which the Company agreed to manage the six communities
that was subject to such lease agreement until the communities have been sold by
Healthpeak. In conjunction with the agreement, the Company agreed to release
approximately $1.9 million of security deposits held by Healthpeak.

Welltower



As of December 31, 2019, the Company leased 24 senior housing communities
(collectively the "Welltower Lease Agreements") from Welltower, formerly Health
Care REIT, Inc. The Welltower Lease Agreements each have an initial term of 15
years. The initial lease rates under the Welltower Lease Agreements ranged from
7.25% to 8.5% and are subject to certain conditional escalation clauses. When a
contingency is resolved and an escalation occurs, the amount is

                                       34

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included within lease payments and reflected in the ROU asset and lease liability. The initial terms on the Welltower Lease Agreements expire on various dates through from April 2025 through April 2026.



On March 15, 2020, the Company entered into an agreement with Welltower,
providing for the early termination of three Master Lease Agreements between it
and Welltower covering 24 communities. Pursuant to such agreement, among other
things, from February 1, 2020 through December 31, 2020, the Company agreed to
pay Welltower rent of approximately $2.2 million per month for such communities
as compared to approximately $2.8 million per month that would otherwise have
been due and payable under the Master Lease Agreements. The Company will not be
required to comply with certain financial covenants of the Master Lease
Agreements during the forbearance period.  In conjunction with the agreement,
the Company agreed to release $6.5 million in security deposits held by
Welltower.  In addition, the agreement with Welltower provides for the
conversion of the lease agreements covering the communities into property
management agreements with the Company on December 31, 2020, if the transition
of such communities have not been transitioned to a successor operator.

The following table summarizes each of the Company's facility lease agreements as of December 31, 2019 (dollars in millions):





                                                                                                                     Lease
                                                                                                                  Acquisition
                                                                                                   Initial            and               Deferred
                                           Number of         Value of      

Current Expiration Lease Modification Gains / Lease Landlord Initial Date of Lease Communities Transaction

and Renewal Term Rate (1) Costs (2) Concessions (3) Ventas

           September 30, 2005                  4     $        61.4     September 30, 2025            8 %   $          7.7     $             4.2
                                                                                    (4)
                                                                               (Two five-year
                                                                                 renewals)
Ventas            January 31, 2008                   1               5.0     September 30, 2025         7.75 %              0.2                     -
                                                                                    (4)
                                                                               (Two five-year
                                                                                 renewals)
Ventas              June 27, 2012                    2              43.3   

 September 30, 2025         6.75 %              0.8                     -
                                                                                    (4)
                                                                               (Two five-year
                                                                                 renewals)
Healthpeak           May 1, 2006                     3              54.0      October 31, 2020             8 %              0.3                  12.8
                                                                                    (5)
                                                                                (Two 10-year
                                                                                 renewals)
Healthpeak          May 31, 2006                     6              43.0     April 30, 2026 (6)            8 %              0.2                   0.6
                                                                                (One 10-year
                                                                                  renewal)
Healthpeak        December 1, 2006                   4              51.0      October 31, 2020             8 %              0.7                     -
                                                                                    (5)
                                                                                (Two 10-year
                                                                                 renewals)
Healthpeak        December 14, 2006                  1              18.0      October 31, 2020          7.75 %              0.3                     -
                                                                                    (5)
                                                                                (Two 10-year
                                                                                 renewals)
Healthpeak         April 11, 2007                    1               8.0      October 31, 2020          7.25 %              0.1                     -
                                                                                    (5)
                                                                                (Two 10-year
                                                                                 renewals)
Welltower          April 16, 2010                    5              48.5   

 April 30, 2025 (15         8.25 %              0.6                   0.8
                                                                                   years)
                                                                                (One 15-year
                                                                                  renewal)
Welltower            May 1, 2010                     3              36.0     April 30, 2025 (15         8.25 %              0.2                   0.4
                                                                                   years)
                                                                                (One 15-year
                                                                                  renewal)
Welltower        September 10, 2010                 12             104.6     September 30, 2025         8.50 %              0.4                   2.0
                                                                                 (15 years)
                                                                                (One 15-year
                                                                                  renewal)
Welltower           April 8, 2011                    4             141.0   

 April 30, 2026 (15         7.25 %              0.9                  16.3
                                                                                   years)
                                                                                (One 15-year
                                                                                  renewal)
Subtotal                                                                                                                   12.4                  37.1
Accumulated amortization through December 31, 2018                                                                         (7.9 )                   -

Accumulated deferred gains / lease concessions recognized through December 31, 2018

                                           -                 (26.2 )
Adoption of ASC 842                                                                                                        (4.5 )               (10.9 )

Net lease acquisition costs / deferred gains / lease concessions as of December 31, 2019

                         $            -     $               -



(1) Initial lease rates are measured against agreed upon fair market values and

are subject to conditional lease escalation provisions as set forth in each


     respective lease agreement.


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(2) Prior to the adoption of Accounting Standards Codification ("ASC") 842,

lease acquisition and modification costs were amortized over the respective

lease terms. The unamortized portion of lease acquisition and modification

costs totaling approximately $4.5 million were reclassified into operating

lease right-of-use assets in conjunction with the Company's adoption of ASC

842 on January 1, 2019.

(3) Prior to the adoption of ASC 842, deferred gains of $34.5 million and lease

concessions of $2.6 million were recognized in the Company's Consolidated

Statements of Operations and Comprehensive Loss as a reduction in facility

lease expense over the respective initial lease term. The unamortized

balance of deferred gains associated with sale leaseback transactions

totaling approximately $10.0 million was written-off to retained deficit in

conjunction with the Company's adoption of ASC 842 on January 1, 2019. Lease

concessions of $0.6 million related to the transaction with Healthpeak on

May 31, 2006, and $2.0 million related to the transaction with Welltower on

September 10, 2010. The unamortized portion of lease concessions totaling

approximately $0.9 million were reclassified into operating lease

right-of-use assets in conjunction with the Company's adoption of ASC 842 on

January 1, 2019.

(4) Effective June 17, 2015, the Company executed amendments to the master lease

agreements with Ventas to facilitate leasehold improvements for 10 of the

leased communities, of which the underlying real estate associated with four

of its operating leases was acquired by the Company upon closing the Four

Property Lease Transaction on January 31, 2017, and extend the lease terms

through September 30, 2025, with two five-year renewal extensions available

at the Company's option.

(5) On November 11, 2013, the Company executed an amendment to the master lease

agreement associated with nine of its leased communities with Healthpeak to

facilitate leasehold improvements for one of the leased communities and

extend the respective lease terms through October 31, 2020, with two 10-year

renewal extensions available at the Company's option.

(6) On April 24, 2015, the Company exercised its right to extend the lease terms

with Healthpeak through April 30, 2026, with one 10-year renewal extension

remaining available at the Company's option. See the description above under

Healthpeak for amendment affecting all of the Healthpeak leased properties.




There are various financial covenants and other restrictions in the Company's
lease agreements. The Company was in compliance with all of its lease covenants
at December 31, 2018.  With regard to its Master Lease Agreements with Ventas
and Welltower, the Company was not in compliance with certain financial
covenants as of December 31, 2019. In February 2020, the Company began paying
Ventas and Welltower monthly rental amounts based on the estimated monthly cash
flows generated by the communities in Ventas' and Welltower's respective
portfolios, which were less than the rental amounts due and payable under the
terms of the Master Lease Agreements. Although the Company has entered into
forbearance agreements with Ventas and Welltower with respect to such defaults,
no assurances can be given that we will be able to comply with the terms and
conditions of such forbearance agreements or the other terms and conditions of
the Master Lease Agreements.

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Debt Transactions



On December 23, 2019, the Company obtained $31.5 million of mortgage debt from
Fifth Third Bank on its Autumn Glen and Cottonwood Village senior housing
communities. The new mortgage loan is interest-only and has a two-year term and
an initial variable interest rate of LIBOR plus 3.25%. The Company incurred
approximately $0.5 million in deferred financing costs related to this loan,
which are being amortized over the remaining initial loan term. On the same
date, the Company amended and repaid $24.5 million in principal on its
interest-only mortgage loan with BBVA USA for the Company's Cottonwood Village,
Georgetowne Place, Harrison at Eagle Valley, and Rose Arbor communities. As a
result of the amendment, BBVA USA released the Cottonwood Village assets from
collateral for the mortgage and extended the maturity date from July 11, 2020 to
December 10, 2021. The Company had previously exercised its option to extend
such mortgage loan from May 11, 2020 to July 11, 2020. The amended mortgage has
an interest-only variable rate of LIBOR plus 4.5%.

On May 31, 2019, the Company renewed certain insurance policies and entered into
two finance agreements totaling approximately $2.6 million and $2.7 million,
respectively. The finance agreements each have a fixed interest rate of 4.4%,
with the principal being repaid over a 11-month and 18-month term, respectively.

The Company issued standby letters of credit with Wells Fargo Bank, totaling approximately $3.4 million, for the benefit of Hartford Financial Services associated with the administration of workers compensation, which remain outstanding as of December 31, 2019.



The Company issued standby letters of credit with JPMorgan Chase Bank ("Chase"),
totaling approximately $6.5 million, for the benefit of Welltower on certain
leases between Welltower and the Company, which remain outstanding as of
December 31, 2019.

The Company issued standby letters of credit with Chase, totaling approximately
$2.9 million, for the benefit of Healthpeak on certain leases between Healthpeak
and the Company, which remain outstanding as of December 31, 2019.

Critical Accounting Policies



The preparation of financial statements in conformity with accounting principles
generally accepted in the United States requires management to make estimates
and assumptions that affect the amounts reported in the accompanying financial
statements and related notes. Management bases its estimates and assumptions on
historical experience, observance of industry trends and various other sources
of information and factors, the results of which form the basis for making
judgments about the carrying value of assets and liabilities that are not
readily apparent from other sources. Actual results could differ from these
estimates. Critical accounting policies are defined as those that are reflective
of significant judgments and uncertainties, and potentially could result in
materially different results under different assumptions and conditions. The
Company believes the following are our most critical accounting policies and/or
typically require management's most difficult, subjective and complex judgments.

Revenue Recognition



Resident revenue consists of fees for basic housing and certain support services
and fees associated with additional housing and expanded support requirements
such as assisted living care, memory care, and ancillary services. Basic housing
and certain support services revenue is recorded when services are rendered and
amounts billed are due from residents in the period in which the rental and
other services are provided. Residency agreements are generally short-term in
nature with durations of one year or less and are typically terminable by either
party, under certain circumstances, upon providing 30 days' notice, unless state
law provides otherwise, with resident fees billed monthly in advance. Revenue
for certain ancillary services is recognized as services are provided, and
includes fees for services such as medication management, daily living
activities, beautician/barber, laundry, television, guest meals, pets, and
parking, which are generally billed monthly in arrears.

The Company's senior housing communities have residency agreements that
generally require the resident to pay a community fee prior to moving into the
community and are recorded initially by the Company as deferred revenue. The
deferred amounts are amortized over the respective residents' initial lease
term, which is consistent with the contractual obligation associated with the
estimated stay of the resident.

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Revenues from the Medicaid program accounted for approximately 5.9% of the
Company's revenue in fiscal 2019 and 5.4% of the Company's revenue in fiscal
2018. During fiscal 2019 and 2018, 41 and 40, respectively, of the Company's
communities were providers of services under Medicaid programs. Accordingly,
these communities were entitled to reimbursement under the foregoing program at
established rates that were lower than private pay rates. Patient service
revenue for Medicaid patients was recorded at the reimbursement rates as the
rates were set prospectively by the applicable state upon the filing of an
annual cost report. None of the Company's communities were providers of services
under the Medicare program during fiscal 2019 or 2018.

Laws and regulations governing the Medicaid program are complex and subject to
interpretation. The Company believes that it is in compliance with all
applicable laws and regulations and is not aware of any pending or threatened
investigations involving allegations of potential wrongdoing. While no such
regulatory inquiries have been made, compliance with such laws and regulations
can be subject to future government review and interpretation as well as
significant regulatory action including fines, penalties, and exclusion from the
Medicaid program.

Credit Risk and Allowance for Doubtful Accounts



The Company's resident receivables are generally due within 30 days from the
date billed. Accounts receivable are reported net of an allowance for doubtful
accounts of $8.6 million and $6.8 million at December 31, 2019 and 2018,
respectively, and represent the Company's estimate of the amount that ultimately
will be collected. The adequacy of the Company's allowance for doubtful accounts
is reviewed on an ongoing basis, using historical payment trends, write-off
experience, analyses of receivable portfolios by payor source and aging of
receivables, as well as a review of specific accounts, and adjustments are made
to the allowance as necessary. Credit losses on resident receivables have
historically been within management's estimates, and management believes that
the allowance for doubtful accounts adequately provides for expected losses.

Off-Balance Sheet Arrangements

The Company had no material off-balance sheet arrangements at December 31, 2019 or 2018.



Lease Accounting

Effective January 1, 2019, the Company adopted the new lease standard provisions
of ASC 842. Due to the adoption of ASC 842, the unamortized balances of lease
acquisition costs and lease incentives were reclassified as a component of the
respective operating lease right-of-use asset. Additionally, the unamortized
balance of deferred gains associated with sale leaseback transactions totaling
approximately $10.0 million was written-off to retained deficit.

Management determines if a contract is or contains a lease at the inception or
modification of such contract. A contract is or contains a lease if the contract
conveys the right to control the use of an identified asset for a period of time
in exchange for consideration. Control over the use of the identified asset
means the lessee has both the right to obtain substantially all of the economic
benefits from the use of the asset and the right to direct the use of the asset.

Operating lease right-of-use assets and liabilities are recognized based on the
present value of future minimum lease payments over the expected lease term on
the lease commencement date. When the implicit lease rate is not determinable,
management uses the Company's incremental borrowing rate based on the
information available at the lease commencement date in determining the present
value of future minimum lease payments. The expected lease terms include options
to extend or terminate the lease when it is reasonably certain the Company will
exercise such options. Lease expense for minimum lease payments is recognized on
a straight-line basis over the expected lease terms.

Financing lease right-of-use assets are recognized within property, plant and
equipment and leasehold improvements, net on the Company's consolidated balance
sheets. The Company recognizes interest expense on the financing lease
liabilities utilizing the effective interest method. The right-of-use asset is
generally amortized to depreciation and amortization expense on a straight-line
basis over the lease term.

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Certain of the Company's lease arrangements have lease and non-lease components.
The Company accounts for the lease components and non-lease components as a
single lease component for all classes of underlying assets. Leases with an
expected lease term of 12 months or less are not recorded on the balance sheet
and the related lease expense is recognized on a straight-line basis over the
expected lease term.

Self-Insurance Liability Accruals



The Company offers full-time employees an option to participate in its health
and dental plans. The Company is self-insured up to certain limits and is
insured if claims in excess of these limits are incurred. The cost of employee
health and dental benefits, net of employee contributions, is shared between the
corporate office and the senior housing communities based on the respective
number of plan participants. Funds collected are used to pay the actual program
costs including estimated annual claims, third-party administrative fees,
network provider fees, communication costs, and other related administrative
costs incurred by the plans. Claims are paid as they are submitted to the
Company's third-party administrator. The Company records a liability for
outstanding claims and claims that have been incurred but not yet reported. This
liability is based on the historical claim reporting lag and payment trends of
health insurance claims. Management believes that the liability for outstanding
losses and expenses is adequate to cover the ultimate cost of losses and
expenses incurred at December 31, 2019; however, actual claims and expenses may
differ. Any subsequent changes in estimates are recorded in the period in which
they are determined.

The Company uses a combination of insurance and self-insurance for workers'
compensation. Determining the reserve for workers' compensation losses and costs
that the Company has incurred as of the end of a reporting period involves
significant judgments based on projected future events, including potential
settlements for pending claims, known incidents that result in claims, estimates
of incurred but not yet reported claims, changes in insurance premiums,
estimated litigation costs and other factors. The Company regularly adjusts
these estimates to reflect changes in the foregoing factors. However, since this
reserve is based on estimates, the actual expenses incurred may differ from the
amounts reserved. Any subsequent changes in estimates are recorded in the period
in which they are determined.

Long-Lived Assets and Impairment



Property and equipment are stated at cost and depreciated on a straight-line
basis over the estimated useful lives of the assets. At each balance sheet date,
the Company reviews the carrying value of its property and equipment to
determine if facts and circumstances indicate the carrying amount of an asset
group may not be recoverable or that the depreciation period may need to be
changed. The Company considers internal factors such as net operating losses
along with external factors relating to each asset, including contract changes,
local market developments, and other publicly available information to determine
whether impairment indicators exist.

If an indicator of impairment is identified, the carrying value of a long-lived
asset is considered impaired when the anticipated undiscounted cash flows from
such asset is separately identifiable and is less than its carrying value.
Recoverability of an asset group is assessed by comparing its carrying amount to
the estimated future undiscounted net cash flows expected to be generated by the
asset group through operation or disposition, calculated utilizing the lowest
level of identifiable cash flows. If this comparison indicates that the carrying
amount of an asset group is not recoverable, we are required to recognize an
impairment loss. The Company determines the fair value of operating lease ROU
assets by comparing the contractual rent payments to estimated market rental
rates. Long-lived ROU and fixed assets are valued at fair value using inputs
classified as Level 3 in the fair value hierarchy, which are unobservable inputs
based on the Company's assumptions. Impairment, if any, is recorded in the
period in which the impairment occurred.

For property and equipment where indicators of impairment were identified, tests
of recoverability were performed at December 31, 2019 and 2018. The Company
recorded impairment charges of $1.6 million and $1.4 million related to fixed
assets and lease ROU assets, respectively, related to the Company's property
located in Boca Raton, Florida, which transferred to a new operator subsequent
to (see Note 18, Subsequent Events, for discussion of the property's transition)
December 31, 2019. The Company has concluded its property and equipment was
recoverable and did not warrant adjustment to the carrying value or remaining
useful lives as of December 31, 2018.

Income Taxes

Income taxes are computed using the asset and liability method and current income taxes are recorded based on amounts refundable or payable. Deferred income taxes are recorded based on the estimated future tax effects of loss


                                       39

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carryforwards and temporary differences between financial statement carrying
amounts of existing assets and liabilities and their respective tax basis.
Deferred tax assets and liabilities are measured using enacted tax rates that
are expected to apply to taxable income in the years in which we expect those
carryforwards and temporary differences to be recovered or settled. Management
regularly evaluates the future realization of deferred tax assets and provides a
valuation allowance, if considered necessary, based on such evaluation. As part
of the evaluation, management has evaluated taxable income in carryback years,
future reversals of taxable temporary differences, feasible tax planning
strategies, and future expectations of income. Based upon this evaluation, a
valuation allowance has been recorded to reduce the Company's net deferred tax
assets to the amount that is more likely than not to be realized. However, in
the event that we were to determine that it would be more likely than not that
the Company would realize the benefit of deferred tax assets in the future in
excess of their net recorded amounts, adjustments to deferred tax assets would
increase net income in the period we made such a determination. The benefits of
the net deferred tax assets might not be realized if actual results differ from
expectations. The effective tax rates for fiscal 2019 and 2018 differ from the
statutory tax rates due to state income taxes, permanent tax differences, and
changes in the deferred tax asset valuation allowance. The effective tax rate
for fiscal 2017 differs from the statutory tax rate primarily due to state
income taxes, changes in the deferred tax asset valuation allowance, tax reform
impact on deferred income taxes, adoption of ASU 2016-09, and other permanent
tax differences. The Company is impacted by the Texas Margin Tax ("TMT"), which
effectively imposes tax on modified gross revenues for communities within the
State of Texas. During each of fiscal 2019, 2018, and 2017, the Company
consolidated 38 Texas communities and the TMT increased the overall provision
for income taxes.

The Company evaluates uncertain tax positions through consideration of
accounting and reporting guidance on criteria, measurement, derecognition,
classification, interest and penalties, accounting in interim periods,
disclosure, and transition that is intended to provide better
financial-statement comparability among different companies. The Company is
required to recognize a tax benefit in its financial statements for an uncertain
tax position only if management's assessment is that its position is "more
likely than not" (i.e., a greater than 50 percent likelihood) to be upheld on
audit based only on the technical merits of the tax position. The Company's
policy is to recognize interest related to unrecognized tax benefits as interest
expense and penalties as income tax expense. The Company is generally no longer
subject to federal and state income tax audits for years prior to 2016.

Recently Issued Accounting Guidance



     In August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement
(Topic 820), which modifies certain disclosure requirements in Topic 820, such
as the removal of the need to disclose the amount of and reason for transfers
between Level 1 and Level 2 of the fair value hierarchy, and several changes
related to Level 3 fair value measurements. ASU 2018-13 is effective for fiscal
years and interim periods within those fiscal years beginning after December 15,
2019. The Company does not expect the adoption of ASU 2018-13 to have a material
impact on its consolidated financial statements.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit
Losses: Measurement of Credit Losses on Financial Instruments. Current U.S.
generally accepted accounting principles ("GAAP") require an "incurred loss"
methodology for recognizing credit losses that delays recognition until it is
probable a loss has been incurred. ASU 2016-13 replaces the current incurred
loss methodology for credit losses and removes the thresholds that companies
apply to measure credit losses on financial statements measured at amortized
cost, such as loans, receivables, and held-to-maturity debt securities with a
methodology that reflects expected credit losses and requires consideration of a
broader range of reasonable and supportable information to form credit loss
estimates. For smaller reporting companies, ASU 2016-13 is effective for fiscal
years and for interim periods within those fiscal years beginning after December
15, 2022. The Company is currently evaluating the impact the adoption of ASU
2016-13 will have on its consolidated financial statements and disclosures.

In February 2016, the FASB issued ASU 2016-02, Leases. ASU 2016-02 amends the
existing accounting standards for lease accounting, including requiring lessees
to recognize most leases on their balance sheets and making targeted changes to
lessor accounting. The new lease standard requires lessees to recognize on the
balance sheet a liability to make lease payments and a right-of-use asset
representing the right to use the underlying asset for the lease term.
Additionally, in July 2018, the FASB issued ASU 2018-11, Leases, Targeted
Improvements, which provided entities with a transition method option to not
restate comparative periods presented, but to recognize a cumulative effect
adjustment to beginning retained earnings in the period of adoption. The Company
adopted the new lease standard on January 1, 2019, forgoing comparative
reporting using the modified retrospective adoption method, the simplified
transition method available pursuant to the standard. This allowed the Company
to continue to apply the legacy

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accounting guidance under ASC 840, including its disclosure requirements, in the
comparative periods presented in the year of adoption. The Company elected to
utilize certain practical expedients permitted under the transition guidance
within the new standard, which allowed the Company to carryforward the
historical lease classification, not separate the lease and non-lease components
for all classes of underlying assets in which it is the lessee, not reassess
initial direct costs for existing leases, and make an accounting policy election
not to account for leases with an initial term of 12 months or less on the
balance sheet. Adoption of the lease standards by the Company initially resulted
in the recording of operating lease right-of-use assets of $255.4 million and
operating lease liabilities of $289.5 million on the Company's Consolidated
Balance Sheet as of January 1, 2019. The difference between amounts recorded for
the operating lease right-of-use assets and operating lease liabilities is due
to net reductions for the reclassification of certain deferred lease costs and
lease incentives of $16.3 million and impairment write-down adjustments of $17.8
million recorded to retained deficit. The fair value of the right-of-use assets
was estimated, using level 3 inputs as defined in the accounting standards
codification, utilizing a discounted cash flow approach based upon historical
and projected cash flows and market data, including management fees and a market
supported lease coverage ratio. The estimated future cash flows were discounted
at a rate that is consistent with a weighted average cost of capital from a
market participant perspective. The adoption of the lease standard did not have
a material impact on the consolidated cash flows of the Company and had no
impact on the Company's covenant compliance under its current debt and lease
agreements. See additional discussion at "Note 16 - Leases."



The adoption of ASC 842 resulted in the following adjustments to the Company's Consolidated Balance Sheet at January 1, 2019:





               Assets
               Prepaid expenses and other                 $  (2,050)
               Property and equipment, net                  (15,569)
               Operating lease right-of-use assets, net      255,386
               Other assets, net                             (4,715)
               Total assets                               $  233,052
               Liabilities and Shareholders' Equity
               Deferred income                            $ (17,498)
               Financing obligations                        (35,956)
               Operating lease liabilities                   289,513
               Other long-term liabilities                  (15,643)
               Total liabilities                          $  220,416
               Total shareholders' equity                 $   12,636


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Results of Operations



The following tables set forth, for the periods indicated, selected historical
Consolidated Statements of Operations and Comprehensive Loss data in thousands
of dollars and expressed as a percentage of total revenues.



                                                            Year Ended December 31,
                                                        2019                       2018
                                                    $            %             $            %
Revenues:
Resident revenue                                $ 447,100       100.0 %    $ 460,018       100.0 %
Expenses:
Operating expenses (exclusive of facility
lease expense and
  depreciation and amortization expense shown
below)                                            306,786        68.6        294,661        64.1
General and administrative expenses                27,518         6.2         26,961         5.9
Facility lease expense                             57,021        12.8         56,551        12.3
Provision for bad debts                             3,765         0.8          2,990         0.7
Stock-based compensation expense                    2,509         0.6          8,428         1.6
Depreciation and amortization expense              64,190        14.4         62,824        13.7
Total expenses                                    461,789       103.3        452,415        98.3
Income (Loss) from operations                     (14,689 )      (3.3 )        7,603         1.7
Other income (expense):
Interest income                                       221           -            165           -
Interest expense                                  (49,802 )     (11.1 )      (50,543 )     (11.0 )
Write-off of deferred loan costs and
prepayment premiums                                (4,843 )      (1.1 )      (12,623 )      (2.7 )
Long-lived asset impairment                        (3,004 )      (0.7 )            -           -

Gain (Loss) on disposition of assets, net 36,528 8.2

       28           -
Other income                                            7           -              3           -
Loss before benefit (provision) for income
taxes                                             (35,582 )      (8.0 )      (55,367 )     (12.0 )
Benefit (Provision) for income taxes                 (448 )      (0.1 )        1,771         0.4
Net loss and comprehensive loss                 $ (36,030 )      (8.1 )%   $ (53,596 )     (11.6 )%





Year Ended December 31, 2019 Compared to the Year Ended December 31, 2018





Revenues



Resident revenue was $447.1 million for the year ended December 31, 2019,
compared to $460.0 million for the year ended December 31, 2018, representing a
decrease of $12.9 million, or 2.8%. Our resident revenue was positively impacted
by the lease-up of our two communities impacted by the aftermath of Hurricane
Harvey. These communities were closed beginning in the third quarter of 2017 for
repairs. The Company began accepting residents once repairs were completed
during the third quarter of 2018, which resulted in an increase of approximately
$3.2 million in our resident revenue during fiscal 2019 when compared to fiscal
2018. However, the increase in resident revenue from the two properties impacted
by Hurricane Harvey was fully offset by a net decrease in resident revenue at
the Company's other communities of approximately $16.1 million, which was
primarily due to a 240 basis points decrease in average financial occupancies.

Expenses



Total expenses were $461.8 million during fiscal 2019 compared to $452.4 million
during fiscal 2018, representing an increase of $9.4 million, or 2.1%. This
increase is primarily the result of a $12.1 million increase in operating
expenses, a $0.6 million increase in general and administrative expenses, a $0.8
million increase in bad debt expense due to an increase in the Medicaid-related
bad debt reserve, a $0.5 million increase in facility lease costs due to lease
escalations, and a $1.4 million increase in depreciation and amortization
expense, partially offset by a $5.9 million decrease in stock-based compensation
expense.

• The increase in operating expenses primarily results from an increase of

$4.0 million in insurance-related expenses due to increased premiums and


          a decrease in insurance proceeds the Company received during


                                       42

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          fiscal 2019 related to Business Interruption for two communities located
          in southeast Texas that were impacted by Hurricane Harvey, an increase
          of $4.5 million due to increased wages and benefits to employees for
          annual merit increases and incremental costs, including increased
          contract labor expense needed to supplement and maintain current
          staffing levels in a competitive labor market, an increase of $1.3

million in promotion and marketing costs, an increase of $0.8 million in

service contracts costs, and an increase of $0.7 million in repairs and


          maintenance expenses, and a $0.7 million increase in supplies expenses.


     •    The $0.6 million increase in general and administrative expenses

primarily results from a $1.1 million increase in labor-related costs

primarily attributable to employee incentive compensation and wages for

annual merit increases, an increase of $0.7 million in travel-related

expenses, a $0.1 million net increase in other expenses, including

consulting and contract labor, due to the need to supplement and

maintain current staffing levels in an increasingly competitive labor

market, partially offset by a decrease of $1.3 million in separation,

placement and retention costs. Travel expenditure increases were due to

the new members of the Company's corporate operations and marketing

leadership team providing hands-on leadership directly to our

communities, and the creation of peer review teams in the second quarter


          of 2019 that provide constructive feedback and best practice
          recommendations across our communities.

• The $1.4 million increase in depreciation and amortization expense


          primarily results from an increase in depreciable assets at the
          Company's communities resulting from ongoing capital improvements and
          refurbishments.

• The $5.9 million decrease in stock-based compensation expense is

primarily attributable to the retirement of the Company's former CEO and

separation of the Company's former COO, which resulted in the

cancellation of their unvested restricted stock awards in the first

quarter of 2019. Additionally, the Company concluded performance metrics

associated with certain performance-based restricted stock awards were

no longer probable of achievement, which resulted in remeasurement


          adjustments.


Other income and expense.



• Interest income generally reflects interest earned on the investment of

cash balances and escrowed funds or interest associated with certain

income tax refunds or property tax settlements.

• Interest expense decreased $0.7 million in fiscal 2019 when compared to

fiscal 2018 primarily due to the early repayment of mortgage debt

associated with the closing of the Company's sale of communities located

in Kokomo, Indiana, Springfield, Missouri, and Peoria, Illinois. The

write-off of deferred loan costs and prepayment premiums is attributable

to the early repayment of certain mortgage debt associated with the

closing of these sale transactions, which resulted in the accelerated


          amortization of deferred financing charges and early repayment fees and
          retirement costs.


     •  The $3.0 million increase in impairment expense was due to the Company

recording $1.6 million and $1.4 million in impairment expense related to

fixed assets and the ROU lease asset, respectively, of a leased property


        located in Boca Raton, Florida, that transferred to a new operator
        subsequent to year-end.


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Benefit (Provision) for income taxes



The provision for income taxes for fiscal 2019 was $(0.4) million, or (0.1%) of
revenues, compared to a benefit for income taxes of $1.8 million, or 0.4% of
revenues, for fiscal 2018. The effective tax rates for fiscal 2019 and 2018
differ from the statutory tax rates due to state income taxes, permanent tax
differences, and changes in the deferred tax asset valuation allowance. The
Company is impacted by the TMT, which effectively imposes tax on modified gross
revenues for communities within the State of Texas. During each of fiscal 2019
and 2018, the Company consolidated 38 Texas communities and the TMT increased
the overall provision for income taxes. The variation in benefit (provision) for
income taxes from fiscal 2019 to fiscal 2018 was attributable to the Company
electing real property trade or business under Section 163(j)(7)(B) of the
Internal Revenue code to opt out of the interest expense limitation

Management regularly evaluates the future realization of deferred tax assets and
provides a valuation allowance, if considered necessary, based on such
evaluation. As part of the evaluation, management has evaluated taxable income
in carryback years, future reversals of taxable temporary differences, feasible
tax planning strategies, and future expectations of income. Based upon this
evaluation, adjustments to the deferred tax asset valuation allowance of $4.4
million and $9.5 million were recorded during fiscal 2019 and 2018,
respectively, to reduce the Company's net deferred tax assets to the amount that
is more likely than not to be realized. Of the $4.4 million adjustment to the
valuation allowance during fiscal 2019, a $3.0 million decrease in the valuation
allowance was the result of the retained earnings impact related to the adoption
of ASC 842 and a $7.4 million increase to the valuation allowance was due to
current year activity.

Net loss and comprehensive loss





As a result of the foregoing factors, the Company reported net loss and
comprehensive loss of $36.0 million for the fiscal year ended December 31, 2019
and net loss and comprehensive loss of $53.6 million for the fiscal year ended
December 31, 2018.

Quarterly Results

The following table presents certain unaudited quarterly financial information
for each of the four quarters ended December 31, 2019 and 2018. This information
has been prepared on the same basis as the audited consolidated financial
statements of the Company appearing elsewhere in this report and include, in the
opinion of the Company's management, all adjustments (consisting of normal
recurring adjustments) necessary to present fairly the quarterly results when
read in conjunction with the audited consolidated financial statements of the
Company and the related notes thereto.



                                                                     2019 Calendar Quarters
                                                       First        Second         Third        Fourth (1)
                                                            (In thousands, except per share amounts)
Total revenues                                       $ 114,176     $ 113,126     $ 111,110     $    108,688
Income (loss) from operations                            1,970           203        (8,105 )         (8,757 )
Net income (loss) and comprehensive income (loss)      (12,984 )     (12,534 )     (20,731 )         10,219
Net income (loss) per share, basic                   $   (0.43 )   $   (0.41 )   $   (0.68 )   $       0.34
Net income (loss) per share, diluted                 $   (0.43 )   $   (0.41 )   $   (0.68 )   $       0.34
Weighted average shares outstanding, basic              30,102        30,279        30,324           30,342

Weighted average shares outstanding, fully diluted 30,102 30,279 30,324

           30,412




    (1) The fourth quarter of calendar 2019 was impacted by a $38.8 million gain
        the Company recognized due to the sale of two communities located in
        Springfield, Missouri and Peoria, Illinois on October 1, 2019.






                                       44

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                                                                     2018 Calendar Quarters
                                                       First        Second         Third        Fourth (1)
                                                            (In thousands, except per share amounts)
Total revenues                                       $ 114,643     $ 114,627     $ 115,650     $    115,098
Income (loss) from operations                            5,386         3,643         1,696           (3,122 )
Net loss and comprehensive loss                         (7,156 )      (9,060 )     (11,089 )        (26,291 )
Net loss per share, basic                            $   (0.24 )   $   (0.30 )   $   (0.37 )   $      (0.88 )
Net loss per share, diluted                          $   (0.24 )   $   (0.30 )   $   (0.37 )   $      (0.88 )
Weighted average shares outstanding, basic              29,627        29,831        29,877           29,908

Weighted average shares outstanding, fully diluted 29,627 29,831 29,877

           29,908




   (1) The fourth quarter of calendar 2018 was impacted by $4.2 million of

additional general and administrative expenses for separation and placement

costs primarily associated with the retirement and replacement of the

Company's former CEO and $12.6 million for write-off of deferred loan costs

and prepayment premiums from the early repayment of certain mortgage debt

on the Company's owned properties due to the opportunity to establish a


       master credit facility ("MCF") with Berkadia and extend scheduled
       maturities.



Liquidity and Capital Resources



In addition to approximately $24.0 million of unrestricted cash balances on hand
as of December 31, 2019, the Company's principal sources of liquidity are
expected to be cash flows from operations, additional proceeds from debt
refinancings, equity issuances, and/or proceeds from the sale of assets. The
Company expects its available cash and cash flows from operations, additional
proceeds from debt refinancings, and proceeds from the sale of assets to be
sufficient to fund its short-term working capital requirements. The Company's
long-term capital requirements, primarily for acquisitions and other corporate
initiatives, could be dependent on its ability to access additional funds
through joint ventures and the debt and/or equity markets. The Company from time
to time considers and evaluates transactions related to its portfolio including
debt re-financings, equity issuances, purchases and sales of assets,
reorganizations and other transactions. There can be no assurance that the
Company will continue to generate cash flows at or above current levels or that
the Company will be able to obtain the capital necessary to meet the Company's
short and long-term capital requirements.

Recent changes in the economic environment, and other future changes, could
result in decreases in the fair value of assets, slowing of transactions, and
tightening liquidity and credit markets. These impacts could make securing debt
for acquisitions or refinancings for the Company, its joint ventures, or buyers
of the Company's properties more difficult or on terms not acceptable to the
Company. Additionally, the Company may be more susceptible to being negatively
impacted by operating or performance deficits based on the exposure associated
with certain lease coverage requirements.

In summary, the Company's cash flows were as follows (in thousands):





                                                                Year Ended
                                                               December 31,
                                                            2019          2018
    Net cash provided by operating activities             $   5,229     $  

36,870

Net cash provided by (used in) investing activities 47,778 (21,908 )


    Net cash used in financing activities                   (60,264 )      

(1,666 )

Increase (decrease) in cash and cash equivalents $ (7,257 ) $ 13,296






Operating Activities

The Company had net cash provided by operating activities of $5.2 million and
$36.9 million in fiscal 2019 and 2018, respectively. The net cash provided by
operating activities for fiscal 2019 primarily results from net non-cash charges
of $39.4 million, an increase in accrued expenses of $4.3 million, an increase
in deferred resident revenue of $0.6 million, and a decrease in tax and
insurance deposits of $0.5 million, partially offset by a net loss of $36.0
million, a decrease in accounts payable of $0.7 million, and increases in
prepaid expenses, accounts receivable, and other assets of $1.0 million, $1.3
million, and $0.5 million, respectively. The net cash provided by operating
activities for fiscal 2018

                                       45

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primarily results from net non-cash charges of $87.1 million, a decrease in
other assets of $1.4 million, an increase in accounts payable of $1.3 million, a
decrease in tax and insurance deposits of $1.2 million, a decrease in prepaid
expenses of $1.1 million, an increase in accrued expenses of $1.1 million, and
an increase in deferred resident revenue of $0.6 million, partially offset by
net loss of $53.6 million and an increase in accounts receivable of $3.2
million.

Investing Activities



The Company had net cash provided by (used in) investing activities of $47.8
million and $(21.9 million) in fiscal 2019 and 2018, respectively. The net cash
provided by investing activities for fiscal 2019 primarily results from the
Company's receipt of $68.1 million in proceeds from the disposition of assets,
partially offset by capital expenditures associated with ongoing capital
renovations and refurbishments of the Company's senior housing communities of
$20.3 million. The net cash used in investing activities for fiscal 2018
primarily results from capital expenditures associated with ongoing capital
renovations and refurbishments at the Company's senior housing communities.

Financing Activities



The Company had net cash flows used in financing activities of $60.3 million and
$1.7 million in fiscal 2019 and 2018, respectively. The net cash used in
financing activities for fiscal 2019 primarily results from notes payable
proceeds of $37.5 million, of which approximately $31.5 million resulted from
mortgage debt refinancings and supplemental mortgage debt financings and the
remaining $6.0 million related to insurance premium financing, which was offset
by repayments of notes payable of $95.1 million, inclusive of $4.4 million in
debt prepayment penalties, and deferred financing charges paid of $1.2 million
and payments on financing leases and financing obligations of $1.5 million. The
net cash used in financing activities for fiscal 2018 primarily results from
notes payable proceeds of $208.8 million, of which approximately $206.3 million
resulted from mortgage debt refinancings and supplemental mortgage debt
financings and the remaining $2.5 million related to insurance premium
financing, offset by repayments of notes payable of $204.1 million, inclusive of
$11.1 million in debt repayment penalties, deferred financing charges paid of
$3.3 million, and payments on capital lease and financing obligations of
$3.2 million.

Impact of Inflation



To date, inflation has not had a significant impact on the Company. However,
inflation could affect the Company's future revenues and results of operations
because of, among other things, the Company's dependence on senior residents,
many of whom rely primarily on fixed incomes to pay for the Company's services.
As a result, during inflationary periods, the Company may not be able to
increase resident service fees to account fully for increased operating
expenses. In structuring its fees, the Company attempts to anticipate inflation
levels, but there can be no assurance that the Company will be able to
anticipate fully or otherwise respond to any future inflationary pressures.



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