Strawberry Fields REIT, Inc. (STRW)
SIC breadcrumb: Finance, Insurance, And Real Estate > Holding And Other Investment Offices > SIC 6798 Real Estate Investment Trusts
SEC company page: https://www.sec.gov/edgar/browse/?CIK=1782430. Latest filing source: 0001493152-26-011682.
Informational only - descriptive public-record data, not investment advice.
Selected Fundamentals
| Metric | Value | Unit | FY | Filed |
|---|---|---|---|---|
| Revenue | 154,999,000 | USD | 2025 | 2026-03-19 |
| Net income | 7,575,000 | USD | 2025 | 2026-03-19 |
| Assets | 885,225,000 | USD | 2025 | 2026-03-19 |
Financials
Annual standardized facts from SEC companyfacts as of latest extracted filing date 2026-03-19. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001782430.json. Derived margins, ratios, and free cash flow are computed from the extracted annual SEC facts.
| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Revenue | 87,032,000 | 92,543,000 | 99,805,000 | 117,058,000 | 154,999,000 |
| Net income | 393,000 | 1,852,000 | 2,496,000 | 4,095,000 | 7,575,000 |
| Operating income | 36,761,000 | 49,946,000 | 47,439,000 | 61,303,000 | 84,286,000 |
| Diluted EPS | 0.31 | 0.39 | 0.57 | 0.60 | |
| Operating cash flow | 44,786,000 | 50,926,000 | 54,944,000 | 59,330,000 | 90,037,000 |
| Share buybacks | 46,000 | 2,470,000 | 652,000 | ||
| Assets | 569,964,000 | 547,000,000 | 616,795,000 | 787,589,000 | 885,225,000 |
| Liabilities | 534,914,000 | 497,616,000 | 569,522,000 | 704,018,000 | 834,701,000 |
| Stockholders' equity | 2,265,000 | 7,786,000 | 7,507,000 | 18,168,000 | 12,106,000 |
| Cash and cash equivalents | 26,206,000 | 20,197,000 | 12,173,000 | 48,373,000 | 31,812,000 |
Ratios
| Metric | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|
| Net margin | 0.45% | 2.00% | 2.50% | 3.50% | 4.89% |
| Operating margin | 42.24% | 53.97% | 47.53% | 52.37% | 54.38% |
| Return on equity | 17.35% | 23.79% | 33.25% | 22.54% | 62.57% |
| Return on assets | 0.07% | 0.34% | 0.40% | 0.52% | 0.86% |
| Liabilities / equity | 63.91 | 75.87 | 38.75 | 68.95 |
Industry Peer Context
Net margin peer context
Operating margin peer context
ROE peer context
ROA peer context
Financial Charts
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: RevenueFromContractWithCustomerExcludingAssessedTax. Source concepts: us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: NetIncomeLoss. Source concepts: us-gaap:NetIncomeLoss.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: OperatingIncomeLoss. Source concepts: us-gaap:OperatingIncomeLoss.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: EarningsPerShareDiluted. Source concepts: us-gaap:EarningsPerShareDiluted.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: NetCashProvidedByUsedInOperatingActivities. Source concepts: us-gaap:NetCashProvidedByUsedInOperatingActivities.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: PaymentsForRepurchaseOfCommonStock. Source concepts: us-gaap:PaymentsForRepurchaseOfCommonStock.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: Assets. Source concepts: us-gaap:Assets.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: Liabilities. Source concepts: us-gaap:Liabilities.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: StockholdersEquity. Source concepts: us-gaap:StockholdersEquity.
Figure provenance: SEC companyfacts. Latest point: FY 2025 ended 2025-12-31; accession 0001493152-26-011682; filed 2026-03-19. Concept: CashAndCashEquivalentsAtCarryingValue. Source concepts: us-gaap:CashAndCashEquivalentsAtCarryingValue.
Quarterly
Quarterly standardized facts from SEC companyfacts as of latest extracted filing date 2026-05-08. Source: https://data.sec.gov/api/xbrl/companyfacts/CIK0001782430.json.
| Quarter | End Date | Revenue | Net Income | Diluted EPS | Method |
|---|---|---|---|---|---|
| 2023-Q2 | 2023-06-30 | 24,307,000 | 698,000 | 0.11 | reported discrete quarter |
| 2023-Q3 | 2023-09-30 | 25,771,000 | 589,000 | 0.09 | reported discrete quarter |
| 2023-Q4 | 2023-12-31 | 25,480,000 | 714,000 | derived Q4 = FY annual - nine-month YTD | |
| 2024-Q1 | 2024-03-31 | 27,834,000 | 746,000 | 0.12 | reported discrete quarter |
| 2024-Q2 | 2024-06-30 | 29,272,000 | 938,000 | 0.14 | reported discrete quarter |
| 2024-Q3 | 2024-09-30 | 29,464,000 | 944,000 | 0.14 | reported discrete quarter |
| 2024-Q4 | 2024-12-31 | 30,488,000 | 1,467,000 | derived Q4 = FY annual - nine-month YTD | |
| 2025-Q1 | 2025-03-31 | 37,333,000 | 1,584,000 | 0.13 | reported discrete quarter |
| 2025-Q2 | 2025-06-30 | 37,861,000 | 1,956,000 | 0.16 | reported discrete quarter |
| 2025-Q3 | 2025-09-30 | 39,711,000 | 2,017,000 | 0.16 | reported discrete quarter |
| 2025-Q4 | 2025-12-31 | 40,095,000 | 2,018,000 | derived Q4 = FY annual - nine-month YTD | |
| 2026-Q1 | 2026-03-31 | 39,984,000 | 2,280,000 | 0.17 | reported discrete quarter |
Quarterly Charts
Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001493152-26-021823; filed 2026-05-08. Concept: RevenueFromContractWithCustomerExcludingAssessedTax. Source concepts: us-gaap:RevenueFromContractWithCustomerExcludingAssessedTax.
Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001493152-26-021823; filed 2026-05-08. Concept: NetIncomeLoss. Source concepts: us-gaap:NetIncomeLoss.
Figure provenance: SEC companyfacts. Latest point: FY 2026 ended 2026-03-31; accession 0001493152-26-021823; filed 2026-05-08. Concept: EarningsPerShareDiluted. Source concepts: us-gaap:EarningsPerShareDiluted.
Macro Cross-References
- CPIAUCSL - Consumer Price Index for All Urban Consumers: All Items in U.S. City Average
- UNRATE - Unemployment Rate
- FEDFUNDS - Federal Funds Effective Rate
- CES0500000003 - Average Hourly Earnings of All Employees, Total Private
- DFEDTARU - Federal Funds Target Range - Upper Limit
- DFEDTARL - Federal Funds Target Range - Lower Limit
- DGS3MO - Market Yield on U.S. Treasury Securities at 3-Month Constant Maturity
- DGS2 - Market Yield on U.S. Treasury Securities at 2-Year Constant Maturity
- DGS10 - Market Yield on U.S. Treasury Securities at 10-Year Constant Maturity
- DGS30 - Market Yield on U.S. Treasury Securities at 30-Year Constant Maturity
- T10Y2Y - 10-Year Treasury Constant Maturity Minus 2-Year Treasury Constant Maturity
- CPILFESL - Consumer Price Index for All Urban Consumers: All Items Less Food and Energy
- CPIUFDSL - Consumer Price Index for All Urban Consumers: Food
- CPIENGSL - Consumer Price Index for All Urban Consumers: Energy
- CUSR0000SAH1 - Consumer Price Index for All Urban Consumers: Shelter
- PCEPI - Personal Consumption Expenditures: Chain-type Price Index
- PCEPILFE - Personal Consumption Expenditures Excluding Food and Energy: Chain-type Price Index
- PPIACO - Producer Price Index by Commodity: All Commodities
- T10YIE - 10-Year Breakeven Inflation Rate
- U6RATE - Total Unemployed, Plus All Marginally Attached Workers Plus Total Employed Part Time for Economic Reasons
- PAYEMS - All Employees, Total Nonfarm
- CIVPART - Labor Force Participation Rate
- EMRATIO - Employment-Population Ratio
- UNEMPLOY - Unemployed
- CE16OV - Employment Level
- ICSA - Initial Claims
- JTSJOL - Job Openings: Total Nonfarm
- JTSQUR - Quits: Total Nonfarm
- GDPC1 - Real Gross Domestic Product
- A191RL1Q225SBEA - Real Gross Domestic Product: Percent Change from Preceding Period
- INDPRO - Industrial Production: Total Index
- TCU - Capacity Utilization: Total Index
- HOUST - New Privately-Owned Housing Units Started: Total Units
- PERMIT - New Privately-Owned Housing Units Authorized in Permit-Issuing Places: Total Units
- RSAFS - Advance Retail Sales: Retail Trade
- PCE - Personal Consumption Expenditures
- DSPIC96 - Real Disposable Personal Income
- PSAVERT - Personal Saving Rate
- M2SL - M2
- BOPGSTB - U.S. International Trade in Goods and Services: Balance
- MSPUS - Median Sales Price of Houses Sold for the United States
- HSN1F - New One Family Houses Sold: United States
- RHORUSQ156N - Homeownership Rate in the United States
- TTLCONS - Total Construction Spending: Total Construction in the United States
- RRVRUSQ156N - Rental Vacancy Rate in the United States
- TOTALSL - Total Consumer Credit Owned and Securitized
- REVOLSL - Revolving Consumer Credit Owned and Securitized
- DRCCLACBS - Delinquency Rate on Credit Card Loans, All Commercial Banks
- GDP - Gross Domestic Product
- GPDI - Gross Private Domestic Investment
- GCE - Government Consumption Expenditures and Gross Investment
- PCEC - Personal Consumption Expenditures
- NETEXP - Net Exports of Goods and Services
- GFDEBTN - Federal Debt: Total Public Debt
- GFDEGDQ188S - Federal Debt: Total Public Debt as Percent of Gross Domestic Product
- FYFSD - Federal Surplus or Deficit
- FGRECPT - Federal Government Current Receipts
- FGEXPND - Federal Government: Current Expenditures
- MANEMP - All Employees, Manufacturing
- USCONS - All Employees, Construction
- USTRADE - All Employees, Retail Trade
- USFIRE - All Employees, Financial Activities
- USGOVT - All Employees, Government
- AWHAETP - Average Weekly Hours of All Employees, Total Private
- DGORDER - Manufacturers' New Orders: Durable Goods
- NEWORDER - Manufacturers' New Orders: Nondefense Capital Goods Excluding Aircraft
- BUSINV - Total Business Inventories
- EXPGS - Exports of Goods and Services
- IMPGS - Imports of Goods and Services
- IR - Import Price Index (End Use): All Commodities
- PPIFIS - Producer Price Index by Commodity: Final Demand
Latest quarter (10-Q)
Latest 10-Q source: 0001493152-26-021823.
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations. (continued)
Indebtedness
(continued)
Outstanding
Bond Debt
As
of March 31, 2026, the Company had outstanding Series A, Series B, Series C Bonds and Series D Bonds.
Series
A Bonds
In
August 2024, Strawberry Fields, Inc completed, directly, an initial offering on the Tel Aviv Stock Exchange (“TASE”) of Series
A Bonds with a par value of NIS 145.6 million ($37.1 million). The series A Bonds were issued at par. Offering and issuance costs of
approximately $1.0 million were incurred at closing. In December 2024, the Company issued an additional NIS 145.6 million ($38.1 million)
in Series A Bonds.
Exchange
of Series D Bonds for Series A Bonds
In
September 2024 the Company made an exchange tender offer of outstanding Series D Bonds for Series A Bonds. The interest rate on Series
D Bonds is 9.1% per annum. The exchange offer rate was 1.069964 Series A Bonds per Series D Bonds. As a result of this offer, NIS 47.3
million Series D Bonds ($12.7 million) were exchanged for NIS 50.6 million Series A Bonds ($13.6 million).
As
of March 31, 2026, the outstanding balance of Series A Bonds was NIS 302.2 million ($95.5 million)
The
Series A Bonds are traded on the TASE
Series
B Bonds
In
June 2025, Strawberry Fields, Inc completed, directly, an initial offering on the Tel Aviv Stock Exchange (“TASE”) of Series
B Bonds with a par value of NIS 312 million ($89.5 million). The series B Bonds were issued at par. Offering and issuance costs of approximately
$2.5 million were incurred at closing. In December 2025, the Company issued an additional NIS 30.0 million ($9.4 million) in Series B
Bonds. At March 31, 2026, the outstanding balance of Series B Bonds was $108.1 million.
Series
C Bonds
In
July 2021, the BVI Company completed an initial offering of Series C Bonds with a par value of NIS 208.0 million ($64.7 million). The
Series C Bonds were issued at par. During February 2023, the BVI Company issued additional Series C Bonds in the face amount of NIS 40.0
million ($11.3 million) and raised a net amount of NIS 38.1 million ($10.7 million). These Series C Bonds were issued at a price of 95.25%.
In October 2024, the BVI company issued an additional NIS 62.0 million ($16.6 million) in Series C Bonds. The bonds were issued at 99.3%.
As
of March 31, 2026, the outstanding principal amount of the Series C Bonds was NIS 247.9 million ($78.3 million).
The
Series C Bonds are traded on the TASE.
43
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations. (continued)
Series
D Bonds
In
June 2023, the BVI Company completed an initial offering of Series D Bonds with a par value of NIS 82.9 million ($22.9 million). The
Series D Bonds were issued at par. During August 2023, the BVI Company issued additional Series D Bonds in the face amount of NIS 70.0
million ($19.2 million). These Series D Bonds were issued at a price of 99.7%. On February 8, 2024, the BVI Company issued additional
NIS 98.2 million ($25.7 million) Series D Bonds. These Series D Bonds were issued at a price of 106.3%.
Exchange
of Series D Bonds for Series A Bonds
In
September 2024 the Company made an exchange tender offer of outstanding Series D Bonds for Series A Bonds. The interest rate on Series
D Bonds is 9.1% per annum. The exchange offer rate was 1.069964 Series A Bonds per Series D Bonds. As a result of this offer, 47.3 million
NIS Series D Bonds ($12.7 million) were exchanged for 50.6 million NIS Series A Bonds ($13.6 million).
As
of March 31, 2026, the Series D Bonds had an outstanding principal balance of approximately NIS 175.8 ($55.5 million).
Summary
of fixed and variable loans
| March 31, 2026 | December 31, 2025 | ||||||
|---|---|---|---|---|---|---|---|
| (Amounts in $000s) | |||||||
| Fixed rate loans | $ | 632,661 | $ | 634,168 | |||
| Variable rate loans | 158,771 | 160,484 | |||||
| Gross Note Payable and other Debt | $ | 791,432 | $ | 794,652 |
44
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations. (continued)
Funds
From Operations (“FFO”)
The
Company believes that funds from operations (“FFO”), as defined in accordance with the definition used by the National Association
of Real Estate Investment Trusts (“NAREIT”), and adjusted funds from operations (“AFFO”) are important non-GAAP
supplemental measures of our operating performance. Because the historical cost accounting convention used for real estate assets requires
straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably
over time. However, since real estate values have historically risen or fallen with market and other conditions, presentations of operating
results for a REIT that uses historical cost accounting for depreciation could be less informative. Thus, NAREIT created FFO as a supplemental
measure of operating performance for REITs that excludes historical cost depreciation and amortization, among other items, from net income,
as defined by GAAP. FFO is defined as net income, computed in accordance with GAAP, excluding gains or losses from real estate dispositions,
plus real estate depreciation and amortization. AFFO is defined as FFO excluding the impact of straight-line rent, above-/below-market
leases, non-cash compensation and certain non-recurring items. We believe that the use of FFO, combined with the required GAAP presentations,
improves the understanding of our operating results among investors and makes comparisons of operating results among REITs more meaningful.
We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding the
applicable items listed above, FFO and AFFO can help investors compare our operating performance between periods or as compared to other
companies.
While
FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations
or net income as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating
performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do
they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not
be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREIT definition or that
interpret the current NAREIT definition or define AFFO differently than we do.
The
following table reconciles our calculations of FFO and AFFO for the three months ended March 31, 2026 and 2025, to net income the most
directly comparable GAAP financial measure, for the same periods:
FFO
and AFFO
| Three Months Ended March 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2026 | 2025 | |||||||
| (dollars in $000s) | ||||||||
| Net income | $ | 9,474 | $ | 6,991 | ||||
| Depreciation and amortization | 11,453 | 11,270 | ||||||
| Funds from Operations | 20,927 | 18,261 | ||||||
| FFO per weighted average common share and OP Units | 0.38 | 0.33 | ||||||
| Adjustments to FFO: | ||||||||
| Straight-line rent | (2,089 | ) | (1,457 | ) | ||||
| Funds from Operations, as Adjusted | $ | 18,838 | $ | 16,804 | ||||
| Adjusted FFO per weighted average common share and OP Units | 0.34 | 0.30 |
45
Item
2. Management’s Discussion and Analysis of Financial Condition and Results of Operations. (continued)
Subsequent
Events
On April 20, 2026, the Company
entered into an asset purchase agreement to acquire a healthcare property with 99 licensed SNF beds and 60 hospital beds near
Marshall, Missouri. The acquisition is expected to be approximately $8.6 million. The proposed acquisition is subject to approval by
the applicable bankruptcy court and satisfaction of customary closing conditions. The Company expects to close on the property in
the second quarter of 2026.
Critical
Accounting Policies and Estimates
Our
Latest 10-K MD&A
ITEM
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The
discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially
from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the
section titled “Risk Factors.” Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The
following discussion and analysis should be read in conjunction with our accompanying consolidated financial statements and the notes
thereto.
Overview
Strawberry
Fields REIT, Inc. (the “Company”) is engaged in the ownership, acquisition, financing and triple-net leasing of skilled nursing
facilities and other post-acute healthcare properties. As of December 31, 2025, our portfolio consists of 143 healthcare facilities
with an aggregate of 15,602 licensed beds. We hold fee title to 132 of these properties and hold one property under a long-term lease.
These properties are located in Arkansas, Illinois, Indiana, Kansas, Kentucky, Missouri, Ohio, Oklahoma, Tennessee and Texas. We generate
substantially all our revenues by leasing our properties to tenants under long-term leases primarily on a triple-net basis, under which
the tenant pays the cost of real estate taxes, insurance and other operating costs of the facility and capital expenditures. Each healthcare
facility located at our properties is managed by a qualified operator with an experienced management team.
We
employ a disciplined approach in our investment strategy by investing in healthcare real estate assets. We seek to invest in assets that
will provide attractive opportunities for dividend growth and appreciation in asset value, while maintaining balance sheet strength and
liquidity, thereby creating long-term stockholder value. We expect to grow our portfolio by diversifying our investments by tenant, facility
type and geography.
We
are entitled to monthly rent paid by the tenants and we do not receive any income or bear any expenses from the operations of such facilities.
As of the date of this report, the aggregate annualized average base rent under the leases for our properties was approximately $142.7
million.
We
elect to be taxed as a REIT for U.S. federal income tax purposes commencing with our taxable year ending December 31, 2022. We are organized
in an UPREIT structure in which we own substantially all of our assets and conduct substantially all of our business through the Operating
Partnership. We are the general partner of the Operating Partnership and as of the date of the report own approximately 24.0% of the
outstanding OP units.
37
Significant Events in 2025
On
January 1, 2025, the Company entered into a new master lease for 10 Kentucky properties formally part of the Landmark Master Lease. Base
rent is $23.3 million a year and is subject to an increase based on CPI with a minimum increase of 2.50%. The initial lease term is 10
years with four 5-year extension options. Also, as part of the negotiation of the new Kentucky Master Lease, the Company entered into
a 5 year note payable with the parent of the Landmark tenant for $50.9 million dollars, included in Note Payable in the accompanying
consolidated balance sheets.
On
January 2, 2025, the Company acquired 6 facilities consisting of 354 beds in Kansas. The acquisition was $24.0 million and the Company
funded the acquisition utilizing cash from the consolidated balance sheets. The Company formed a new master lease for an initial
10-year period that included two 5-year extension options on a triple-net basis. Additionally, the lease will increase the Company’s
annual rents by $2.4 million and is subject to 3% annual increases.
On
March 31, 2025, the Company acquired a skilled nursing facility with 100 licensed beds near Oklahoma City, Oklahoma. The acquisition
was $5.0 million and was funded utilizing cash from the consolidated balance sheets. The initial term of the lease is 10 years
and includes two 5-year extension options. Base rent for the property is $0.5 million dollars annually and is subject to 3% annual increases.
On
April 4, 2025, the Company completed the acquisition for a skilled nursing facility with 112 licensed beds near Houston, Texas. The acquisition
was for $11.5 million and was funded utilizing cash from the consolidated balance sheets. The Company funded the acquisition utilizing cash from the consolidated balance sheets. The facility
was leased to an existing third party operator and added to their Master Lease (Texas Master Lease 2). The initial annual base rents
are $1.3 million dollars and subject to 3% annual rent increases.
On
June 24, 2025, the Company issued 312.0 million NIS in Series B Bonds on the TASE, which is approximately $89.5 million. The bonds are
unsecured, were issued at par and have a fixed interest rate of 6.70%. Repayment of the bond principal, at 4% of the principal, will
be paid in the years 2026 through 2028, with the remaining 88% due in June 2029. Interest payments will be due semi-annually on June
30th and December 30th of the years 2025 through maturity in 2029.
On
July 1, 2025, the Company completed the acquisition of nine skilled nursing facilities, comprised of 686 beds, located in Missouri. The
acquisition was for $59 million and the Company funded the acquisition utilizing cash from the consolidated balance sheets.
Eight of the facilities were leased to the Tide Group and were added to the master lease the Company entered into in August 2024. This
acquisition increased Tide Group’s annual rents by $5.5 million. These properties are subject to an annual rent increase of 3%
and the initial term is 10 years. The ninth facility was leased to an affiliate of Reliant Care Group L.L.C. The facility was added to
the master lease the Company assumed in December 2024 and increased Reliant Care Group’s annual rents by $0.6 million.
On
July 1, 2025, the Company sold Chalet of Niles, a property in Michigan that was formally part of the Landmark Master Lease, to a third-party
purchaser. The property sold for $2.7 million dollars. A loss of $0.01 million dollars resulted from this sale. The buyer received financing
from the Company for the acquisition. The financing was $2.4 million for three years and is interest only, with an annual interest rate
of 10%. The financing has a balloon payment at the end of year three.
On
August 5, 2025, the Company completed the acquisition for a skilled nursing facility with 80 licensed beds near McLoud, Oklahoma. The
acquisition was for $4.25 million. The Company funded the acquisition utilizing cash from the consolidated balance sheets.
The initial annual base rents are $0.4 million dollars and subject to 3% annual rent increases. The initial term is 10 years and includes
two 5-year extension options.
On
August 29, 2025, the Company completed the acquisition for a healthcare facility comprised of 108 skilled nursing beds and 16 assisted
living beds near Poplar Bluff, Missouri. The acquisition was for $5.3 million. The Company funded the acquisition utilizing cash from
the consolidated balance sheets. The initial annual base rents are $0.5 million dollars and subject to 3% annual rent increases.
The property was assumed by the Reliant Care master lease and is subject to the terms of the master lease.
38
On
November 4, 2025, the Company completed the acquisition for a skilled nursing facility with 60 licensed beds near Grove, Oklahoma.
The acquisition was for $3.0 million. The Company funded the acquisition utilizing cash from the consolidated balance sheet.
The initial annual base rents are $0.3 million dollars and subject to 3% annual rent increases.
Related
Party Tenants
As
a landlord, the Company does not control the operations of its tenants, including related party tenants, and is not able to cause its
tenants to take any specific actions to address trends in occupancy at the facilities operated by its tenants, other than to monitor
occupancy and income of its tenants, discuss trends in occupancy with tenants and possible responses, and, in the event of a default,
to exercise its rights as a landlord. However, Moishe Gubin, our Chairman and Chief Executive Officer, and Michael Blisko, one of our
directors, as the controlling members of 66 of our tenants and related operators, have the ability to obtain information regarding these
tenants and related operators and cause the tenants and operators to take actions, including with respect to occupancy.
Results
of Operations
Operating
Results
Year
Ended December 31, 2025 Compared to Year Ended December 31, 2024:
| Year Ended December 31, | Increase / | Percentage | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (dollars in thousands) | 2025 | 2024 | (Decrease) | Difference | ||||||||||||
| Rental revenues | $ | 154,999 | $ | 117,058 | $ | 37,941 | 32 | % | ||||||||
| Expenses: | ||||||||||||||||
| Depreciation | 35,774 | 29,031 | 6,743 | 23 | % | |||||||||||
| Amortization | 10,475 | 4,657 | 5,818 | 125 | % | |||||||||||
| General and administrative expenses | 8,608 | 6,851 | 1,757 | 26 | % | |||||||||||
| Property and other taxes | 15,247 | 14,489 | 758 | 5 | % | |||||||||||
| Facility rent expenses | 609 | 727 | (118 | ) | (16 | )% | ||||||||||
| Total Expenses | 70,713 | 55,755 | 14,958 | 27 | % | |||||||||||
| Interest expense, net | 48,612 | 32,603 | 16,009 | 49 | % | |||||||||||
| Amortization of interest expense | 804 | 657 | 147 | 22 | % | |||||||||||
| Mortgage Insurance Premium | 1,536 | 1,548 | (12 | ) | (1 | )% | ||||||||||
| Total Interest Expenses | 50,952 | 34,808 | 16,144 | 46 | % | |||||||||||
| Other (loss) income | ||||||||||||||||
| Other (loss) income | (28 | ) | 10 | (38 | ) | (380 | )% | |||||||||
| Net Income | 33,306 | 26,505 | 6,801 | 26 | % | |||||||||||
| Net income attributable to non-controlling interest | (25,731 | ) | (22,410 | ) | (3,321 | ) | (15 | )% | ||||||||
| Net Income attributable to common stockholders | 7,575 | 4,095 | 3,480 | 85 | % | |||||||||||
| Basic and diluted income per common share | $ | 0.60 | $ | 0.57 | 0.03 | 5 | % |
39
Rental
revenues: Rental revenues increased $37.9 million, or 32.4%, compared to fiscal year 2024. The year-over-year growth was primarily
driven by $13.1 million in additional revenue associated with the re-tenanting of the Landmark and Kentucky Master Lease, as well as
contributions from recent property acquisitions completed in 2024 and 2025. These acquisitions included the Missouri lease ($10.3 million),
the Tide Group Master Lease ($5.5 million), and the Kansas Master Lease ($2.4 million). The increase also reflects additional reimbursed
property taxes from tenants.
Depreciation
and Amortization: Depreciation expense increased $6.7 million, or 23.2%, compared to fiscal year 2024. The results were driven by
year-over-year depreciation from new real estate investments placed into service during
the 2024 and 2025. These increases were partially offset by assets that became fully depreciated in 2025. Amortization expense increased $5.8
million, or 124.9%, primarily due to the amortization of an asset associated with the note payable related to the re-tenanting of the
properties under the Kentucky Master Lease.
General
and Administrative Expense: General and administrative expenses increased $1.8 million compared to fiscal year 2024, or 25.6%, primarily due to $1.7 million of higher payroll expenses driven by increased executive
compensation and employee bonus costs.
Property
and Other Taxes: Property expenses increased $0.8 million year over year. This increase was driven primarily by higher property
tax obligations, which rose as a result of approximately $0.8 million in new property taxes associated with assets acquired during 2024
and 2025.
Interest
expense, net: Interest expense increased $16.0 million, or 49.1%, from fiscal year 2024 to fiscal year 2025. The increase was primarily
driven by $9.3 million of higher bond interest expense associated with the issuance of a new bond series, $4.5 million of additional
interest expense related to a new note payable entered into during 2025, and $1.5 million of increased mortgage interest expense from
a third commercial bank loan facility used to finance the acquisition of the Missouri facilities.
Net
Income: The increase in net income from $26.5 million during the year ended December 31, 2024 to $33.3 million in the year ended
December 31, 2025 is primarily due to increases in rental revenue (net of increase in real estate taxes), and is offset by higher depreciation,
amortization, property taxes, general and administrative and interest expenses.
Liquidity
and Capital Resources
To
qualify as a REIT for federal income tax purposes, we are required to distribute at least 90% of our REIT taxable income, determined
without regard to the dividends paid deduction and excluding any net capital gains, to our stockholders on an annual basis. Accordingly,
we intend to make, but are not contractually bound to make, regular quarterly dividends to common stockholders from cash flow from operating
activities. All such dividends are at the discretion of our board of directors.
As
of December 31, 2025, we had cash and cash equivalents and restricted cash and equivalents of $66.8 million. We also had the ability
to offer additional Series A Bonds from the current outstanding of $94.7 million up to $172.4 million. Series C Bonds from the current
outstanding of $77.7 million up to $197.5 million and the ability to offer additional Series D Bonds from the current outstanding of $55.1 million
up to $141.1 million. is subject to compliance with covenants and market conditions. Bond B does not have a ceiling for additional issuances; however, the series is subject to compliance with covenants
and market conditions.
40
Liquidity
is a measure of our ability to meet potential cash requirements, including ongoing commitments to repay borrowings, fund and maintain
our assets and operations, make distributions to our stockholders and other general business needs. Our primary sources of cash include
operating cash flows and borrowings. Our primary uses of cash include funding acquisitions and investments consistent with our investment
strategy, repaying principal and interest on any outstanding borrowings, making distributions to our equity holders, funding our operations
and paying accrued expenses.
Our
long-term liquidity needs consist primarily of funds necessary to pay for the costs of acquiring additional healthcare properties and
principal and interest payments on our debt. We expect to meet our long-term liquidity requirements through various sources of capital,
including future equity issuances or debt offerings, net cash provided by operations, long-term mortgage indebtedness and other secured
and unsecured borrowings.
We
may utilize various types of debt to finance a portion of our acquisition activities, including long-term, fixed-rate mortgage
loans, variable-rate term loans and secured revolving lines of credit. As of December 31, 2025, on a consolidated basis, we had
total indebtedness of approximately $794.5 million, consisting of $254.1 million in HUD guaranteed debt, $334.7 million in gross
Series A, B, C, and D bonds outstanding and $163.1 million in commercial mortgages. We also have a Note Payable with an outstanding
balance of $42.6 million. Under our Bonds and our commercial mortgages, we are subject to continuing covenants, and future
indebtedness that we may incur, may contain similar provisions. In the event of a default, the lenders could accelerate the timing
of payments under the debt obligations, and we may be required to repay such debt with capital from other sources, which may not be
available on attractive terms, or at all, which would have a material adverse effect on our liquidity, financial condition, results
of operations and ability to make distributions to our stockholders.
Our
debt arrangements may require us to make a lump-sum or “balloon” payment at maturity. Our ability to make the balloon payments
due under our existing and future indebtedness will depend on our working capital at the time of repayment, our ability to obtain additional
financing or our ability to sell any property securing such indebtedness. At the time the balloon payment is due, we may or may not be
able to refinance the existing financing on terms as favorable as the original bond or loan or sell any related property at a price sufficient
to make the balloon payment. In addition, balloon payments and payments of principal and interest on our indebtedness may leave us with
insufficient cash to pay the distributions that we are required to pay to qualify and maintain our qualification as a REIT.
Through
2029 there are balloon payment obligations consisting of three payments of $94.7 million, $77.7 million, and $55.1 million, due
under the Series A Bonds, Series C Bonds, and Series D bonds in 2026, and $94.3 million due under Bond B in 2029, respectively, and
payments of $56.1 million, $36.6 million and $52.3 million due under our three commercial bank term loans due in 2027, 2028, and
2029, respectively. We may also obtain additional financing that contains balloon payment obligations. These types of obligations may materially
adversely affect us, including our cash flows, financial condition and ability to make distributions.
The
Company believes that its overall level of indebtedness is appropriate for the Company’s business in light of its cash flow from
operations and value of its properties and is generally typical for owners of multiple healthcare properties. The Company expects to
generate sufficient positive cash flow from operations to meet its ongoing debt service obligations and the distribution requirements
for maintaining REIT status.
41
Cash
Flows
The
following table presents selected data from our consolidated statements of cash flows:
| Years Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | |||||||
| (dollars in thousands) | ||||||||
| Net cash provided by operating activities | $ | 90,037 | $ | 59,330 | ||||
| Net cash used in investing activities | (111,872 | ) | (136,776 | ) | ||||
| Net cash (used in) provided by financing activities | (5,063 | ) | 133,344 | |||||
| Net (decrease) increase in cash and cash equivalents and restricted cash and equivalents | (26,898 | ) | 55,898 | |||||
| Cash and cash equivalents, and restricted cash and equivalents beginning of year | 93,656 | 37,758 | ||||||
| Cash and cash equivalents and restricted cash and equivalents, end of year | $ | 66,758 | $ | 93,656 |
Net
cash provided by operating activities increased $30.7 million for the year ended December 31, 2025 compared to the year ended
December 31, 2024, primarily due to an increase of $12.6 million increase in depreciation and amortization, a $8.7 million increase
in accounts payable and accrued liabilities and other liabilities and a $6.8 million increase in net income. The increases in
Depreciation, Amortization is driven by acquisitions made in 2024 and 2025 as well as the re-tenanting of the Landmark and Kentucky
master leases. The increase in accounts payable and other liabilities is due to increased deposits related to the recent property
acquisitions, as well as an increase in prepaid rent.
Cash
used in investing activities decreased by $24.9 million for the year ended December 31, 2025 compared December 31, 2024, primarily
due to a $27.9 million decrease in cash used for property acquisitions in real estate and lease rights. This difference was offset by a net $3.0 million increase in notes receivable balances.
Cash flows generated from financing
activities decreased by $138.4 million for the year ended December 31, 2025 compared to the year ended December 31, 2024. The decline
was driven by a lower amount of cash received from debt and equity issuances, specifically, from $59.0 in lower proceeds from senior
debt, $33.0 million in lower proceeds from equity raises and $21.5 million in lower proceeds from bond issuances. The company also increased
debt principal repayments by $18.8 million in 2025 and increased common stock and OP unit distributions by $5.7 million in 2025.
Indebtedness
Mortgage
Loans Guaranteed by HUD
As
of December 31, 2025, we had non-recourse mortgage loans of $254.1 million from third party lenders that were guaranteed by HUD.
Each
loan is secured by first mortgages on certain specified properties, interests in the leases for these properties and second liens on
the operator’s assets. In the event of default on any single loan, the loan agreement provides that the applicable lender may require
the tenants for the property securing the loan to make all rental payments directly to the lender. In exchange for the HUD guarantee,
we pay HUD, on an annual basis, 0.65% of the principal balance of each loan as mortgage insurance premium, in addition to the interest
rate denominated in each loan agreement. As a result, the overall average interest rate paid with respect to the HUD guaranteed loans
as of December 31, 2025, was 3.91% per annum (including the mortgage insurance payments). The loans have an average maturity of 21 years.
42
Commercial
Bank Term Loans
On
March 21, 2022, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed
approximately $105 million. The facility provides for monthly payments of principal and interest based on a 20-year amortization
with a balloon payment due in March 2027. The rate is based on the one-month Secured Overnight Financing Rate (“SOFR”)
plus a margin of 3.5% and a floor 4% (as of the December 31, 2025 the rate was 7.37%). As of December 31, 2025, total outstanding
principal amount was $61.2 million. This loan is collateralized by 21 properties owned by the Company. The loan proceeds were used
to repay the Series B Bonds and prepay commercial loans not secured by HUD guarantees. The Company recognized a foreign currency
transaction loss of approximately $10.1 million in connection with the repayment of the Series B Bonds during the year ended
December 31, 2022.
On
August 25, 2023, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed approximately
$66 million. The facility provides for monthly payments of interest and payment of principal and interest thereafter, will start on August
2024 based on a 20-year amortization with a balloon payment due in August 2028. The rate is based on the one-month SOFR plus a margin
of 3.5% and a floor of 4% (as of the December 31, 2024, the rate was 7.37%). As of December 31, 2025, total outstanding principal amount
was $40.3 million. This loan is collateralized by 19 properties owned by the Company. The loan proceeds were used to acquire the Indiana
facilities.
On
December 19, 2024, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed approximately
$59 million. The facility provides for monthly payments of interest and payment of principal will start on January 2026 based on a 20-year
amortization with a balloon payment due in December 2029. The rate and interest is based on the one-month Secured Overnight Financing
Rate SOFR plus a margin of 3.0% and a floor of 4% (as of the December 31, 2025, the rate was 6.87%). As of December 31, 2025, total outstanding
principal amount was $59 million. This loan is collateralized by 8 properties owned by the Company. The loan proceeds were used to acquire
the Missouri facilities.
The
two credit facilities closed in March 21, 2022 and August 25, 2023 are subject to financial covenants which are consist of (i) a covenant
that the ratio of the Company’s indebtedness to its EBITDA cannot exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s
net operating income to its debt service before dividend distribution is at least 1.20 to 1.00 for each fiscal quarter as measured pursuant
to the terms of the loan agreement (iii) a covenant that the ratio of the Company’s net operating income to its debt service after
dividend distribution is at least 1.05 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement, and (iii)
a covenant that the Company’s GAAP equity is at least $20,000,000. As of December 31, 2025, the Company was in compliance with
the loan covenants.
The
credit facility closed on December 19, 2024 is subject to financial covenants which consist of (i) a covenant that the ratio of the Company’s
indebtedness to its EBITDA cannot exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s net operating income to its
debt service before dividend distribution is at least 1.25 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan
agreement (iii) a covenant that the ratio of the Company’s net operating income to its debt service after dividend distribution
is at least 1.05 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement, and (iii) a covenant that the
Company’s GAAP equity is at least $30,000,000. As of December 31, 2025, the Company was in compliance with the loan covenants.
Outstanding
Bond Debt
As
of December 31, 2025, the Company had outstanding Series A, Series B, Series C Bonds and Series D Bonds.
Series
A Bonds
In
August 2024, Strawberry Fields, Inc completed, directly, an initial offering on the Tel Aviv Stock Exchange (“TASE”) of Series
A Bonds with a par value of NIS 145.6 million ($37.1 million). The series A Bonds were issued at par. Offering and issuance costs of
approximately $1.0 million were incurred at closing. In December 2024, the Company issued an additional NIS 145.6 million ($38.1
million) in Series A Bonds.
Exchange
of Series D Bonds for Series A Bonds
In
September 2024 the Company made an exchange tender offer of outstanding Series D Bonds for Series A Bonds. The interest rate on
Series D Bonds is 9.1% per annum. The exchange offer rate was 1.069964 Series A Bonds per Series D Bonds. As a result of this offer,
NIS 47.3 million Series D Bonds ($12.7 million) were exchanged for NIS 50.6 million Series A Bonds ($13.6 million).
As of December 31, 2025, the outstanding balance of Series A Bonds was NIS 302.2 million ($94.7
million)
The
Series A Bonds are traded on the TASE.
Series
B Bonds
In
June 2025, Strawberry Fields, Inc completed, directly, an initial offering on the Tel Aviv Stock Exchange (“TASE”) of Series
B Bonds with a par value of NIS 312 million ($89.5 million). The series B Bonds were issued at par. Offering and issuance costs of approximately
$2.5 million were incurred at closing. In December 2025, the Company issued an additional NIS 30.0 million ($9.4 million) in Series
B Bonds. At December 31, 2025, the outstanding balance of Series B Bonds was $107.2 million.
Series
C Bonds
In
July 2021, the BVI Company completed an initial offering of Series C Bonds with a par value of NIS 208.0 million ($64.4 million). The
Series C Bonds were issued at par. During February 2023, the BVI Company issued additional Series C Bonds in the face amount of NIS 40.0
million ($11.3 million) and raised a net amount of NIS 38.1 million ($10.7 million). These Series C Bonds were issued at a price of 95.25%.
In October 2024, the BVI company issued an additional NIS 62.0 million ($16.6 million) in Series C Bonds. The bonds were issued at 99.3%.
43
As
of December 31, 2025, the outstanding principal amount of the Series C Bonds was NIS 247.9 million ($77.7 million).
The
Series C Bonds are traded on the TASE.
Series
D Bonds
In
June 2023, the BVI Company completed an initial offering of Series D Bonds with a par value of NIS 82.9 million ($22.9 million). The
Series D Bonds were issued at par. During August 2023, the BVI Company issued additional Series D Bonds in the face amount of NIS 70.0
million ($19.2 million). These Series D Bonds were issued at a price of
99.7%. On February 8, 2024, the BVI Company issued additional NIS 98.2 million ($25.7 million) Series D Bonds. These Series D Bonds were
issued at a price of 106.3%.
Exchange
of Series D Bonds for Series A Bonds
In
September 2024 the Company made an exchange tender offer of outstanding Series D Bonds for Series A Bonds. The interest rate on Series
D Bonds is 9.1% per annum. The exchange offer rate was 1.069964 Series A Bonds per Series D Bonds. As a result of this offer, 47.3 million
NIS Series D Bonds ($12.7 million) were exchanged for 50.6 million NIS Series A Bonds ($13.6 million).
As
of December 31, 2025, the Series D Bonds had an outstanding principal balance of approximately NIS 175.8 ($55.1 million).
Summary
of fixed and variable loans:
| December 31, | |||||||
|---|---|---|---|---|---|---|---|
| 2025 | 2024 | ||||||
| (Amounts in $000s) | |||||||
| Fixed rate loans | $ | 634,168 | $ | 475,494 | |||
| Variable rate loans | 160,484 | 198,441 | |||||
| Gross Note Payable and other Debt | $ | 794,652 | $ | 673,935 |
Funds
From Operations (“FFO”)
The
Company believes that net income as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations
(“FFO”), as defined in accordance with the definition used by the National Association of Real Estate Investment Trusts (“NAREIT”),
and adjusted funds from operations (“AFFO”) are important non-GAAP supplemental measures of our operating performance. Because
the historical cost accounting convention used for real estate assets requires straight-line depreciation (except on land), such accounting
presentation implies that the value of real estate assets diminishes predictably over time. However, since real estate values have historically
risen or fallen with market and other conditions, presentations of operating results for a REIT that use historical cost accounting for
depreciation could be less informative. Thus, NAREIT created FFO as a supplemental measure of operating performance for REITs that excludes
historical cost depreciation and amortization, among other items, from net income, as defined by GAAP. FFO is defined as net income,
computed in accordance with GAAP, excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization.
AFFO is defined as FFO excluding the impact of straight-line rent, above-/below-market leases, non-cash compensation and certain non-recurring
items. We believe that the use of FFO, combined with the required GAAP presentations, improves the understanding
of our operating results among investors and makes comparisons of operating results among REITs more meaningful. We consider FFO and
AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding the applicable items listed
above, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies.
While
FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations
or net income as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating
performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do
they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not
be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREIT definition or that
interpret the current NAREIT definition or define AFFO differently than we do.
44
The
following table reconciles our calculations of FFO and AFFO for the years ended December 31, 2025 and 2024, to net income, the most
directly comparable GAAP financial measure (in thousands):
FFO
and AFFO:
| Year Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2025 | 2024 | |||||||
| Net income | $ | 33,306 | $ | 26,505 | ||||
| Loss from real estate disposition | 12 | |||||||
| Depreciation and amortization | 46,249 | 33,688 | ||||||
| Funds from Operations | 79,567 | 60,193 | ||||||
| Adjustments to FFO: | ||||||||
| Straight-line rent | (7,102 | ) | (4,368 | ) | ||||
| Funds from Operations, as Adjusted | $ | 72,465 | $ | 55,825 |
Dividend
Plans
We
are required to pay dividends in order to maintain our REIT status and we expect to make quarterly dividend payments in cash with the
annual dividend amount no less than 90% of our annual REIT taxable income, determined without regard to the dividends paid deduction
and excluding any net capital gains.
Critical
Accounting Policies
The
preparation of consolidated financial statements in conformity with generally accepted accounting principles, or GAAP, in the United
States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure
of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during
the reporting period. Management considers accounting estimates or assumptions critical in either of the following cases:
●
the nature of the estimates or assumptions is material because of the levels of subjectivity and judgment needed to account for matters
that are highly uncertain and susceptible to change; and
●
the effect of the estimates and assumptions is material to the consolidated financial statements.
Management
believes the current assumptions used to make estimates in the preparation of the consolidated financial statements are appropriate and
not likely to change in the future. However, actual experience could differ from the assumptions used to make estimates, resulting in
changes that could have a material adverse effect on our consolidated results of operations, financial position and/or liquidity. These
estimates will be made and evaluated on an on-going basis using information that is available as well as various other assumptions believed
to be reasonable under the circumstances.
The
following presents information about our critical accounting policies including the material assumptions used to develop significant
estimates. Since the Company was recently formed and just completed the formation transactions, certain of these critical accounting
policies contain discussion of judgments and estimates that have not yet been required by management but that it believes may be reasonably
required of it to make in the future.
45
Principles
of Consolidation
The
consolidated financial statements include the accounts of our Operating Partnership and its wholly owned subsidiaries, and all material
intercompany transactions and balances are eliminated in consolidation.
From
inception, we continually evaluate all of our transactions and investments to determine if they represent variable interests subject
to the variable interest entity, or VIE, consolidation model and then determine which business enterprise is the primary beneficiary
of its operations. We make judgments about which entities are VIEs based on an assessment of whether (i) the equity investors as a group,
if any, do not have a controlling financial interest, or (ii) the equity investment at risk is insufficient to finance that entity’s
activities without additional subordinated financial support. We consolidate investments in VIEs when we are determined to be the primary
beneficiary. This evaluation is based on our ability to direct and influence the activities of a VIE that most significantly impact that
entity’s economic performance.
For
investments not subject to the variable interest entity consolidation model, we will evaluate the type of rights held by the limited
partner(s) or other member(s), which may preclude consolidation in circumstances in which the sole general partner or managing member
would otherwise consolidate the limited partnership. The assessment of limited partners’ or members’ rights and their impact
on the presumption of control over a limited partnership or limited liability corporation by the sole general partner or managing member
should be made when an investor becomes the sole general partner or managing member and should be reassessed if (i) there is a change
to the terms or in the exercisability of the rights of the limited partners or members, (ii) the sole general partner or member increases
or decreases its ownership in the limited partnership or corporation, or (iii) there is an increase or decrease in the number of outstanding
limited partnership or membership interests.
Our
ability to assess correctly our influence or control over an entity at inception of our involvement or on a continuous basis when determining
the primary beneficiary of a VIE affects the presentation of these entities in our consolidated financial statements. Subsequent evaluations
of the primary beneficiary of a VIE may require the use of different assumptions that could lead to identification of a different primary
beneficiary, resulting in a different consolidation conclusion than what was determined at inception of the arrangement.
Revenue
Recognition
We
recognize rental revenue for operating leases on a straight-line basis over the lease term when collectability is reasonably assured
and the tenant has taken possession or controls the physical use of a leased asset. For assets acquired subject to leases, we recognize
revenue upon acquisition of the asset provided the tenant has taken possession or control of the physical use of the leased asset. If
the lease provides for tenant improvements, we determine whether the tenant improvements, for accounting purposes, are owned by the tenant
or us. When we are the owner of the tenant improvements, the tenant is not considered to have taken physical possession or have control
of the physical leased asset until the tenant improvements are substantially completed.
When
the tenant is the owner of the tenant improvements, any tenant improvement allowance funded is treated as a lease incentive and amortized
as a reduction of revenue over the lease term. The determination of ownership of the tenant improvements is subject to significant judgment.
If our assessment of the owner of the tenant improvements for accounting purposes were different, the timing and amount of our revenue
recognized would be impacted.
We
monitor the liquidity and creditworthiness of our tenants and operators on a continuous basis to determine the need for an allowance
for credit loss, including an allowance for operating lease straight-line rent receivables, for estimated losses resulting
from tenant defaults or the inability of tenants to make contractual rent and tenant recovery payments. This evaluation considers
industry and economic conditions, property performance, credit enhancements and other factors. For straight-line rent amounts, our
assessment is based on income recoverable over the term of the lease. We exercise judgment in establishing allowances and consider
payment history and current credit status in developing these estimates. These estimates may differ from actual results, which could
be material to our consolidated financial statements. As of December 31, 2025 and 2024 we determined that no allowance was necessary
to cover the potential loss of rent from our tenants.
46
Real
Estate Investments
We
make estimates as part of our allocation of the purchase price of acquisitions (whether an asset acquisition acquired via purchase/leaseback
or a business combination via an asset acquired from the current lessor) to the various components of the acquisition based upon the
relative fair value of each component for asset acquisitions and at fair value of each component for business combinations. In making
estimates of fair values for purposes of allocating purchase prices of acquired real estate, we utilize a number of sources, including
independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market
data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing
activities in estimating the fair value of the tangible and intangible assets acquired. The most significant components of our allocations
are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in-place leases and other intangible
assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values
of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property
acquired or the remaining lease term. In the case of the value of in-place leases, including the assessment as to the existence of any
above-or below-market in-place leases, our management makes its best estimates based on the evaluation of the specific characteristics
of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market
conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the
remaining lease term for the acquired in-place leases. The values of any identified above-or below-market in-place leases are based on
the present value of the difference between (i) the contractual amounts to be paid pursuant to the in-place leases and (ii) management’s
estimate of fair market lease rates for the corresponding in-place leases, measured over a period equal to the remaining non-cancelable
term of the lease, or for below-market in-place leases including any bargain renewal option terms. Above-market lease values are recorded
as a reduction of rental income over the lease term while below-market lease values are recorded as an increase to rental income over
the lease term. The recorded values of in-place lease intangibles are recognized in amortization expense over the initial term of the
respective leases.
We
evaluate each purchase transaction to determine whether the acquired assets meet the definition of a business. Transaction costs related
to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related
to acquisitions that are deemed to be businesses are expensed as incurred.
Asset
Impairment
Real
estate asset impairment losses are recorded when events or changes in circumstances indicate the asset is impaired and the estimated
undiscounted cash flows to be generated by the asset are less than its carrying amount. Management assesses the impairment of properties
individually and impairment losses are calculated as the excess of the carrying amount over the fair value of assets to be held and used,
and carrying amount over the fair value less cost to sell in instances where management has determined that we will dispose of the property.
In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as
estimated discounted future cash flows.
Factors
That May Influence Future Results of Operations
Our
revenues are primarily derived from rents we earn pursuant to the lease agreements we enter into with our tenants. Our tenants operate
in the healthcare industry, generally providing nursing and medical care to patients. The capacity of our tenants to pay our rents is
dependent upon their ability to conduct their operations at profitable levels. We believe that the business environment of the industry
segments in which our tenants operate is generally positive for efficient operators. However, our tenants’ operations are subject
to economic, regulatory and market conditions that may affect their profitability, which could impact our results of operations. Accordingly,
we actively monitor certain key factors, including changes in those factors that we believe may provide early indications of conditions
that may affect the level of risk in our lease portfolio.
47
Key
factors that we consider in underwriting prospective tenants and borrowers and in monitoring the performance of existing tenants include,
but are not limited to, the following:
●
the current, historical and projected cash flow and operating margins of each tenant and at each facility;
●
the ratio of our tenants’ operating earnings both to facility rent and to facility rent plus other fixed costs, including debt
costs;
●
the quality and experience of the tenant and its management team;
●
construction quality, condition, design and projected capital needs of the facility;
●
the location of the facility;
●
local economic and demographic factors and the competitive landscape of the market;
●
the effect of evolving healthcare legislation and other regulations on our tenants’ profitability and liquidity;
●
the payor mix of private, Medicare and Medicaid patients at the facility; and
●
whether such tenants are related parties.
One
of our goals is to reduce our dependence on related party tenants in order to diversify our tenant base. Although we expect to continue
to lease properties to related party tenants in markets in which the related party tenants have substantial experience and operations,
we intend to lease properties in other markets to unrelated tenants if we are able to identify qualified operators. Additionally, we
will consider leasing properties to unrelated parties in markets in which related parties operate if we are able to identify qualified
operators that are willing to lease properties on terms that are no less favorable than those available from related parties.
We
also actively monitor the credit risk of our tenants. The methods we use to evaluate a tenant’s liquidity and creditworthiness
include reviewing certain periodic financial statements, operating data and clinical outcomes data of the tenant. Over the course of
a lease, we also have regular meetings with the facility management teams. Through these means we are able to monitor a tenant’s
credit quality.
Certain
business factors, in addition to those described above that directly affect our tenants, which in turn will likely materially influence
our future results of operations:
●
the financial and operational performance of our tenants;
●
trends in the cost and availability of capital, including market interest rates, which our prospective tenants may use for their working
capital financing;
●
reductions in reimbursements from Medicare, state healthcare programs and commercial insurance providers that may reduce our tenants’
profitability and our lease rates; and
●
competition from other financing sources.
48
Inflation
We
are exposed to inflation risk as income from long-term leases are a main source of our cash flows from operations. For our leased properties,
we expect there to be provisions in the majority of our leases that will protect us from the impact of inflation. These provisions may
include rent escalators, and leases that are triple-net. However, due to the long-term nature of the anticipated leases, among other
factors, the leases may not re-set frequently enough to cover inflation.
MD&A history
Prior-year 10-K MD&A spans are extracted from SEC filings with the same bounded parser used for the latest filing. The latest 10-K appears above; prior years are below.
FY 2024 10-K MD&A
SEC filing source: 0001493152-25-010144.
ITEM
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The
discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially
from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the
section titled “Risk Factors.” Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The
following discussion and analysis should be read in conjunction with our accompanying consolidated financial statements and the notes
thereto.
Overview
Strawberry
Fields REIT, Inc. (the “Company”) is engaged in the ownership, acquisition, financing and triple-net leasing of skilled nursing
facilities and other post-acute healthcare properties. As of the date of this Form 10-K, our portfolio consists
of 130 healthcare facilities with an aggregate of 14,540 licensed beds. We hold fee title to 119 of these properties and hold one property
under a long-term lease. These properties are located in Arkansas, Illinois, Indiana, Kansas, Kentucky, Michigan, Missouri, Ohio, Oklahoma,
Tennessee and Texas. We generate substantially all our revenues by leasing our properties to tenants under long-term leases primarily
on a triple-net basis, under which the tenant pays the cost of real estate taxes, insurance and other operating costs of the facility
and capital expenditures. Each healthcare facility located at our properties is managed by a qualified operator with an experienced management
team.
We
employ a disciplined approach in our investment strategy by investing in healthcare real estate assets. We seek to invest in assets that
will provide attractive opportunities for dividend growth and appreciation in asset value, while maintaining balance sheet strength and
liquidity, thereby creating long-term stockholder value. We expect to grow our portfolio by diversifying our investments by tenant, facility
type and geography.
We
are entitled to monthly rent paid by the tenants and we do not receive any income or bear any expenses from the operations of such facilities.
As of the date of this report, the aggregate annualized average base rent under the leases for our properties was approximately $134.8
million.
We
elect to be taxed as a REIT for U.S. federal income tax purposes commencing with our taxable year ending December 31, 2022. We are organized
in an UPREIT structure in which we own substantially all of our assets and conduct substantially all of our business through the Operating
Partnership. We are the general partner of the Operating Partnership and as of the date of the report own approximately 22.1% of the
outstanding OP units.
34
Recent
Developments
On
March 25, 2024, the Company entered into a purchase agreement for a property comprised of a 68-bed skilled nursing facility and 10
bed assisted living facility near Georgetown, Indiana. The Company closed on the property on May 31, 2024, for $5.83 million in an
all cash transaction. The facility was leased to Infinity, a related party operator. On June 1st, 2024, the facility was
added to the IN Master Lease in the second amendment to the master lease.
On
April 1, 2024, the Company renewed the IN Master Lease (original expiration date July 31, 2025) for 10 years with two 5 years options
and added to the lease one more entity that was not part of the original lease. The base rent for the first year is $15.5 million with
3% annual escalations. On June 1, 2024, a second amendment was filed with this Master Lease to include the new property purchased in
Georgetown, Indiana.
On
April 30, 2024, the company sold a property 107 South Lincoln Street to The Village of Smithton, a municipality in Illinois and paid
off the existing mortgage. The building was sold to the municipality for $1. The Company paid $1.2 million in related debt and closing
fees for this transaction.
On
July 12, 2024, the Company filed a Registration Statement on Form S-3 with the Securities and Exchange Commission (“SEC”).
On August 1, 2024, the SEC declared the Registration Statement effective. In connection with the Registration Statement the Company established
an at-the-market equity program (the “ATM Program”). The ATM Program will allow the Company to issue and sell to the public
from time to time, at the Company’s discretion, newly issued shares of common stock. The ATM Program is expected to provide the
Company with additional financing flexibility and intends to use the net proceeds from the ATM Program to increase stock liquidity and
facilitate growth.
On
August 5, 2024, the Company issued 145.6 million NIS in Series A Bonds on the Tel Aviv stock exchange (“TASE”), which is
approximately $37.1 million. The bonds are unsecured, were issued at par and have a fixed interest rate of 6.97%. Repayment of the bond
principal, at 6% of the principal, was paid in 2024 and will be paid in 2025, with the remaining
88% due in 2026. Interest payments will be due concurrent with the principal payments on September 30th of the years 2024, 2025 and 2026.
In addition, the investors in Series D bond were offered to exchange their holdings with certificates of Series A bonds at a conversion
rate of 1.069964 bond A for each certificate of bond D. In September 2024, 47.2 million NIS ($12.7 million USD) Series D bonds have been
exchanged for 50.6 million NIS ($13.6 million) Series A bonds.
On
August 30, 2024, the Company completed the acquisition for two skilled nursing facilities with 254 licensed beds near San Antonio, Texas.
The acquisition was for $15.25 million. The Company funded the acquisition utilizing cash from the balance sheet. The facilities are
leased to the Tide Health Group, a 3rd party operator. The properties are leased in the Texas Master Lease 2, which includes
an annual base rent of $1.5 million dollars with 3% annual rent increases and an initial term of 10 years with two options of 5 year
extensions.
On September 25, 2024, the Company completed the acquisition of a property
comprised of an 83-bed skilled nursing facility and 25 bed assisted living facility near Nashville, Tennessee. The acquisition was for
$6.7 million and the Company funded the acquisition by assuming $2.8 million of existing debt on the facilities, $3.1 million in common
stock to the seller, and transferring $0.8 million of other assets to the seller. The property was leased to Infinity, a related party
operator. The property annual rent is $670 thousand dollars and the property was added to the Tennessee Master Lease 1.
On October 8, 2024, the Company entered into a Purchase and Sale Agreement
with an unaffiliated seller with respect to eight healthcare facilities located in Missouri. The purchase price for the facilities was
$87,500,000, payable at the closing. The facilities are currently leased under a master lease agreement to a group of third-party tenants.
Under the master lease, the tenants currently pay annual rent on a triple net basis. The eight facilities are comprised of 1,111 licensed
beds. The Company purchased the facilities utilizing cash from the balance sheet and funds provided by a third-party lender. The Company
closed the acquisition on December 20, 2024.
On
October 11, 2024 the Company acquired an 86-bed skilled nursing facility in Indianapolis, Indiana. The acquisition was for $6.0 million
and the Company funded the acquisition utilizing cash from its balance sheet. The facility was added to an existing master lease with
Infinity of Indiana.
On
October 14, 2024, the BVI Company issued additional Series C bonds with a par value of NIS 62.0 million ($16.6 million). The bonds
were issued at a price of 99.3% to par.
On
December 5, 2024, priced an underwritten public offering of 3,333,334 shares of its common stock for total gross proceeds (before underwriters’
discounts and commissions and offering expenses) of approximately $35 million.
On
December 20, 2024, the Company entered into an Asset Purchase Agreement with an unaffiliated seller for the purchase of six healthcare
Facilities located in Kansas. The purchase price for the Facilities was $24,000,000, payable at the closing. The Facilities will be leased
under a new 10-year master lease agreement to a group of third-party tenants. Under the master lease, (i) the tenants will be on a triple
net basis (ii) the tenants have 2 five-year options to extend the lease. The tenants operate the Facilities as five skilled nursing facilities
and one assisted living facility. The six facilities are comprised of 354 licensed beds. The Company closed the acquisition on January 2, 2025.
On
December 31, 2024 the Company completed the acquisition of a 100-bed skilled nursing
facility in Oklahoma for $5.0 million. Under the lease, the tenants initial annual rents are $500,000 on a triple net basis. As of the
date of this report, none of the Company’s tenants are delinquent on the payment of rent, and there have been no requests to amend
the terms of their respective leases to reduce current or future lease payments.
Related
Party Tenants
As
a landlord, the Company does not control the operations of its tenants, including related party tenants, and is not able to cause its
tenants to take any specific actions to address trends in occupancy at the facilities operated by its tenants, other than to monitor
occupancy and income of its tenants, discuss trends in occupancy with tenants and possible responses, and, in the event of a default,
to exercise its rights as a landlord. However, Moishe Gubin, our Chairman and Chief Executive Officer, and Michael Blisko, one of our
directors, as the controlling members of 67 of our tenants and related operators, have the ability to obtain information regarding these
tenants and related operators and cause the tenants and operators to take actions, including with respect to occupancy.
Results
of Operations
Operating
Results
Year
Ended December 31, 2024 Compared to Year Ended December 31, 2023:
| Year Ended December 31, | Increase / | Percentage | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (dollars in thousands) | 2024 | 2023 | (Decrease) | Difference | ||||||||||||
| Rental revenues | $ | 117,058 | $ | 99,805 | $ | 17,253 | 17.3 | % | ||||||||
| Expenses: | ||||||||||||||||
| Depreciation | 29,031 | 26,207 | 2,824 | 10.8 | % | |||||||||||
| Amortization | 4,657 | 3,028 | 1,629 | 53.8 | % | |||||||||||
| Loss on real estate investment impairment | - | 2,451 | (2,451 | ) | 100.0 | % | ||||||||||
| General and administrative expenses | 6,851 | 5,662 | 1,189 | 21.0 | % | |||||||||||
| Property and other taxes | 14,489 | 14,459 | 30 | 0.2 | % | |||||||||||
| Facility rent expenses | 727 | 559 | 168 | 30.1 | % | |||||||||||
| Total Expenses | 55,755 | 52,366 | 3,389 | 6.5 | % | |||||||||||
| Interest expense, net | 32,603 | 24,443 | 8,160 | 33.4 | % | |||||||||||
| Amortization of interest expense | 657 | 560 | 97 | 17.3 | % | |||||||||||
| Mortgage Insurance Premium | 1,548 | 1,671 | (123 | ) | (7.9 | )% | ||||||||||
| Total Interest Expenses | 34,808 | 26,674 | 8,134 | 30.5 | % | |||||||||||
| Other income (loss) | ||||||||||||||||
| Other income (loss) | 10 | (983 | ) | (973 | ) | 99 | % | |||||||||
| Foreign currency transaction gain | - | 462 | (462 | ) | 100 | % | ||||||||||
| Net Income | 26,505 | 20,244 | 6,261 | 30.9 | % | |||||||||||
| Net income attributable to non-controlling interest | (22,410 | ) | (17,748 | ) | (4,662 | ) | 26.3 | % | ||||||||
| Net Income attributable to common stockholders | 4,095 | 2,496 | 1,599 | 64.1 | % | |||||||||||
| Basic and diluted income per common share | $ | 0.57 | $ | 0.39 | 0.18 | 46.2 | % |
35
Rental
revenues: Rental revenues during 2024 increased by $17.2 million or 17.3% compared to fiscal year 2023, The additional rental income
arising from the renegotiation of certain leases and the receipt of rent from the acquisition of 15 properties and additional property
taxes being reimbursed by the tenants.
Depreciation
and Amortization: Increase in depreciation of $2.8 million or 10.8% from fiscal year 2023 to fiscal year 2024 is primarily due to
year over year depreciation from the Indiana 2 Master Lease and $119.8 million of new real estate investments in 2024. This was offset
by other fully depreciated assets in 2024. Amortization increased $1.6 million or 53.8% due to the $24 million in acquisitions of purchase
options in 2024.
Loss
on real estate investment impairment: In February 2023, one facility under one of our Southern Illinois master leases was closed.
The closure was made at the request of the tenant and was mainly for efficiency reasons. This facility was leased under a master lease
with two other facilities. The closure did not result in any reduction in the aggregate rent payable under the master lease, which has
been paid without interruption. As a result of the closure, the Company sought to sell the property. Since the facility is no longer
licensed to operate as a skilled nursing facility, the Company wrote off its remaining book value. Subsequently, the property was sold
in 2024.
General
and Administrative Expense: The decrease in general and administrative expenses of $1.2 million or
21.0% during fiscal year 2024 compared to fiscal year 2023 is primarily the result of higher insurance, higher legal, higher corporate
salaries and other expenses.
Interest
expense, net: The increase in interest expense of $8.1 million or 33.4% from fiscal year 2023 to fiscal year 2024 is primarily related to larger
bond balances and a second commercial bank loan facility obtained in connection with the acquisition of the Indiana Facilities.
Other income (loss): In 2023, the other loss of $1.0 million was the result of a
fee paid to an investment banking firm in connection with the cancellation of an agreement with respect to a proposed financing transaction.
Net
Income: The increase in net income from $20.2 million during the year ended December
31, 2023 to $26.5 million in the year ended December 31, 2024 is primarily due to increases in rental revenue (net of increase in real
estate taxes), lower losses on real estate and other losses, offset by higher depreciation, amortization, general and administrative and
interest expenses.
Liquidity
and Capital Resources
To
qualify as a REIT for federal income tax purposes, we are required to distribute at least 90% of our REIT taxable income, determined
without regard to the dividends paid deduction and excluding any net capital gains, to our stockholders on an annual basis. Accordingly,
we intend to make, but are not contractually bound to make, regular quarterly dividends to common stockholders from cash flow from operating
activities. All such dividends are at the discretion of our board of directors.
As
of December 31, 2024, we had cash and cash equivalents and restricted cash and equivalents
of $93.7 million. We also had the ability to offer additional Series A Bonds from the current outstanding of $88.5 million up to $150.8 million. Series C Bonds from the current outstanding
of $73.3 up to $172.7 million and the ability to offer additional Series D Bonds from the current outstanding of $51.5 million up to $123.4
million is subject to compliance with covenants and market conditions.
36
Liquidity
is a measure of our ability to meet potential cash requirements, including ongoing commitments to repay borrowings, fund and maintain
our assets and operations, make distributions to our stockholders and other general business needs. Our primary sources of cash include
operating cash flows and borrowings. Our primary uses of cash include funding acquisitions and investments consistent with our investment
strategy, repaying principal and interest on any outstanding borrowings, making distributions to our equity holders, funding our operations
and paying accrued expenses.
Our
long-term liquidity needs consist primarily of funds necessary to pay for the costs of acquiring additional healthcare properties and
principal and interest payments on our debt. We expect to meet our long-term liquidity requirements through various sources of capital,
including future equity issuances or debt offerings, net cash provided by operations, long-term mortgage indebtedness and other secured
and unsecured borrowings.
We
may utilize various types of debt to finance a portion of our acquisition activities, including long-term, fixed-rate mortgage loans,
variable-rate term loans and secured revolving lines of credit. As of December 31, 2024, on a consolidated basis, we had total indebtedness of approximately
$673.9 million, consisting of $262.2 million in HUD guaranteed debt, $213.3 million in gross Series A, C, and D bonds outstanding and $198.4 million in commercial
mortgages. Under our Bonds and our commercial mortgages, we are subject to continuing covenants, and future indebtedness that we may incur,
may contain similar provisions. In the event of a default, the lenders could accelerate the timing of payments under the debt obligations,
and we may be required to repay such debt with capital from other sources, which may not be available on attractive terms, or at all,
which would have a material adverse effect on our liquidity, financial condition, results of operations and ability to make distributions
to our stockholders.
Our
debt arrangements may require us to make a lump-sum or “balloon” payment at maturity. Our ability to make the balloon payments
due under our existing and future indebtedness will depend on our working capital at the time of repayment, our ability to obtain additional
financing or our ability to sell any property securing such indebtedness. At the time the balloon payment is due, we may or may not be
able to refinance the existing financing on terms as favorable as the original bond or loan or sell any related property at a price sufficient
to make the balloon payment. In addition, balloon payments and payments of principal and interest on our indebtedness may leave us with
insufficient cash to pay the distributions that we are required to pay to qualify and maintain our qualification as a REIT.
Through
2027 there are six balloon payment obligations consisting of three payments
of $83.0 million, $68.2 million and $48.4 million due under the Series A Bonds, Series C Bonds and Series D bonds in 2026, respectively,
and payments of $86.1 million, $36.6 million and $52.5 million due under our three commercial bank term loans due in 2027, 2028, and 2029.
We may also obtain additional financing that contains balloon payment obligations. These types of obligations may materially adversely
affect us, including our cash flows, financial condition and ability to make distributions.
The
Company believes that its overall level of indebtedness is appropriate for the Company’s business in light of its cash flow from
operations and value of its properties and is generally typical for owners of multiple healthcare properties. The Company expects to
generate sufficient positive cash flow from operations to meet its ongoing debt service obligations and the distribution requirements
for maintaining REIT status.
37
Cash
Flows
The
following table presents selected data from our consolidated statements of cash flows:
| Years Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | |||||||
| (dollars in thousands) | ||||||||
| Net cash provided by operating activities | $ | 59,330 | $ | 54,944 | ||||
| Net cash used in investing activities | (136,776 | ) | (106,348 | ) | ||||
| Net cash provided by financing activities | 133,344 | 43,458 | ||||||
| Net increase (decrease) in cash and cash equivalents and restricted cash and cash equivalents | 55,898 | (7,946 | ) | |||||
| Cash and cash equivalents, and restricted cash and cash equivalents beginning of year | 37,758 | 45,704 | ||||||
| Cash and cash equivalents and restricted cash and cash equivalents, end of year | $ | 93,656 | $ | 37,758 |
Net cash provided by operating activities increased $4.4 million for the
year ended December 31, 2024 compared to the year ended December 31, 2023, primarily due to an increase of $6.3 million in net
income and $4.5 million increase in depreciation and amortization, offset by a smaller increase in accounts payable and an increase in
receivables.
Cash
used in investing activities increased by $30.4 million for the year ended December 31, 2024 primarily due to a $29.8 million
increase in cash used for property acquisitions in real estate and lease rights. Notes receivable decrease was also $0.6 million
lower than 2023.
Cash flows generated from financing activities increased by $89.9 million
for the year ended December 31, 2024. The increase was caused by $64.3 million in bond proceeds, a $33.0 million equity raise and no repayments
for non-controlling interest redemption. This was offset by $23.4 million in additional senior debt repayments.
Indebtedness
Mortgage
Loans Guaranteed by HUD
As
of December 31, 2024, we had non-recourse mortgage loans of $262.2 million from third
party lenders that were guaranteed by HUD.
Each
loan is secured by first mortgages on certain specified properties, interests in the leases for these properties and second liens on
the operator’s assets. In the event of default on any single loan, the loan agreement provides that the applicable lender may require
the tenants for the property securing the loan to make all rental payments directly to the lender. In exchange for the HUD guarantee,
we pay HUD, on an annual basis, 0.65% of the principal balance of each loan as mortgage insurance premium, in addition to the interest
rate denominated in each loan agreement. As a result, the overall average interest rate paid with respect to the HUD guaranteed loans
as of December 31, 2024, was 3.91% per annum (including the mortgage insurance payments).
The loans have an average maturity of 22 years.
38
Commercial
Bank Term Loans
On March 21, 2022, the Company closed a mortgage loan facility with a commercial
bank pursuant to which the Company borrowed approximately $105 million. The facility provides for monthly payments of principal and interest based on a 20-year amortization with a balloon payment
due in March 2027. The rate is based on the one-month Secured Overnight Financing Rate (“SOFR”) plus a margin of 3.5% and
a floor 4% (as of the December 31, 2024 the rate was 7.99%). As of December 31, 2024, total outstanding principal amount was $95.1 million.
This loan is collateralized by 21 properties owned by the Company. The loan proceeds were used to repay the Series B Bonds and prepay
commercial loans not secured by HUD guarantees. The Company recognized a foreign currency transaction loss of approximately $10.1 million
in connection with the repayment of the Series B Bonds during the year ended December 31, 2022.
On August 25, 2023, the Company closed a mortgage loan facility with a commercial
bank pursuant to which the Company borrowed approximately $66 million. The facility provides for monthly payments of interest and payment
of principal and interest thereafter, will start on August 2024 based on a 20-year amortization with a balloon payment due in August 2028.
The rate is based on the one-month SOFR plus a margin of 3.5% and a floor of 4% (as of the December 31, 2024, the rate was 7.99%). As
of December 31, 2024, total outstanding principal amount was $41.6 million. This loan is collateralized by 19 properties owned by the
Company. The loan proceeds were used to acquire the Indiana facilities.
On
December 19, 2024, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed
approximately $59 million. The facility provides for monthly payments of interest and payment of principal will start on January
2026 based on a 20-year amortization with a balloon payment due in December 2029. The rate and interest is based on the one-month
Secured Overnight Financing Rate SOFR plus a margin of 3.0% and a floor of 4% (as of the December 31, 2024, the rate
was 7.49%). As of December 31, 2024, total outstanding principal amount was $59 million. This loan is collateralized by 8 properties
owned by the Company. The loan proceeds were used to acquire the Missouri facilities.
The two credit facilities closed in March 21, 2022 and August 25, 2023
are subject to financial covenants which are consist of (i) a covenant that the ratio of the Company’s indebtedness to its EBITDA
cannot exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s net operating income to its debt service before dividend
distribution is at least 1.20 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement (iii) a covenant
that the ratio of the Company’s net operating income to its debt service after dividend distribution is at least 1.05 to 1.00 for
each fiscal quarter as measured pursuant to the terms of the loan agreement, and (iii) a covenant that the Company’s GAAP equity
is at least $20,000,000. As of December 31, 2024, the Company was in compliance with the loan covenants.
The
credit facility closed on December 19, 2024 is subject to financial covenants which consist of (i) a covenant that the ratio of the
Company’s indebtedness to its EBITDA cannot exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s net
operating income to its debt service before dividend distribution is at least 1.25 to 1.00 for each fiscal quarter as measured
pursuant to the terms of the loan agreement (iii) a covenant that the ratio of the Company’s net operating income to its debt
service after dividend distribution is at least 1.05 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan
agreement, and (iii) a covenant that the Company’s GAAP equity is at least $30,000,000. As of December 31, 2024, the Company
was in compliance with the loan covenants.
Outstanding
Bond Debt
As of December 31, 2024, the Company had outstanding Series A, Series C
Bonds and Series D Bonds.
Series
A Bonds
In
November 2015, the Company, through a subsidiary, issued Series A Bonds in the face amount of NIS 265.2 million ($68 million) and received
the net amount after issuance costs of NIS 251.2 million ($64.3 million). Since then the Company extended the series amount twice in
September 2016 and May 2017 and received a combined net amount of $30.1 million. The Series A Bonds had an original interest rate of
6.4% per annum. The Series A Bonds were paid off on November 8, 2023.
Series
A Bonds
In
August 2024, Strawberry Fields, Inc completed, directly, an initial offering on the Tel Aviv Stock Exchange (“TASE”) of Series
A Bonds with a par value of NIS 145.6 million ($37.1 million). The series A Bonds were issued at par. Offering and issuance costs of
approximately $1.0 million were incurred at closing. In December 2024, the Inc company issued an additional NIS 145.6 million ($38.1
million) in Series A Bonds.
Exchange
of Series D Bonds for Series A Bonds
In
September 2024 the Company made an exchange tender offer of outstanding Series D Bonds for Series A Bonds. The interest rate on Series
D Bonds is 9.1% per annum. The exchange offer rate was 1.069964 Series A Bonds per Series D Bonds. As a result of this offer, 47,245,161
NIS Series D Bonds ($12.7 million) were exchanged for 50,550,621 NIS Series A Bonds ($13.6 million).
As
of December 31, 2024 the outstanding balance of the Series A Bonds was NIS 322.8 million ($88.5 million), given the August 2024
issuance, the September 2024 exchange of Series D bonds for Series A bonds, as well as the additional bond issuance in December
2024.
The
Series A Bonds are traded on the TASE.
Series
C Bonds
In
July 2021, the BVI Company completed an initial offering of Series C Bonds with a par value of NIS 208.0 million ($64.7 million). The
Series C Bonds were issued at par. During February 2023, the BVI Company issued additional Series C Bonds in the face amount of NIS 40.0
million ($11.2 million) and raised a net amount of NIS 38.1 million ($10.7 million). These Series C Bonds were issued at a price of 95.25%. In October 2024, the BVI company issued an additional NIS
62.0 million ($16.6 million) in Series C Bonds. The bonds were issued at 99.3%.
39
As
of December 31, 2023, the outstanding principal amount of the Series C Bonds was NIS 267.5 million ($73.3 million).
The
Series C Bonds are traded on the TASE.
Series
D Bonds
In June 2023, the BVI Company completed an initial offering of Series D Bonds
with a par value of NIS 82.9 million ($22.9 million). The Series D Bonds were issued at par. During August 2023, the BVI Company issued
additional Series D Bonds in the face amount of NIS 70.0 million ($19.2 million) and raised a net amount of NIS 152.9 million ($42.1 million).
These Series D Bonds were issued at a price of 99.7%. On February 8, 2024, the BVI Company issued additional NIS 98.2 million ($25.7 million)
Series D Bonds. These Series D Bonds were issued at a price of 106.3%.
Exchange
of Series D Bonds for Series A Bonds
In September 2024 the Company made an exchange tender offer of outstanding Series D Bonds for Series A Bonds. The
interest rate on Series D Bonds is 9.1% per annum. The exchange offer rate was 1.069964 Series A Bonds per Series D Bonds. As a result
of this offer, 47,245,161 NIS Series D Bonds ($12.7 million) were exchanged for 50,550,621 NIS Series A Bonds ($13.6 million).
As of December 31 2024, the Series D Bonds had an outstanding principal
balance of approximately NIS 187.2 ($51.5 million).
Summary
of fixed and variable loans:
| December 31, | |||||||
|---|---|---|---|---|---|---|---|
| 2024 | 2023 | ||||||
| (Amounts in $000s) | |||||||
| Fixed rate loans | $ | 475,494 | $ | 374,335 | |||
| Variable rate loans | 198,441 | 164,810 | |||||
| Gross Notes Payable and other Debt | $ | 673,935 | $ | 539,145 |
Funds
From Operations (“FFO”)
The
Company believes that net income as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations
(“FFO”), as defined in accordance with the definition used by the National Association of Real Estate Investment Trusts (“NAREIT”),
and adjusted funds from operations (“AFFO”) are important non-GAAP supplemental measures of our operating performance. Because
the historical cost accounting convention used for real estate assets requires straight-line depreciation (except on land), such accounting
presentation implies that the value of real estate assets diminishes predictably over time. However, since real estate values have historically
risen or fallen with market and other conditions, presentations of operating results for a REIT that use historical cost accounting for
depreciation could be less informative. Thus, NAREIT created FFO as a supplemental measure of operating performance for REITs that excludes
historical cost depreciation and amortization, among other items, from net income, as defined by GAAP. FFO is defined as net income,
computed in accordance with GAAP, excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization.
AFFO is defined as FFO excluding the impact of straight-line rent, above-/below-market leases, non-cash compensation and certain non-recurring
items. For the year ended December 31, 2023, we excluded as non-recurring items a gain in the amount of $0.5 million
in reclassification of foreign currency transactions the Company recorded with respect to foreign currency fluctuations that the Company
realized at the time of bond principal payment. We believe that the use of FFO, combined with the required GAAP presentations, improves
the understanding of our operating results among investors and makes comparisons of operating results among REITs more meaningful. We
consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because, by excluding the applicable
items listed above, FFO and AFFO can help investors compare our operating performance between periods or as compared to other companies.
While
FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations
or net income as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating
performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do
they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not
be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREIT definition or that
interpret the current NAREIT definition or define AFFO differently than we do.
40
The
following table reconciles our calculations of FFO and AFFO for the years ended December 31, 2024 and 2023, to net income, the most directly
comparable GAAP financial measure (in thousands):
FFO
and AFFO:
| Year Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2024 | 2023 | |||||||
| Net income | $ | 26,505 | $ | 20,244 | ||||
| Depreciation and amortization | 33,688 | 29,235 | ||||||
| Funds from Operations | 60,193 | 49,479 | ||||||
| Adjustments to FFO: | ||||||||
| Straight-line rent | (4,368 | ) | (30 | ) | ||||
| Straight-line rent receivable write-off(1) | - | 230 | ||||||
| Contact cancellation expense for proposed financing(2) | - | 1,000 | ||||||
| Loss on real estate impairment (3) | - | 2,451 | ||||||
| Foreign currency transaction gain | - | (462 | ) | |||||
| Funds from Operations, as Adjusted | $ | 55,825 | $ | 52,668 |
(1)
In 2023 the Company recognized a loss of $0.2 million due to the write-off
of straight-line rent receivables related to the Southern Illinois facilities.
(2)
In 2023 the Company incurred a non-recurring expense of $1.0 million in
the second quarter of 2023 in connection with the cancellation of a contract with an investment banking firm related to a proposed financing.
(3) Loss
on real estate investment impairment: In February 2023, one facility under one of our Southern Illinois master
leases was closed. The closure was made at the request of the tenant and was mainly for efficiency reasons. This facility was leased under
a master lease with two other facilities. The closure did not result in any reduction in the aggregate rent payable under the master lease,
which was paid without interruption. As a result of the closure, the Company is seeking to sell the property. Since the facility is no
longer licensed to operate as a skilled nursing facility, the Company wrote off its remaining book value.
Dividend
Plans
We
are required to pay dividends in order to maintain our REIT status and we expect to make quarterly dividend payments in cash with the
annual dividend amount no less than 90% of our annual REIT taxable income, determined without regard to the dividends paid deduction
and excluding any net capital gains.
Critical
Accounting Policies
The
preparation of consolidated financial statements in conformity with generally accepted accounting principles, or GAAP, in the United
States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure
of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during
the reporting period. Management considers accounting estimates or assumptions critical in either of the following cases:
●
the nature of the estimates or assumptions is material because of the levels of subjectivity and judgment needed to account for matters
that are highly uncertain and susceptible to change; and
●
the effect of the estimates and assumptions is material to the consolidated financial statements.
Management
believes the current assumptions used to make estimates in the preparation of the consolidated financial statements are appropriate and
not likely to change in the future. However, actual experience could differ from the assumptions used to make estimates, resulting in
changes that could have a material adverse effect on our consolidated results of operations, financial position and/or liquidity. These
estimates will be made and evaluated on an on-going basis using information that is available as well as various other assumptions believed
to be reasonable under the circumstances.
The
following presents information about our critical accounting policies including the material assumptions used to develop significant
estimates. Since the Company was recently formed and just completed the formation transactions, certain of these critical accounting
policies contain discussion of judgments and estimates that have not yet been required by management but that it believes may be reasonably
required of it to make in the future.
41
Principles
of Consolidation
The
consolidated financial statements include the accounts of our Operating Partnership and its wholly owned subsidiaries, and all material
intercompany transactions and balances are eliminated in consolidation.
From
inception, we continually evaluate all of our transactions and investments to determine if they represent variable interests subject
to the variable interest entity, or VIE, consolidation model and then determine which business enterprise is the primary beneficiary
of its operations. We make judgments about which entities are VIEs based on an assessment of whether (i) the equity investors as a group,
if any, do not have a controlling financial interest, or (ii) the equity investment at risk is insufficient to finance that entity’s
activities without additional subordinated financial support. We consolidate investments in VIEs when we are determined to be the primary
beneficiary. This evaluation is based on our ability to direct and influence the activities of a VIE that most significantly impact that
entity’s economic performance.
For
investments not subject to the variable interest entity consolidation model, we will evaluate the type of rights held by the limited
partner(s) or other member(s), which may preclude consolidation in circumstances in which the sole general partner or managing member
would otherwise consolidate the limited partnership. The assessment of limited partners’ or members’ rights and their impact
on the presumption of control over a limited partnership or limited liability corporation by the sole general partner or managing member
should be made when an investor becomes the sole general partner or managing member and should be reassessed if (i) there is a change
to the terms or in the exercisability of the rights of the limited partners or members, (ii) the sole general partner or member increases
or decreases its ownership in the limited partnership or corporation, or (iii) there is an increase or decrease in the number of outstanding
limited partnership or membership interests.
Our
ability to assess correctly our influence or control over an entity at inception of our involvement or on a continuous basis when determining
the primary beneficiary of a VIE affects the presentation of these entities in our consolidated financial statements. Subsequent evaluations
of the primary beneficiary of a VIE may require the use of different assumptions that could lead to identification of a different primary
beneficiary, resulting in a different consolidation conclusion than what was determined at inception of the arrangement.
Revenue
Recognition
We
recognize rental revenue for operating leases on a straight-line basis over the lease term when collectability is reasonably assured
and the tenant has taken possession or controls the physical use of a leased asset. For assets acquired subject to leases, we recognize
revenue upon acquisition of the asset provided the tenant has taken possession or control of the physical use of the leased asset. If
the lease provides for tenant improvements, we determine whether the tenant improvements, for accounting purposes, are owned by the tenant
or us. When we are the owner of the tenant improvements, the tenant is not considered to have taken physical possession or have control
of the physical leased asset until the tenant improvements are substantially completed.
When
the tenant is the owner of the tenant improvements, any tenant improvement allowance funded is treated as a lease incentive and amortized
as a reduction of revenue over the lease term. The determination of ownership of the tenant improvements is subject to significant judgment.
If our assessment of the owner of the tenant improvements for accounting purposes were different, the timing and amount of our revenue
recognized would be impacted.
We
monitor the liquidity and creditworthiness of our tenants and operators on a continuous basis to determine the need for an allowance
for doubtful accounts, including an allowance for operating lease straight-line rent receivables, for estimated losses resulting from
tenant defaults or the inability of tenants to make contractual rent and tenant recovery payments. This evaluation considers industry
and economic conditions, property performance, credit enhancements and other factors. For straight-line rent amounts, our assessment
is based on income recoverable over the term of the lease. We exercise judgment in establishing allowances and consider payment history
and current credit status in developing these estimates. These estimates may differ from actual results, which could be material to our
consolidated financial statements. As of December 31, 2024 and 2023 we determined that no allowance was necessary to cover the potential
loss of rent from our tenants.
42
Real
Estate Investments
We
make estimates as part of our allocation of the purchase price of acquisitions (whether an asset acquisition acquired via purchase/leaseback
or a business combination via an asset acquired from the current lessor) to the various components of the acquisition based upon the
relative fair value of each component for asset acquisitions and at fair value of each component for business combinations. In making
estimates of fair values for purposes of allocating purchase prices of acquired real estate, we utilize a number of sources, including
independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market
data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing
activities in estimating the fair value of the tangible and intangible assets acquired. The most significant components of our allocations
are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in-place leases and other intangible
assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values
of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property
acquired or the remaining lease term. In the case of the value of in-place leases, including the assessment as to the existence of any
above-or below-market in-place leases, our management makes its best estimates based on the evaluation of the specific characteristics
of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market
conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the
remaining lease term for the acquired in-place leases. The values of any identified above-or below-market in-place leases are based on
the present value of the difference between (i) the contractual amounts to be paid pursuant to the in-place leases and (ii) management’s
estimate of fair market lease rates for the corresponding in-place leases, measured over a period equal to the remaining non-cancelable
term of the lease, or for below-market in-place leases including any bargain renewal option terms. Above-market lease values are recorded
as a reduction of rental income over the lease term while below-market lease values are recorded as an increase to rental income over
the lease term. The recorded values of in-place lease intangibles are recognized in amortization expense over the initial term of the
respective leases.
We
evaluate each purchase transaction to determine whether the acquired assets meet the definition of a business. Transaction costs related
to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related
to acquisitions that are deemed to be businesses are expensed as incurred.
Asset
Impairment
Real
estate asset impairment losses are recorded when events or changes in circumstances indicate the asset is impaired and the estimated
undiscounted cash flows to be generated by the asset are less than its carrying amount. Management assesses the impairment of properties
individually and impairment losses are calculated as the excess of the carrying amount over the fair value of assets to be held and used,
and carrying amount over the fair value less cost to sell in instances where management has determined that we will dispose of the property.
In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as
estimated discounted future cash flows.
Factors
That May Influence Future Results of Operations
Our
revenues are primarily derived from rents we earn pursuant to the lease agreements we enter into with our tenants. Our tenants operate
in the healthcare industry, generally providing nursing and medical care to patients. The capacity of our tenants to pay our rents is
dependent upon their ability to conduct their operations at profitable levels. We believe that the business environment of the industry
segments in which our tenants operate is generally positive for efficient operators. However, our tenants’ operations are subject
to economic, regulatory and market conditions that may affect their profitability, which could impact our results of operations. Accordingly,
we actively monitor certain key factors, including changes in those factors that we believe may provide early indications of conditions
that may affect the level of risk in our lease portfolio.
43
Key
factors that we consider in underwriting prospective tenants and borrowers and in monitoring the performance of existing tenants include,
but are not limited to, the following:
●
the current, historical and projected cash flow and operating margins of each tenant and at each facility;
●
the ratio of our tenants’ operating earnings both to facility rent and to facility rent plus other fixed costs, including debt
costs;
●
the quality and experience of the tenant and its management team;
●
construction quality, condition, design and projected capital needs of the facility;
●
the location of the facility;
●
local economic and demographic factors and the competitive landscape of the market;
●
the effect of evolving healthcare legislation and other regulations on our tenants’ profitability and liquidity;
●
the payor mix of private, Medicare and Medicaid patients at the facility; and
●
whether such tenants are related parties.
One
of our goals is to reduce our dependence on related party tenants in order to diversify our tenant base. Although we expect to continue
to lease properties to related party tenants in markets in which the related party tenants have substantial experience and operations,
we intend to lease properties in other markets to unrelated tenants if we are able to identify qualified operators. Additionally, we
will consider leasing properties to unrelated parties in markets in which related parties operate if we are able to identify qualified
operators that are willing to lease properties on terms that are no less favorable than those available from related parties.
We
also actively monitor the credit risk of our tenants. The methods we use to evaluate a tenant’s liquidity and creditworthiness
include reviewing certain periodic financial statements, operating data and clinical outcomes data of the tenant. Over the course of
a lease, we also have regular meetings with the facility management teams. Through these means we are able to monitor a tenant’s
credit quality.
Certain
business factors, in addition to those described above that directly affect our tenants, which in turn will likely materially influence
our future results of operations:
●
the financial and operational performance of our tenants;
●
trends in the cost and availability of capital, including market interest rates, which our prospective tenants may use for their working
capital financing;
●
reductions in reimbursements from Medicare, state healthcare programs and commercial insurance providers that may reduce our tenants’
profitability and our lease rates; and
●
competition from other financing sources.
44
Inflation
We
are exposed to inflation risk as income from long-term leases are a main source of our cash flows from operations. For our leased properties,
we expect there to be provisions in the majority of our leases that will protect us from the impact of inflation. These provisions may
include rent escalators, and leases that are triple-net. However, due to the long-term nature of the anticipated leases, among other
factors, the leases may not re-set frequently enough to cover inflation.
FY 2023 10-K MD&A
SEC filing source: 0001493152-24-010409.
ITEM
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The
discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially
from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the
section titled “Risk Factors.” Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The
following discussion and analysis should be read in conjunction with our accompanying consolidated financial statements and the notes
thereto.
Overview
Strawberry
Fields REIT, Inc. (the “Company”) is engaged in the ownership, acquisition, financing and triple-net leasing of skilled nursing
facilities and other post-acute healthcare properties. Currently, our portfolio consists of 100 healthcare properties with an aggregate
of 12,449 licensed beds. We hold fee title to 97 of these properties and hold three properties under long-term leases. These properties
are located in Arkansas, Illinois, Indiana, Kentucky, Michigan, Ohio, Oklahoma, Tennessee and Texas. We generate substantially all our
revenues by leasing our properties to tenants under long-term leases primarily on a triple-net basis, under which the tenant pays the
cost of real estate taxes, insurance and other operating costs of the facility and capital expenditures. Each healthcare facility located
at our properties is managed by a qualified operator with an experienced management team.
We
employ a disciplined approach in our investment strategy by investing in healthcare real estate assets. We seek to invest in assets that
will provide attractive opportunities for dividend growth and appreciation in asset value, while maintaining balance sheet strength and
liquidity, thereby creating long-term stockholder value. We expect to grow our portfolio by diversifying our investments by tenant, facility
type and geography.
We
are entitled to monthly rent paid by the tenants and we do not receive any income or bear any expenses from the operations of such facilities.
As of the date of this report, the aggregate annualized average base rent under the leases for our properties was approximately $102.3
million.
We
elect to be taxed as a REIT for U.S. federal income tax purposes commencing with our taxable year ending December 31, 2022. We are organized
in an UPREIT structure in which we own substantially all of our assets and conduct substantially all of our business through the Operating
Partnership. We are the general partner of the Operating Partnership and as of the date of the report own approximately 12.6% of
the outstanding OP units.
34
Recent
Developments
On
May 1, 2023, the Operating Partnership paid $15.6 million to redeem 1,454,308 OP units granted to the sellers of five properties in Tennessee
and one in Kentucky the Company acquired in 2021. In connection with this payment, the Company contributed $0.7 million to the Operating
Partnership and was issued 65,455 OP units.
On
June 19, 2023, the BVI Company completed an initial offering of Series D Bonds with a par value of NIS 82.9 million ($22.9 million).
The Series D Bonds were issued at par and the interest rate is 9.1%. During July 2023, the BVI Company issued additional Series D Bonds
with a par value of NIS 70.0 million and raised a gross amount of $19.2 million (NIS 69.8 million). The Bonds were issued at a price
of 99.7%.
On
August 25, 2023, the Company acquired 24 healthcare facilities (19 properties) located in Indiana (the “Indiana Facilities”)
for $102.0 million. The Indiana Facilities are comprised of 19 skilled nursing facilities with 1,659 licensed beds and five assisted
living facilities with 193 beds, of which 29 beds are licensed. Annualized straight line rent for the facilities is expected to equal
$12.7 million representing a weighted average lease yield of 12.4%.
On
October 30, 2023 the Company entered into a lease agreement to re-tenant the three skilled nursing facilities located in Texas. The lease
is for 10 years with annual escalations of 2.5%. The lease commenced on December 1, 2023.
On
November 8, 2023, the Company paid off the remaining balance of the Series A Bonds, subject to a $900 prepayment penalty because the
Bonds were repaid before the scheduled maturity date of July 2024.
On
December 12, 2023 the Company entered into a lease for two skilled nursing facilities with 226 licensed beds near Johnson City, Tennessee.
The lease includes a purchase option which the Company intends to exercise once certain conditions precedent are met. The lease commenced
on January 1, 2024.
On February 8 2024, the BVI Company
issued additional Series D Bonds with a par value of NIS 100.0 million and raised a gross amount of $26.7 million (NIS 98.0 million).
The Bonds were issued at a price of 106.3%.
35
On February 20, 2024 the Company entered into a new, replacement master lease for the properties included in the Indiana
acquisition completed in August of 2023. The tenant remains a group of tenants affiliated with two of the Company’s directors, Moishe
Gubin and Michael Blisko. The new master lease has an initial term of ten years and is subject to 2 five-year extensions. The initial
annual base rent for the properties is $14.5 million dollars and is subject to annual increases of 3%. In connection with the new master
lease, the existing purchase option held by the tenant, which was granted by the prior owner of the properties, of $127.0 million was
terminated. Consideration for the termination of the purchase option and inducement for entering into the new, replacement master lease
was $18.0 million paid to the tenants. The $18.0 million payment was funded by cash and the proceeds from the additional
Series D Bond issuance in February 2024.
As
of the date of this report, none of the Company’s tenants are delinquent on the payment of rent, and there have been no
requests to amend the terms of their respective leases to reduce current or future lease payments.
Related
Party Tenants
As
a landlord, the Company does not control the operations of its tenants, including related party tenants, and is not able to cause its
tenants to take any specific actions to address trends in occupancy at the facilities operated by its tenants, other than to monitor
occupancy and income of its tenants, discuss trends in occupancy with tenants and possible responses, and, in the event of a default,
to exercise its rights as a landlord. However, Moishe Gubin, our Chairman and Chief Executive Officer, and Michael Blisko, one of our
directors, as the controlling members of 64 of our tenants and related operators, have the ability to obtain information regarding these
tenants and related operators and cause the tenants and operators to take actions, including with respect to occupancy.
Results
of Operations
Operating
Results
Year
Ended December 31, 2023 Compared to Year Ended December 31, 2022:
| Year Ended December 31, | Increase / | Percentage | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (dollars in thousands) | 2023 | 2022 | (Decrease) | Difference | ||||||||||||
| Revenues: | ||||||||||||||||
| Rental revenues | $ | 99,805 | $ | 92,543 | $ | 7,262 | 7.8 | % | ||||||||
| Expenses: | ||||||||||||||||
| Depreciation | 26,207 | 25,530 | 677 | 2.7 | % | |||||||||||
| Amortization | 3,028 | 3,028 | - | - | ||||||||||||
| Loss on real estate investment impairment | 2,451 | - | 2,451 | 100 | % | |||||||||||
| General and administrative expenses | 5,662 | 6,012 | (350 | ) | (5.8 | )% | ||||||||||
| Property and other taxes | 14,459 | 13,131 | 1,328 | 10.1 | % | |||||||||||
| Facility rent expenses | 559 | 532 | 27 | 5.1 | % | |||||||||||
| Credit for doubtful accounts | - | (5,636 | ) | 5,636 | 100 | % | ||||||||||
| Total Expenses | 52,366 | 42,597 | 9,769 | 22.9 | % | |||||||||||
| Interest expense, net | 24,443 | 20,507 | 3.936 | 19.2 | % | |||||||||||
| Amortization of interest expense | 560 | 504 | 56 | 11.1 | % | |||||||||||
| Mortgage Insurance Premium | 1,671 | 1,704 | 33 | 1.9 | % | |||||||||||
| Total Interest Expenses | 26,674 | 22,715 | 3,959 | 17.4 | % | |||||||||||
| Other (loss) income | ||||||||||||||||
| Other (loss) income | (983 | ) | 120 | (1,103 | ) | (919.2 | )% | |||||||||
| Foreign currency transaction gain (loss) | 462 | (10,932 | ) | 11,394 | 104.2 | % | ||||||||||
| Net Income | 20,244 | 16,419 | 3,825 | 23.3 | % | |||||||||||
| Net income attributable to non-controlling interest | (17,748 | ) | (14,567 | ) | 3,181 | 21.8 | % | |||||||||
| Net Income attributable to common stockholders | 2,496 | 1,852 | 644 | 34.8 | % | |||||||||||
| Basic and diluted income per common share | $ | 0.39 | $ | 0.31 | - | - |
36
Rental
revenues: Rental revenues during 2023 increased by $7.3 million or 7.8% compared to fiscal year 2022, The additional rental
income arising from the renegotiation of certain leases, the receipt of rent from the acquisition of 24 facilities and additional
property taxes being reimbursed by the tenants.
Depreciation
and Amortization: Increase in depreciation of $0.7 million or 2.7% from fiscal year 2022 to fiscal year 2023 is primarily due to
$102.0 million of new real estate investments in the third quarter of 2023.
Loss
on real estate investment impairment: In February 2023, one facility under one of our Southern Illinois master leases was closed.
The closure was made at the request of the tenant and was mainly for efficiency reasons. This facility was leased under a master lease
with two other facilities. The closure did not result in any reduction in the aggregate rent payable under the master lease, which has
been paid without interruption. As a result of the closure, the Company is seeking to sell the property. Since the facility is no longer
licensed to operate as a skilled nursing facility, the Company wrote off its remaining book value.
General
and Administrative Expense: The decrease in general and administrative expenses of $(0.4) million or 5.8% during fiscal year 2023 compared
to fiscal year 2022 is primarily due to lower operating expenses incurred in the year ended December 31, 2023
Property
and other Taxes: The increase in property taxes of $1.3 million or 10.1% during fiscal year 2023 compared to fiscal year 2022 is
primarily due was primarily due to increases in real estate taxes and franchise taxes partially as a result of the acquisition of the
Indiana Facilities.
Credit
for Doubtful Accounts: During 2022, the Company recognized $5.6 million in income from the recovery of a written off asset
relating to the successful foreclosure of mortgages held by the Company on properties located in Massachusetts.
Interest
expense, net: The increase in interest expense of $3.9 million or 19.2% from Fiscal year 2022 to fiscal year 2023 is primarily
related to additional interest payments for Series D Bonds, a second commercial bank loan facility obtained in connection with the
acquisition of the Indiana Facilities, increases in the floating rate on the Company’s commercial bank loan facilities and
additional interest on Series C Bonds that were issued in 2023.
Foreign
Currency Transaction Gain (Loss): Our bond indebtedness is denominated in NIS. As a result, we are subject to potential foreign
currency transaction loss due to changes in the value of the U.S. dollar relative to the New Israel Shekel. In 2022, we recorded a
foreign currency transaction loss of $10.9 million in connection with the repayment of the Series B Bonds in 2022. There was a gain
of $0.5 million in foreign currency transactions for 2023.
Other
(loss) income: The increase in other loss of $1.0 million was the result of a fee paid to an investment banking firm in connection
with the cancellation of an agreement with respect to a proposed financing transaction.
Net
Income: The increase in net income from $16.4 million during the year ended December 31, 2022 to $20.2 million in the year ended
December 31, 2023 is primarily due to increases in rental revenue (net of increase in real estate taxes) and the decline in foreign
currency losses offset by an impairment loss, the decline in credit for doubtful accounts, and an increase in interest expense
Liquidity
and Capital Resources
To
qualify as a REIT for federal income tax purposes, we are required to distribute at least 90% of our REIT taxable income, determined
without regard to the dividends paid deduction and excluding any net capital gains, to our stockholders on an annual basis. Accordingly,
we intend to make, but are not contractually bound to make, regular quarterly dividends to common stockholders from cash flow from operating
activities. All such dividends are at the discretion of our board of directors.
As
of December 31, 2023, we had cash and cash equivalents and restricted cash and equivalents of $37.8 million. We also had the ability
to offer additional Series C Bonds from the current outstanding of $60.8 loan up to $170.6 million and the ability to offer additional
Series D Bonds from the current outstanding of $42.2 million up to $121.9 million is subject to compliance with covenants and market
conditions.
37
Liquidity
is a measure of our ability to meet potential cash requirements, including ongoing commitments to repay borrowings, fund and maintain
our assets and operations, make distributions to our stockholders and other general business needs. Our primary sources of cash include
operating cash flows and borrowings. Our primary uses of cash include funding acquisitions and investments consistent with our investment
strategy, repaying principal and interest on any outstanding borrowings, making distributions to our equity holders, funding our operations
and paying accrued expenses.
Our
long-term liquidity needs consist primarily of funds necessary to pay for the costs of acquiring additional healthcare properties and
principal and interest payments on our debt. We expect to meet our long-term liquidity requirements through various sources of capital,
including future equity issuances or debt offerings, net cash provided by operations, long-term mortgage indebtedness and other secured
and unsecured borrowings.
We
may utilize various types of debt to finance a portion of our acquisition activities, including long-term, fixed-rate mortgage loans,
variable-rate term loans and secured revolving lines of credit. As of December 31, 2023, on a consolidated basis, we had total indebtedness
of approximately $539.1 million, consisting of $271.4 million in HUD guaranteed debt, $102.9 million in net Series C Bonds and Series
D Bonds outstanding and $164.8 million in commercial mortgages. Under our Bonds and our commercial mortgages, we are subject to continuing covenants,
and future indebtedness that we may incur, may contain similar provisions. In the event of a default, the lenders could accelerate the
timing of payments under the debt obligations, and we may be required to repay such debt with capital from other sources, which may not
be available on attractive terms, or at all, which would have a material adverse effect on our liquidity, financial condition, results
of operations and ability to make distributions to our stockholders.
Our
debt arrangements may require us to make a lump-sum or “balloon” payment at maturity. Our ability to make the balloon payments
due under our existing and future indebtedness will depend on our working capital at the time of repayment, our ability to obtain additional
financing or our ability to sell any property securing such indebtedness. At the time the balloon payment is due, we may or may not be
able to refinance the existing financing on terms as favorable as the original bond or loan or sell any related property at a price sufficient
to make the balloon payment. In addition, balloon payments and payments of principal and interest on our indebtedness may leave us with
insufficient cash to pay the distributions that we are required to pay to qualify and maintain our qualification as a REIT.
Through
2027 there are four balloon payment obligations consisting of two payments of $52.6 million and $37.1 million due under the Series C Bonds
and Series D bond in 2026, respectively and payments of $86.0 million and $60.7 million due under our two commercial bank term loans
due in 2027 and 2028. We may also obtain additional financing that contains balloon payment obligations. These types of obligations may
materially adversely affect us, including our cash flows, financial condition and ability to make distributions.
The
Company believes that its overall level of indebtedness is appropriate for the Company’s business in light of its cash flow from
operations and value of its properties and is generally typical for owners of multiple healthcare properties. The Company expects to
generate sufficient positive cash flow from operations to meet its ongoing debt service obligations and the distribution requirements
for maintaining REIT status.
38
Cash
Flows
The
following table presents selected data from our consolidated statements of cash flows:
| Years Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2023 | 2022 | |||||||
| (dollars in thousands) | ||||||||
| Net cash provided by operating activities | $ | 54,944 | $ | 50,926 | ||||
| Net cash used in investing activities | (106,348 | ) | (10,101 | ) | ||||
| Net cash provided by (used in) financing activities | 43,458 | (47,249 | ) | |||||
| Net decrease in cash and cash equivalents and restricted cash and cash equivalents | (7,946 | ) | (6,424 | ) | ||||
| Cash and cash equivalents, and restricted cash and cash equivalents beginning of year | 45,704 | 52,128 | ||||||
| Cash and cash equivalents and restricted cash and cash equivalents, end of year | $ | 37,758 | $ | 45,704 |
Net
cash provided by operating activities increased $4.0 million for the year ended December 31, 2023 compared to the year ended December
31, 2022, primarily due to an increase of $6.9 million increase in accounts payable and accrued liabilities.
Cash
used in investing activities for the year ended December 31, 2023, primarily consisted of a net increase in investment properties in
the amount of $108.1 million and a decrease in notes receivable of $1.7 million. The decrease of $10.1 million during the year ended
December 31, 2022 is due to an increase in note receivable of $9.6 million..
Cash
flows generated from financing activities for the year ended December 31, 2023 were primarily comprised of $52.4 million in new bond
proceeds, REIT dividends of $2.9 million, a $20.6 million in distributions to the non-controlling interest holders and $69.2 million new
borrowings under a mortgage loan facility. These amounts were offset by $24.0 million in principal bond payments, and $14.0 million of
repayment of senior debt. Cash flows used in financing activities for the year ended December 31, 2022 were primarily comprised of $106
million in principal bond payments, REIT dividends of $0.6 million, a $10.9 million in distributions to the non-controlling interest holders
and a decrease of $33.2 million in senior debt offset by a $105.0 million new borrowings under a mortgage loan facility.
Indebtedness
Mortgage
Loans Guaranteed by HUD
As
of December 31, 2023, we had non-recourse mortgage loans of $271.4 million from third party lenders that were guaranteed by HUD.
Each
loan is secured by first mortgages on certain specified properties, interests in the leases for these properties and second liens on
the operator’s assets. In the event of default on any single loan, the loan agreement provides that the applicable lender may require
the tenants for the property securing the loan to make all rental payments directly to the lender. In exchange for the HUD guarantee,
we pay HUD, on an annual basis, 0.65% of the principal balance of each loan as mortgage insurance premium, in addition to the interest
rate denominated in each loan agreement. As a result, the overall average interest rate paid with respect to the HUD guaranteed loans
as of December 31, 2023, was 3.97% per annum (including the mortgage insurance payments). The loans have an average maturity of 22 years.
39
Commercial
Bank Term Loan
On
March 21, 2022, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed approximately
$105 million. The facility provides for monthly payments of principal based on a 20-year amortization with a balloon payment due in March
2027. The rate is based on the one-month Secured Overnight Financing Rate (“SOFR”) plus a margin of 3.5% and a floor 4%
(as of the December 31, 2023 the rate was 8.84%). As of December 31, 2023, total outstanding principal amount was $98.8 million. This
loan is collateralized by 21 properties owned by the Company. The loan proceeds were used to repay the Series B Bonds and prepay commercial
loans not secured by HUD guarantees. The Company recognized a foreign currency transaction loss of approximately $10.1 million in connection
with the repayment of the Series B Bonds during the year ended December 31, 2022.
On
August 25, 2023, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed approximately
$66 million. The facility provides for monthly payments of interest and payment of principal will start on August 2024 based on a 20-year
amortization with a balloon payment due in August 2028. The rate is based on the one-month Secured Overnight Financing Rate (“SOFR”)
plus a margin of 3.5% and a floor of 4% (as of the December 31, 2023, the rate was 8.84%). As of December 31, 2023, total outstanding
principal amount was $66 million. This loan is collateralized by 19 properties owned by the Company. The loan proceeds were used to
acquire the Indiana facilities.
Both
credit facilities are subject to financial covenants which are consist of (i) a covenant that the ratio of the Company’s indebtedness
to its EBITDA cannot exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s net operating income to its debt service
before dividend distribution is at least 1.20 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement
(iii) a covenant that the ratio of the Company’s net operating income to its debt service after dividend distribution is at least
1.05 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement, and (iii) a covenant that the Company’s
GAAP equity is at least $20,000,000. As of December 31, 2023, the Company was in compliance with the loan covenants.
Outstanding
Bond Debt
As
of December 31, 2023, the Company had outstanding Series C Bonds and Series D Bonds.
Series
A Bonds
In
November 2015, the Company, through a subsidiary, issued Series A Bonds in the face amount of NIS 265.2 million ($68 million) and received
the net amount after issuance costs of NIS 251.2 million ($64.3 million). Since then the Company extended the series amount twice in
September 2016 and May 2017 and received a combined net amount of $30.1 million. The Series A Bonds had an original interest rate of
6.4% per annum. The Series A Bonds were paid off on November 8, 2023.
Series
C Bonds
In
July 2021, the BVI Company completed an initial offering of Series C Bonds with a par value of NIS 208.0 million ($64.7 million). The
Series C Bonds were issued at par. During February 2023, the BVI Company issued additional Series C Bonds in the face amount of NIS 40.0
million ($11.2 million) and raised a net amount of NIS 38.1 million ($10.7 million). These Series C Bonds were issued at a price of 95.25%.
40
As
of December 31, 2023, the outstanding principal amount of the Series C Bonds was NIS 220.5 million ($60.7 million).
The
Series C Bonds are traded on the TASE.
Series
D Bonds
In
June 2023, the BVI Company completed an initial offering of Series D Bonds with a par value of NIS 82.9 million ($22.9 million). The
Series D Bonds were issued at par. During August 2023, the BVI Company issued additional Series D Bonds in the face amount of NIS 70.0
million ($19.3 million) and raised a net amount of NIS 152.9 million ($42.2 million). These Series D Bonds were issued at a price of
99.7%. As of December 31, 2023, the Series D Bonds had an outstanding principal balance of approximately NIS 152.9 ($42.2 million).
Summary
of fixed and variable loans:
| December 31, | |||||||
|---|---|---|---|---|---|---|---|
| 2023 | 2022 | ||||||
| (Amounts in $000s) | |||||||
| Fixed rate loans | $ | 374,335 | $ | 351,566 | |||
| Variable rate loans | 164,810 | 105,225 | |||||
| Gross Notes Payable and other Debt | $ | 539,145 | $ | 456,791 |
Funds
From Operations (“FFO”)
The
Company believes that net income as defined by GAAP is the most appropriate earnings measure. We also believe that funds from operations
(“FFO”), as defined in accordance with the definition used by the National Association of Real Estate Investment Trusts (“NAREIT”),
and adjusted funds from operations (“AFFO”) are important non-GAAP supplemental measures of our operating performance. Because
the historical cost accounting convention used for real estate assets requires straight-line depreciation (except on land), such accounting
presentation implies that the value of real estate assets diminishes predictably over time. However, since real estate values have historically
risen or fallen with market and other conditions, presentations of operating results for a REIT that use historical cost accounting for
depreciation could be less informative. Thus, NAREIT created FFO as a supplemental measure of operating performance for REITs that excludes
historical cost depreciation and amortization, among other items, from net income, as defined by GAAP. FFO is defined as net income,
computed in accordance with GAAP, excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization.
AFFO is defined as FFO excluding the impact of straight-line rent, above-/below-market leases, non-cash compensation and certain non-recurring
items. For the year ended December 31, 2023 and 2022, we excluded as non-recurring items a gain in the amount of $0.5 million and a loss
of $10.9 million, respectively, in reclassification of foreign currency transactions the Company recorded with respect to foreign currency
fluctuations that the Company realized at the time of bond principal payment. We believe that the use of FFO, combined with the required
GAAP presentations, improves the understanding of our operating results among investors and makes comparisons of operating results among
REITs more meaningful. We consider FFO and AFFO to be useful measures for reviewing comparative operating and financial performance because,
by excluding the applicable items listed above, FFO and AFFO can help investors compare our operating performance between periods or
as compared to other companies.
While
FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations
or net income as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating
performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do
they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not
be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREIT definition or that
interpret the current NAREIT definition or define AFFO differently than we do.
41
The
following table reconciles our calculations of FFO and AFFO for the years ended December 31, 2023 and 2022, to net income, the most directly
comparable GAAP financial measure (in thousands):
FFO
and AFFO:
| Year Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2023 | 2022 | |||||||
| Net income | $ | 20,244 | $ | 16,419 | ||||
| Depreciation and amortization | 29,235 | 28,558 | ||||||
| Funds from Operations | 49,479 | 44,977 | ||||||
| Adjustments to FFO: | ||||||||
| Credit for doubtful accounts(1) | - | (5,636 | ) | |||||
| Straight-line rent | (30 | ) | (272 | ) | ||||
| Straight-line rent receivable write-off(2) | 230 | 1,075 | ||||||
| Contact cancellation expense for proposed financing(3) | 1,000 | - | ||||||
| Loss on real estate impairment (4) | 2,451 | - | ||||||
| Foreign currency transaction (gain) loss | (462 | ) | 10,932 | |||||
| Funds from Operations, as Adjusted | $ | 52,668 | $ | 51,076 |
(1)
During the year ended December 31, 2022, the Company recovered $4.4 million in cash with respect to foreclosure sales of assets in Massachusetts.
In addition, the Company recognized $1.2 million with respect to a foreclosed property in Massachusetts.
(2)
The Company recognized a loss of $1,075,000 in the second quarter of 2022 due to the write-off of straight-line rent receivables related
to the Southern Illinois facilities
(3)
The Company incurred a non-recurring expense of $1.0 million in the second quarter of 2023 in connection with the cancellation of a contract
with an investment banking firm related to a proposed financing.
(4)
Loss on real estate investment impairment: In February 2023, one facility under one of our Southern Illinois master leases was
closed. The closure was made at the request of the tenant and was mainly for efficiency reasons. This facility was leased under a master
lease with two other facilities. The closure did not result in any reduction in the aggregate rent payable under the master lease, which
was paid without interruption. As a result of the closure, the Company is seeking to sell the property. Since the facility is no longer
licensed to operate as a skilled nursing facility, the Company wrote off its remaining book value.
Dividend
Plans
We
are required to pay dividends in order to maintain our REIT status and we expect to make quarterly dividend payments in cash with the
annual dividend amount no less than 90% of our annual REIT taxable income, determined without regard to the dividends paid deduction
and excluding any net capital gains.
Critical
Accounting Policies
The
preparation of consolidated financial statements in conformity with generally accepted accounting principles, or GAAP, in the United
States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure
of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during
the reporting period. Management considers accounting estimates or assumptions critical in either of the following cases:
●
the nature of the estimates or assumptions is material because of the levels of subjectivity and judgment needed to account for matters
that are highly uncertain and susceptible to change; and
●
the effect of the estimates and assumptions is material to the consolidated financial statements.
Management
believes the current assumptions used to make estimates in the preparation of the consolidated financial statements are appropriate and
not likely to change in the future. However, actual experience could differ from the assumptions used to make estimates, resulting in
changes that could have a material adverse effect on our consolidated results of operations, financial position and/or liquidity. These
estimates will be made and evaluated on an on-going basis using information that is available as well as various other assumptions believed
to be reasonable under the circumstances.
The
following presents information about our critical accounting policies including the material assumptions used to develop significant
estimates. Since the Company was recently formed and just completed the formation transactions, certain of these critical accounting
policies contain discussion of judgments and estimates that have not yet been required by management but that it believes may be reasonably
required of it to make in the future.
42
Principles
of Consolidation
The
consolidated financial statements include the accounts of our Operating Partnership and its wholly owned subsidiaries, and all material
intercompany transactions and balances are eliminated in consolidation.
From
inception, we continually evaluate all of our transactions and investments to determine if they represent variable interests subject
to the variable interest entity, or VIE, consolidation model and then determine which business enterprise is the primary beneficiary
of its operations. We make judgments about which entities are VIEs based on an assessment of whether (i) the equity investors as a group,
if any, do not have a controlling financial interest, or (ii) the equity investment at risk is insufficient to finance that entity’s
activities without additional subordinated financial support. We consolidate investments in VIEs when we are determined to be the primary
beneficiary. This evaluation is based on our ability to direct and influence the activities of a VIE that most significantly impact that
entity’s economic performance.
For
investments not subject to the variable interest entity consolidation model, we will evaluate the type of rights held by the limited
partner(s) or other member(s), which may preclude consolidation in circumstances in which the sole general partner or managing member
would otherwise consolidate the limited partnership. The assessment of limited partners’ or members’ rights and their impact
on the presumption of control over a limited partnership or limited liability corporation by the sole general partner or managing member
should be made when an investor becomes the sole general partner or managing member and should be reassessed if (i) there is a change
to the terms or in the exercisability of the rights of the limited partners or members, (ii) the sole general partner or member increases
or decreases its ownership in the limited partnership or corporation, or (iii) there is an increase or decrease in the number of outstanding
limited partnership or membership interests.
Our
ability to assess correctly our influence or control over an entity at inception of our involvement or on a continuous basis when determining
the primary beneficiary of a VIE affects the presentation of these entities in our consolidated financial statements. Subsequent evaluations
of the primary beneficiary of a VIE may require the use of different assumptions that could lead to identification of a different primary
beneficiary, resulting in a different consolidation conclusion than what was determined at inception of the arrangement.
Revenue
Recognition
We
recognize rental revenue for operating leases on a straight-line basis over the lease term when collectability is reasonably assured
and the tenant has taken possession or controls the physical use of a leased asset. For assets acquired subject to leases, we recognize
revenue upon acquisition of the asset provided the tenant has taken possession or control of the physical use of the leased asset. If
the lease provides for tenant improvements, we determine whether the tenant improvements, for accounting purposes, are owned by the tenant
or us. When we are the owner of the tenant improvements, the tenant is not considered to have taken physical possession or have control
of the physical leased asset until the tenant improvements are substantially completed.
When
the tenant is the owner of the tenant improvements, any tenant improvement allowance funded is treated as a lease incentive and amortized
as a reduction of revenue over the lease term. The determination of ownership of the tenant improvements is subject to significant judgment.
If our assessment of the owner of the tenant improvements for accounting purposes were different, the timing and amount of our revenue
recognized would be impacted.
We
monitor the liquidity and creditworthiness of our tenants and operators on a continuous basis to determine the need for an allowance
for doubtful accounts, including an allowance for operating lease straight-line rent receivables, for estimated losses resulting from
tenant defaults or the inability of tenants to make contractual rent and tenant recovery payments. This evaluation considers industry
and economic conditions, property performance, credit enhancements and other factors. For straight-line rent amounts, our assessment
is based on income recoverable over the term of the lease. We exercise judgment in establishing allowances and consider payment history
and current credit status in developing these estimates. These estimates may differ from actual results, which could be material to our
consolidated financial statements. As of December 31, 2023 and 2022 we determined that no allowance was necessary to cover the potential
loss of rent from our tenants.
43
Real
Estate Investments
We
make estimates as part of our allocation of the purchase price of acquisitions (whether an asset acquisition acquired via purchase/leaseback
or a business combination via an asset acquired from the current lessor) to the various components of the acquisition based upon the
relative fair value of each component for asset acquisitions and at fair value of each component for business combinations. In making
estimates of fair values for purposes of allocating purchase prices of acquired real estate, we utilize a number of sources, including
independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market
data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing
activities in estimating the fair value of the tangible and intangible assets acquired. The most significant components of our allocations
are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in-place leases and other intangible
assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values
of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property
acquired or the remaining lease term. In the case of the value of in-place leases, including the assessment as to the existence of any
above-or below-market in-place leases, our management makes its best estimates based on the evaluation of the specific characteristics
of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market
conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the
remaining lease term for the acquired in-place leases. The values of any identified above-or below-market in-place leases are based on
the present value of the difference between (i) the contractual amounts to be paid pursuant to the in-place leases and (ii) management’s
estimate of fair market lease rates for the corresponding in-place leases, measured over a period equal to the remaining non-cancelable
term of the lease, or for below-market in-place leases including any bargain renewal option terms. Above-market lease values are recorded
as a reduction of rental income over the lease term while below-market lease values are recorded as an increase to rental income over
the lease term. The recorded values of in-place lease intangibles are recognized in amortization expense over the initial term of the
respective leases.
We
evaluate each purchase transaction to determine whether the acquired assets meet the definition of a business. Transaction costs related
to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related
to acquisitions that are deemed to be businesses are expensed as incurred.
Asset
Impairment
Real
estate asset impairment losses are recorded when events or changes in circumstances indicate the asset is impaired and the estimated
undiscounted cash flows to be generated by the asset are less than its carrying amount. Management assesses the impairment of properties
individually and impairment losses are calculated as the excess of the carrying amount over the fair value of assets to be held and used,
and carrying amount over the fair value less cost to sell in instances where management has determined that we will dispose of the property.
In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as
estimated discounted future cash flows.
Factors
That May Influence Future Results of Operations
Our
revenues are primarily derived from rents we earn pursuant to the lease agreements we enter into with our tenants. Our tenants operate
in the healthcare industry, generally providing nursing and medical care to patients. The capacity of our tenants to pay our rents is
dependent upon their ability to conduct their operations at profitable levels. We believe that the business environment of the industry
segments in which our tenants operate is generally positive for efficient operators. However, our tenants’ operations are subject
to economic, regulatory and market conditions that may affect their profitability, which could impact our results of operations. Accordingly,
we actively monitor certain key factors, including changes in those factors that we believe may provide early indications of conditions
that may affect the level of risk in our lease portfolio.
44
Key
factors that we consider in underwriting prospective tenants and borrowers and in monitoring the performance of existing tenants include,
but are not limited to, the following:
●
the current, historical and projected cash flow and operating margins of each tenant and at each facility;
●
the ratio of our tenants’ operating earnings both to facility rent and to facility rent plus other fixed costs, including debt
costs;
●
the quality and experience of the tenant and its management team;
●
construction quality, condition, design and projected capital needs of the facility;
●
the location of the facility;
●
local economic and demographic factors and the competitive landscape of the market;
●
the effect of evolving healthcare legislation and other regulations on our tenants’ profitability and liquidity;
●
the payor mix of private, Medicare and Medicaid patients at the facility; and
●
whether such tenants are related parties.
One
of our goals is to reduce our dependence on related party tenants in order to diversify our tenant base. Although we expect to continue
to lease properties to related party tenants in markets in which the related party tenants have substantial experience and operations,
we intend to lease properties in other markets to unrelated tenants if we are able to identify qualified operators. Additionally, we
will consider leasing properties to unrelated parties in markets in which related parties operate if we are able to identify qualified
operators that are willing to lease properties on terms that are no less favorable than those available from related parties.
We
also actively monitor the credit risk of our tenants. The methods we use to evaluate a tenant’s liquidity and creditworthiness
include reviewing certain periodic financial statements, operating data and clinical outcomes data of the tenant. Over the course of
a lease, we also have regular meetings with the facility management teams. Through these means we are able to monitor a tenant’s
credit quality.
Certain
business factors, in addition to those described above that directly affect our tenants, which in turn will likely materially influence
our future results of operations:
●
the financial and operational performance of our tenants;
●
trends in the cost and availability of capital, including market interest rates, which our prospective tenants may use for their working
capital financing;
●
reductions in reimbursements from Medicare, state healthcare programs and commercial insurance providers that may reduce our tenants’
profitability and our lease rates; and
●
competition from other financing sources.
45
Inflation
We
are exposed to inflation risk as income from long-term leases are a main source of our cash flows from operations. For our leased properties,
we expect there to be provisions in the majority of our leases that will protect us from the impact of inflation. These provisions may
include rent escalators, and leases that are triple-net. However, due to the long-term nature of the anticipated leases, among other
factors, the leases may not re-set frequently enough to cover inflation.
FY 2022 10-K MD&A
SEC filing source: 0001493152-23-009013.
ITEM
7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The
discussion below contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially
from those anticipated in these forward-looking statements as a result of various factors, including those which are discussed in the
section titled “Risk Factors.” Also see “Statement Regarding Forward-Looking Statements” preceding Part I.
The
following discussion and analysis should be read in conjunction with our accompanying consolidated financial statements and the notes
thereto.
Overview
Strawberry
Fields REIT, Inc. (the “Company”) is engaged in the ownership, acquisition, financing and triple-net leasing of skilled nursing
facilities and other post-acute healthcare properties. Currently, our portfolio consists of 79 healthcare properties with an aggregate
of 10,351 licensed beds. We hold fee title to 78 of these properties and hold one property under a long-term lease. These properties
are located in Arkansas, Illinois, Indiana, Kentucky, Michigan, Ohio, Oklahoma, Tennessee and Texas. We generate substantially all our
revenues by leasing our properties to tenants under long-term leases primarily on a triple-net basis, under which the tenant pays the
cost of real estate taxes, insurance and other operating costs of the facility and capital expenditures. Each healthcare facility located
at our properties is managed by a qualified operator with an experienced management team.
We
employ a disciplined approach in our investment strategy by investing in healthcare real estate assets. We seek to invest in assets that
will provide attractive opportunities for dividend growth and appreciation in asset value, while maintaining balance sheet strength and
liquidity, thereby creating long-term stockholder value. We expect to grow our portfolio by diversifying our investments by tenant, facility
type and geography.
We
are entitled to monthly rent paid by the tenants and we do not receive any income or bear any expenses from the operations of such facilities.
As of December 31, 2022, the aggregate annualized average base rent under the leases for our properties was approximately $82.5 million.
We
elect to be taxed as a REIT for U.S. federal income tax purposes commencing with our taxable year ending December 31, 2022. We are organized
in an UPREIT structure in which we own substantially all of our assets and conduct substantially all of our business through the Operating
Partnership. We are the general partner of the Operating Partnership and as of the date of the report own approximately 12.0% of the
outstanding OP units.
Recent
Developments
COVID-19
Update
The
pandemic caused by the coronavirus known as COVID-19 has not had a material adverse effect on the Company’s financial performance,
results of operations, liquidity or access to financing. However, the Company’s operations and financial performance are dependent
on the ability of its tenants to meet their lease obligations to the Company.
To
the Company’s knowledge and based on information provided to the Company by our tenants, the financial effects of the pandemic
on the Company’s tenants have increased operating costs resulting from the implementation of safety protocols and procedures our
tenants are taking to prevent and mitigate the potential outbreak and spread of COVID-19 at their facilities. Our tenants are also experiencing
labor shortages resulting in limited admissions, reduced occupancy and higher agency expenses. The Company believes that the declines
in occupancy were primarily due to declining referrals as a result of hospitals postponing elective surgeries as well as patients’
concerns regarding the risk of infection from COVID-19.
32
As
a result of the COVID-19 pandemic, our tenants have received financial support under several government programs. These programs consisted
of forgivable loans under Paycheck Protection Program, grants to operators under the Coronavirus Aid, Relief and Economic Security (CARES)
Act in an amount equal to 2% of their historical annual revenues, accelerated payments under Medicare, and increased funding for Medicaid
patients by some state governments. The financial support provisions of the CARES Act expired during 2022.
The
Company’s management does not expect that the discontinuation of these government programs will have a material adverse effect
on the tenants’ ability to pay rent for four reasons. First, the Company’s management believes that most nursing home residents
in the United States have received vaccines for COVID-19, which have been effective in preventing serious illness. Second, occupancy
significantly increased between April 2021 and March 2023. Third, most of the Company’s tenants have the ability to maintain profitability
notwithstanding the decrease in revenues because approximately 85% to 90% of their operating costs are variable items (such as labor
costs, food, drugs and supplies, including personal protection equipment and cleaning supplies) that can be reduced when occupancy decreases.
To
the Company’s knowledge, its tenants are complying with all applicable governmental requirements and guidelines for addressing
the risks posed by COVID-19. Although there have been a limited number of confirmed cases of COVID-19 at the facilities operated by the
Company’s tenants, to its knowledge, other than our tenants operated under two master leases for a combine six facilities in central
Illinois, these cases have not had a material impact on any of the operators.
Other
Recent Developments
On
April 4, 2022, we were notified that the tenants under the master leases for 6 facilities located in central Illinois intended to default
with respect to their lease agreements due to operating losses. The tenants indicated that their operating losses were due in part to
decreased occupancy caused by COVID-19. The tenants are affiliates of Steven Blisko, who is the brother of Michael Blisko, one of our
directors. These leases provided for a combined rent of $225,000 per month, or $2.7 million per year. All payments due under these leases
were paid through mid-June 2022. On July 1, 2022, the Company entered into new lease agreements with an unaffiliated third-party operator
to lease these properties. The new leases have terms of 10 years each and provide for a combined average base rent of $180,000 per month,
or $2.3 million per year over the life of the leases. The Company recognized a loss of approximately $1,075,000 in the second quarter
of 2022 due to the write-off of straight-line rent receivable related to the former leases.
In
October 2022, the Company extended a line of credit in the amount of $2.5 million to the new tenants for the Southern Illinois properties.
This line of credit is secured by accounts receivable of the tenants. The line of credit bears interest at the greater of the prime rate
or 4% per annum, plus margin of 2.75%. The maturity date of the line of credit is August 31, 2024.
On
January 3, 2023, the Company acquired the underlying property for $6.0 million, including $1 million in finder fees and $0.7
million in leasehold improvements, which was paid in cash. This property contains a skilled nursing facility with 120 licensed beds
and approximately 34,824 square feet. Concurrently with the closing of the acquisition, we added the property to an existing master
lease with an unaffiliated third-party operator. The lease has an initial term of 10 years, with two 5-year extension options.
The initial annualized base rent is $600,000 with 3% annual rent escalation. In addition, the loan made
in August 2022 to the seller was repaid at closing.
During
February 2023, the Company issued an additional NIS 40.00 million in par value of Series C Bonds and received a gross
amount of $10.73 million (NIS 38.1 million). The debentures were issued at a price of 95.25%.
In
February 2023 one of the SNF’s owned by the Company in Southern Illinois was closed. The closure was a result of the tenant request
and mainly for efficiency reasons. This SNF is under a master lease with 5 other facilities and the full amount of the rental
payment under the master lease are continuing to be paid.
33
As
of the date of this report, none of the Company’s tenants are delinquent on the payment of rent, and none of them have requested
the Company to amend the terms of their leases to reduce current or future lease payments.
Related
Party Tenants
As
a landlord, the Company does not control the operations of its tenants, including related party tenants, and is not able to cause its
tenants to take any specific actions to address trends in occupancy at the facilities operated by its tenants, other than to monitor
occupancy and income of its tenants, discuss trends in occupancy with tenants and possible responses, and, in the event of a default,
to exercise its rights as a landlord. However, Moishe Gubin, our Chairman and Chief Executive Officer, and Michael Blisko, one of our
directors, as the controlling members of 41 of our tenants and related operators, have the ability to obtain information regarding these
tenants and related operators and cause the tenants and operators to take actions, including with respect to occupancy.
Results
of Operations
Operating
Results
Year
Ended December 31, 2022 Compared to Year Ended December 31, 2021:
| Year Ended December 31, | Increase / | Percentage | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (dollars in thousands) | 2022 | 2021 | (Decrease) | Difference | ||||||||||||
| Revenues: | ||||||||||||||||
| Rental revenues | $ | 92,543 | $ | 87,032 | $ | 5,511 | 6.3 | % | ||||||||
| Expenses: | ||||||||||||||||
| Depreciation | 25,530 | 24,460 | 1,070 | 4.4 | % | |||||||||||
| Amortization | 3,028 | 3,028 | - | 0.0 | % | |||||||||||
| General and administrative expenses | 6,012 | 6,297 | (285 | ) | (4.5 | )% | ||||||||||
| Property and other taxes | 13,131 | 10,623 | 2,508 | 23.6 | % | |||||||||||
| Facility rent expenses | 532 | 735 | (203 | ) | (27.6 | % | ||||||||||
| (Credit) Provision for doubtful accounts | (5,636 | ) | 5,128 | (10,764 | ) | (210 | )% | |||||||||
| Total Expenses | 42,597 | 50,271 | (7,674 | ) | (15.3 | )% | ||||||||||
| Interest expense, net | 20,507 | 21,261 | (754 | ) | (3.5 | )% | ||||||||||
| Amortization of interest expense | 504 | 379 | 125 | 33.0 | % | |||||||||||
| Mortgage Insurance Premium | 1,704 | 1,769 | (65 | ) | (3.7 | )% | ||||||||||
| Total Interest Expenses | 22,715 | 23,409 | (694 | ) | (3.0 | )% | ||||||||||
| Other (loss) income | ||||||||||||||||
| Other income | 120 | - | 120 | 100 | % | |||||||||||
| Gain from sale of real estate investments | - | 3,842 | (3,842 | ) | (100 | )% | ||||||||||
| Foreign currency transaction loss | (10,932 | ) | (8,775 | ) | (2,157 | ) | 24.6 | % | ||||||||
| Net Income | 16,419 | 8,419 | 8,000 | 95 | % | |||||||||||
| Net income attributable to noncontrolling interest | (14,567 | ) | (3,083 | ) | (11,484 | ) | 372.5 | % | ||||||||
| Net income attributable to predecessor | - | (4,943 | ) | 4,943 | (100 | )% | ||||||||||
| Net Income attributable to common stockholders | 1,852 | 393 | 1,459 | 371.3 | % | |||||||||||
| Basic and diluted income per common share | $ | 0.31 | $ | 0.07 | - | - |
34
Rental
revenues: Rental revenues during 2022 increased by $5.5 million or 6.3% compared to fiscal year 2021 due to the six new
properties acquired in August of 2021. This increase was offset by a one-time loss of $1.1 million in the second quarter of 2022
due to the write-offs of straight-line rent receivables related to certain defaulted leases. Additionally, revenue was increased by
$1.9 million due to additional property taxes being reimbursed by the tenants.
Depreciation
and Amortization: Increase in depreciation of $1.07 million or 4.4% from fiscal year 2021 to fiscal year 2022 is primarily due
to $64.1 million of new real estate investments in the third quarter of 2021.
General
and Administrative Expense: Decrease in general and administrative expenses of $0.3 million or 4.5% during fiscal year 2022
compared to fiscal year 2021 is primarily due to no stock-based compensation expense in 2022. In 2021, $250,000 of stock-based
compensation was recognized.
Property
and other Taxes: The increase in property taxes of $2.5 million or 23.6% during fiscal year 2022 compared to fiscal year 2021 is
primarily due to increases in real estate taxes on gross leased properties and Tennessee franchise taxes paid in 2022.
(Credit)
Provision for Doubtful Accounts: During 2022, the Company recognized $5.6 million in income from the successful foreclosure of mortgages
held by the Company on properties located in Massachusetts with respect to loans written off on December 31, 2021. The decrease in the
provision for doubtful accounts of $10.8 million is primarily related to this recovery.
Interest
expense, net: The decrease in interest expense of $0.8 million or 3.6% from Fiscal year 2021 to fiscal year 2022 is primarily
related to lower amount of bond principal and decline in total debt.
Gain
from Sale of Real Estate Investments: There were no gains from the sale of real estate during 2022 because there were no asset dispositions
during this year.
Foreign
Currency Transaction Loss: Our bond indebtedness is denominated in NIS. As
a result, we are subject to potential foreign currency transaction loss due to changes in the value of the U.S. dollar relative to
the New Israel Shekel. In 2022, we recorded a foreign currency transaction loss of $10.9 million in
connection with the repayment of the Series B Bonds in 2022
Net
Income: The increase in net income from $8.4 million during the year ended December 31, 2021 to $16.4 million in the year ended
December 31, 2022 is mainly due to increases in rental revenue (net of increase in real estate taxes) and recoveries of provisions made during fiscal year 2021 offset by the
increase in foreign currency transaction losses of $2.2 million, and the absence of the $3.8 million in gain from sale of real
estate investments recorded in 2021.
Liquidity
and Capital Resources
To
qualify as a REIT for federal income tax purposes, we are required to distribute at least 90% of our REIT taxable income, determined
without regard to the dividends paid deduction and excluding any net capital gains, to our stockholders on an annual basis. Accordingly,
we intend to make, but are not contractually bound to make, regular quarterly dividends to common stockholders from cash flow from operating
activities. All such dividends are at the discretion of our board of directors.
As
of December 31, 2022, we had cash and cash equivalents and restricted cash and equivalents of $45.7 million. We also had the ability
to offer additional Series C Bonds from the current outstanding of $55.69 million up to $179 million subject to compliance with covenants
and market conditions.
35
Liquidity
is a measure of our ability to meet potential cash requirements, including ongoing commitments to repay borrowings, fund and maintain
our assets and operations, make distributions to our stockholders and other general business needs. Our primary sources of cash include
operating cash flows and borrowings. Our primary uses of cash include funding acquisitions and investments consistent with
our investment strategy, repaying principal and interest on any outstanding borrowings, making distributions to our equity holders, funding
our operations and paying accrued expenses.
Our
long-term liquidity needs consist primarily of funds necessary to pay for the costs of acquiring additional healthcare properties and
principal and interest payments on our debt. We expect to meet our long-term liquidity requirements through various sources of capital,
including future equity issuances or debt offerings, net cash provided by operations, long-term mortgage indebtedness and other secured
and unsecured borrowings.
We
may utilize various types of debt to finance a portion of our acquisition activities, including long-term, fixed-rate mortgage loans,
variable-rate term loans and secured revolving lines of credit. As of December 31, 2022, on a consolidated basis, we had total indebtedness
of approximately $456.8 million, consisting of $275.8 million in HUD guaranteed debt, $75.8 million in net Series A Bonds and Series
C Bonds outstanding and $105.2 in commercial mortgages. Under our Bonds and our commercial mortgages, we are subject to continuing covenants,
and future indebtedness that we may incur, may contain similar provisions. In the event of a default, the lenders could accelerate the
timing of payments under the debt obligations, and we may be required to repay such debt with capital from other sources, which may not
be available on attractive terms, or at all, which would have a material adverse effect on our liquidity, financial condition, results
of operations and ability to make distributions to our stockholders.
Our
debt arrangements may require us to make a lump-sum or “balloon” payment at maturity. Our ability to make the balloon payments
due under our existing and future indebtedness will depend on our working capital at the time of repayment, our ability to obtain additional
financing or our ability to sell any property securing such indebtedness. At the time the balloon payment is due, we may or may not be
able to refinance the existing financing on terms as favorable as the original bond or loan or sell any related property at a price sufficient
to make the balloon payment. In addition, balloon payments and payments of principal and interest on our indebtedness may leave us with
insufficient cash to pay the distributions that we are required to pay to qualify and maintain our qualification as a REIT.
Through
2027 there are two balloon payment obligations consisting of a payment of $44.9 million due under the Series C Bonds in 2026 and a payment
of $86.0 million due under our commercial bank term loan due in 2027. We may also obtain additional financing that contains balloon payment
obligations. These types of obligations may materially adversely affect us, including our cash flows, financial condition and ability
to make distributions.
The
Company believes that its overall level of indebtedness is appropriate for the Company’s business in light of its cash flow from
operations and value of its properties and is generally typical for owners of multiple healthcare properties. The Company expects to
generate sufficient positive cash flow from operations to meet its ongoing debt service obligations and the distribution requirements
for maintaining REIT status
36
Cash
Flows
The
following table presents selected data from our consolidated statements of cash flows:
| Years Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2022 | 2021 | |||||||
| (dollars in thousands) | ||||||||
| Net cash provided by operating activities | $ | 50,926 | $ | 44,786 | ||||
| Net cash used in investing activities | (10,101 | ) | (58,288 | ) | ||||
| Net cash (used in) provided by financing activities | (47,249 | ) | 23,571 | |||||
| Net (decrease) increase in cash and cash equivalents and restricted cash and cash equivalents | (6,424 | ) | 10,069 | |||||
| Cash and cash equivalents, and restricted cash and cash equivalents beginning of year | 52,128 | 42,059 | ||||||
| Cash and cash equivalents and restricted cash and cash equivalents, end of year | $ | 45,704 | $ | 52,128 |
Net
cash provided by operating activities increased $6.1 million for the year ended December 31, 2022 compared to the year
ended December 31, 2021, primarily due to an increase of $8 million in net income.
Cash
used in investing activities for the year ended December 31, 2022 primarily consisted of a net increase in notes receivable of $9.6
million, of which $8.0 million is a result of a note purchased related to our Arkansas properties and a loan of $2 million made to
an unaffiliated nursing home operator in Illinois. The decrease of $48.2 million compared to the year ended December 31, 2021 is due
to the decrease in real estate purchases partially offset by changes in notes receivables.
Cash
flows used in financing activities for the year ended December 31, 2022 were primarily comprised of $106 million in principal bond
payments, REIT dividends of $0.6 million, a $10.9 million in distribution to the non-controlling interest holders and a decrease of
$33.2 million in senior debt offset by a $105.0 million new borrowings under a mortgage loan facility. Cash flows generated from
financing activities for the year ended December 31, 2021 were primarily comprised of $63 million in new bond proceeds and proceeds
from the sale of bonds held by a subsidiary of $1.7 million. These amounts were offset by $22.4 million in principal bond payments,
$17.2 million of repayment of senior debt and payment of preferred dividends by the Predecessor Company of $1.5 million.
Indebtedness
Mortgage
Loans Guaranteed by HUD
As
of December 31, 2022, we had non-recourse mortgage loans of $275.8 million from third party lenders that were guaranteed by HUD.
Each
loan is secured by first mortgages on certain specified properties, interests in the leases for these properties and second liens on
the operator’s assets. In the event of default on any single loan, the loan agreement provides that the applicable lender may require
the tenants for the property securing the loan to make all rental payments directly to the lender. In exchange for the HUD guarantee,
we pay HUD, on an annual basis, 0.65% of the principal balance of each loan as mortgage insurance premium, in addition to the interest
rate denominated in each loan agreement. As a result, the overall average interest rate paid with respect to the HUD guaranteed loans
as of December 31, 2022, was 3.88% per annum (including the mortgage insurance payments). The loans have an average maturity of 25.0
years.
37
Commercial
Bank Term Loan
On
March 21, 2022, the Company closed a mortgage loan facility with a commercial bank pursuant to which the Company borrowed approximately
$105 million. The facility provides for monthly payments of principal based on a 20-year amortization with a balloon payment due in March
2027. The rate is based on the one-month Secured Overnight Financing Rate (“SOFR”) plus a margin of 3.5% and a floor of 4%
(as of the December 31, 2022 the rate was 7.68%). As of December 31, 2022, total outstanding principal amount was $102.39 million. This
loan is collateralized by 21 properties owned by the Company. The loan proceeds were used to repay the Series B Bonds and prepay
commercial loans not secured by HUD guarantees. The Company recognized a foreign currency transaction loss of approximately $10.1 million
in connection with the repayment of the Series B Bonds during the year ended December 31, 2022.
The
new credit facility financial covenants consist of (i) a covenant that the ratio of the Company’s indebtedness to its EBITDA cannot
exceed 8.0 to 1, (ii) a covenant that the ratio of the Company’s net operating income to its debt service before dividend distribution
is at least 1.20 to 1.00 for each fiscal quarter as measured pursuant to the terms of the loan agreement (iii) a covenant that the ratio
of the Company’s net operating income to its debt service after dividend distribution is at least 1.05 to 1.00 for each fiscal
quarter as measured pursuant to the terms of the loan agreement, and (iii) a covenant that the Company’s GAAP equity is at least
$20,000,000. As of December 31, 2022, the Company was in compliance with the loan covenants.
Other
Debt
As
of December 31, 2022 and 2021, the Company had $0 and $1.4 million, respectively, in outstanding amounts due under notes
due to sellers of properties.
Outstanding
Bond Debt
As
of December 31, 2022, the Company had outstanding Series A Bonds and Series C Bonds.
Series
A Bonds
In
November 2015, Strawberry Fields REIT, Ltd., a wholly owned subsidiary of the Company (“BVI Company”) issued Series A
Bonds in the face amount of New Israeli Shekels (“NIS”) 265.2 million ($68 million) and received the net amount, after
issuance costs, NIS 251.2 million ($64.3 million). During September 2016, the BVI Company issued additional Series A Bonds in the
face amount of NIS 70.0 million ($18.6 million) and raised a net amount of NIS 70.8 million ($18.8 million). These Series A Bonds
were issued at a premium of 103.6%. During May 2017, the BVI Company issued additional Series A Bonds in the face amount of NIS 39.0
million ($10.7 million) and raised a net amount of NIS 40.9 million ($11.3 million). These Series A Bonds were issued at a price of
105.9%.
A
portion of the Series A Bonds have been repurchased by a subsidiary of the BVI Company. As of December 31, 2022, the aggregate principal
amount of the Series A Bonds was NIS 74.9 million ($21.2 million). As of December 31, 2022, we held NIS 3.7 million ($1.0 million) of
these Bonds that we have repurchased. On July 4, 2022, Standard & Poor’s upgraded the rating on Bond A from ilA- to ilA, and
interest rate was decreased from 6.9% to 6.4%.
The
Series A Bonds are traded on the Tel Aviv Stock Exchange Ltd. (“TASE”).
Series
C Bonds
In
July 2021, the Company completed an initial offering of Series C Bonds with a par value of NIS 208.0 million ($64.7 million). The
Series C Bonds were issued at par. During February 2023, the BVI Company issued additional Series C Bonds in the face amount of NIS
40.0 million ($11.2 million) and raised a net amount of NIS 38.1 million ($10.7 million). These Series C Bonds were issued at a
price of 95.25%.
38
As
of December 31, 2022, the outstanding principal amount of the Series C Bonds was NIS 195.5 million ($55.6 million).
The
Series C Bonds are traded on the TASE.
Summary
of fixed and variable loans:
| December 31, | |||||||
|---|---|---|---|---|---|---|---|
| 2022 | 2021 | ||||||
| (Amounts in $000s) | |||||||
| Fixed rate loans | $ | 351,566 | $ | 479,388 | |||
| Variable rate loans | 105,225 | 24,789 | |||||
| Gross Notes Payable and other Debt | $ | 456,791 | $ | 504,177 |
Funds
From Operations (“FFO”)
The
Company believes that net income as defined by GAAP is the most appropriate earnings measure. We also believe that funds from
operations (“FFO”), as defined in accordance with the definition used by the National Association of Real Estate
Investment Trusts (“NAREIT”), and adjusted funds from operations (“AFFO”) are important non-GAAP
supplemental measures of our operating performance. Because the historical cost accounting convention used for real estate assets
requires straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets
diminishes predictably over time. However, since real estate values have historically risen or fallen with market and other
conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less
informative. Thus, NAREIT created FFO as a supplemental measure of operating performance for REITs that excludes historical cost
depreciation and amortization, among other items, from net income, as defined by GAAP. FFO is defined as net income, computed in
accordance with GAAP, excluding gains or losses from real estate dispositions, plus real estate depreciation and amortization. AFFO
is defined as FFO excluding the impact of straight-line rent, above-/below-market leases, non-cash compensation and certain
non-recurring items. For the year ended December 31, 2022 and 2021, we excluded as non-recurring items the amount of $10.9 million
and $8.8 million, respectively, in reclassification of foreign currency transaction losses the Company recorded with respect to
foreign currency fluctuations that the Company realized at the time of bond principal payment. We believe that the use of FFO,
combined with the required GAAP presentations, improves the understanding of our operating results among investors and makes
comparisons of operating results among REITs more meaningful. We consider FFO and AFFO to be useful measures for reviewing
comparative operating and financial performance because, by excluding the applicable items listed above, FFO and AFFO can help
investors compare our operating performance between periods or as compared to other companies.
While
FFO and AFFO are relevant and widely used measures of operating performance of REITs, they do not represent cash flows from operations
or net income as defined by GAAP and should not be considered an alternative to those measures in evaluating our liquidity or operating
performance. FFO and AFFO also do not consider the costs associated with capital expenditures related to our real estate assets nor do
they purport to be indicative of cash available to fund our future cash requirements. Further, our computation of FFO and AFFO may not
be comparable to FFO and AFFO reported by other REITs that do not define FFO in accordance with the current NAREIT definition or that
interpret the current NAREIT definition or define AFFO differently than we do.
The following table reconciles our calculations of FFO and AFFO for the
years ended December 31, 2022 and 2021, to net income, the most directly comparable GAAP financial measure (in thousands):
39
FFO
and AFFO:
| Year Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|
| 2022 | 2021 | |||||||
| (dollars in $1,000s) | ||||||||
| Net income | $ | 16,419 | $ | 8,419 | ||||
| Depreciation and amortization | 28,558 | 27,488 | ||||||
| Gain from Sale of Real Estate Investments | - | (3,842 | ) | |||||
| Funds from Operations | 44,977 | 32,065 | ||||||
| Adjustments to FFO: | ||||||||
| (Credit) Provision for doubtful accounts(1) | (5,636 | ) | 5,128 | |||||
| Straight-line rent | (272 | ) | (2,032 | ) | ||||
| Straight-line rent receivable write-off(2) | 1,075 | - | ||||||
| Foreign currency transaction loss | 10,932 | 8,775 | ||||||
| Funds from Operations, as Adjusted | $ | 51,076 | $ | 43,936 |
(1)
During the year ended December 31, 2022, the Company recovered $4.4 million in cash with respect to foreclosure sales of assets in
Massachusetts. In addition, the Company recognized $1.2 million with respect to a foreclosed property in Massachusetts.
(2)
The Company recognized a loss of $1,075,000 in the second quarter of 2022 due to the write-off of straight-line rent receivables
related to the Southern Illinois facilities
Dividend
Plans
We
are required to pay dividends in order to maintain our REIT status and we expect to make quarterly dividend payments in cash with the
annual dividend amount no less than 90% of our annual REIT taxable income, determined without regard to the dividends paid deduction
and excluding any net capital gains.
Critical
Accounting Policies
The
preparation of consolidated financial statements in conformity with generally accepted accounting principles, or GAAP, in the United
States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure
of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during
the reporting period. Management considers accounting estimates or assumptions critical in either of the following cases:
●
the nature of the estimates or assumptions is material because of the levels of subjectivity and judgment needed to account for matters
that are highly uncertain and susceptible to change; and
●
the effect of the estimates and assumptions is material to the consolidated financial statements.
Management
believes the current assumptions used to make estimates in the preparation of the consolidated financial statements are appropriate and
not likely to change in the future. However, actual experience could differ from the assumptions used to make estimates, resulting in
changes that could have a material adverse effect on our consolidated results of operations, financial position and/or liquidity. These
estimates will be made and evaluated on an on-going basis using information that is available as well as various other assumptions believed
to be reasonable under the circumstances.
The
following presents information about our critical accounting policies including the material assumptions used to develop significant
estimates. Since the Company was recently formed and just completed the formation transactions, certain of these critical accounting
policies contain discussion of judgments and estimates that have not yet been required by management but that it believes may be reasonably
required of it to make in the future.
40
Principles
of Consolidation
The
consolidated financial statements include the accounts of our Operating Partnership and its wholly owned subsidiaries, and all material
intercompany transactions and balances are eliminated in consolidation.
From
inception, we continually evaluate all of our transactions and investments to determine if they represent variable interests subject
to the variable interest entity, or VIE, consolidation model and then determine which business enterprise is the primary beneficiary
of its operations. We make judgments about which entities are VIEs based on an assessment of whether (i) the equity investors as a group,
if any, do not have a controlling financial interest, or (ii) the equity investment at risk is insufficient to finance that entity’s
activities without additional subordinated financial support. We consolidate investments in VIEs when we are determined to be the primary
beneficiary. This evaluation is based on our ability to direct and influence the activities of a VIE that most significantly impact that
entity’s economic performance.
For
investments not subject to the variable interest entity consolidation model, we will evaluate the type of rights held by the limited
partner(s) or other member(s), which may preclude consolidation in circumstances in which the sole general partner or managing member
would otherwise consolidate the limited partnership. The assessment of limited partners’ or members’ rights and their impact
on the presumption of control over a limited partnership or limited liability corporation by the sole general partner or managing member
should be made when an investor becomes the sole general partner or managing member and should be reassessed if (i) there is a change
to the terms or in the exercisability of the rights of the limited partners or members, (ii) the sole general partner or member increases
or decreases its ownership in the limited partnership or corporation, or (iii) there is an increase or decrease in the number of outstanding
limited partnership or membership interests.
Our
ability to assess correctly our influence or control over an entity at inception of our involvement or on a continuous basis when determining
the primary beneficiary of a VIE affects the presentation of these entities in our consolidated financial statements. Subsequent evaluations
of the primary beneficiary of a VIE may require the use of different assumptions that could lead to identification of a different primary
beneficiary, resulting in a different consolidation conclusion than what was determined at inception of the arrangement.
Revenue
Recognition
We
recognize rental revenue for operating leases on a straight-line basis over the lease term when collectability is reasonably assured
and the tenant has taken possession or controls the physical use of a leased asset. For assets acquired subject to leases, we recognize
revenue upon acquisition of the asset provided the tenant has taken possession or control of the physical use of the leased asset. If
the lease provides for tenant improvements, we determine whether the tenant improvements, for accounting purposes, are owned by the tenant
or us. When we are the owner of the tenant improvements, the tenant is not considered to have taken physical possession or have control
of the physical leased asset until the tenant improvements are substantially completed.
When
the tenant is the owner of the tenant improvements, any tenant improvement allowance funded is treated as a lease incentive and amortized
as a reduction of revenue over the lease term. The determination of ownership of the tenant improvements is subject to significant judgment.
If our assessment of the owner of the tenant improvements for accounting purposes were different, the timing and amount of our revenue
recognized would be impacted.
We
monitor the liquidity and creditworthiness of our tenants and operators on a continuous basis to determine the need for an allowance
for doubtful accounts, including an allowance for operating lease straight-line rent receivables, for estimated losses resulting from
tenant defaults or the inability of tenants to make contractual rent and tenant recovery payments. This evaluation considers industry
and economic conditions, property performance, credit enhancements and other factors. For straight-line rent amounts, our assessment
is based on income recoverable over the term of the lease. We exercise judgment in establishing allowances and consider payment history
and current credit status in developing these estimates. These estimates may differ from actual results, which could be material to our
consolidated financial statements. As of December 31, 2022 and 2021 we determined that no allowance was necessary to cover the potential
loss of rent from our tenants.
41
Real
Estate Investments
We
make estimates as part of our allocation of the purchase price of acquisitions (whether an asset acquisition acquired via purchase/leaseback
or a business combination via an asset acquired from the current lessor) to the various components of the acquisition based upon the
relative fair value of each component for asset acquisitions and at fair value of each component for business combinations. In making
estimates of fair values for purposes of allocating purchase prices of acquired real estate, we utilize a number of sources, including
independent appraisals that may be obtained in connection with the acquisition or financing of the respective property and other market
data. We also consider information obtained about each property as a result of our pre-acquisition due diligence, marketing and leasing
activities in estimating the fair value of the tangible and intangible assets acquired. The most significant components of our allocations
are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in-place leases and other intangible
assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values
of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property
acquired or the remaining lease term. In the case of the value of in-place leases, including the assessment as to the existence of any
above-or below-market in-place leases, our management makes its best estimates based on the evaluation of the specific characteristics
of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, market
conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the
remaining lease term for the acquired in-place leases. The values of any identified above-or below-market in-place leases are based on
the present value of the difference between (i) the contractual amounts to be paid pursuant to the in-place leases and (ii) management’s
estimate of fair market lease rates for the corresponding in-place leases, measured over a period equal to the remaining non-cancelable
term of the lease, or for below-market in-place leases including any bargain renewal option terms. Above-market lease values are recorded
as a reduction of rental income over the lease term while below-market lease values are recorded as an increase to rental income over
the lease term. The recorded values of in-place lease intangibles are recognized in amortization expense over the initial term of the
respective leases.
We
evaluate each purchase transaction to determine whether the acquired assets meet the definition of a business. Transaction costs related
to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related
to acquisitions that are deemed to be businesses are expensed as incurred.
Asset
Impairment
Real
estate asset impairment losses are recorded when events or changes in circumstances indicate the asset is impaired and the estimated
undiscounted cash flows to be generated by the asset are less than its carrying amount. Management assesses the impairment of properties
individually and impairment losses are calculated as the excess of the carrying amount over the fair value of assets to be held and used,
and carrying amount over the fair value less cost to sell in instances where management has determined that we will dispose of the property.
In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as
estimated discounted future cash flows.
Factors
That May Influence Future Results of Operations
Our
revenues are primarily derived from rents we earn pursuant to the lease agreements we enter into with our tenants. Our tenants operate
in the healthcare industry, generally providing nursing and medical care to patients. The capacity of our tenants to pay our rents is
dependent upon their ability to conduct their operations at profitable levels. We believe that the business environment of the industry
segments in which our tenants operate is generally positive for efficient operators. However, our tenants’ operations are subject
to economic, regulatory and market conditions that may affect their profitability, which could impact our results of operations. Accordingly,
we actively monitor certain key factors, including changes in those factors that we believe may provide early indications of conditions
that may affect the level of risk in our lease portfolio.
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Key
factors that we consider in underwriting prospective tenants and borrowers and in monitoring the performance of existing tenants include,
but are not limited to, the following:
●
the current, historical and projected cash flow and operating margins of each tenant and at each facility;
●
the ratio of our tenants’ operating earnings both to facility rent and to facility rent plus other fixed costs, including debt
costs;
●
the quality and experience of the tenant and its management team;
●
construction quality, condition, design and projected capital needs of the facility;
●
the location of the facility;
●
local economic and demographic factors and the competitive landscape of the market;
●
the effect of evolving healthcare legislation and other regulations on our tenants’ profitability and liquidity;
●
the payor mix of private, Medicare and Medicaid patients at the facility; and
●
whether such tenants are related parties.
One
of our goals is to reduce our dependence on related party tenants in order to diversify our tenant base. Although we expect to continue
to lease properties to related party tenants in markets in which the related party tenants have substantial experience and operations,
we intend to lease properties in other markets to unrelated tenants if we are able to identify qualified operators. Additionally, we
will consider leasing properties to unrelated parties in markets in which related parties operate if we are able to identify qualified
operators that are willing to lease properties on terms that are no less favorable than those available from related parties.
We
also actively monitor the credit risk of our tenants. The methods we use to evaluate a tenant’s liquidity and creditworthiness
include reviewing certain periodic financial statements, operating data and clinical outcomes data of the tenant. Over the course of
a lease, we also have regular meetings with the facility management teams. Through these means we are able to monitor a tenant’s
credit quality.
Certain
business factors, in addition to those described above that directly affect our tenants, which in turn will likely materially influence
our future results of operations:
●
the financial and operational performance of our tenants;
●
trends in the cost and availability of capital, including market interest rates, which our prospective tenants may use for their working
capital financing;
●
reductions in reimbursements from Medicare, state healthcare programs and commercial insurance providers that may reduce our tenants’
profitability and our lease rates; and
●
competition from other financing sources.
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Inflation
We
are exposed to inflation risk as income from long-term leases are a main source of our cash flows from operations. For our leased properties,
we expect there to be provisions in the majority of our leases that will protect us from the impact of inflation. These provisions may
include rent escalators, and leases that are triple-net. However, due to the long-term nature of the anticipated leases, among other
factors, the leases may not re-set frequently enough to cover inflation.