Sentio Healthcare Properties 10-Q 11 Aug 16 2016 Q2 Quarterly report Financial data

Document And Entity Information

Document And Entity Information - shares	6 Months Ended
	Jun. 30, 2016	Aug. 10, 2016
Document Information [Line Items]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2016
Document Fiscal Year Focus	2,016
Document Fiscal Period Focus	Q2
Entity Registrant Name	Sentio Healthcare Properties Inc
Entity Central Index Key	1,378,774
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Entity Common Stock, Shares Outstanding		11,524,767

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)	Jun. 30, 2016	Dec. 31, 2015
ASSETS
Cash and cash equivalents	$ 27,642,000	$ 22,801,000
Investments in real estate:
Land	47,196,000	47,196,000
Buildings and improvements, net	391,529,000	397,234,000
Furniture, fixtures and vehicles, net	12,120,000	12,660,000
Construction in progress	9,375,000	5,168,000
Intangible lease assets, net	5,028,000	6,731,000
Total Investment In Real Estate	465,248,000	468,989,000
Real estate note receivable	26,968,000	15,427,000
Investment in unconsolidated entities	658,000	880,000
Tenant and other receivables, net	5,196,000	5,751,000
Deferred costs and other assets	9,773,000	8,636,000
Restricted cash	5,665,000	6,748,000
Goodwill	5,965,000	5,965,000
Total assets	547,115,000	535,197,000
Liabilities:
Notes payable, net	340,894,000	335,288,000
Accounts payable and accrued liabilities	19,705,000	22,575,000
Prepaid rent and security deposits	4,866,000	5,368,000
Distributions payable	1,432,000	1,450,000
Total liabilities	366,897,000	364,681,000
Equity:
Preferred Stock Series C, $0.01 par value; 1,000 shares authorized; 1,000 and 1,000 shares issued and outstanding at June 30, 2016 and December 31, 2015, respectively	0	0
Common stock, $0.01 par value; 580,000,000 shares authorized; 11,517,676 and 11,502,617 shares issued and outstanding at June 30, 2016 and December 31, 2015, respectively	115,000	115,000
Additional paid-in capital	58,699,000	61,385,000
Accumulated deficit	(29,581,000)	(27,612,000)
Total stockholders' equity	29,233,000	33,888,000
Noncontrolling interests:
Series B convertible preferred OP units	146,543,000	132,164,000
Other noncontrolling interest	4,442,000	4,464,000
Total equity	180,218,000	170,516,000
Total liabilities and equity	$ 547,115,000	$ 535,197,000

CONDENSED CONSOLIDATED BALANCE3

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Jun. 30, 2016	Dec. 31, 2015
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	580,000,000	580,000,000
Common stock, shares issued	11,517,676	11,502,617
Common stock, shares outstanding	11,517,676	11,502,617
Series C Preferred Stock [Member]
Preferred Stock, Par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	1,000	1,000
Preferred Stock, Shares Issued	1,000	1,000
Preferred Stock, Shares Outstanding	1,000	1,000

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Revenues:
Rental revenues	$ 22,312,000	$ 19,967,000	$ 44,769,000	$ 37,397,000
Resident fees and services	8,087,000	7,793,000	16,442,000	15,458,000
Tenant reimbursements and other income	2,379,000	898,000	3,381,000	1,427,000
Total revenues	32,778,000	28,658,000	64,592,000	54,282,000
Expenses:
Property operating and maintenance	20,562,000	18,353,000	41,048,000	34,836,000
General and administrative	405,000	988,000	1,096,000	1,703,000
Asset management fees	1,696,000	1,554,000	2,679,000	2,914,000
Real estate acquisition costs	0	769,000	0	1,350,000
Depreciation and amortization	5,161,000	5,521,000	8,954,000	9,976,000
Total expenses	27,824,000	27,185,000	53,777,000	50,779,000
Income from operations	4,954,000	1,473,000	10,815,000	3,503,000
Other (income) expense:
Interest expense, net	3,791,000	3,522,000	7,632,000	6,687,000
Change in fair value of contingent consideration	129,000	600,000	306,000	600,000
Equity in loss from unconsolidated entities	68,000	45,000	128,000	173,000
Net income (loss) before income taxes	966,000	(2,694,000)	2,749,000	(3,957,000)
Income tax benefit	(298,000)	(1,196,000)	(900,000)	(1,725,000)
Net income (loss)	1,264,000	(1,498,000)	3,649,000	(2,232,000)
Preferred return to series B preferred OP units	2,706,000	2,147,000	5,322,000	3,948,000
Net income attributable to other noncontrolling interests	198,000	96,000	296,000	234,000
Net loss attributable to common stockholders	$ (1,640,000)	$ (3,741,000)	$ (1,969,000)	$ (6,414,000)
Basic and diluted weighted average number of common shares	11,515,846	11,486,143	11,510,737	11,481,112
Basic and diluted net loss per common share attributable to common stockholders	$ (0.14)	$ (0.33)	$ (0.17)	$ (0.56)

CONDENSED CONSOLIDATED STATEME5

CONDENSED CONSOLIDATED STATEMENTS OF EQUITY - 6 months ended Jun. 30, 2016 - USD ($)	Total	Preferred Stock	Common Stock	Additional Paid-In Capital	Accumulated Deficit	Total Stockholders' Equity	Noncontrolling Interest
BALANCE at Dec. 31, 2015	$ 170,516,000	$ 0	$ 115,000	$ 61,385,000	$ (27,612,000)	$ 33,888,000	$ 136,628,000
BALANCE (in shares) at Dec. 31, 2015		1,000	11,502,617
Issuance of Common Stock	176,000			176,000		176,000
Issuance of Common Stock (in shares)			15,059
Issuance of Series B Preferred OP Units, net	14,377,000		$ 0	0		0	14,377,000
Distributions	(8,500,000)			(2,862,000)		(2,862,000)	(5,638,000)
Net (loss) income	3,649,000				(1,969,000)	(1,969,000)	5,618,000
BALANCE at Jun. 30, 2016	$ 180,218,000	$ 0	$ 115,000	$ 58,699,000	$ (29,581,000)	$ 29,233,000	$ 150,985,000
BALANCE (in shares) at Jun. 30, 2016		1,000	11,517,676

CONDENSED CONSOLIDATED STATEME6

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015
Cash flows from operating activities:
Net (loss) income	$ 3,649,000	$ (2,232,000)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Amortization of deferred financing costs	500,000	404,000
Depreciation and amortization	8,954,000	9,976,000
Straight-line rent and above/below market lease amortization	186,000	(434,000)
Change in fair value of contingent consideration	306,000	600,000
Amortization of loan discount/premium	(29,000)	(31,000)
Equity in loss from unconsolidated entities	222,000	173,000	[1]
Bad debt expense	102,000	80,000
Deferred tax benefit	(900,000)	(869,000)
Changes in operating assets and liabilities:
Tenant and other receivables	300,000	(940,000)
Deferred costs and other assets	(237,000)	(251,000)
Restricted cash	438,000	0
Prepaid rent and tenant security deposits	(1,511,000)	1,087,000
Accounts payable and accrued expenses	(502,000)	154,000
Net cash provided by operating activities	11,478,000	7,717,000
Cash flows from investing activities:
Real estate acquisitions	0	(69,311,000)
Additions to real estate	(927,000)	(1,266,000)
Construction in progress	(4,207,000)	(2,029,000)
Real estate note receivable	(11,541,000)	(2,783,000)
Restricted cash	645,000	(194,000)
Distributions from unconsolidated entities	0	114,000
Net cash used in investing activities	(16,030,000)	(75,469,000)
Cash flows from financing activities:
Proceeds from issuance of series B preferred OP units, net	14,377,000	26,612,000
Proceeds from notes payable	7,008,000	40,195,000
Repayment of notes payable	(1,633,000)	(1,531,000)
Payment of contingent consideration	(1,777,000)	0
Deferred financing costs	(240,000)	(492,000)
Distributions paid to series B preferred OP units and other noncontrolling interests	(5,638,000)	(5,366,000)
Distributions paid to stockholders	(2,704,000)	(2,685,000)
Restricted cash	0	(52,000)
Net cash provided by financing activities	9,393,000	56,681,000
Net increase (decrease) in cash and cash equivalents	4,841,000	(11,071,000)
Cash and cash equivalents - beginning of period	22,801,000	35,564,000
Cash and cash equivalents - end of period	27,642,000	24,493,000
Supplemental disclosure of cash flow information:
Cash paid for interest	7,060,000	6,072,000
Cash paid for income taxes	164,000	137,000
Supplemental disclosure of non-cash financing and investing activities:
Note payable assumed in connection with a real estate acquisition	0	18,350,000
Equity contribution by noncontrolling interest	0	1,498,000
Consolidation of a previously held investment in an unconsolidated entity	0	3,493,000
Distributions declared not paid	1,432,000	1,347,000
Distributions reinvested	88,000	6,000
Accrued preferred stock offering costs	0	144,000
Accrued additions to real estate	$ 0	$ 57,000
[1]	On January 28, 2014, through a wholly-owned subsidiary, we acquired a 25% interest in a joint venture entity that has developed Buffalo Crossings, a 108-unit, assisted-living community, which commenced operations in May 2015.

Organization

Organization	6 Months Ended
	Jun. 30, 2016
Organization, Consolidation and Presentation Of Financial Statements [Abstract]
Organization	1. Organization Sentio Healthcare Properties, Inc., a Maryland corporation, was formed on October 16, 2006 under the Maryland General Corporation Law for the purpose of engaging in the business of investing in and owning commercial real estate. As used in this report, the “Company”, “we”, “us” and “our” refer to Sentio Healthcare Properties, Inc. and its consolidated subsidiaries, except where context otherwise requires. Effective January 1, 2012, subject to certain restrictions and limitations, our business is managed by Sentio Investments, LLC, a Florida limited liability company that was formed on December 20, 2011 Sentio Healthcare Properties OP, LP, a Delaware limited partnership (the “Operating Partnership”), was formed on October 17, 2006 100 57.9

Summary of Significant Accounti

Summary of Significant Accounting Policies	6 Months Ended
	Jun. 30, 2016
Summary Of Significant Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies For more information regarding our significant accounting policies and estimates, please refer to “Summary of Significant Accounting Policies” contained in our Annual Report on Form 10-K for the year ended December 31, 2015. The accompanying condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation. In accordance with the guidance for the consolidation of variable interest entities (“VIEs”), we analyze our variable interests, including investments in partnerships and joint ventures, to determine if the entity in which we have a variable interest is a variable interest entity. Our analysis includes both quantitative and qualitative reviews, based on our review of the design of the entity, its organizational structure including decision-making ability, risk and reward sharing experience and financial condition of other partner(s), voting rights, involvement in day-to-day capital and operating decisions and financial agreements. We also use quantitative and qualitative analyses to determine if we must consolidate a variable interest entity as the primary beneficiary. The accompanying interim condensed consolidated financial statements have been prepared by our management in accordance with accounting principles generally accepted in the United States of America (“GAAP”) and in conjunction with the rules and regulations of the Securities and Exchange Commission (the “SEC”). Certain information and note disclosures required for annual financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the interim condensed consolidated financial statements do not include all of the information and notes required by GAAP for complete financial statements. The accompanying financial information reflects all adjustments which are, in the opinion of our management, of a normal recurring nature and necessary for a fair presentation of our financial position, results of operations and cash flows for the interim periods. Operating results for the three and six months ended June 30, 2016 are not necessarily indicative of the results that may be expected for the year ending December 31, 2016. Our accompanying interim condensed consolidated financial statements should be read in conjunction with our audited condensed consolidated financial statements and the notes thereto included on our 2015 Annual Report on Form 10-K, as filed with the SEC. On January 1, 2016 we adopted Accounting Standards Update (“ASU”) 2015-03, “ Simplifying the Presentation of Debt Issuance Costs, 3.1 3.4 Adopted accounting standard In February 2015, the Financial Accounting Standards Board (“FASB”) issued ASU 2015-02, “ Amendments to the Consolidation Analysis, Pending accounting standards In February 2016, the FASB issued ASU 2016-02, " Leases (Topic 842) In 2014, the FASB issued ASU 2014-09, “ Revenue from Contracts with Customers (Topic 606)

Real Estate Note Receivable

Real Estate Note Receivable	6 Months Ended
	Jun. 30, 2016
Disclosure Text Block [Abstract]
Real Estate Notes Receivable	3. Real Estate Note Receivable On January 16, 2015, the Company, through an indirect wholly owned subsidiary, originated a development loan in the amount of $ 41.9 on January 15, 2020 with one 12-month option to extend at the Company’s option 7.9 1 Interest income on the loan receivable is recognized as earned based upon the principal amount outstanding subject to an evaluation of collectability risks. For the three and six months ended June 30, 2016, interest revenue from the real estate note receivable was $ 0.5 0.9 27.0 14.9

Investments in Real Estate

Investments in Real Estate	6 Months Ended
	Jun. 30, 2016
Investments In Real Estate [Abstract]
Investments in Real Estate	4. Investments in Real Estate Land Buildings Furniture, Construction Intangible Cost $ 47,196,000 $ 430,588,000 $ 19,141,000 $ 9,375,000 $ 28,737,000 Accumulated depreciation and amortization - (39,059,000) (7,021,000) - (23,709,000) Net $ 47,196,000 $ 391,529,000 $ 12,120,000 $ 9,375,000 $ 5,028,000 As of December 31, 2015, cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles were as follows: Land Buildings Furniture, Construction Intangible Cost $ 47,196,000 $ 429,945,000 $ 18,746,000 $ 5,168,000 $ 28,737,000 Accumulated depreciation and amortization - (32,711,000) (6,086,000) - (22,006,000) Net $ 47,196,000 $ 397,234,000 $ 12,660,000 $ 5,168,000 $ 6,731,000 Depreciation expense associated with buildings and improvements and furniture, fixtures and vehicles for the three months ended June 30, 2016 and 2015 was approximately $ 3.7 3.4 Depreciation expense associated with buildings and improvements and furniture, fixtures and vehicles for the six months ended June 30, 2016 and 2015 was approximately $ 7.3 6.4 Intangible Assets July 1, 2016 - December 31, 2016 $ 195,000 2017 389,000 2018 389,000 2019 295,000 2020 295,000 2021 and thereafter 3,465,000 $ 5,028,000 The estimated useful lives for intangible assets range from approximately one to 21 17

Investments in Unconsolidated E

Investments in Unconsolidated Entities	6 Months Ended
	Jun. 30, 2016
Equity Method Investments and Joint Ventures [Abstract]
Investments In Unconsolidated Entities	5. Investments in Unconsolidated Entities Entity (1) Property Type Acquired Investment (2) Ownership % Physicians Center MOB Medical Office Building April 2012 $ - 71.9% Buffalo Crossings Assisted-Living Facility January 2014 658,000 25.0% $ 658,000 (1) These entities are not consolidated because the Company exercises significant influence, but does not control or direct the activities that most significantly impact the entity’s performance. (2) Represents the carrying value of the Company’s investment in the unconsolidated entities. June 30, December 31, 2016 2015 Cash and cash equivalents $ 605,000 $ 279,000 Investments in real estate, net 23,111,000 24,712,000 Other assets 772,000 713,000 Total assets $ 24,488,000 $ 25,704,000 Notes payable, net $ 23,004,000 $ 22,679,000 Accounts payable and accrued liabilities 406,000 285,000 Other liabilities 264,000 49,000 Total stockholders’ equity 814,000 2,691,000 Total liabilities and equity $ 24,488,000 $ 25,704,000 Three Months Ended June 30, Six Months Ended June 30, 2016 2015 (1) 2016 2015 (1) Total revenues $ 1,334,000 $ 560,000 $ 2,539,000 $ 988,000 Net loss (128,000) (179,000) (154,000) (423,000) Company’s equity in loss from unconsolidated entities 105,000 45,000 222,000 173,000 (1) On January 28, 2014, through a wholly-owned subsidiary, we acquired a 25 108

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2016
Income Taxes [Abstract]
Income Taxes	6. Income Taxes For federal income tax purposes, we have elected to be taxed as a real estate investment trust (“REIT”) under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended (the “Code”), beginning with our taxable year ended December 31, 2008, which imposes limitations related to operating assisted-living properties. Generally, to qualify as a REIT, we cannot directly operate assisted-living facilities. However, such facilities may generally be operated by a taxable REIT subsidiary (“TRS”) pursuant to a lease with the Company. Therefore, we have formed Master HC TRS, LLC (“Master TRS”), a wholly owned subsidiary of HC Operating Partnership, LP, to lease any assisted-living properties we acquire and to operate the assisted-living properties pursuant to contracts with unaffiliated management companies. The Company made the applicable election for Master TRS to qualify as a TRS. Under the management contracts, the management companies have direct control of the daily operations of these assisted-living properties. Each TRS is a tax paying component for purposes of classifying deferred tax assets and liabilities. We record net deferred tax assets to the extent we believe these assets will more likely than not be realized. In making such determination, we consider all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax planning strategies and recent financial operations. In the event we were to determine that we would not be able to realize our deferred income tax assets in the future in excess of their net recorded amount, we would establish a valuation allowance which would reduce the provision for income taxes. The Master TRS recognized a $ 0.3 1.2 0.9 1.7 6.9 6.0 2.3 which if unused, begin to expire in 2035

Segment Reporting

Segment Reporting	6 Months Ended
	Jun. 30, 2016
Segment Reporting [Abstract]
Segment Reporting	7. Segment Reporting As of June 30, 2016, we operated in three reportable business segments for management and internal financial reporting purposes: senior living operations, triple-net leased properties, and medical office building (“MOB”) properties. These operating segments are the segments of the Company for which separate financial information is available and for which segment results are evaluated regularly by the chief operating decision maker in deciding how to allocate resources and in assessing performance. Our senior living operations segment primarily consists of investments in senior housing communities located in the United States for which we engage independent third-party managers. Our triple-net leased properties segment consists of investments in senior living, skilled nursing and hospital facilities in the United States. These facilities are leased to healthcare operating companies under long-term “triple-net” or “absolute-net” leases, which require the tenants to pay all property-related expenses. Our MOB properties segment primarily consists of investing in medical office buildings and leasing those properties to healthcare providers under long-term leases, which may require tenants to pay property-related expenses. We evaluate performance of the combined properties in each segment based on net operating income. Net operating income is defined as total revenue less property operating and maintenance expenses. There are no intersegment sales or transfers. We use net operating income to evaluate the operating performance of our real estate investments and to make decisions concerning the operation of the property. We believe that net operating income is useful to investors in understanding the value of income-producing real estate. Net income is the GAAP measure that is most directly comparable to net operating income; however, net operating income should not be considered as an alternative to net income as the primary indicator of operating performance as it excludes certain items such as depreciation and amortization, asset management fees, real estate acquisition costs, interest expense and corporate general and administrative expenses. Additionally, net operating income as we define it may not be comparable to net operating income as defined by other REITs or companies. Three Months Ended June 30, 2016 Three Months Ended June 30, 2015 Senior living Triple-net leased MOB Consolidated Senior living Triple-net leased MOB Consolidated Rental revenue $ 20,410,000 $ 1,673,000 $ 229,000 $ 22,312,000 $ 17,423,000 $ 2,328,000 $ 216,000 $ 19,967,000 Resident services and fee income 8,087,000 - - 8,087,000 7,780,000 - 13,000 7,793,000 Tenant reimbursements and other income 687,000 1,614,000 78,000 2,379,000 535,000 298,000 65,000 898,000 29,184,000 3,287,000 307,000 32,778,000 25,738,000 2,626,000 294,000 28,658,000 Property operating and maintenance expenses 19,982,000 468,000 112,000 20,562,000 17,953,000 318,000 82,000 18,353,000 Net operating income $ 9,202,000 $ 2,819,000 $ 195,000 $ 12,216,000 $ 7,785,000 $ 2,308,000 $ 212,000 $ 10,305,000 General and administrative 405,000 988,000 Asset management fees 1,696,000 1,554,000 Real estate acquisition costs - 769,000 Depreciation and amortization 5,161,000 5,521,000 Interest expense, net 3,791,000 3,522,000 Change in fair value of contingent consideration 129,000 600,000 Equity in loss from unconsolidated entities 68,000 45,000 Income tax benefit (298,000) (1,196,000) Net income (loss) 1,264,000 (1,498,000) Preferred return to series B preferred OP units and other noncontrolling interests 2,904,000 2,243,000 Net loss attributable to common stockholders $ (1,640,000) $ (3,741,000) Six Months Ended June 30, 2016 Six Months Ended June 30, 2015 Senior living Triple-net leased MOB Consolidated Senior living Triple-net leased MOB Consolidated Rental revenue $ 40,331,000 $ 4,003,000 $ 435,000 $ 44,769,000 $ 32,308,000 $ 4,657,000 $ 432,000 $ 37,397,000 Resident services and fee income 16,442,000 - - 16,442,000 15,445,000 - 13,000 15,458,000 Tenant reimbursements and other income 1,406,000 1,819,000 156,000 3,381,000 668,000 616,000 143,000 1,427,000 58,179,000 5,822,000 591,000 64,592,000 48,421,000 5,273,000 588,000 54,282,000 Property operating and maintenance expenses 40,177,000 679,000 192,000 41,048,000 34,072,000 602,000 162,000 34,836,000 Net operating income $ 18,002,000 $ 5,143,000 $ 399,000 $ 23,544,000 $ 14,349,000 $ 4,671,000 $ 426,000 $ 19,446,000 General and administrative 1,096,000 1,703,000 Asset management fees 2,679,000 2,914,000 Real estate acquisition costs - 1,350,000 Depreciation and amortization 8,954,000 9,976,000 Interest expense, net 7,632,000 6,687,000 Change in fair value of contingent consideration 306,000 600,000 Equity in loss from unconsolidated entities 128,000 173,000 Income tax benefit (900,000) (1,725,000) Net income (loss) 3,649,000 (2,232,000) Preferred return to series B preferred OP units and other noncontrolling interests 5,618,000 4,182,000 Net loss attributable to common stockholders $ (1,969,000) $ (6,414,000) June 30, 2016 December 31, 2015 Assets Investment in real estate: Senior living operations $ 396,198,000 $ 389,733,000 Triple-net leased properties 88,814,000 87,432,000 Medical office building properties 7,204,000 7,251,000 Total reportable segments $ 492,216,000 $ 484,416,000 Reconciliation to consolidated assets: Cash and cash equivalents 27,642,000 22,801,000 Investment in unconsolidated entities 658,000 880,000 Tenant and other receivables, net 5,196,000 5,751,000 Deferred costs and other assets 9,773,000 8,636,000 Restricted cash 5,665,000 6,748,000 Goodwill 5,965,000 5,965,000 Total assets $ 547,115,000 $ 535,197,000 As of June 30, 2016 and December 31, 2015, goodwill had a balance of approximately $ 6.0

Fair Value Measurements

Fair Value Measurements	6 Months Ended
	Jun. 30, 2016
Fair Value Disclosures [Abstract]
Fair Value Measurements	8. Fair Value Measurements The FASB Accounting Standards Codification (“ASC”) 825-10, “ Financial Instruments, Fair value represents the estimate of the proceeds to be received, or paid in the case of a liability, in a current transaction between willing parties. ASC 820, “ Fair Value Measurement Our balance sheets include the following financial instruments: cash and cash equivalents, real estate note receivable, tenant and other receivables, net, deferred costs and other assets, restricted cash, notes payable, net, accounts payable and accrued liabilities, prepaid rent and security deposits and distributions payable. With the exception of notes payable and our contingent consideration discussed below, we consider the carrying values of our financial instruments to approximate fair value because they generally expose the Company to limited credit risk and because of the short period of time between origination of the financial assets and liabilities and their expected settlement. As of June 30, 2016, the estimated fair value of the contingent consideration related to the Sumter Grand and Armbrook Village 10.6 0.1 0.3 The fair value of the contingent consideration is based on significant inputs which are not observable to the market and as a result are classified in Level 3 of the fair value hierarchy. The fair value is derived by making assumptions on the timing of the lease up process based on actual performance as compared to internal underwriting models and applying a discount rate in the range of 9.0 10.0 The fair value of the Company’s notes payable is estimated by discounting future cash flows of each instrument at rates that reflect the current market rates available to the Company for debt of the same terms and maturities. The fair value of the notes payable was determined using Level 2 inputs of the fair value hierarchy. Based on the estimates used by the Company, the fair value of notes payable was $ 341.6 337.9 344.1 340.9 338.7 335.3 There were no transfers between Level 1 or 2 during the three and six months ended June 30, 2016.

Notes Payable

Notes Payable	6 Months Ended
	Jun. 30, 2016
Notes Payable [Abstract]
Notes Payable	9. Notes Payable Notes payable were $ 344.1 340.9 338.7 335.3 2.70 6.43 4.10 183.1 53 4.74 160.9 47 3.38 179.0 53 4.78 159.7 47 3.17 We are required by the terms of the applicable loan documents to meet certain financial covenants, such as debt service coverage ratios, rent coverage ratios and reporting requirements. As of June 30, 2016, we were in compliance with all such covenants and requirements, with two exceptions. The $ 24.4 due in October 2016 53.2 due in December 2017 25 The lender has not waived compliance with the covenants for the Sumter Loan or the Woodbury Loan for the quarter ended June 30, 2016.The Company is in negotiations with the current lender to restructure the financing arrangement on both loans to cure the covenant failures by repaying the existing loans with the proceeds from a new loan from the same lender offering revised covenant requirements. Although we have been successful in negotiating debt restructuring with lenders in the past, we cannot assure that we will be able to successfully refinance the Woodbury Loan and Sumter Loan so as to pay off the current loans or that, if the loans are refinanced, we will be able to meet the financial covenants of the new loan. Until the Woodbury Loan and the Sumter Loan are repaid the Company will remain in violation of the covenants on these loans. These violations would constitute an event of default. The current lender could, in its discretion, declare the loan immediately due and payable, take possession of the properties securing the loan, or exercise other remedies available to it under law. If the current lender were to declare the loan to be immediately due and payable, we would expect to refinance the loan with a new lender. Any such refinancing may require a pay down of the loan and be on terms and conditions less favorable than the terms currently available under the existing loans. Year Principal Amount July 1, 2016 - December 31, 2016 $ 25,671,000 2017 100,857,000 2018 28,255,000 2019 75,986,000 2020 34,651,000 2021 and thereafter 78,674,000 $ 344,094,000 Less: Deferred financing costs 3,093,000 Less: Discount 107,000 $ 340,894,000 Interest Expense and Deferred Financing Cost For the three months ended June 30, 2016 and 2015, the Company incurred interest expense, including amortization of deferred financing costs of $ 3.8 3.5 7.6 6.7 3.1 3.4

Stockholders' Equity

Stockholders' Equity	6 Months Ended
	Jun. 30, 2016
Stockholders' Equity Note [Abstract]
Stockholders' Equity	Common Stock Our charter authorizes the issuance of 580,000,000 0.01 20,000,000 0.01 1,000 13.3 13.3 133.4 132.3 Preferred Stock and OP Units On February 10, 2013, we entered into a series of agreements, which have been amended at various points after February 10, 2013, with Sentinel RE Investment Holdings LP (the “Investor”), an affiliate of Kohlberg Kravis Roberts & Co. L.P. (together with its affiliates, “KKR”) for the purpose of obtaining equity funding to finance investment opportunities (such investment and the related agreements, as amended, are referred to herein collectively as the “KKR Equity Commitment”). Pursuant to the KKR Equity Commitment, we could issue and sell to the Investor and its affiliates on a private placement basis from time to time over a period of up to three years, up to $ 158.7 As of June 30, 2016 and December 31, 2015 we had issued 1,000 1,586,000 158.7 152.5 6.2 3.7 14.4 15,830,938 The Series C Preferred Stock ranks senior to the Company’s common stock with respect to dividend rights and rights on liquidation. The holders of the Series C Preferred Stock are entitled to receive dividends, as and if authorized by our board of directors out of funds legally available for that purpose, at an annual rate equal to 3 The Series B Preferred Units rank senior to the Operating Partnership’s common units with respect to distribution rights and rights on liquidation. The Series B Preferred Units are entitled to receive cash distributions at an annual rate equal to 7.5 6.0 10 For the three and six months ended June 30, 2016, the Operating Partnership 2.7 5.3 2.1 4.9 Distributions Available to Common Stockholders on our common stock Distributions Declared (1)(2) Cash Flow from Period Cash Reinvested Total Operations First quarter 2015 $ 1,330,000 $ 85,000 $ 1,415,000 $ 3,348,000 Second quarter 2015 1,347,000 85,000 1,432,000 4,369,000 First quarter 2016 $ 1,342,000 $ 89,000 $ 1,431,000 $ 6,871,000 Second quarter 2016 1,343,000 88,000 1,431,000 4,607,000 (1) In order to meet the requirements for being treated as a REIT under the Internal Revenue Code, we must pay distributions to our stockholders each taxable year equal to at least 90 (2) This table represents distributions declared to common stockholders for each respective period. These amounts do not include distribution payments to the Series B Preferred Unit holders for the three and six months ended June 30, 2016 and 2015. Commencing with the declaration of distributions for daily record dates occurring in the second quarter of 2013 and thereafter, our board of directors has declared distributions on our common stock in amounts per share that, if declared and paid each day for a 365-day period, would equate to an annualized rate of $ 0.50 5.00 10.00 The declaration of distributions is at the discretion of our board of directors and our board will determine the amount of distributions on a regular basis. The amount of distributions will depend on our funds from operations, financial condition, capital requirements, annual distribution requirements under the REIT provisions of the Internal Revenue Code and other factors our board of directors deems relevant.

Earnings Per Share

Earnings Per Share	6 Months Ended
	Jun. 30, 2016
Earnings Per Share [Abstract]
Earnings Per Share	11. Earnings Per Share We report earnings (loss) per share pursuant to ASC Topic 260, “ Earnings per Share 1,586,000

Related Party Transactions

Related Party Transactions	6 Months Ended
	Jun. 30, 2016
Related Party Transactions [Abstract]
Related Party Transactions	12. Related Party Transactions Advisory Relationship with the Advisor We have been party to an Advisory Agreement with the Advisor since January 1, 2012. The Advisory Agreement has been renewed since 2012 for additional one-year terms commencing on January 1, 2013, January 1, 2014, January 1, 2015, and January 1, 2016; however, certain provisions of the Advisory Agreement have been amended as a result of the execution on February 10, 2013 of a Transition to Internal Management Agreement which was subsequently amended in April 2014 and February 2015 (as amended, the “Transition Agreement”) with the Advisor. Pursuant to the provisions of the Advisory Agreement, the Advisor is responsible for managing, operating, directing and supervising the operation of our company and its assets. Generally, the Advisor is responsible for providing us with (i) property acquisition, disposition and financing services, (ii) asset management and operational services, including real estate services and financial and administrative services, (iii) stockholder services, and (iv) in the event we conduct a public offering of our securities, offering-related services. The Advisor is subject to the supervision and ultimate authority of our board of directors and has a fiduciary duty to us and our stockholders. The Advisory Agreement with our Advisor and the terms of the Transition Agreement are more fully described in our Annual Report on Form 10-K for the year ended December 31, 2015. Three Months Ended June 30, Six Months Ended June 30, 2016 2015 2016 2015 Asset Management Fees $ 1,696,000 $ 1,554,000 $ 2,679,000 $ 2,914,000 Consistent with limitations set forth in our charter, the Advisory Agreement further provides that, commencing four fiscal quarters after the acquisition of our first real estate asset, we shall not reimburse the Advisor at the end of any fiscal quarter management fees and operating expenses that, in the four consecutive fiscal quarters then ended, exceed (the “Excess Amount”) the greater of 2 25 For the four fiscal quarters ended June 30, 2016, our management fees and expenses and operating expenses totaled did not exceed the greater of 2% of our average invested assets and 25% of our net income. KKR Equity Commitment Pursuant to the KKR Equity Commitment, we could issue and sell to the Investor and its affiliates on a private placement basis from time to time over a period of three years, up to $ 158.7 15,830,938 57.9 As of June 30, 2016, pursuant to the terms of the KKR Equity Commitment, the Investor had purchased 1,000 1,586,000 158.7 The terms of the KKR Equity Commitment are more fully outlined in our Annual Report on Form 10-K for the year ended December 31, 2015.

Commitments and Contingencies

Commitments and Contingencies	6 Months Ended
	Jun. 30, 2016
Commitments and Contingencies [Abstract]
Commitments and Contingencies	13. Commitments and Contingencies We monitor our properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist, we are not currently aware of any environmental liability with respect to the properties that we believe would have a material effect on our financial condition, results of operations and cash flows. Further, we are not aware of any environmental liability or any unasserted claim or assessment with respect to an environmental liability that we believe would require additional disclosure or the recording of a loss contingency. Our commitments and contingencies include the usual obligations of real estate owners and operators in the normal course of business. In the opinion of management, these matters are not expected to have a material impact on our condensed consolidated financial position, cash flows and results of operations. We are not presently subject to any material litigation nor, to our knowledge, is any material litigation threatened against the Company which if determined unfavorably to us would have a material adverse effect on our cash flows, financial condition or results of operations. Refer to Note 3 “Real Estate Note Receivable” for additional information on the remaining commitment to fund our real estate note receivable.

Summary of Significant Accoun20

Summary of Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2016
Summary Of Significant Accounting Policies [Abstract]
Principles of Consolidation and Basis of Presentation	Principles of Consolidation and Basis of Presentation The accompanying condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation. In accordance with the guidance for the consolidation of variable interest entities (“VIEs”), we analyze our variable interests, including investments in partnerships and joint ventures, to determine if the entity in which we have a variable interest is a variable interest entity. Our analysis includes both quantitative and qualitative reviews, based on our review of the design of the entity, its organizational structure including decision-making ability, risk and reward sharing experience and financial condition of other partner(s), voting rights, involvement in day-to-day capital and operating decisions and financial agreements. We also use quantitative and qualitative analyses to determine if we must consolidate a variable interest entity as the primary beneficiary.
Interim Financial Information	Interim Financial Information The accompanying interim condensed consolidated financial statements have been prepared by our management in accordance with accounting principles generally accepted in the United States of America (“GAAP”) and in conjunction with the rules and regulations of the Securities and Exchange Commission (the “SEC”). Certain information and note disclosures required for annual financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the interim condensed consolidated financial statements do not include all of the information and notes required by GAAP for complete financial statements. The accompanying financial information reflects all adjustments which are, in the opinion of our management, of a normal recurring nature and necessary for a fair presentation of our financial position, results of operations and cash flows for the interim periods. Operating results for the three and six months ended June 30, 2016 are not necessarily indicative of the results that may be expected for the year ending December 31, 2016. Our accompanying interim condensed consolidated financial statements should be read in conjunction with our audited condensed consolidated financial statements and the notes thereto included on our 2015 Annual Report on Form 10-K, as filed with the SEC.
Reclassification	Reclassifications On January 1, 2016 we adopted Accounting Standards Update (“ASU”) 2015-03, “ Simplifying the Presentation of Debt Issuance Costs, 3.1 3.4
Recent Accounting Pronouncements	Recent Accounting Pronouncements Adopted accounting standard In February 2015, the Financial Accounting Standards Board (“FASB”) issued ASU 2015-02, “ Amendments to the Consolidation Analysis, Pending accounting standards In February 2016, the FASB issued ASU 2016-02, " Leases (Topic 842) In 2014, the FASB issued ASU 2014-09, “ Revenue from Contracts with Customers (Topic 606)

Investments in Real Estate (Tab

Investments in Real Estate (Tables)	6 Months Ended
	Jun. 30, 2016
Investments In Real Estate [Abstract]
Schedule Of Cost and Accumulated Depreciation and Amortization Related To Real Estate Assets and Related Lease Intangibles	As of June 30, 2016, cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles were as follows: Land Buildings Furniture, Construction Intangible Cost $ 47,196,000 $ 430,588,000 $ 19,141,000 $ 9,375,000 $ 28,737,000 Accumulated depreciation and amortization - (39,059,000) (7,021,000) - (23,709,000) Net $ 47,196,000 $ 391,529,000 $ 12,120,000 $ 9,375,000 $ 5,028,000 As of December 31, 2015, cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles were as follows: Land Buildings Furniture, Construction Intangible Cost $ 47,196,000 $ 429,945,000 $ 18,746,000 $ 5,168,000 $ 28,737,000 Accumulated depreciation and amortization - (32,711,000) (6,086,000) - (22,006,000) Net $ 47,196,000 $ 397,234,000 $ 12,660,000 $ 5,168,000 $ 6,731,000
Estimated Amortization	Estimated amortization for July 1, 2016 through December 31, 2016 and each of the subsequent years is as follows: Intangible Assets July 1, 2016 - December 31, 2016 $ 195,000 2017 389,000 2018 389,000 2019 295,000 2020 295,000 2021 and thereafter 3,465,000 $ 5,028,000

Investments in Unconsolidated22

Investments in Unconsolidated Entities (Tables)	6 Months Ended
	Jun. 30, 2016
Equity Method Investments and Joint Ventures [Abstract]
Schedule of Equity Method Accounting	As of June 30, 2016, the Company owns interests in the following entities that are accounted for under the equity method of accounting: Entity (1) Property Type Acquired Investment (2) Ownership % Physicians Center MOB Medical Office Building April 2012 $ - 71.9% Buffalo Crossings Assisted-Living Facility January 2014 658,000 25.0% $ 658,000 (1) These entities are not consolidated because the Company exercises significant influence, but does not control or direct the activities that most significantly impact the entity’s performance. (2) Represents the carrying value of the Company’s investment in the unconsolidated entities.
Schedule of Combined Financial Information For Unconsolidated Entities	Summarized combined financial information for the Company’s unconsolidated entities is as follows: June 30, December 31, 2016 2015 Cash and cash equivalents $ 605,000 $ 279,000 Investments in real estate, net 23,111,000 24,712,000 Other assets 772,000 713,000 Total assets $ 24,488,000 $ 25,704,000 Notes payable, net $ 23,004,000 $ 22,679,000 Accounts payable and accrued liabilities 406,000 285,000 Other liabilities 264,000 49,000 Total stockholders’ equity 814,000 2,691,000 Total liabilities and equity $ 24,488,000 $ 25,704,000 Three Months Ended June 30, Six Months Ended June 30, 2016 2015 (1) 2016 2015 (1) Total revenues $ 1,334,000 $ 560,000 $ 2,539,000 $ 988,000 Net loss (128,000) (179,000) (154,000) (423,000) Company’s equity in loss from unconsolidated entities 105,000 45,000 222,000 173,000 (1) On January 28, 2014, through a wholly-owned subsidiary, we acquired a 25 108

Segment Reporting (Tables)

Segment Reporting (Tables)	6 Months Ended
	Jun. 30, 2016
Segment Reporting [Abstract]
Reconciliation of segment activity to consolidated net income (loss)	The following tables reconcile the segment activity to consolidated net income (loss) for the three and six months ended June 30, 2016 and 2015: Three Months Ended June 30, 2016 Three Months Ended June 30, 2015 Senior living Triple-net leased MOB Consolidated Senior living Triple-net leased MOB Consolidated Rental revenue $ 20,410,000 $ 1,673,000 $ 229,000 $ 22,312,000 $ 17,423,000 $ 2,328,000 $ 216,000 $ 19,967,000 Resident services and fee income 8,087,000 - - 8,087,000 7,780,000 - 13,000 7,793,000 Tenant reimbursements and other income 687,000 1,614,000 78,000 2,379,000 535,000 298,000 65,000 898,000 29,184,000 3,287,000 307,000 32,778,000 25,738,000 2,626,000 294,000 28,658,000 Property operating and maintenance expenses 19,982,000 468,000 112,000 20,562,000 17,953,000 318,000 82,000 18,353,000 Net operating income $ 9,202,000 $ 2,819,000 $ 195,000 $ 12,216,000 $ 7,785,000 $ 2,308,000 $ 212,000 $ 10,305,000 General and administrative 405,000 988,000 Asset management fees 1,696,000 1,554,000 Real estate acquisition costs - 769,000 Depreciation and amortization 5,161,000 5,521,000 Interest expense, net 3,791,000 3,522,000 Change in fair value of contingent consideration 129,000 600,000 Equity in loss from unconsolidated entities 68,000 45,000 Income tax benefit (298,000) (1,196,000) Net income (loss) 1,264,000 (1,498,000) Preferred return to series B preferred OP units and other noncontrolling interests 2,904,000 2,243,000 Net loss attributable to common stockholders $ (1,640,000) $ (3,741,000) Six Months Ended June 30, 2016 Six Months Ended June 30, 2015 Senior living Triple-net leased MOB Consolidated Senior living Triple-net leased MOB Consolidated Rental revenue $ 40,331,000 $ 4,003,000 $ 435,000 $ 44,769,000 $ 32,308,000 $ 4,657,000 $ 432,000 $ 37,397,000 Resident services and fee income 16,442,000 - - 16,442,000 15,445,000 - 13,000 15,458,000 Tenant reimbursements and other income 1,406,000 1,819,000 156,000 3,381,000 668,000 616,000 143,000 1,427,000 58,179,000 5,822,000 591,000 64,592,000 48,421,000 5,273,000 588,000 54,282,000 Property operating and maintenance expenses 40,177,000 679,000 192,000 41,048,000 34,072,000 602,000 162,000 34,836,000 Net operating income $ 18,002,000 $ 5,143,000 $ 399,000 $ 23,544,000 $ 14,349,000 $ 4,671,000 $ 426,000 $ 19,446,000 General and administrative 1,096,000 1,703,000 Asset management fees 2,679,000 2,914,000 Real estate acquisition costs - 1,350,000 Depreciation and amortization 8,954,000 9,976,000 Interest expense, net 7,632,000 6,687,000 Change in fair value of contingent consideration 306,000 600,000 Equity in loss from unconsolidated entities 128,000 173,000 Income tax benefit (900,000) (1,725,000) Net income (loss) 3,649,000 (2,232,000) Preferred return to series B preferred OP units and other noncontrolling interests 5,618,000 4,182,000 Net loss attributable to common stockholders $ (1,969,000) $ (6,414,000)
Reconciliation of segment activity to consolidated financial position	The following table reconciles the segment activity to consolidated financial position as of June 30, 2016 and December 31, 2015: June 30, 2016 December 31, 2015 Assets Investment in real estate: Senior living operations $ 396,198,000 $ 389,733,000 Triple-net leased properties 88,814,000 87,432,000 Medical office building properties 7,204,000 7,251,000 Total reportable segments $ 492,216,000 $ 484,416,000 Reconciliation to consolidated assets: Cash and cash equivalents 27,642,000 22,801,000 Investment in unconsolidated entities 658,000 880,000 Tenant and other receivables, net 5,196,000 5,751,000 Deferred costs and other assets 9,773,000 8,636,000 Restricted cash 5,665,000 6,748,000 Goodwill 5,965,000 5,965,000 Total assets $ 547,115,000 $ 535,197,000

Notes Payable (Tables)

Notes Payable (Tables)	6 Months Ended
	Jun. 30, 2016
Notes Payable [Abstract]
Principal payments due on notes payable	Principal payments due on our notes payable for July 1, 2016 to December 31, 2016 and each of the subsequent years is as follows: Year Principal Amount July 1, 2016 - December 31, 2016 $ 25,671,000 2017 100,857,000 2018 28,255,000 2019 75,986,000 2020 34,651,000 2021 and thereafter 78,674,000 $ 344,094,000 Less: Deferred financing costs 3,093,000 Less: Discount 107,000 $ 340,894,000

Stockholders' Equity (Tables)

Stockholders' Equity (Tables)	6 Months Ended
	Jun. 30, 2016
Stockholders' Equity [Abstract]
Summary of distributions declared	The following are the distributions declared on our common stock Distributions Declared (1)(2) Cash Flow from Period Cash Reinvested Total Operations First quarter 2015 $ 1,330,000 $ 85,000 $ 1,415,000 $ 3,348,000 Second quarter 2015 1,347,000 85,000 1,432,000 4,369,000 First quarter 2016 $ 1,342,000 $ 89,000 $ 1,431,000 $ 6,871,000 Second quarter 2016 1,343,000 88,000 1,431,000 4,607,000 (1) In order to meet the requirements for being treated as a REIT under the Internal Revenue Code, we must pay distributions to our stockholders each taxable year equal to at least 90 (2) This table represents distributions declared to common stockholders for each respective period. These amounts do not include distribution payments to the Series B Preferred Unit holders for the three and six months ended June 30, 2016 and 2015.

Related Party Transactions (Tab

Related Party Transactions (Tables)	6 Months Ended
	Jun. 30, 2016
Related Party Transactions [Abstract]
Schedule of Related Party Transactions	The fees payable to the Advisor under the Advisory Agreement for the three and six months ended June 30, 2016 and June 30, 2015 were as follows: Three Months Ended June 30, Six Months Ended June 30, 2016 2015 2016 2015 Asset Management Fees $ 1,696,000 $ 1,554,000 $ 2,679,000 $ 2,914,000

Organization (Details Textual)

Organization (Details Textual)	6 Months Ended
	Jun. 30, 2016
Organization [Line Items]
Percentage of interest owned	57.90%
Sentio Investments, LLC [Member]
Organization [Line Items]
Formation date	December 20, 2011
Sentio Healthcare Properties OP, LP [Member]
Organization [Line Items]
Formation date	October 17, 2006
Operating Partnership and the HC Operating Partnership, LP [Member]
Organization [Line Items]
Percentage of interest owned	100.00%

Summary of Significant Accoun28

Summary of Significant Accounting Policies (Details Textual) - USD ($) $ in Millions	Jun. 30, 2016	Dec. 31, 2015
Accounting Standards Update 2015-03 [Member] | Reclassification From Deferred Financing Costs to Related Party Notes Payable [Member]
New Accounting Pronouncement or Change in Accounting Principle, Cumulative Effect of Change on Equity or Net Assets	$ 3.1	$ 3.4

Real Estate Note Receivable (De

Real Estate Note Receivable (Details Textual) - USD ($) $ in Millions	3 Months Ended	6 Months Ended
	Jun. 30, 2016	Jun. 30, 2016	Jan. 16, 2015
Interest Income, Other	$ 0.5	$ 0.9
Georgetown Loan [Member]
Debt Instrument, Face Amount			$ 41.9
Debt Instrument, Interest Rate, Stated Percentage	7.90%	7.90%
Loan Origination Fee Percent		1.00%
Debt Instrument, Maturity Date, Description		on January 15, 2020 with one 12-month option to extend at the Companys option
Secured Debt	$ 14.9	$ 14.9
Loans Receivable	$ 27	$ 27

Investments in Real Estate (Det

Investments in Real Estate (Details) - USD ($)	Jun. 30, 2016	Dec. 31, 2015
Cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles
Net	$ 465,248,000	$ 468,989,000
Land [Member]
Cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles
Cost	47,196,000	47,196,000
Accumulated depreciation and amortization	0	0
Net	47,196,000	47,196,000
Buildings and Improvements [Member]
Cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles
Cost	430,588,000	429,945,000
Accumulated depreciation and amortization	(39,059,000)	(32,711,000)
Net	391,529,000	397,234,000
Furniture, Fixtures and Vehicles [Member]
Cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles
Cost	19,141,000	18,746,000
Accumulated depreciation and amortization	(7,021,000)	(6,086,000)
Net	12,120,000	12,660,000
Construction in Progress [Member]
Cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles
Cost	9,375,000	5,168,000
Accumulated depreciation and amortization	0	0
Net	9,375,000	5,168,000
Intangible Lease Assets [Member]
Cost and accumulated depreciation and amortization related to real estate assets and related lease intangibles
Cost	28,737,000	28,737,000
Accumulated depreciation and amortization	(23,709,000)	(22,006,000)
Net	$ 5,028,000	$ 6,731,000

Investments in Real Estate (D31

Investments in Real Estate (Details 1)	Jun. 30, 2016USD ($)
Estimated amortization
July 1, 2016 - December 31, 2016	$ 195,000
2,017	389,000
2,018	389,000
2,019	295,000
2,020	295,000
2021 and thereafter	3,465,000
Intangible Assets	$ 5,028,000

Investments in Real Estate (D32

Investments in Real Estate (Details Textual) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Property, Plant and Equipment [Line Items]
Real Estate Accumulated Depreciation, Depreciation Expense	$ 3.7	$ 3.4	$ 7.3	$ 6.4
Finite-Lived Intangible Assets, Remaining Amortization Period			17 years
Minimum [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Asset, Useful Life			1 year
Maximum [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Asset, Useful Life			21 years

Investments in Unconsolidated33

Investments in Unconsolidated Entities (Details)	6 Months Ended
	Jun. 30, 2016USD ($)	[2]
Investment	$ 658,000	[1]
Physicians Center MOB [Member] | Medical Office Building [Member]
Acquired	Apr. 1, 2012
Investment	$ 0	[1]
Ownership	71.90%
Buffalo Crossing [Member] | Assisted-Living Facility - Under Development [Member]
Acquired	Jan. 1, 2014
Investment	$ 658,000	[1]
Ownership	25.00%
[1]	Represents the carrying value of the Company’s investment in the unconsolidated entities.
[2]	These entities are not consolidated because the Company exercises significant influence, but does not control or direct the activities that most significantly impact the entity’s performance.

Investments in Unconsolidated34

Investments in Unconsolidated Entities (Details 1) - USD ($)	Jun. 30, 2016	Dec. 31, 2015
Equity Method Investment, Summarized Financial Information, Assets	$ 24,488,000	$ 25,704,000
Equity Method Investment Summarized Financial Information, Equity	814,000	2,691,000
Equity Method Investment, Summarized Financial Information, Liabilities and Equity	24,488,000	25,704,000
Cash and Cash Equivalents [Member]
Equity Method Investment, Summarized Financial Information, Assets	605,000	279,000
Investments In Real Estate Net [Member]
Equity Method Investment, Summarized Financial Information, Assets	23,111,000	24,712,000
Other Assets [Member]
Equity Method Investment, Summarized Financial Information, Assets	772,000	713,000
Notes Payable [Member]
Equity Method Investment, Summarized Financial Information, Liabilities	23,004,000	22,679,000
Accounts Payable and Accrued Liabilities [Member]
Equity Method Investment, Summarized Financial Information, Liabilities	406,000	285,000
Other Liabilities [Member]
Equity Method Investment, Summarized Financial Information, Liabilities	$ 264,000	$ 49,000

Investments in Unconsolidated35

Investments in Unconsolidated Entities (Details 2) - USD ($)	3 Months Ended			6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	[1]	Jun. 30, 2016	Jun. 30, 2015	[1]
Total revenues	$ 1,334,000	$ 560,000		$ 2,539,000	$ 988,000
Net loss	(128,000)	(179,000)		(154,000)	(423,000)
Company’s equity in loss from unconsolidated entities	$ 105,000	$ 45,000		$ 222,000	$ 173,000
[1]	On January 28, 2014, through a wholly-owned subsidiary, we acquired a 25% interest in a joint venture entity that has developed Buffalo Crossings, a 108-unit, assisted-living community, which commenced operations in May 2015.

Investments in Unconsolidated36

Investments in Unconsolidated Entities (Details Textual) - Buffalo Crossings [Member]	Jan. 28, 2014
Equity Method Investment, Ownership Percentage	25.00%
Number of units	108

Income Taxes (Details Textual)

Income Taxes (Details Textual) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2015
Deferred State and Local Income Tax Expense (Benefit)	$ 0.3	$ 1.2	$ 0.9	$ 1.7
Deferred Tax Assets, Net	6.9		$ 6.9		$ 6
Federal Statutory Authority [Member]
Operating Loss Carryforwards Expiration, Description			which if unused, begin to expire in 2035
Operating Loss Carryforwards	$ 2.3		$ 2.3

Segment Reporting (Details)

Segment Reporting (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Reconciliation of segment activity to consolidated net income
Rental revenue	$ 22,312,000	$ 19,967,000	$ 44,769,000	$ 37,397,000
Resident services and fee income	8,087,000	7,793,000	16,442,000	15,458,000
Tenant reimbursements and other income	2,379,000	898,000	3,381,000	1,427,000
Total revenues	32,778,000	28,658,000	64,592,000	54,282,000
Property operating and maintenance expenses	20,562,000	18,353,000	41,048,000	34,836,000
Net operating income	12,216,000	10,305,000	23,544,000	19,446,000
General and administrative	405,000	988,000	1,096,000	1,703,000
Asset management fees	1,696,000	1,554,000	2,679,000	2,914,000
Real estate acquisition costs	0	769,000	0	1,350,000
Depreciation and amortization	5,161,000	5,521,000	8,954,000	9,976,000
Interest expense, net	3,791,000	3,522,000	7,632,000	6,687,000
Change in fair value of contingent consideration	129,000	600,000	306,000	600,000
Equity in loss from unconsolidated entities	68,000	45,000	128,000	173,000
Income tax benefit	(298,000)	(1,196,000)	(900,000)	(1,725,000)
Net income (loss)	1,264,000	(1,498,000)	3,649,000	(2,232,000)
Preferred return to series B preferred OP units and other noncontrolling interests	2,904,000	2,243,000	5,618,000	4,182,000
Net loss attributable to common stockholders	(1,640,000)	(3,741,000)	(1,969,000)	(6,414,000)
Senior living operations [Member]
Reconciliation of segment activity to consolidated net income
Rental revenue	20,410,000	17,423,000	40,331,000	32,308,000
Resident services and fee income	8,087,000	7,780,000	16,442,000	15,445,000
Tenant reimbursements and other income	687,000	535,000	1,406,000	668,000
Total revenues	29,184,000	25,738,000	58,179,000	48,421,000
Property operating and maintenance expenses	19,982,000	17,953,000	40,177,000	34,072,000
Net operating income	9,202,000	7,785,000	18,002,000	14,349,000
Triple-net leased properties [Member]
Reconciliation of segment activity to consolidated net income
Rental revenue	1,673,000	2,328,000	4,003,000	4,657,000
Resident services and fee income	0	0	0	0
Tenant reimbursements and other income	1,614,000	298,000	1,819,000	616,000
Total revenues	3,287,000	2,626,000	5,822,000	5,273,000
Property operating and maintenance expenses	468,000	318,000	679,000	602,000
Net operating income	2,819,000	2,308,000	5,143,000	4,671,000
MOB [Member]
Reconciliation of segment activity to consolidated net income
Rental revenue	229,000	216,000	435,000	432,000
Resident services and fee income	0	13,000	0	13,000
Tenant reimbursements and other income	78,000	65,000	156,000	143,000
Total revenues	307,000	294,000	591,000	588,000
Property operating and maintenance expenses	112,000	82,000	192,000	162,000
Net operating income	$ 195,000	$ 212,000	$ 399,000	$ 426,000

Segment Reporting (Details 1)

Segment Reporting (Details 1) - USD ($)	Jun. 30, 2016	Dec. 31, 2015	Jun. 30, 2015	Dec. 31, 2014
Investment in real estate:
Total reportable segments	$ 492,216,000	$ 484,416,000
Reconciliation to consolidated assets:
Cash and cash equivalents	27,642,000	22,801,000	$ 24,493,000	$ 35,564,000
Investment in unconsolidated entities	658,000	880,000
Tenant and other receivables, net	5,196,000	5,751,000
Deferred costs and other assets	9,773,000	8,636,000
Restricted cash	5,665,000	6,748,000
Goodwill	5,965,000	5,965,000
Total assets	547,115,000	535,197,000
Senior living operations [Member]
Investment in real estate:
Total reportable segments	396,198,000	389,733,000
Reconciliation to consolidated assets:
Goodwill	6,000,000	6,000,000
Triple-net leased properties [Member]
Investment in real estate:
Total reportable segments	88,814,000	87,432,000
MOB [Member]
Investment in real estate:
Total reportable segments	$ 7,204,000	$ 7,251,000

Segment Reporting (Details Text

Segment Reporting (Details Textual) - USD ($)	Jun. 30, 2016	Dec. 31, 2015
Segment Reporting Information [Line Items]
Goodwill	$ 5,965,000	$ 5,965,000
Senior living operations [Member]
Segment Reporting Information [Line Items]
Goodwill	$ 6,000,000	$ 6,000,000

Fair Value Measurements (Detail

Fair Value Measurements (Details Textual) - USD ($)	3 Months Ended	6 Months Ended
	Jun. 30, 2016	Jun. 30, 2016	Dec. 31, 2015
Notes Payable carrying Value	$ 344,094,000	$ 344,094,000	$ 338,700,000
Notes Payable net of discount and prmium	340,894,000	340,894,000	335,288,000
Sumter Grand [Member]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other	10,600,000	10,600,000
Liabilities, Fair Value Adjustment	100,000	$ 300,000
Sumter Grand [Member] | Minimum [Member]
Change In Fair Value of Liabilities Discount Rate Percentage		9.00%
Sumter Grand [Member] | Maximum [Member]
Change In Fair Value of Liabilities Discount Rate Percentage		10.00%
Fair Value, Inputs, Level 2 [Member]
Notes Payable carrying Value	$ 341,600,000	$ 341,600,000	$ 337,900,000

Notes Payable (Details)

Notes Payable (Details) - USD ($)	Jun. 30, 2016	Dec. 31, 2015
Principal payments due on notes payable
Principal amount	$ 344,094,000	$ 338,700,000
Less: Deferred financing costs	3,093,000	3,400,000
Less: Discount	107,000
Notes payable	340,894,000	$ 335,288,000
July 1, 2016 - December 31, 2016 [Member]
Principal payments due on notes payable
Principal amount	25,671,000
2017 [Member]
Principal payments due on notes payable
Principal amount	100,857,000
2018 [Member]
Principal payments due on notes payable
Principal amount	28,255,000
2019 [Member]
Principal payments due on notes payable
Principal amount	75,986,000
2020 [Member]
Principal payments due on notes payable
Principal amount	34,651,000
2021 and thereafter [Member]
Principal payments due on notes payable
Principal amount	$ 78,674,000

Notes Payable (Details Textual)

Notes Payable (Details Textual) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2015
Notes Payable (Additional Textual) [Abstract]
Notes payable	$ 340,894,000		$ 340,894,000		$ 335,288,000
Fixed rate debt	$ 183,100,000		$ 183,100,000		$ 179,000,000
Fixed rate debt, notes payable	53.00%		53.00%		53.00%
Variable rate debt	$ 160,900,000		$ 160,900,000		$ 159,700,000
Variable rate debt, notes payable	47.00%		47.00%		47.00%
Fixed and variable rate secured mortgage loans with average effective interest rate	4.10%		4.10%
Variable rate debt, weighted average interest rate	3.38%		3.38%		3.17%
Deferred Finance Costs, Net	$ 3,093,000		$ 3,093,000		$ 3,400,000
Interest Expense Deferred Financing Cost	3,800,000	$ 3,500,000	7,600,000	$ 6,700,000
Notes Payable Carrying Value	$ 344,094,000		$ 344,094,000		$ 338,700,000
Notes Payable [Member]
Notes Payable (Additional Textual) [Abstract]
Fixed rate debt, weighted average interest rate	4.74%		4.74%		4.78%
KeyBank secured loan [Member]
Notes Payable (Additional Textual) [Abstract]
Debt Instrument, Face Amount	$ 24,400,000		$ 24,400,000
Debt Instrument, Maturity Date, Description			due in October 2016
Woodbury Mews loan [Member]
Notes Payable (Additional Textual) [Abstract]
Percentage Of Guarantees Of Repayment Of Outstanding Loan Balance	25.00%		25.00%
Sumter Loan [Member]
Notes Payable (Additional Textual) [Abstract]
Debt Instrument, Face Amount	$ 53,200,000		$ 53,200,000
Debt Instrument, Maturity Date, Description			due in December 2017
Maximum [Member]
Notes Payable (Additional Textual) [Abstract]
Fixed rate debt, notes payable	6.43%		6.43%
Minimum [Member]
Notes Payable (Additional Textual) [Abstract]
Fixed rate debt, notes payable	2.70%		2.70%

Stockholders' Equity (Details)

Stockholders' Equity (Details) - USD ($)		3 Months Ended
		Jun. 30, 2016	Mar. 31, 2016	Jun. 30, 2015	Mar. 31, 2015
Summary of distributions declared
Distributions Declared, Cash	[1],[2]	$ 1,343,000	$ 1,342,000	$ 1,347,000	$ 1,330,000
Distributions Declared, Reinvested	[1],[2]	88,000	89,000	85,000	85,000
Distributions Declared, Total	[1],[2]	1,431,000	1,431,000	1,432,000	1,415,000
Cash Flow From Operations		$ 4,607,000	$ 6,871,000	$ 4,369,000	$ 3,348,000
[1]	In order to meet the requirements for being treated as a REIT under the Internal Revenue Code, we must pay distributions to our stockholders each taxable year equal to at least 90% of our net ordinary taxable income.
[2]	This table represents distributions declared to common stockholders for each respective period. These amounts do not include distribution payments to the Series B Preferred Unit holders for the three and six months ended June 30, 2016 and 2015.

Stockholders' Equity (Details T

Stockholders' Equity (Details Textual) - USD ($)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2015	Jun. 30, 2013
Stockholders' Equity (Textual) [Abstract]
Common stock, shares authorized	580,000,000		580,000,000		580,000,000
Common stock, par value	$ 0.01		$ 0.01		$ 0.01
Percentage of annualized rate						5.00%
Annualized rate per share						$ 0.50
Common Stock Reinvested			13,300,000		13,300,000
Proceeds from Issuance of Preferred Stock and Preference Stock			$ 152,500,000
Gross Proceeds From Common Stock	$ 133,400,000		133,400,000		$ 132,300,000
Proceeds from Issuance of Convertible Preferred Stock			$ 158,700,000
Net Ordinary Taxable Income			90.00%
Stock Issued During Period, Value, New Issues			$ 176,000
Sale of Stock, Price Per Share						$ 10
Invetments in Joint Venture Equity Commitment, Unfunded Amount	$ 6,200,000		$ 6,200,000
Preferred Stock [Member]
Stockholders' Equity (Textual) [Abstract]
Preferred stock, shares authorized	20,000,000		20,000,000
Preferred stock, par value	$ 0.01		$ 0.01
Stock Issued During Period, Value, New Issues
Series B [Member]
Stockholders' Equity (Textual) [Abstract]
Dividends, Preferred Stock, Cash	$ 2,700,000	$ 2,100,000	$ 5,300,000	$ 4,900,000
Series B Preferred Stock [Member]
Stockholders' Equity (Textual) [Abstract]
Percentage of annualized rate	7.50%		7.50%
Preferred Stock Convertible Number Of Equity Instruments			15,830,938
Construction Loan Originations Percentage	6.00%		6.00%
Preferred Stock Liquidation Preference Percentage	10.00%		10.00%
Stock Issued During Period, Value, New Issues			$ 158,700,000
Stock Issued During Period, Shares, Conversion of Units			1,586,000
Series B Preferred Stock [Member] | KKR Equity Commitment [Member]
Stockholders' Equity (Textual) [Abstract]
Proceeds from Issuance of Preferred Stock and Preference Stock	$ 3,700,000		$ 14,400,000
Series C Preferred Stock [Member]
Stockholders' Equity (Textual) [Abstract]
Preferred stock, shares authorized	1,000		1,000		1,000
Preferred stock, par value	$ 0.01		$ 0.01		$ 0.01
Percentage of annualized rate	3.00%		3.00%
Stock Issued During Period, Shares, Other			1,000		1,000

Earnings Per Share (Details Tex

Earnings Per Share (Details Textual)	6 Months Ended
	Jun. 30, 2016shares
Series B Preferred Stock [Member]
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount	1,586,000

Related Party Transactions (Det

Related Party Transactions (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Asset Management Fees	$ 1,696,000	$ 1,554,000	$ 2,679,000	$ 2,914,000

Related Party Transactions (D48

Related Party Transactions (Details Textual) $ in Millions	6 Months Ended
	Jun. 30, 2016USD ($)shares
Related Party Transactions (Additional Textual) [Abstract]
Management Fee, Description	our management fees and expenses and operating expenses totaled did not exceed the greater of 2% of our average invested assets and 25% of our net income.
Percentage of average invested assets	2.00%
Percentage of net income	25.00%
Common Stock [Member]
Related Party Transactions (Additional Textual) [Abstract]
Stock Issued During Period, Shares, New Issues	15,059
KKR Equity Commitment [Member] | Common Stock [Member]
Related Party Transactions (Additional Textual) [Abstract]
Investment Owned, Balance, Shares	15,830,938
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners	57.90%
KKR Equity Commitment [Member] | Series C And Series B Preferred Stock [Member]
Related Party Transactions (Additional Textual) [Abstract]
Equity Interests Issued Or Issuable Amount | $	$ 158.7
Stock Issued During Period, Shares, New Issues	158,700,000
KKR Equity Commitment [Member] | Series C Preferred Stock [Member]
Related Party Transactions (Additional Textual) [Abstract]
Stock Issued During Period, Shares, New Issues	1,000
KKR Equity Commitment [Member] | Series B Preferred Stock [Member]
Related Party Transactions (Additional Textual) [Abstract]
Stock Issued During Period, Shares, New Issues	1,586,000