UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K (Mark One) [ X ] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 for the year ended December 31, 2000 [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 for the transition period from __________ to ___________ Commission File No. 001-13807 ElderTrust (Exact name of registrant as specified in its charter) Maryland 23-2932973 (State or other jurisdiction of (I.R.S. Employer Identification incorporation or organization) Number) 101 East State Street, Suite 100, Kennett Square PA 19348 (Address of principal executive offices) (Zip Code) (610) 925-4200 (Registrant's telephone number, including area code) Securities registered pursuant to Section 12(b) of the Act: Name of each exchange Title of Each Class on which registered - ------------------------------------- ----------------------------- Common shares of beneficial interest New York Stock Exchange $.01 par value per share Securities registered pursuant to Section 12(g) of the Act: None Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports); and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of Registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment of this Form 10-K. [ ] The aggregate market value of voting shares held by non-affiliates of the Registrant on February 28, 2001 was $22,282,063 based on the reported closing sales price of such shares on the New York Stock Exchange for that date. As of February 28, 2001, there were 7,119,000 total common shares outstanding. DOCUMENTS INCORPORATED BY REFERENCE Portions of the Registrant's definitive proxy statement for the annual shareholders' meeting to be held on May 22, 2001 are incorporated by reference into Part III of this Form 10-K. ELDERTRUST 2000 FORM 10-K ANNUAL REPORT TABLE OF CONTENTS Page ---- Cautionary Statements Regarding Forward-Looking Statements 1 PART I Item 1. Business 1 Item 2. Properties 51 Item 3. Legal Proceedings 55 Item 4. Submission of Matters to a Vote of Security Holders 55 PART II Item 5. Market for the Registrant's Common Equity and Related Stockholder Matters 55 Item 6. Selected Financial Data 57 Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations 58 Item 7A. Quantitative and Qualitative Disclosures About Market Risk 79 Item 8. Financial Statements and Supplementary Data 81 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 108 PART III Item 10. Directors and Executive Officers of the Registrant 109 Item 11. Executive Compensation 109 Item 12. Security Ownership of Certain Beneficial Owners and Management 109 Item 13. Certain Relationships and Related Transactions 109 PART IV Item 14. Exhibits, Financial Statement Schedules and Reports on Form 8-K 109 i Cautionary Statements Regarding Forward-Looking Statements This Form 10-K contains certain "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934 with respect to results of operations and businesses of ElderTrust and its consolidated subsidiaries (collectively, "ElderTrust" or the "Company"). All statements, other than statements of historical facts, included in this Form 10-K, are forward-looking statements within the meaning of the Securities and Exchange Acts. In general, these statements are identified by the use of forward-looking words or phrases, including "intended," "will," "should," "could," "may," "continues," "continued," "estimate," "estimated," "expects," "expected," "believes," "anticipates," and "anticipated" or the negative or variations thereof or similar terminology. Because forward-looking statements involve risks and uncertainties, the Company's actual results could differ materially from those expressed or implied by these forward-looking statements. The statements set forth under the caption "Business - Risk Factors" and elsewhere in this Form 10-K, including statements contained in "Business" concerning the Company's Credit Facility, investments and business strategies, the Company's transactions with Genesis Health Ventures, Inc. and its subsidiaries, the ability of Genesis Health Ventures, Inc. and The Multicare Companies, Inc. to restructure their operations and continue to make lease and loan payments to the Company, government regulation and the impact of Medicare and Medicaid Prospective Payment programs on the Company's lessees and borrowers, certain statements contained in "Management's Discussion and Analysis of Financial Condition and Results of Operations" concerning the Company's ability to meet its liquidity needs and other statements contained herein regarding matters that are not historical facts identify important factors with respect to these forward-looking statements that could cause actual results to differ materially from those in these forward-looking statements. These forward-looking statements represent the Company's judgment as of the date of this Form 10-K. Although the Company believes that the expectations reflected in these forward-looking statements are reasonable, there can be no assurance that such expectations will prove to be correct. All subsequent written and oral forward-looking statements attributable to the Company are expressly qualified in their entirety by the cautionary statements. The Company disclaims, however, any intent or obligation to update its forward-looking statements. PART I ITEM 1. BUSINESS General The Company is a self-managed and self-administered real estate investment trust ("REIT") that invests principally in senior housing and other healthcare facilities, primarily skilled nursing facilities, assisted and independent living facilities (or "senior living centers") and medical office 1 and other buildings. ElderTrust was formed in the State of Maryland on September 23, 1997 and began operations upon the completion of its initial public offering on January 30, 1998 (the "Offering"), pursuant to which it issued 6,957,500 common shares. Net proceeds to ElderTrust of approximately $114.2 million from the Offering were contributed to a 94% owned subsidiary, ElderTrust Operating Limited Partnership (the "Operating Partnership"), which principally used the proceeds to fund the initial property acquisitions and other investments. ElderTrust is the sole general partner of the Operating Partnership and conducts all of its operations through the Operating Partnership. The Company had no real estate investments prior to January 30, 1998. The Company's consolidated assets consist primarily of the assets of the Operating Partnership and its consolidated subsidiaries. As of December 31, 2000, skilled nursing facilities and senior living centers comprised approximately 91% of the Company's consolidated investments in real estate properties and loans. At December 31, 2000, the Company's consolidated assets primarily consisted of: o a diversified portfolio of 22 healthcare properties aggregating $161.2 million in assets, consisting of seven assisted living facilities, eight skilled nursing facilities, one independent living facility and six medical office and other buildings, which are leased back to the prior owners or other third parties; o term loans totaling $23.4 million collateralized by five assisted living facilities on which construction had been completed in prior years but which were still in transition to stabilized occupancy levels; and o construction loans totaling $18.1 million collateralized by three assisted living facilities. Additionally, at December 31, 2000 the Company's investments in unconsolidated entities for which it accounts using the equity method of accounting (the Company's "Equity Investees") consisted of: o a 95% nonvoting equity interest in an entity which owns a $7.8 million second mortgage note and other notes aggregating $4.4 million due from the Company and its Equity Investees; o a 99% limited partnership interest in an entity which holds leasehold and purchase option rights for seven skilled nursing facilities; and o a 99% limited member interest in two entities which each hold an assisted living facility. See "Business - Investments." 2 Genesis Health Ventures, Inc. was a co-registrant in the Company's Offering. Approximately 72% of the Company's consolidated assets at December 31, 2000 consisted of real estate properties leased to or managed by and loans on real estate properties made to Genesis Health Ventures, Inc. or its consolidated subsidiaries (unless the context otherwise requires, collectively, "Genesis") or entities in which Genesis accounts for its investment using the equity method of accounting ("Genesis Equity Investees"), under agreements as manager, tenant or borrower. Revenues recorded by the Company in connection with these leases and borrowings aggregated $17.9 million in 2000. In addition, the Company's Equity Investees have also leased properties to Genesis or Genesis Equity Investees. As a result of these relationships, the Company's revenues and ability to meet its obligations depends, in significant part, upon the: o the ability of Genesis and Genesis Equity Investees to meet their lease and loan obligations; and o the revenues derived from, and the successful operation of, the facilities leased to or managed by Genesis or Genesis Equity Investees. Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring On June 22, 2000, Genesis and Multicare filed for protection under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code"). During the year, the Company, Genesis and Multicare and Genesis and Multicare's major creditors negotiated agreements to restructure their debt and lease obligations with the Company. The agreements were approved by the U.S. Bankruptcy Court on January 4, 2001 and were consummated on January 31, 2001. Under the more significant terms of the agreement with Genesis: 1) Twenty-one of the existing twenty-three lease agreements between Genesis subsidiaries and ElderTrust continued in effect in accordance with their terms, except as provided below: o Two leases were modified to reduce combined rents for the properties by $745,000 per year; o One lease was modified to create an early termination right commencing on December 31, 2002; and o One lease was modified to permit ElderTrust to terminate the lease during 2001 without penalty if the current tenant is unable to achieve occupancy targets specified by loan documents secured by property. 2) Two leases (Windsor Office Building and Windsor Clinic/Training facility) were terminated when the two properties subject to the leases were sold to Genesis for $1.25 million, such amount being paid via an increase in the notes receivable described in 4) below; 3 3) An $8.5 million loan previously guaranteed by ElderTrust and owed to Genesis by ET Sub-Meridian (ET Sub-Meridian), an unconsolidated subsidiary of ElderTrust, was conveyed to ElderTrust in a manner to effect an $8.5 million reduction in amounts owed to ElderTrust by Genesis; 4) The maturity date for three loans (Oaks, Coquina and Mifflin) by ElderTrust to Genesis and affiliated entities with unpaid principal balances totaling approximately $7.5 million at June 30, 2000 (after taking into account the aforementioned $1.25 million increase and $8.5 million reduction) were extended to June 30, 2002 at the rates in effect prior to the Genesis bankruptcy filing; and 5) The maturity date and interest rate for one loan (Harbor Place) with a principal balance of approximately $4.8 million made by ElderTrust to an entity in which Genesis owns a 100% limited partner interest was extended to May 31, 2002 at a 10% interest rate, an increase of 0.5%. Under the terms of the agreement with Multicare, ElderTrust acquired three properties secured by three loans (Lehigh, Berkshire and Sanatoga) with outstanding principal amounts totaling approximately $19.5 million, and having a net book value of $12.5 million, at December 31, 2000, in exchange for the outstanding indebtedness. These properties were then leased back to Multicare under long-term operating lease agreements. ElderTrust has no other transactions with this entity. Genesis and Multicare are expected to file plans of reorganization with the U.S. Bankruptcy Court addressing their other creditors' claims. Both companies are currently operating as debtors-in-possession subject to the jurisdiction of the U.S. Bankruptcy Court. Approval of the reorganization plans by the U.S. Bankruptcy Court will be necessary for Genesis and Multicare to be able to emerge from bankruptcy. The independent auditors' report on Genesis' 2000 financial statements, included in Genesis' Form 10-K as of September 30, 2000, indicated that there is substantial doubt regarding the ability of Genesis and Multicare to continue as going concerns. Each company's ability to continue as a going concern will be dependent upon, among other things, approval of their respective plan of reorganization, future profitable operations, the ability to comply with the terms of their debtor-in-possession financing arrangements and the ability to generate sufficient cash from operations and financing agreements to meet their obligations. Although we are hopeful Genesis and Multicare will emerge from bankruptcy and continue to make lease and loan payments to us, there can be no assurance that this will occur. Any failure of Genesis and Multicare to continue their operations and/or to continue to make lease and loan payments to us could have a significant adverse impact on our operations and cash flows due to the significant portion of our properties leased to and loans made to Genesis and Multicare. If Genesis and Multicare were to cease making lease and loan payments to the Company, we may be required to terminate the underlying leases and foreclose on the outstanding loans, in which event we would likely be required to find new operators to operate the properties underlying the leases and loans and/or sell or close one or more properties. Management has contacted several 4 alternative operators and, based on these preliminary discussions, believes that an adequate market currently exists in which the Company could arrange for property management, leasing or sale of these assets, and that the properties could be successfully transitioned to new operators. Based on the discussions with these operators, the Company's management believes that a property could be transitioned to a new operator without undue delay and that, due to the elderly resident population and care requirements this population requires, such transition would be completed in an orderly fashion and with the cooperation of the operators and the appropriate regulatory authorities, if any. Some of the operators contacted by the Company have indicated that they have experience in transitioning skilled nursing facilities to new management and that they have the staffing needed to transition such facilities. The Company would expect to rely upon that experience to effect an orderly transition should Genesis and/or Multicare fail to emerge from bankruptcy and/or cease making lease or loan payments to us. As a result of the relatively short estimated time period required to transition a property to a new operator, the Company's management believes that, even if Genesis or Multicare were to cease making lease and loan payments to us either because Genesis and Multicare did not emerge from bankruptcy or otherwise, the Company would still be able to satisfy its operating and debt service requirements during the next 12 months. Management fee arrangements currently charged in the market place typically range from 4% to 6% of property gross revenues. Actual fees incurred would depend upon property type and location as well as other property and operator specific factors. Management estimates that, if all of the properties subject to leases and loans with Genesis and Multicare were returned to the Company and were subjected to management agreements with new operators, the Company's annual cash flows could be reduced by approximately $1.6 million. This estimate is based upon expected property operations and assumptions made by management as to management fees, capital expenditures and possible property closures. The Company has multiple debt agreements and is subject to debt covenants that, among other things, require minimum principal payments and contain various financial covenants. Although the Company's management believes, based upon the above noted estimated cash flow reduction, that the Company would be able to meet its operating and debt service obligations during the next 12 months if it were required to obtain new managers for the properties now operated by Genesis and Multicare, a termination of leases and loans with Genesis and Multicare may impair the Company's ability to meet one or more of the financial covenants contained in its debt agreements. Should this occur, the Company's management believes that alternative arrangements could be reached with its various lenders to restructure its loan agreements, if necessary, so as to reflect any adverse change in economic condition. This belief is based, in part, upon the Company's past history in negotiating mutually acceptable agreements with these lenders. Depending on the magnitude of the reduction in the Company's operating cash flow, the Company would seek to offset the effect of such reduction in operating cash flow on the Company's ability to meet its debt service requirements through asset sales or through other available means. The Company believes that it has the ability to, and, if necessary, intends to, take these actions available to it and, as a result, believes it will be able to continue to satisfy its debt and operating obligations as they come due during the next twelve months. 5 As indicated above, based upon management's assessment of the long-term care economic environment, its discussions with alternative operators and the Company's past history with its lenders, the Company believes that, if the loans and leases with Genesis and Multicare were terminated, the assets could be redeployed as needed. Were this to occur, management believes that new operators would be available to operate the properties, that any cash flow interruption resulting from such redeployment is unlikely or would be minimal and that, although cash flows may be reduced, the Company would be able to meet its operating and debt service requirements under its existing debt agreements during the next 12 months and negotiate amendments, if necessary, with respect to any failure to meet financial covenants in those debt instruments. During the year, and as a defensive step in addressing the Genesis and Multicare bankruptcy filings, the Company suspended its distribution policy. Subsequent to this event, and as a function of the continued extension of its Bank Credit Facility, distributions are now limited to 110% of that amount required to maintain REIT status. The Company does not currently anticipate resuming distributions to shareholders until at least 2002. Credit Facility; Mortgage Defaults Credit Facility On January 3, 2000, the term of the Company's bank Credit Facility (the "Credit Facility") with Deutsche Bank Securities ("Deutsche Bank") was extended from January 1, 2000 to June 30, 2001 through an amendment ("Third Amendment"). This amendment also reduced borrowings available under the Credit Facility to $45.4 million. During 2000 the Company failed to meet certain financial covenants required by its Credit Facility. On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002 ("Fourth Amendment") and the covenants amended to, in part, cure the existing covenant violations. The Credit Facility contains various financial and other covenants, including, but not limited to, minimum net asset value, minimum tangible net worth, a total leverage ratio and minimum interest coverage ratio. The Company's owned properties and properties underlying loans receivable with an aggregate cost of $79.2 million are included in the Credit Facility borrowing base and pledged as collateral at December 31, 2000. 6 Credit Facility Terms Effective through January 30, 2001 Under the Third Amendment Under the Third Amendment, the Credit Facility terms required the Company to make monthly principal payments equal to 0.22% of the outstanding balance on the first day of the prior calendar month. In addition, the Company was required to pay a monthly facility fee in an amount equal to 0.0625% of the outstanding balance. Re-borrowings were not permitted after repayment, except for the $5.75 million revolving credit portion of the Credit Facility. Dividend distributions over the term of the loan were limited to $3.0 million plus 95% of the Company's Funds from Operations, as defined by the National Association of Real Estate Investment Trusts ("NAREIT") prior to January 1, 2000. At December 31, 2000, the Company had $38.7 million outstanding under the Credit Facility. In 2000 the Company paid financing fees and other related costs of approximately $0.5 million primarily associated with the Third Amendment to the Credit Facility. Of the $0.5 million, $0.3 million was expensed and included as a component of interest expense. Amounts outstanding under the Credit Facility bore interest at floating rates ranging from 2.75% to 3.25% over one-month LIBOR as determined by the percentage of the Credit Facility outstanding as compared to the borrowing base. The effective interest rate on borrowings outstanding under the Credit Facility at December 31, 2000 was 10.38%, 2.75% over one-month LIBOR including the facility fee. Credit Facility Terms Effective after January 30, 2001 Under the Fourth Amendment On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002. As a result of this further extension the Company is (i) prohibited from further borrowings under the facility, (ii) required to make monthly principal payments equal to the cash flow generated by the Company for the month and, (iii) is prevented from paying distributions in excess of 110% of that amount required to maintain REIT status. In December 2000, the Company paid a non-refundable loan maturity extension fee of $0.3 million in connection with the Fourth Amendment to the Credit Facility. In addition, and with respect to the Fourth Amendment, the Company issued to the lender warrants on January 31, 2001, to purchase 118,750 common shares of stock at $1.70 per share. The amounts outstanding under the Credit Facility bear interest at a floating rate equal to 3.25% over one-month LIBOR and the monthly facility fee has been eliminated. If this agreement were in effect on December 31, 2000, the effective interest rate on borrowings outstanding under the Credit Facility would have been 10.13%. 7 Other Giving effect to the lease and loan restructurings with Genesis and Multicare, the Company currently expects net cash provided by operations to be sufficient to enable it to meet its short-term cash flow requirements through December 31, 2001. See "Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring." The Credit Facility currently matures on August 31, 2002. If the Company is unable to pay-off or obtain replacement financing by August 31, 2002, or is unable to negotiate a further extension of the current Credit Facility at that time, or for any other reason the Company were to be in default under the Credit Facility prior to its maturity, Deutsche Bank could exercise its right to foreclose on the collateral securing the Credit Facility, which would have a significant adverse affect on the Company's ability to continue its operations and meet its obligations. The terms of the Credit Facility extension reduced the Company's cash flows and impose limits on its ability to make distributions to its shareholders. Future increases in interest rates, as well as any defaults by tenants or borrowers on their leases or loans, also could adversely affect the Company's cash flow and its ability to pay its obligations. To qualify as a REIT, the Company must distribute to its shareholders each year at least 95% (90% for taxable years beginning after December 31, 2000) of its net taxable income, excluding any net capital gain. If the Company is unable to make any required shareholder distributions, then the Company may be unable to qualify as a REIT and be subject to federal income taxes. Mortgage Defaults During 2000 the Company was in default on two mortgage bonds totaling approximately $20.0 million which are guaranteed by ElderTrust as the Company failed to meet certain financial covenants specified under the Guaranty Agreement. Under an amendment to the guaranty agreement executed on January 31, 2001, the Company is no longer in default of these covenants. In addition, the Company is in default on mortgages totaling $25.8 million for failure to meet technical requirements including property information reporting requirements and the tenant filing for bankruptcy. There can be no assurance that the Company will be able to cure these defaults. Based, in part, on the Company's favorable payment history, the Company believes that the lender will take no action in regard to these technical defaults. New York Stock Exchange Listing On August 8, 2000, the Company was notified by the New York Stock Exchange ("NYSE") that it had fallen below the continued listing criteria relating to total market capitalization and minimum share value. Under the market capitalization requirement, the Company's market capitalization must, on 8 average over the preceding thirty-trading day period, equal or exceed $15 million. Under the minimum share value requirement, the Company's shares must trade at a value exceeding $1 for thirty consecutive trading days. Under the NYSE rules, the Company submitted a plan demonstrating that these criteria could be attained within 18 months. On January 12, 2001, the NYSE notified the Company that, based upon plan accomplishments to date and short-term stock price and market capitalization improvement through January 11, 2001, the Company met the continued listing criteria and that the NYSE was prepared to continue the Company's listing subject to review and continued compliance with the continued listing criteria and plan performance over an eighteen-month period ending February 10, 2002. There can be no assurance that the Company will be able to continue to meet the continued listing criteria and thus that its NYSE listing will be retained. Investments Investment Policies The Company's investments primarily have taken the form of senior housing and other healthcare facilities leased to operators under long-term operating leases, term loans and construction financing. Term loans and operating leases are normally secured by the underlying real estate, guarantees and/or cash deposits. As of December 31, 2000, cash deposits aggregating approximately $3.2 million were held by the Company as security for operating leases, term loans and construction loan obligations. In addition, the leases are generally cross-defaulted with any other leases or other agreements between the operator or any affiliate of the operator and the Company, which were entered into simultaneously. Economic terms of the Company's operating leases include fixed and minimum rent leases, which normally include annual rate increases, and percentage rent leases. Percentage rent leases require rents based upon a fixed percentage of facility revenues throughout the lease term. See "Business - Investments - Owned Properties - Operating Leases." The Company monitors its investments through a variety of methods. The monitoring process includes a review and analysis of the facility, borrower or lessee, and guarantor financial statements; periodic site visits; property reviews; and meetings with operators. Such reviews of operators and facilities generally encompass licensure and regulatory compliance materials and reports, contemplated building improvements and other material developments. The Company's lessees and borrowers are subject to various regulations. See "Business - Government Regulation" and "Business - Risk Factors." 9 There are no limitations on the amount or percentage of the Company's total assets that may be invested in any one property. Additionally, no limits have been set on the concentration of investments in any one location, operator or facility type. The Company may sell some or all of its investments in the future. Under lease agreements with Genesis or Genesis Equity Investees, these entities have the right of first refusal on offers the Company receives to purchase or lease any of its properties it desires to sell. See "Business - Risk Factors." The Company may consider offering purchase money financing in connection with the sale of properties where the provision of such financing will increase the value received by the Company for the property sold. The Company may, but does not presently intend to make investments other than as described above. The Company will have the authority and may determine it necessary to offer its common shares or other equity or debt securities in exchange for property and to repurchase or otherwise reacquire its common shares or any other securities and may engage in such activities in the future. Similarly, the Company may offer additional units of the Operating Partnership or other equity interests in the Operating Partnership that are exchangeable into common or preferred shares of ElderTrust in exchange for property. The Company also may make loans to joint ventures in which it may participate in the future. The Company will not engage in trading, underwriting or the agency distribution or sale of securities of other issuers. At all times, the Company intends to make investments in such a manner as to be consistent with the requirements of the Tax Code to qualify as a REIT unless, because of circumstances or changes in the Tax Code (or the regulations promulgated thereunder), the board of trustees determines that it is no longer in the best interests of the Company to qualify as a REIT. The board of trustees may change the investment policies and activities of the Company at any time without a vote of shareholders. There can be no assurance that the Company's investment objectives will be realized. See "Business - Risk Factors." Investment Portfolio The Company is a self-managed and self-administered real estate investment trust that invests principally in senior housing and other healthcare facilities. As such, the Company has one reportable business segment. All of the Company's facilities and business activities are contained within the United States. The Company has significant transactions with Genesis and Genesis Equity Investees. See "Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring" and "Transactions with Genesis." 10 The Company's consolidated investments in real estate properties and loans at December 31, 2000 are reflected in the following table: - ----------------------------------------------------------------------------------------------------------------- Percentage Number Number Investment Number of Number Investments of of of per Operators of Type of Facility (1) Portfolio Facilities Beds (2) Bed (3) (4) States (5) - ------------------------------ -------------- ----------- ---------- ---------- ------------ ----------- ---------- (dollars in thousands) Owned Properties: Assisted Living Facilities (6) $ 84,237 37.2% 7 665 $ 127 2 2 Independent Living Facilities 4,178 1.8 1 72 58 1 1 Skilled Nursing Facilities 80,172 35.4 8 1,259 64 3 2 Medical Office and Other Buildings (6) 16,377 7.2 6 - - 3 4 -------------- ----------- -------- ---------- Total Owned Properties 184,964 81.6 22 1,996 -------------- ----------- -------- ---------- Term and Construction Loans: Assisted Living Facilities 41,559 18.4 8 562 74 3 3 -------------- ----------- -------- ---------- Total Term and Construction Loans 41,559 18.4 8 562 -------------- ----------- -------- ---------- -------------- ----------- -------- ---------- Totals $ 226,523 100.0% 30 2,558 ============== =========== ======== ========== - ----------- 1. Includes investments in real estate properties and loans on real estate properties aggregating $218.1 million, before reductions for accumulated depreciation, and credit enhancements on several owned properties which aggregated $8.4 million. 2. Based upon the number of private and semi-private beds/units currently in service. 3. Investment per Bed was computed by using the respective facility investment amount divided by number of beds/units currently in service for each respective facility. 4. Genesis or Genesis Equity Investees managed 18 of the owned properties and 7 of the properties underlying the term and construction loans, under management agreements with the tenants. See "Transactions with Genesis" and "Item 2 - Properties." 5. The Company has investments in properties located in eight states, occupied by nine different tenants or borrowers. 6. Includes properties which are held for sale. These properties are classified separately on the balance sheet as properties held for sale. Owned Properties Assisted Living Facilities Assisted living facilities provide services to aid in activities of daily living, such as bathing, meals, security, transportation, recreation, medication supervision and limited therapeutic programs. More intensive medical needs of the resident are often met within assisted living facilities by home health providers, close coordination with the resident's physician and skilled nursing facilities. 11 Independent Living Facilities Independent living facilities offer specially designed residential units for active and ambulatory elderly residents and provide various ancillary services. These facilities offer residents an opportunity for an independent lifestyle with a range of social and health services. Skilled Nursing Facilities Skilled nursing facilities provide inpatient skilled nursing and custodial services as well as rehabilitative, restorative and transitional medical services. In some instances, nursing facilities supplement hospital care by providing specialized care for medically complex patients whose conditions require intense medical and therapeutic services, but who are medically stable enough to have these services provided in facilities that are less expensive than acute care hospitals. Medical Office and Other Buildings The medical office and other buildings provide office space primarily to practicing physicians and other healthcare professionals, principally in connection with services rendered by these physicians at an adjacent acute care or long-term facility. Operating Leases Each of the Company's skilled nursing and senior housing facilities, which includes the land (if owned), buildings, improvements and related rights, is leased pursuant to a long-term lease. These leases generally have a fixed term of 5 to 12 years and contain multiple five to ten-year renewal options. Some of these leases provide for rents based on a specified percentage of facility operating revenues with no required minimum rent ("percentage rent leases"). Other leases provide for base rent, increasing each year by the lesser of 5% of the increase in facility revenues for the immediately preceding year or one-half of the percentage increase in the Consumer Price Index for the immediately preceding year ("minimum rent leases"). Both types of leases are triple net leases that require the lessees to pay all operating expenses, taxes, insurance, maintenance and other costs, including a portion of capitalized expenditures. The base rents for the renewal periods are generally fixed rents set at a spread above the Treasury yield for the corresponding period. The remaining leases ("fixed rent leases") are with tenants in the medical office and other buildings and provide for specified annual rents, subject to annual increases in some of the leases. Generally, these leases are for a five-year period. Some of the lessees subject to fixed rent leases are required to repair, rebuild and maintain the leased properties. The net consolidated carrying value of the Company's leased properties aggregated $161.2 million at December 31, 2000, excluding credit enhancements aggregating $8.4 million on various properties. Credit enhancements consisted of 12 $4.3 million in bond and operating reserve funds required in connection with outstanding debt issues on three facilities, security deposits of $2.3 million on various facilities, letters of credit aggregating $1.0 million on two facilities and mortgage escrow accounts of $0.8 million. Upon the closing of the lease and loan restructurings with Genesis and Multicare on January 31, 2001, lease payments for two properties have been reduced and two properties have been sold. See "Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring" for additional information. Term and Construction Loans Term Loans At December 31, 2000, the Company had investments in five term loans. All of the $23.4 million of term loans net of allowance for credit losses as of December 31, 2000 were first mortgage loans. The borrower under each of these loans is Genesis or Genesis Equity Investees. At that date the interest rate on the Company's investments in term loans for operating facilities ranged from 9.5% to 10.5% per annum on the outstanding balances. The yield to the Company on term loans depends upon a number of factors, including the stated interest rate, average principal amount outstanding during the term of the loan, the amount of the commitment fee charged at the inception of the loan, and any interest rate adjustments. At December 31, 2000, each of these loans was in default due to the bankruptcy filing and failure to make required payments by the respective borrower. The loan terms with respect to each of these loans have been amended pursuant to the Agreements. See "Loan Restructurings and Related Matters" below for additional information. Construction Loans At December 31, 2000, the Company had made three loans totaling $18.1 million, net of allowance for credit losses, secured by three healthcare facilities developed by the borrower. The borrower under two of the loans is Genesis. The Company had the option to purchase and leaseback the facility underlying the remaining loan from an unaffiliated company for $13.0 million upon maturity of the loan. At December 31, 2000 the interest rate on the Company's investments in construction loans ranged from 9% to 10.5% per annum on the outstanding balances. The rates on the outstanding balances of the Company's construction financings generally range from 350 to 400 basis points over the three-year Treasury rates in effect at the time the loan is executed. The construction financing period on each of the outstanding investment loans commenced upon the initial funding and terminates upon the earlier of the term of the construction loan, generally two to three years, or achievement of average monthly occupancy of at least 90% for three consecutive months following 13 completion of the construction. During the term of the construction financing, funds are advanced pursuant to draw requests made by the operator in accordance with the terms and conditions of the applicable financing agreement. Monthly interest payments are made on the total amount of the proceeds advanced during the development period. During the construction financing period, the Company generally requires additional security and collateral in the form of either payment and performance bonds and/or completion guarantees by either one or a combination of the operator's general contractor or parent entity, other affiliates of the operator, or one or more of the individual principals of the operator. At December 31, 2000, each of these loans was in default. The two loans to Genesis were in default due to its Chapter 11 bankruptcy filing and failure to make required payments by the borrower. The purchase option agreements and loan terms with respect to the loans to Genesis have been amended pursuant to the lease and loan restructurings with Genesis and Multicare. See "Loan Restructurings and Related Matters" below for additional information. The third loan to the unaffiliated borrower, secured by the Montchanin facility, with an unpaid principal balance at December 31, 2000 of $9.5 million, is in default. The Company has charged the borrower the default interest rate of 3% above the stated interest rate of 10.5%, as stated in the original loan documentation. The borrower has failed to pay at least the stated interest payment, which is due monthly, thus the Company has begun collection proceedings. The Woodbridge facility is also leased to an affiliate of the borrower. During December 2000, and at the borrower's request, the Company entered into discussions to sell the Woodbridge facility. The sale is expected to close during the second quarter of 2001. This asset has been identified as held for sale and is disclosed separately on the Company's consolidated balance sheet. At December 31, 2000, each facility was operational and the Company had no obligation to provide additional construction funding under the master agreement with Genesis. Loan Restructurings and Related Matters Under the loan and lease restructuring with Genesis and Multicare completed on January 31, 2001, the provisions of the Term and Construction loans have been amended. Under the more significant provisions as amended: o The Company is no longer obligated to purchase and leaseback the Mifflin, Coquina Place, Oaks and Harbor Place properties; o The maturity date for the Harbor Place loan was extended to May 31, 2002 and the maturity dates for the Mifflin, Coquina Place and Oaks loans was extended to June 30, 2002; o Commencing January 31, 2001 the interest rate for Harbor Place, Mifflin, Coquina Place and Oaks will be 10%, 9.5%, 9.5% and 9% per annum, respectively. The Mifflin, Coquina Place and Oaks will be interest only to be payable monthly until maturity. With respect to the Harbor Place loan, principal payments will be made monthly to the extent of one half of excess cash, if any, after payment of operating expenses, management fee, interest and an amount to be agreed upon by the parties for capital expenditures; 14 o The aggregate loan balances for these loans were reduced by $8.5 million to $6.3 million to reflect the conveyance of an $8.5 million note receivable by Genesis to the Company; and o The Company acquired the Lehigh, Berkshire and Sanatoga facilities in exchange for the release of the Company's loans to the subsidiaries of Multicare. The Company leased these properties to subsidiaries of Multicare for an initial lease term of 10 years, with two five-year renewal options. Investments in the Company's Equity Investees The Company's Equity Investees represent entities in which the controlling interest is owned by Mr. D. Lee McCreary, the Company's President, Chief Executive Officer and Chief Financial Officer. As a result, the Company records its investments in, and results of operations from, these entities using the equity method of accounting in its consolidated financial statements included in this Form 10-K. ET Capital Corp. The Company has a nonvoting 95% equity interest in, and has $3.5 million in loans to, ET Capital Corp. ("ET Capital"). The remaining voting 5% equity interest in ET Capital is owned by Mr. McCreary. As of December 31, 2000, ET Capital owned a $7.8 million second trust mortgage note executed by AGE Institute of Florida, which it acquired from Genesis during 1998. This note is secured by a second lien on 11 Florida skilled nursing facilities owned by AGE Institute of Florida and a second lien on accounts receivable and other working capital assets. The $40.0 million first mortgage loan that is partially guaranteed by Genesis is held by a third party. The facilities were managed by subsidiaries of Genesis through September 30, 2000. The AGE Institute of Florida's second mortgage note to ET Capital matures on September 30, 2008 with payments of interest only, at a fixed annual rate of 13% due quarterly until the note is paid in full. The borrower ceased making interest payments to ET Capital during the quarter ended June 30, 2000. ET Capital was notified, during the later part of 1999, that the borrower was in default under the $40.0 million first mortgage loan. Each of the parties involved have signed an intercreditor agreement. ET Capital recorded a provision for bad debts of $8.8 million as of December 31, 2000 for interest and principal due on the $7.8 million second trust mortgage note through December 31, 2000. The Company recorded $0.7 million in interest income for the year ended December 31, 2000 on the notes payable from ET Capital. The Company also recorded a loss of $7.2 million related to the portion of its equity interest in 15 ET Capital's results of operations for the year ended December 31, 2000. In addition, the Company recorded an impairment loss of $1.4 million on the remaining balance of the notes receivable from ET Capital issued in connection with the AGE second mortgage transaction. See Note 7 of the Company's consolidated financial statements included in this Form 10-K. In addition to the AGE Institute of Florida second trust mortgage note, ET Capital has notes receivable aggregating $4.4 million at December 31, 2000 from two of the Company's Equity Investees and one of the Company's consolidated subsidiaries. These loans mature at various dates from April 2008 to December 2011 and bear interest at 14% per annum with interest and principal payable monthly. ET Capital's long-term debt includes two demand promissory notes payable to the Company aggregating $5.9 million at December 31, 2000 in connection with the above second mortgage note transaction. These notes bear interest at a weighted average rate of 12.1% per annum with interest only payable quarterly. ET Capital ceased making interest payments, on these notes to the Company during the quarter ended June 30, 2000. Management of the company has determined that these notes are fully impaired at December 31, 2000. In addition, ET Capital has loans payable to the Company aggregating $3.3 million, bearing interest at 15% and maturing at various dates from April 2008 to December 2011. Payments on these notes were current at December 31, 2000. ET Sub-Meridian Limited Partnership, L.L.P. The Company has a 99% limited partnership interest in ET Sub-Meridian Limited Partnership, L.L.P. ("ET Sub-Meridian"). The 1% general partner interest is owned by a limited liability company of which Mr. McCreary is the sole member. ET Sub-Meridian owns the leasehold and purchase option rights to seven skilled nursing facilities located in Maryland and New Jersey, which it purchased from a Genesis affiliate for $35.5 million in cash and issuance of $8.5 million in term loans during September 1998. The purchase options are exercisable by ET Sub-Meridian in September 2008 for a cash exercise price of $66.5 million. ET Sub-Meridian subleased the facilities to a Genesis affiliate for an initial ten-year period with a ten-year renewal option. Genesis has guaranteed the subleases. As part of the transaction, the Company agreed to indemnify the property owners for any loss of deferral of tax benefits prior to August 31, 2008 due to a default under a sublease or if a cure of a default by the Genesis subsidiary leasing the facilities resulted in a taxable event to the owners. The Company also agreed to indemnify Genesis for any amounts expended by Genesis under the back-up indemnity provided by Genesis to the current owners for the same loss. The Company recorded a loss of $2.5 million related to the portion of its equity interest in ET Sub-Meridian's results of operations for the year ended December 31, 2000. ET Sub-Meridian has real estate investments and long-term debt of $103.0 million and $105.4 million, respectively, at December 16 31, 2000. See Note 7 of the Company's consolidated financial statements included in this Form 10-K. At December 31, 2000, ET Sub-Meridian had a $17.6 million subordinated demand loan bearing interest at 12% per annum payable to the Company in connection with the above transaction. The Company recorded $2.1 million in interest income on this loan for the year ended December 31, 2000. ET Sub-Heritage Andover, LLC ET Sub-Vernon Court, LLC ET Sub-Cabot Park, LLC ET Sub-Cleveland Circle, LLC The Company, through four limited liability companies (ET Sub-Heritage Andover, LLC, ET Sub-Vernon Court, LLC, ET Sub-Cabot Park, LLC, and ET Sub-Cleveland Circle, LLC), has member interests in three assisted living facilities and one independent living facility, which it acquired during December 1998 from an unrelated third party. A Genesis Equity Investee leases each of the facilities. The Company is the sole member of ET Sub-Heritage Andover, LLC, which is included in the Company's consolidated financial statements at December 31, 2000. In each of the remaining three limited liability companies, the Company has a 99% member interest. The 1% managing member interest in these three companies is owned by a limited liability company of which Mr. McCreary is the sole member. The Company currently has the option to acquire the 1% managing member interest in ET Sub-Vernon Court, LLC from Mr. McCreary. The option exercise price is $3,200. As the Company has the ability to acquire the 1% managing member interest in ET Sub-Vernon Court, LLC for a nominal amount, this company is consolidated into the Company's consolidated financial statements at December 31, 2000. The two unconsolidated limited liability companies have subordinated demand loans in the aggregate amount of $3.1 million payable to the Company at December 31, 2000, bearing interest at 12% per annum. The Company recorded $382,000 and $381,000 in interest income for the year ended December 31, 2000 and 1999, respectively, in connection with these demand loans. In addition, three of the limited liability companies have loans payable to ET Capital aggregating $4.4 million at December 31, 2000, maturing at various dates from April 2008 to December 2011 and bearing interest at 14% per annum with interest and principal payable monthly. The Company recorded an aggregate loss of $342,000 related to the portion of its equity interest in ET Sub-Cabot Park, LLC's and ET Sub-Cleveland Circle, LLC's results of operations for the year ended December 31, 2000. These two entities have real estate investments and aggregate long-term debt of $30.2 million and $30.2 million, respectively, at December 31, 2000. See Note 7 of the Company's consolidated financial statements included in this Form 10-K. 17 Transactions with Genesis At December 31, 2000, the Company and its Equity Investees had the following investments in real estate properties and loans leased to, managed by or made to Genesis or Genesis Equity Investees: Genesis (1) Genesis Equity Investees (2) Number of Investment Number of Investment Properties (3) Amount (3) Properties (3) Amount (3) ---------------- ---------------- ----------------- -------------- (dollars in thousands) ElderTrust 18 $106,189 7 $77,593 ElderTrust Equity Investees (4) 7 103,034 2 30,222 - ---------- (1) Represents Genesis and its consolidated subsidiaries. (2) Represents entities in which Genesis accounts for its investment using the equity method of accounting. (3) Represents investments in or loans on real estate properties owned by the Company or entities in which it accounts for its investment using the equity method of accounting. (4) Represents entities in which the Company accounts for its investment using the equity method of accounting. Below is a description of the loan and lease transactions which comprised the information in the above table. Transactions between the Company and Genesis At December 31, 2000, the Company leased eight properties to Genesis under percentage and minimum rent leases, each for an initial ten-year period with two five-year renewals. Genesis also leased space under fixed rent leases in three medical office and other buildings. The terms of these leases are for up to five years, subject to renewal. Additionally, Genesis managed one property leased by the Company to an unrelated third party. The Company received lease payments of $7.8 million in 2000 on properties leased to or managed by Genesis. Genesis has guaranteed the leases for eight properties that are leased by wholly-owned subsidiaries of Genesis. In the event Genesis assigns one or more of the leases to a non-wholly-owned subsidiary or a third party, Genesis will no longer guarantee the applicable lease. Any such assignment would require the consent of the Company which may not be unreasonably withheld. See "Business - - Risk Factors." At December 31, 2000, the Company had four term loans and two construction loans with Genesis. The term and construction loans had original maturities of between two and three years, subject to extension by the borrower for one to four one-year periods, with a weighted average interest rate of 9.8%. The Company recorded interest income on these loans of $3.1 million in 2000. See "Business - Investments - Loan Restructurings and Related Matters." 18 The Company entered into a right of first refusal agreement with Genesis, whereby the Company was granted a right of first refusal to purchase and leaseback to Genesis any assisted living, independent living or skilled nursing facility which Genesis determines to sell and leaseback. This agreement was terminated effective January 31, 2001. On June 22, 2000, Genesis and Multicare filed for protection under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code"). During the year, the Company, Genesis and Multicare and Genesis and Multicare's major creditors negotiated agreements to restructure their debt and lease obligations with the Company. The agreements were approved by the U.S. Bankruptcy Court on January 4, 2001 and were consummated on January 31, 2001. Under the more significant terms of the agreement with Genesis: 1) Twenty-one of the existing twenty-three lease agreements between Genesis subsidiaries and ElderTrust continued in effect in accordance with their terms, except as provided below: o Two leases were modified to reduce combined rents for the properties by $745,000 per year; o One lease was modified to create an early termination right commencing on December 31, 2002; and o One lease was modified to permit ElderTrust to terminate the lease during 2001 without penalty if the current tenant is unable to achieve occupancy targets specified by loan documents secured by property. 2) Two leases (Windsor Office Building and Windsor Clinic/Training facility) were terminated when the two properties subject to the leases were sold to Genesis for $1.25 million, such amount being paid via an increase in the notes receivable described in 4) below; 3) An $8.5 million loan previously guaranteed by ElderTrust and owed to Genesis by ET Sub-Meridian, an unconsolidated subsidiary of ElderTrust, was conveyed to ElderTrust in a manner to effect an $8.5 million reduction in amounts owed to ElderTrust by Genesis; 4) The maturity date for three loans (Oaks, Coquina and Mifflin) by ElderTrust to Genesis and affiliated entities with unpaid principal balances totaling approximately $7.5 million at June 30, 2000 (after taking into account the aforementioned $1.25 million increase and $8.5 million reduction) were extended to June 30, 2002 at the rates in effect prior to the Genesis bankruptcy filing; and 5) The maturity date and interest rate for one loan (Harbor Place) with a principal balance of approximately $4.8 million made by ElderTrust to an entity in which Genesis owns a 100% limited partner interest was extended to May 31, 2002 at a 10% interest rate, an increase of 0.5%. 19 Under the terms of the agreement with Multicare, ElderTrust acquired three properties secured by three loans (Lehigh, Berkshire and Sanatoga) with outstanding principal amounts totaling approximately $19.5 million, and having a net book value of $12.5 million, at December 31, 2000, in exchange for the outstanding indebtedness. These properties were then leased back to Multicare under long-term operating lease agreements. ElderTrust has no other transactions with this entity. Transactions between the Company and Genesis Equity Investees At December 31, the Company leased six properties under minimum rent leases to entities in which Genesis accounts for its investment using the equity method of accounting. The Company received lease payments of $7.0 million in 2000 from Genesis Equity Investees. At December 31, 2000, the Company had one term loan totaling $4.8 million with a Genesis Equity Investee. The term loan had an original maturity of two years, subject to extension by the borrower for one one-year term, with an interest rate of 9.5%. The Company recorded interest income on this loan of $0.5 million in 2000. In January 2001, Genesis acquired the remaining ownership interest in the borrower and, pursuant to the Agreements, the loan maturity date has been extended to May 2002 and the applicable interest rate during the remaining term adjusted to 10.0%. See "Business - Investments - Loan Restructurings and Related Matters." Transactions between the Company's Equity Investees and Genesis At December 31, 2000, ET Sub-Meridian, an Equity Investee of the Company, subleased seven properties to Genesis under minimum rent leases, each for an initial ten-year period with a ten-year renewal option. ET Sub-Meridian received sublease payments of $9.8 million in 2000 from Genesis. See "Business - Investments - Investments in the Company's Equity Investees." Transactions between the Company's Equity Investees and Genesis Equity Investees At December 31, 2000, ET Sub-Cabot Park, LLC and ET Sub-Cleveland Circle, LLC, Equity Investees of the Company, each leased one property to a Genesis Equity Investee under a minimum rent lease, with an initial term of ten years and a ten-year renewal option. ET Sub-Cabot Park, LLC and ET Sub-Cleveland Circle, LLC received aggregate lease payments of $3.0 million in 2000 from Genesis Equity Investees. See "Business - Investments - Investments in the Company's Equity Investees." 20 Reimbursement Health Care Reform The healthcare industry is subject to extensive federal, state and local regulation. The Company is affected by government regulation of the healthcare industry in that the Company receives rent and debt payments from lessees and borrowers and the Company's additional rents are generally based on its lessees' gross revenue from operations. The underlying value of certain of the Company's facilities depends on the revenue and profit that a facility is able to generate. Aggressive efforts by health insurers and governmental agencies to limit the cost of healthcare services and to reduce utilization of hospital and other healthcare facilities may further reduce revenues or slow revenue growth from these healthcare facilities and shift or reduce utilization. In recent years, a number of laws have been enacted that have effected major changes in the healthcare system, both nationally and at the state level. The Balanced Budget Act of 1997 (the "Balanced Budget Act"), signed into law on August 5, 1997, sought to achieve a balanced federal budget by, among other things, significantly reducing federal spending on the Medicare and Medicaid programs. The Medicare Balanced Budget Refinement Act (the "Refinement Act"), signed into law in November 1999, made certain amendments to the Medicare reimbursement reductions resulting from the Balanced Budget Act. The Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 ("BIPA"), signed into law on December 21, 2000, made additional amendments to the Medicare reimbursement reductions from the Balanced Budget Act. The Company anticipates that Congress and state legislatures will continue to review and assess alternative healthcare delivery and payment systems and will continue to propose and adopt legislation effecting fundamental changes in these systems. Changes in the applicable laws or new interpretations of existing laws may have a dramatic effect on the definition of permissible or impermissible activities, the relative cost of doing business, and the methods and amounts of payments for medical care by both governmental and other payers. Medicare and Medicaid Reimbursement The Company's lessees and borrowers who operate skilled nursing facilities are reimbursed by the Medicare and Medicaid programs for their products and services. As a whole, the legislative changes since 1997 have reduced reimbursement payments under these programs, which has resulted in lower lease coverage ratios on the skilled nursing facilities leased by the Company to its tenants. Also, the Company's lessees and borrowers may experience increases in time periods between submission of Medicare and Medicaid program claims and receipt of payments due to increased regulatory action and governmental budgetary constraints. Since Medicaid programs are funded by both the states and the federal government, the amount of payments can be affected by changes at either the state or federal level. There is no assurance that payments under these programs will remain at levels comparable to present levels or be 21 sufficient to cover costs allocable to these patients. Both Medicare and Medicaid payments are generally below retail rates for lessee-operated facilities. Increasingly, states have introduced managed care contracting techniques in the administration of Medicaid programs. Medicare has also increased its utilization of managed care contracting for providing services to Medicare beneficiaries. Such mechanisms could have the impact of reducing utilization of and reimbursement to the Company's lessees or borrowers. See "Business - Risk Factors." Impact of Balanced Budget Act and Medicare Balanced Budget Refinement Act, and Medicare Benefits Improvement and Protection Act The Balanced Budget Act mandated establishment of the Prospective Payment System ("PPS") for Medicare skilled nursing facilities under which such facilities are paid a federal per diem rate for most covered nursing facility services. Under PPS, operators of skilled nursing facilities are no longer assured of receiving reimbursement adequate to cover the costs of operating the facilities, and must depend on private pay revenues to make up any shortfall. Pursuant to the Balanced Budget Act, PPS began to be phased in for skilled nursing facilities commencing with cost reporting periods beginning on or after July 1, 1998. Under PPS, reimbursement rates were initially based on a blend of a facility's historic reimbursement rate and a newly prescribed federal per diem rate, which resulted in significantly reduced reimbursement rates for many operators of skilled nursing facilities, including Genesis and Multicare. In subsequent periods, and for facilities first receiving payments for Medicare services on or after October 1, 1995, the federal per diem rate is used without regard to historic reimbursement levels. The Refinement Act addresses certain reductions in Medicare reimbursement resulting from the Balanced Budget Act. Under the Refinement Act, the federal per diem rate established under PPS was increased by 20% for 15 categories of Medicare patients in skilled nursing facilities starting April 1, 2000 and continuing until the later of October 1, 2000 or changes to PPS are made to better account for patients in such categories which has yet to occur. The federal rates for all categories will be increased by 4% in fiscal years 2001 and 2002. For cost reporting periods beginning on or after January 1, 2000, skilled nursing facilities may elect to receive Medicare payments based 100% on the federal per diem rate rather than partially on a federal per diem rate and partially on a pre-PPS facility specific rate. Certain services (such as prostheses and chemotherapy drugs) for skilled nursing facility patients are being paid by Medicare in addition to the PPS per diem amounts which began April 1, 2000. The caps on rehabilitation therapy services required by the Balanced Budget Act have been suspended for 2000 and 2001. At the state level, the Balanced Budget Act also repealed rules which required Medicaid payments to nursing facilities to be "reasonable and adequate" to cover the costs of efficiently and economically operated facilities. Under the Balanced Budget Act, states must now use a public notice and comment process for determining Medicaid rates, rate methodology and justifications. 22 On December 21, 2000, BIPA ("Benefits Improvement and Protection Act") was signed into law. This legislation component of Federal PPS, is estimated to increase rates by approximately 16.7% for the period from April 1, 2001 through September 30, 2002. The legislation also changed the 20% add-on to 3 of the 15 rehabilitation Resource Utilization Groups (RUG) categories to a 6.7% add-on to all 14 rehabilitation RUG categories effective for services furnished from April 1, 2001, until the date that certain changes to the PPS rates mandated by the Refinement Act are made. In addition, BIPA revised the consolidated billing requirements to the Balanced Budget Act to limit these requirements to skilled nursing facility residents in a Medicare Part A stay and to therapy services provided in a Part A or Part B stay. The moratorium on the $1,500 therapy caps was extended through calendar year 2002. The Company does not employ Medicaid and Medicare reimbursement specialists and must rely on its lessees and borrowers to monitor and comply with all reporting requirements and to ensure appropriate payments are being received. PPS has negatively impacted many operators in the skilled nursing industry, including Genesis and Multicare. There can be no assurances that the Company's lessees or borrowers will not be further negatively impacted by the provisions or interpretations of the Balanced Budget Act, including PPS, the Refinement Act, BIPA, or by future changes in regulations or interpretations of such regulations. See "Business - Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring", "Business - Government Regulation" and "Business - Risk Factors." Government Regulation The long-term care segment of the healthcare industry is highly regulated. Operators of skilled nursing facilities are subject to federal, state and local laws relating to the delivery and adequacy of medical care, distribution of pharmaceuticals, equipment, personnel, operating policies, fire prevention, rate-setting, compliance with building and safety codes and environmental laws. Operators of skilled nursing facilities also are subject to periodic inspection by governmental and other authorities to assure continued compliance with various standards, the continued licensing of the facility under state law, certification under the Medicare and Medicaid programs and the ability to participate in other third party payment programs. Many states have adopted Certificate of Need or similar laws which generally require that the appropriate state agency approve certain acquisitions of skilled nursing facilities and determine that a need exists for certain bed additions, new services and capital expenditures or other changes prior to beds and/or new services being added or capital expenditures being undertaken. The failure to obtain or maintain any required regulatory approvals or licenses could prevent an operator from offering services or adversely affect its ability to receive reimbursement for services and could result in the denial of reimbursement, temporary suspension of admission of new patients, suspension or decertification from the Medicaid or Medicare program, restrictions on the ability to acquire new facilities or expand existing facilities and, in extreme cases, revocation of the facility's license or closure of a facility. 23 Federal laws also impose civil and criminal penalties for submission of false or fraudulent claims, including nursing home bills and cost reports, to Medicare or Medicaid. There can be no assurance that lessees or borrowers of the Company's skilled nursing facilities or the provision of services and supplies by such lessees will meet or continue to meet the requirements for participation in the Medicaid or Medicare programs or state regulatory authorities or that regulatory authorities will not adopt changes or new interpretations of existing regulations that would adversely affect the ability of lessees or borrowers to make rental or loan payments to the Company. Both Medicare and the Pennsylvania Medicaid programs impose limitations on the amount of reimbursement available for capital-related costs, such as depreciation, interest and rental expenses, following a change of ownership, including a sale and leaseback transaction. Under currently applicable Medicare reimbursement policies, the amount of Medicare reimbursement available to a skilled nursing facility for rental expenses following a sale and leaseback transaction may not exceed the amount that would have been reimbursed as capital costs had the provider retained legal title to the facility. Thus, if rental expenses are greater than the allowable capital cost reimbursement a skilled nursing facility would have received had the sale and leaseback transaction not occurred and the provider retained legal title, the amount of Medicare reimbursement received by the provider will be limited. Medicare began a three-year phase out of separate capital cost reimbursement for skilled nursing facilities beginning July 1, 1998 under provisions of the Balanced Budget Act that will provide reimbursement for capital-related costs through the facility's per diem rates for resident care without regard to the facility's actual capital costs. The Pennsylvania Medicaid program also limits capital cost reimbursement, basing reimbursement for capital-related costs for new owners (including rent paid by lessees) on the appraised fair rental value of the facility to the prior owner as determined by the Pennsylvania Department of Public Welfare. There can be no assurance that reimbursement of the costs of the Company's skilled nursing facilities under current or future reimbursement methodologies will be adequate to cover the rental payments owed to the Company by the lessees of these properties. Although not currently regulated at the federal level (except under laws of general applicability to businesses, such as work place safety and income tax requirements), assisted living facilities are increasingly becoming subject to more stringent regulation and licensing by state and local health and social service agencies and other regulatory authorities. In general, these assisted living requirements address, among other things: personnel education, training and records; facility services, including administration of medication, assistance with self-administration of medication and limited nursing services; monitoring of wellness; physical plant inspections; furnishing of resident units; food and housekeeping services; emergency evacuation plans; and resident rights and responsibilities, including in certain states the right to receive certain healthcare services from providers of a resident's choice. In several states, assisted living facilities also require a certificate of need before the 24 facility can be opened or expanded or before it can reduce its resident capacity or make other significant capital expenditures. Some of the Company's properties are licensed to provide independent living services, which generally involve lower levels of resident assistance. Like skilled nursing facilities and other healthcare facilities, assisted living facilities are subject to periodic inspection by government authorities. In most states, assisted living facilities, as well as skilled nursing and other healthcare facilities, are subject to state or local building code, fire code and food service licensure or certification requirements. Any failure by the Company's lessees or borrowers to meet applicable regulatory requirements may result in the imposition of fines, imposition of a provisional or conditional license or suspension or revocation of a license or other sanctions or adverse consequences, including delays in opening or expanding a facility. Any failure by the Company's lessees or borrowers to comply with such requirements could have a material adverse effect on the Company. Healthcare operators also are subject to federal and state anti-remuneration laws and regulations, such as the Federal Health Care Programs' anti-kickback law, which govern certain financial arrangements among healthcare providers and others who may be in a position to refer or recommend patients to such providers. These laws prohibit, among other things, the offer, payment, solicitation or receipt of any form of remuneration in return for the referral of Federal Health Care Program patients (including Medicare and Medicaid) or the purchasing, leasing, ordering (or arranging for or recommending the purchase, lease or order) of any goods, facilities, services or items for which payment can be made under a Federal Health Care Program. A violation of the Federal anti-kickback law or any other anti-remuneration law could result in the loss of eligibility to participate in Medicare or Medicaid, or in civil or criminal penalties. The potential for issues to arise under this law may be increased under a provision of the Balanced Budget Act which, as currently implemented, requires skilled nursing facilities to purchase and bill for services of ancillary care providers treating some of their Medicare residents. The federal government, private insurers and various state enforcement agencies have increased their scrutiny of providers, business practices and claims in an effort to identify and prosecute fraudulent and abusive practices. In addition, the federal government has issued fraud alerts concerning nursing services, double billing, home health services and the provision of medical supplies to nursing facilities, and recently issued a model compliance plan referencing numerous areas of business operation that it recommends be made the subject of specific policies and procedures that nursing homes implement and enforce. Accordingly, these areas may come under closer scrutiny by the government. Possible sanctions for violation of any of these restrictions or prohibitions include loss of licensure or eligibility to participate in reimbursement programs and civil and criminal penalties. State laws vary from state to state, are often vague and have seldom been interpreted by the courts or regulatory agencies. There can be no assurance that these federal and state laws will ultimately be interpreted in a manner consistent with the practices of the Company's lessees or borrowers. The costs of complying with these laws, 25 and/or defending against any allegations of non-compliance that might be brought, could be significant, and could negatively impact the ability of the Company's lessees or borrowers to meet their financial obligations to the Company. Taxation General A corporation, trust or association meeting certain requirements may elect to be treated as a REIT for federal income tax purposes. The Company believes that, commencing with its taxable period ended December 31, 1998, it has been organized and operated in a manner so as to qualify for taxation as a REIT under Sections 856 to 860, inclusive, of the Tax Code. To qualify as a REIT, the Company must satisfy a variety of complex organizational and operating requirements each year, including share ownership tests and percentage tests relating to the sources of its gross income, the nature of its assets and the distribution of its income. The Company intends to operate in such manner as to continue qualifying as a REIT for federal income tax purposes for the year ended December 31, 2001 and in future periods, but no assurance can be given that the Company will continue to operate in such a manner so as to qualify or remain qualified as a REIT. Generally, for each taxable year during which the Company qualifies as a REIT, it will not be taxed on the portion of its taxable income (including capital gains) that is distributed to shareholders. This treatment substantially eliminates the "double taxation" (at the corporate and shareholder levels) that generally results from investment in a regular corporation. However, the Company will be subject to federal income tax under certain circumstances as discussed below. To qualify as a REIT, the Company is required to distribute to its shareholders each year at least 95% (90% for taxable years beginning after December 31, 2000) of our net taxable income, excluding any net capital gain. REIT taxable income is the otherwise taxable income of the REIT subject to adjustments, including a deduction for dividends paid. During 2000, the Company recorded significant impairment losses related to loans and properties under lease and, as a result, recognized a net loss for financial reporting purposes. For income tax purposes these losses may be recorded in 2000 or in later periods as required under applicable income tax rules. When recognized for income tax purposes, these losses will reduce the amount otherwise required to be distributed to meet REIT requirements. In addition, should these losses when recognized exceed REIT taxable income computed without regard to these losses, any excess loss ("NOL") amount may be carried forward for deduction in the succeeding year. An NOL of a REIT in any given year may be carried forward until utilized but no more than 20 years. REIT taxable income before reduction for the dividends paid deduction reported for 1999, the last year for which an income tax return has been prepared, was ($782,000). 26 NOL deductions may be subject to various limitations. The general limitation is that the deduction is limited to the current year's regular taxable income computed without regard to the loss deduction. For Alternative Minimum Tax purposes, the general limitation is equal to 90% of the current year's Alternative Minimum Taxable Income computed without regard to the loss deduction. Note that the applicable REIT distribution percentage requirement is applied against the greater of regular or alternative minimum taxable income. Other limitations include, but are not limited to, those imposed for a greater than 50% ownership change among the Company's 5% and greater owners during a test period, generally a three year period ending on each date there is a change in the ownership of Company stock held by a 5% or greater owner. The Company will be taxed at regular ordinary and capital gain corporate rates on any undistributed REIT taxable income. The Company may elect to treat any undistributed net capital gains as having been distributed to the shareholders. These "designated" undistributed net capital gains will be included by the Company's shareholders in income as long-term capital gain. The tax paid by the Company on those gains will be allocated among the shareholders and may be claimed as a credit on their tax returns. The shareholders will receive an increase in the basis of their shares in the Company equal to the difference between the capital gain income and the tax credit allocated to them. Under certain circumstances, the Company may be subject to the "alternative minimum tax" on its items of tax preference. The Company will be subject to tax at the highest corporate rate on its net income from foreclosure property, regardless of the amount of its distributions. The highest corporate tax rate is currently 35%. Subject to certain limitations, the Company will also be subject to an additional tax equal to 100% of the net income, if any, derived from prohibited transactions. A prohibited transaction is defined as a sale or disposition of inventory-type property or property held by the Company primarily for sale to customers in the ordinary course of its trade or business, which is not property acquired on foreclosure. The Company may elect to treat any real property it acquires by foreclosure as foreclosure property if certain conditions are satisfied. Income from foreclosure property is subject to tax at the maximum corporate rate, but the income would qualify under the REIT gross income tests. With a valid election, the Company is permitted to derive revenues directly from the ownership of such property (rather than deriving rental revenues pursuant to the lease of such property) until the end of the second taxable year after the year of acquisition (subject to an extension of up to six years at the IRS' discretion) so long as an independent contractor (which would not include Genesis or its affiliates) operates the property within 90 days after the property is acquired. For taxable years beginning after December 31, 2000, a tenant of the Company may qualify as an independent contractor for purposes of the foreclosure property rules if the property that is leased to the independent contractor was under lease to the independent contractor or a third party at the time that the Company acquired the foreclosure property. If the property had been under lease to a third party, then the tenant could qualify as an independent contractor only if under the subsequent lease of the property to the tenant, the Company receives a substantially similar or lesser benefit in comparison to the prior lease. 27 If the Company should fail to distribute during each calendar year at least the sum of (a) 85% of its REIT ordinary income for such year, (b) 95% of its REIT capital gain net income for such year and (c) any undistributed taxable income from prior periods, the Company would be subject to a 4% excise tax on the excess of such required distribution over the amounts actually distributed. If the Company should fail to satisfy the 75% gross income test or the 95% gross income test that apply to REITs, but has nonetheless maintained its qualification as a REIT because certain other requirements have been met, it will be subject to a 100% tax on an amount equal to the greater of either (a) the amount by which 75% of the Company's gross income exceeds the amount qualifying under the 75% test for the taxable year, or (b) the amount by which 90% of the Company's gross income exceeds the amount of the Company's gross income qualifying for the 95% test, multiplied in either case by a fraction intended to reflect the Company's profitability. In addition, if a taxable REIT subsidiary ("TRS") pays interest or another amount to the Company that exceeds that amount that would generally be paid to an unrelated party in an arm's length transaction, the Company generally will be subject to an excise tax equal to 100% of such excess. Generally, a TRS is an entity taxable as a corporation in which a REIT owns an interest that, together with the REIT, elects treatment as a TRS and that does not operate either a healthcare or lodging facility or provide rights to any brand name under which a healthcare or lodging facility is operated. A TRS is not subject to the general asset tests applicable to the ownership of securities by a REIT (although not more than 20% of the value of the REIT's assets may be represented by securities of one or more TRS's). The Company's subsidiary, ET Capital Corp., will elect, together with the Company, to be treated as a TRS effective January 1, 2001. Failure To Qualify as a REIT While the Company intends to operate so as to qualify as a real estate investment trust under the Tax Code, if in any taxable year the Company fails to qualify, and certain relief provisions do not apply, its taxable income would be subject to tax (including alternative minimum tax) at regular corporate rates. If that occurred, the Company might have to dispose of a significant amount of its assets or incur a significant amount of debt in order to pay the resulting federal income tax. Further distributions to its shareholders would not be deductible by the Company nor would they be required to be made. Distributions out of the Company's current or accumulated earnings and profits would be taxable to the Company's shareholders as dividends and would be eligible for the dividends received deduction for corporations. No portion of any distributions would be eligible for designation as a capital gain dividend. Further, the Company would no longer be deemed to pass through its "designated" undistributed capital gains and the related tax paid by the Company. 28 Unless entitled to relief under specific statutory provisions, the Company also would be disqualified from taxation as a REIT for the four taxable years following the year during which qualification was lost. The foregoing is only a summary of some of the significant federal income tax considerations affecting the Company and is qualified in its entirety by reference to the applicable provisions of the Tax Code, the rules and regulations promulgated thereunder, and the administrative and judicial interpretations thereof. Shareholders of the Company are urged to consult their own tax advisors as to the effects of these rules and regulations on them. In particular, foreign shareholders should consult with their tax advisors concerning the tax consequences of ownership of shares in the Company, including the possibility that distributions with respect to the shares will be subject to federal income tax withholding. Competition The Company competes with other healthcare REITs, real estate partnerships, healthcare providers and other investors, including but not limited to banks and insurance companies, in the acquisition, leasing and financing of healthcare facilities. Certain of these investors may have greater resources than the Company. Genesis and other lessees operating properties that the Company owns or that secure loans made by the Company compete on a local and regional basis with operators of other facilities that provide comparable services. Operators compete for residents based on quality of care, reputation, physical appearance of facilities, services offered, family preferences, physicians, staff and price. In general, regulatory and other barriers to competitive entry in the assisted living industry are not substantial. Moreover, if the development of new assisted living facilities outpaces demand for these facilities in certain markets, such markets may become saturated. Such an oversupply of facilities could cause operators of Company-owned facilities to experience decreased occupancy, depressed margins and lower operating results, which could have a material adverse effect on their ability to make lease or loan payments to the Company. Employees As of December 31, 2000, the Company employed six full-time employees. RISK FACTORS Set forth below are the risks that we believe are material to investors who purchase or own our common shares of beneficial interest or units of limited partnership interest in the Operating Partnership, which are redeemable by the holder on a one-for-one basis for common shares or their cash equivalent, at our election. As used herein, all references to "we," "us" or "our" mean ElderTrust and its consolidated subsidiaries unless the context otherwise requires. 29 We rely to a substantial degree upon contractual obligations in the form of leases and loans with subsidiaries of Genesis and other entities in which Genesis has an equity ownership interest as our majority source of revenues and for our ability to meet our corporate obligations Approximately 72% of our consolidated assets at December 31, 2000 consisted of real estate properties leased to or managed by and loans on real estate properties made to Genesis or Genesis Equity Investees, under agreements as manager, tenant or borrower. We recorded revenues in connection with these leases and borrowings aggregating $17.9 million in 2000. In addition, our Equity Investees have also leased properties to Genesis or Genesis Equity Investees. As a result of these relationships, the Company's revenues and ability to meet its obligations depends, in significant part, upon: o the ability of Genesis and Genesis Equity Investees to meet their lease and loan obligations; and o the revenues derived from, and the successful operation of, the facilities leased to or managed by Genesis or Genesis Equity Investees. On June 22, 2000, Genesis and Multicare filed for protection under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code"). During the year, the Company, Genesis and Multicare and Genesis and Multicare's major creditors negotiated agreements to restructure their debt and lease obligations with the Company. The agreements were approved by the U.S. Bankruptcy Court on January 4, 2001 and were consummated on January 31, 2001. Under the more significant terms of the agreement with Genesis: 1) Twenty-one of the existing twenty-three lease agreements between Genesis subsidiaries and ElderTrust continued in effect in accordance with their terms, except as provided below: o Two leases were modified to reduce combined rents for the properties by $745,000 per year; o One lease was modified to create an early termination right commencing on December 31, 2002; and o One lease was modified to permit ElderTrust to terminate the lease during 2001 without penalty if the current tenant is unable to achieve occupancy targets specified by loan documents secured by property. 2) Two leases (Windsor Office Building and Windsor Clinic/Training facility) were terminated when the two properties subject to the leases were sold to Genesis for $1.25 million, such amount being paid via an increase in the notes receivable described in 4) below; 30 3) An $8.5 million loan previously guaranteed by ElderTrust and owed to Genesis by ET Sub-Meridian, an unconsolidated subsidiary of ElderTrust, was conveyed to ElderTrust in a manner to effect an $8.5 million reduction in amounts owed to ElderTrust by Genesis; 4) The maturity date for three loans (Oaks, Coquina and Mifflin) by ElderTrust to Genesis and affiliated entities with unpaid principal balances totaling approximately $7.5 million at June 30, 2000 (after taking into account the aforementioned $1.25 million increase and $8.5 million reduction) were extended to June 30, 2002 at the rates in effect prior to the Genesis bankruptcy filing; and 5) The maturity date and interest rate for one loan (Harbor Place) with a principal balance of approximately $4.8 million made by ElderTrust to an entity in which Genesis owns a 100% limited partner interest was extended to May 31, 2002 at a 10% interest rate, an increase of 0.5%. Under the terms of the agreement with Multicare, ElderTrust acquired three properties secured by three loans (Lehigh, Berkshire and Sanatoga) with outstanding principal amounts totaling approximately $19.5 million, and having a net book value of $12.5 million, at December 31, 2000, in exchange for the outstanding indebtedness. These properties were then leased back to Multicare under long-term operating lease agreements. ElderTrust has no other transactions with this entity. Genesis and Multicare are expected to file plans of reorganization with the U.S. Bankruptcy Court addressing their other creditors' claims. Both companies are currently operating as debtors-in-possession subject to the jurisdiction of the U.S. Bankruptcy Court. Approval of the reorganization plans by the U.S. Bankruptcy Court will be necessary for Genesis and Multicare to be able to emerge from bankruptcy. The independent auditors' report on Genesis' 2000 financial statements, included in Genesis' Form 10-K as of September 30, 2000, indicated that there is substantial doubt regarding the ability of Genesis and Multicare to continue as going concerns. Each Company's ability to continue as a going concern will be dependent upon, among other things, approval of their respective plan of reorganization, future profitable operations, the ability to comply with the terms of their debtor-in-possession financing arrangements and the ability to generate sufficient cash from operations and financing agreements to meet their obligations. Although we are hopeful Genesis and Multicare will emerge from bankruptcy and continue to make lease and loan payments to us, there can be no assurance that this will occur. Any failure of Genesis and Multicare to continue their operations and/or to continue to make lease and loan payments to us could have a significant adverse impact on our operations and cash flows due to the significant portion of our properties leased to and loans made to Genesis and Multicare. If Genesis and Multicare were to cease making lease and loan payments to us, we may be required to terminate the underlying leases and foreclose on the outstanding loans, in which event we would likely be required to find new operators to operate the properties underlying the leases and loans and/or sell or close one or more properties. We have contacted several alternative operators and, based on these preliminary discussions, we believe that an adequate market currently exists in which we could arrange for property management, leasing or sale of these assets, and that the properties could be successfully transitioned 31 to new operators. Based on the discussions with these operators, we believe that a property could be transitioned to a new operator without undue delay and that, due to the elderly resident population and care requirements this population requires, such transition would be completed in an orderly fashion and with the cooperation of the operators and the appropriate regulatory authorities, if any. Some of the operators contacted by us have indicated that they have experience in transitioning skilled nursing facilities to new management and that they have the staffing needed to transition such facilities. We would expect to rely upon that experience to effect an orderly transition should Genesis and/or Multicare fail to emerge from bankruptcy and/or cease making lease or loan payments to us. As a result of the relatively short estimated time period required to transition a property to a new operator, we believe that, even if Genesis or Multicare were to cease making lease and loan payments to us either because Genesis and Multicare did not emerge from bankruptcy or otherwise, we would still be able to satisfy our operating and debt service requirements during the next 12 months. Management fee arrangements currently charged in the market place typically range from 4% to 6% of property gross revenues. Actual fees incurred would depend upon property type and location as well as other property and operator specific factors. We estimate that, if all of the properties subject to leases and loans with Genesis and Multicare were returned to us and were subjected to our agreements with new operators, our annual cash flows could be reduced by approximately $1.6 million. While difficult to predict, this estimate is based upon expected property operations and assumptions made by management as to management fees, capital expenditures and possible property closures. We have multiple debt agreements and are subject to debt covenants that, among other things, require minimum principal payments and contain various financial covenants. Although we believe, based upon the above noted estimated cash flow reduction, that we would be able to meet our operating and debt service obligations during the next 12 months if it were required to obtain new managers for the properties now operated by Genesis and Multicare, a termination of leases and loans with Genesis and Multicare may impair our ability to meet one or more of the financial covenants contained in our debt agreements. Should this occur, we believe that alternative arrangements could be reached with our various lenders to restructure the loan agreements, if necessary, so as to reflect any adverse change in economic condition. This belief is based, in part, upon our past history in negotiating mutually acceptable agreements with these lenders. Depending on the magnitude of the reduction in our operating cash flow, we would seek to offset the effect of such reduction in operating cash flow on our ability to meet debt service requirements through asset sales or through other available means. We believe that we have the ability to, and, if necessary, intend to, take these actions available to us and, as a result, believe we will be able to continue to satisfy our debt and operating obligations as they come due during the next twelve months. 32 As indicated above, based upon our assessment of the long-term care economic environment, our discussions with alternative operators and our past history with our lenders, we believe that, if the loans and leases with Genesis and Multicare were terminated, that the assets could be redeployed as needed. Were this to occur, we believe that new operators would be available to operate the properties, that any cash flow interruption resulting from such redeployment is unlikely or would be minimal and that, although cash flows may be reduced, we would be able to meet our operating and debt service requirements under our existing debt agreements during the next 12 months and negotiate amendments, if necessary, with respect to any failure to meet financial covenants in those debt instruments. We must pay-off our existing Credit Facility by August 31, 2002 or obtain replacement financing On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002. At December 31, 2000, the Company had $38.7 million outstanding under the Credit Facility. On January 3, 2000, the term of our Credit Facility was extended from January 1, 2000 to June 30, 2001 through an amendment which also reduced borrowings available under the Credit Facility to $45.4 million. If we are unable to pay-off or obtain replacement financing by August 31, 2002, or are unable to negotiate a further extension of the current Credit Facility at that time, or for any reason we are in default under the Credit Facility prior to its maturity, Deutsche Bank could exercise its right to foreclose on the collateral securing the Credit Facility, which would have a significant adverse affect on our ability to continue our operations and meet our obligations, including payment of quarterly shareholder distributions. If we are unable to raise additional capital through equity financing, or are unable to increase our borrowing capacity, we may be limited in our ability to fully fund our long-term capital needs. Through the sale of assets, the maturity of real estate loans receivable and the minimum monthly debt service requirements, the Company anticipates paying off the Credit Facility by the August 31, 2002 due date. Replacement financing may have significantly greater interest costs If we are unable to pay-off our existing Credit Facility by August 31, 2002, we will need to find replacement financing or negotiate a further extension of the current Credit Facility at that time. The interest rate on any new debt may be significantly higher than the interest rate on our existing Credit Facility with Deutsche Bank. Additionally, we may be required to pay significant financing fees in the future in connection with replacement financing or negotiating a further extension with Deutsche Bank. An increased interest rate or significant financing fees would reduce our cash flow. We can give no assurance that we will be able to obtain replacement financing on acceptable terms or at all. 33 Rising interest rates could adversely affect our cash flow because of variable rate debt At December 31, 2000, we had $38.7 million of variable rate indebtedness outstanding under our existing Credit Facility. Amounts outstanding under the Credit Facility bear interest at a floating rate of 2.75% - 3.25% over one-month LIBOR (9.63% at December 31, 2000), as determined by the percentage of the Credit Facility outstanding as compared to the borrowing base. In addition, we have variable rate mortgages of $30.0 million at December 31, 2000, with an interest rate of one-month LIBOR plus 300 basis points (9.88% at December 31, 2000). Also, we may borrow additional money with variable interest rates in the future. We would expect significant increases in interest rates to result in significant increases in interest expense, which could adversely affect cash flow and our ability to meet our obligations. Our degree of leverage could limit our ability to obtain additional financing and adversely affect our cash flow As of December 31, 2000, our debt to book capitalization ratio, which we calculate as total debt as a percentage of total debt plus the book equity attributed to our outstanding common shares and outstanding partnership units, was approximately 63.5%. We do not have a stated policy limiting the amount of debt that we may incur. If we increase our leverage it could pose risks to our shareholders, including that: o our debt service may increase, which could adversely affect our cash flow and, consequently, the amount available for distribution to our shareholders; o the risk that we will default on our indebtedness may increase; and o we may be unable to obtain additional financing in the future to fund working capital, capital expenditures, acquisitions, development or other general corporate purposes, or our ability to obtain such financing on satisfactory terms may be impaired; and we may be more vulnerable to a downturn in our business or the economy generally. Additionally, we may not have sufficient cash flow to repay indebtedness outstanding if our creditors require immediate repayment of these amounts or if the collateral underlying these amounts is insufficient to cover the outstanding balances. Our ability to grow may be significantly limited until the capital and credit markets improve During 2000, the stock prices of publicly traded equity real estate investment trusts increased on average by 26.4%, according to industry data published by NAREIT. The stock prices of publicly traded healthcare equity real estate investment trusts increased on average by 25.8% according to NAREIT and our stock price fell by 58.8% during this period. This share price decline, combined with the net reduction in Medicare reimbursement levels during and after 1998, also has resulted in a significant curtailment of banks' willingness 34 to extend loans secured by healthcare-related real estate, and has raised concerns about the ability of some less-well capitalized nursing home operators to continue their operations. During 2000, two publicly-traded nursing home companies filed for protection under the bankruptcy laws due, in part, to reductions in Medicare reimbursement rates. All of these factors have adversely affected our ability to access the capital and credit markets. Because we rely on these markets to fund our growth, our ability to grow will be significantly limited until such time as the capital and credit markets improve. We depend upon external sources of capital To qualify as a REIT, we must distribute to our shareholders each year at least 95% (90% for taxable years beginning after December 31, 2000) of our net taxable income, excluding any net capital gain. Because of these distribution requirements, it is not likely that we will be able to fund future capital needs, including those for acquisitions, from income from operations. We, therefore, rely on third-party sources of capital which may or may not be available on favorable terms or at all. Our access to third-party sources of capital depends on a number of things, including the market's perception of our growth potential and our current and potential future earnings. Moreover, additional equity offerings may result in substantial dilution of security holders' interests, and additional debt financing may substantially increase our leverage. Operators of our skilled nursing facilities rely on government and other third party reimbursement to make lease and loan payments to us A significant portion of the revenues derived from the eight skilled nursing facilities owned by us is attributable to government reimbursement under Medicare and Medicaid operators. During 1998, Medicare reimbursements payable to nursing home operators were significantly reduced due to the implementation of a new reimbursement methodology for nursing care, ancillary services and capital costs which is being phased-in over a three year period. Medicare now reimburses nursing home operators at a flat per diem rate. In the past, a cost-based system of reimbursement was used. This change in the Medicare reimbursement methodology adversely affected the revenues of many nursing homes. Assisted living services currently are not generally reimbursable under government reimbursement programs, such as Medicare and Medicaid. Although lease and loan payments to us are not directly linked to the level of government reimbursement, to the extent that changes in these programs have a material adverse effect on the revenues derived from the skilled nursing facilities owned by us or that secure mortgages and loans to us, these changes could have a material adverse impact on the ability of the lessees or borrowers of the skilled nursing facilities that we own or receive debt payments from to make lease and loan payments to us. Healthcare facilities also have experienced increasing pressures from private payers attempting to control healthcare costs 35 that in some instances have reduced reimbursement to levels approaching that of government payers. We can make no assurance that future actions by governmental or other third party payers will not result in further reductions in reimbursement levels, or that future reimbursements from any payer will be sufficient to cover the costs of the facilities' operations. If reimbursement levels do not cover lease or loan payments, the possibility exists that one or more of our lessees or borrowers could default on their leases or loans to us. Genesis is not obligated to guarantee leases of its wholly-owned subsidiaries if Genesis assigns one or more of these leases to a non-wholly-owned subsidiary or to a third party Genesis currently guarantees the lease obligations of its wholly-owned subsidiaries. Under these leases, any assignment of these leases would require our consent, which we may not unreasonably withhold. If Genesis assigns one or more of the leases to a non-wholly-owned subsidiary or a third party, Genesis would no longer be obligated to guarantee the applicable leases. While we would evaluate the creditworthiness of any assignee in determining whether to provide our consent, any transferee could be less creditworthy than Genesis. We experience ongoing competition from and conflicts with Genesis Our facilities, whether or not operated by Genesis, compete with facilities owned and operated by Genesis in some markets. As a result, Genesis has a conflict of interest due to its ownership of competing facilities and its operation and management of a substantial portion of the facilities we own. Because the percentage rent leases with Genesis provide for lower operating margins for Genesis than minimum rent leases with Genesis, Genesis may also have a conflict of interest to the extent that it is involved in the placement of private pay residents with acuity levels equally suited to an assisted living facility or a skilled nursing facility. Because Michael Walker serves as chairman and chief executive officer of Genesis and chairman of ElderTrust, he has a conflict of interest in matters involving Genesis and ElderTrust Michael R. Walker, ElderTrust's chairman of the board, is chairman of the board and chief executive officer of Genesis. At December 31, 2000, Mr. Walker beneficially owned approximately 2.2% of the common shares of Genesis and approximately 5.5% of the common shares of ElderTrust. Because he serves as chairman of both Genesis and ElderTrust, Mr. Walker has a conflict of interest with respect to ElderTrust enforcing: o the loan and purchase agreements relating to the properties and other assets acquired by us from subsidiaries of Genesis or entities in which its has an interest or which may be acquired from these entities in the future; and o the leases we entered into with Genesis. 36 The failure by us to enforce material terms of these agreements could result in a monetary loss to us, which could have a material adverse effect on our financial condition, revenues and earnings. Our ongoing relationships with Genesis as a lessee and manager of a substantial portion of our properties may also deter us from vigorously enforcing the terms of these agreements. Holders of units of limited partnership interest in the Operating Partnership have different interests than shareholders and may exercise their voting rights in the Operating Partnership in a manner that conflicts with the interests of shareholders As the sole general partner of the Operating Partnership, we have fiduciary obligations to the other limited partners in the Operating Partnership, the discharge of which may conflict with the interests of our shareholders. In addition, those persons holding beneficial interests in units of limited partnership interest in the Operating Partnership, including Michael Walker and D. Lee McCreary, Jr., have the right, as limited partners, to vote on amendments to the partnership agreement of the operating partnership, most of which require approval by a majority in interest of the limited partners, including ElderTrust, and such individuals may exercise their voting rights in a manner that conflicts with the interests of our shareholders. Additionally, if we prepay or refinance debt securing some of our properties or sell properties, Mr. Walker and other holders of units of limited partnership interest in the Operating Partnership may incur adverse tax consequences which are different from the tax consequences to us and our shareholders. Consequently, persons holding directly or indirectly units of limited partnership interest, including Mr. Walker, may have different objectives regarding the appropriate timing of such actions. While we have the exclusive authority as general partner under the partnership agreement to determine whether, when and on what terms to prepay or refinance debt or to sell a property, any of these actions would require the approval of our board of trustees. As a trustee of ElderTrust, Mr. Walker has substantial influence with respect to any of these actions, and could exercise his influence in a manner inconsistent with the interests of some, or a majority, of ElderTrust's shareholders. We depend on our key personnel whose continued service is not guaranteed We depend on the efforts of our President and Chief Executive Officer, Mr. McCreary. The loss of his services could have a significant adverse effect on our operations. While we believe that the employment agreement we have with Mr. McCreary provides us with some protection, it does not guarantee Mr. McCreary's continued employment. Our board of trustees may change investment policies without shareholder approval 37 Our board of trustees may change our investment, financing and other policies without shareholder approval. Any changes in these policies may have adverse consequences on our business and operations. Healthcare industry regulation may adversely affect the operations of our lessees and borrowers and their ability to make loan and lease payments to us Any failure by our lessees or borrowers to comply with applicable government regulations could adversely affect their ability to make lease or loan payments to us. The long-term care segment of the healthcare industry is highly regulated. Operators of skilled nursing facilities are subject to regulation under various federal, state and local laws, including those relating to: o delivery and adequacy of medical care; o distribution of pharmaceuticals; o equipment utilized in their facilities; o personnel; o operating policies; o fire prevention; o rate-setting; o compliance with building and safety codes; o compliance with environmental laws; o periodic inspection by governmental and other authorities to ensure compliance with various standards; o licensing of facilities under state law; o certification for participation under the Federal Health Care Program, including Medicare and Medicaid; and o ability to participate in other third party payment programs. In addition, many states have adopted certificate of need or similar laws which generally require that the appropriate state agency approve acquisitions of skilled nursing facilities and determine that a need exists for certain bed additions, new services, capital expenditures or other changes. The failure to obtain or maintain any required regulatory approvals or licenses could prevent an operator of one or more of our facilities from offering services or adversely affect its ability to receive reimbursement for services. It also could result in the denial of reimbursement, temporary suspension of admission of new patients, suspension or decertification from a 38 Federal Health Care Program, restrictions on the ability to expand existing facilities and, in extreme cases, revocation of the facility's license or closure of a facility. Federal law also imposes civil and criminal penalties for submission of false or fraudulent claims, including nursing home bills and cost reports, to Medicare or Medicaid. There can be no assurance that our lessees or borrowers will meet or continue to meet the requirements for participation in the Medicaid or Medicare programs or of state licensing authorities. Nor can there be any assurance that regulatory authorities will not adopt changes or new interpretations of existing regulations that would adversely affect the ability of our lessees or borrowers to make their rental or loan payments to us. Although not currently regulated at the federal level, except under laws of generally applicable to businesses, assisted living facilities are increasingly becoming subject to more stringent regulation and licensing by state and local health and social service agencies and other regulatory authorities. In general, these assisted living requirements address: o personnel education; o training and records; o facility services, including administration of medication, assistance with self-administration of medication and the provision of limited nursing services; o monitoring of wellness; o physical plant inspections; o furnishing of resident units; o food and housekeeping services; o emergency evacuation plans; and o resident rights and responsibilities, including in certain states the right to receive certain healthcare services from providers of a resident's choice. In several states, assisted living facilities also require a certificate of need before the facility can be opened, expand or reduce its resident capacity or make significant capital expenditures. Several of our properties are licensed to provide independent living services, which generally involve lower levels of resident assistance. Like skilled nursing facilities and other healthcare facilities, assisted living facilities are subject to periodic inspection by government authorities. In most states, assisted living facilities, as well as skilled nursing and other healthcare facilities, also are subject to state or local building code, fire code and food service licensure or certification requirements. Any failure by our lessees or borrowers to meet 39 applicable regulatory requirements may result in the imposition of fines, imposition of a provisional or conditional license or suspension or revocation of a license or other sanctions or adverse consequences, including delays in opening or expanding a facility. Any failure by our lessees or borrowers to comply with these requirements could have a material adverse effect on their ability to make loan or lease payments to us. Operators of our facilities also must comply with federal and state fraud and abuse laws Healthcare operators also are subject to federal and state anti-remuneration laws and regulations, such as the Federal Health Care Program anti-kickback law. These laws govern financial arrangements among healthcare providers and others that may be in a position to refer or recommend patients to providers. These laws prohibit, among other things, the offer, payment, solicitation or receipt of any form of remuneration in return for the referral of Federal Health Care Program patients or for purchasing, leasing, ordering (or arranging for or recommending the purchase, lease or order) of any goods, facilities, services or items for which payment can be made under a Federal Health Care Program. A violation of the federal anti-kickback law could result in the loss of eligibility to participate in Medicare or Medicaid or in civil or criminal penalties. The federal government, private insurers and various state enforcement agencies have increased their scrutiny of providers, business practices and claims in an effort to identify and prosecute fraudulent and abusive practices. Operators of skilled nursing facilities are also subject to state and federal laws prohibiting the submission of "false" or "fraudulent" claims. One of these laws, the federal and false claims act, can be enforced by a private individual "whistleblowers" in a "qui tam" case, and an increasing number of such cases are being brought in the health care field. In addition, the federal government has issued fraud alerts concerning nursing services, double billing, home health services and the provision of medical supplies to nursing facilities, and recently issued a model compliance plan referencing numerous areas of business operation that it recommends be made the subject of specific policies and procedures that nursing homes implement and enforce. Accordingly, these areas have come under closer scrutiny by the government. Further, some states restrict certain business corporations from providing, or holding themselves out as a provider of, medical care. Sanctions for violation of any of these laws can include loss of licensure or eligibility to participate in reimbursement programs and civil and criminal penalties. State laws vary from state to state, are often vague and have seldom been interpreted by the courts or regulatory agencies. There can be no assurance that these federal and state laws will ultimately be interpreted in a manner consistent with the practices of our lessees. The costs of complying with these laws, and/or defending against any allegations of non-compliance that might be brought, could be significant, and could negatively impact the ability of the Company's lessees or borrowers to meet their financial obligations to the Company. We may encounter delays in substituting lessees or operators because the facility licenses are held by our lessees and borrowers and not by us 40 A loss of license or Medicare/Medicaid certification or default by one or more of our lessees or borrowers could result in us having to obtain another lessee or substitute operator for the affected facility or facilities. Because the facility licenses for our properties are held by our lessees or borrowers and not by us and because under the REIT tax rules we would have to find a new "unrelated" lessee to operate the properties following a default, we may encounter delays in exercising our remedies under the leases and loans made by us or substituting a new lessee or operator in the event of any loss of licensure or Medical/Medicaid certification by a prior lessee or operator or a default by the operator of one or more of our facilities. See "Business - Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring." Transfers of healthcare facilities require regulatory approvals and alternative uses of healthcare facilities are limited Because transfers of operations of healthcare facilities are subject to regulatory approvals not required for transfers of other types of commercial operations and other types of real estate, there may be delays in transferring operations of our facilities to successor lessees or we may be prohibited from transferring operations to a successor lessee. In addition, substantially all of our properties are special purpose facilities that may not be easily adapted to non-healthcare-related uses. Proximity to hospitals and other healthcare facilities may affect our ability to renew leases and attract new lessees in the event of relocation or closure of a hospital or other healthcare facility Many of our assisted living facilities, skilled nursing facilities and medical office buildings are in close proximity to one or more hospitals. The relocation or closure of a hospital could make our assisted living facilities, skilled nursing facilities or medical office buildings in the affected area less desirable and affect our ability to renew leases and attract new tenants. Because we have made construction loans, we are subject to development and lease-up risks We have made construction loans. Lending on development projects is generally considered to involve greater risks than the purchase and leaseback of operating properties. The risks associated with lending on development projects include that: o the development activities may be abandoned; o the borrower may be unable to obtain, or experience delays in obtaining, all necessary zoning, land-use, building, occupancy and other required governmental permits and authorizations; o construction costs of a facility may exceed the original estimates possibly making the facility uneconomical; 41 o occupancy rates and rents at a completed facility may not be sufficient to cover loan or lease payments; o permanent financing may not be available on favorable terms; o the term or construction loan may not be repaid; and o construction and lease-up may not be completed on schedule resulting in increased debt service expense and construction costs. In addition, construction-lending activities typically require substantial time and attention from our management. Because real estate investments are illiquid, we may not be able to sell properties when appropriate Real estate investments generally cannot be sold quickly. We may not be able to vary our portfolio promptly in response to economic or other conditions. This inability to respond to changes in the performance of our investments could adversely affect our ability to service debt and make distributions to our shareholders. The revenues derived by us from percentage rent leases depend to a greater extent on the operator's ability to operate the properties subject to these leases successfully due the absence of minimum rent provisions We lease two assisted living facilities and one independent living facility under percentage rent leases, which do not require the payment of minimum rent. The revenues derived by us under these percentage rent leases, therefore, depends to a greater extent upon the ability of these operators to operate the properties subject to these leases successfully because of the absence of minimum rent requirements. On January 31, 2001, one assisted living facility was converted to a minimum rent lease as part of the debt restructuring with Genesis. See "Debt Restructuring and Related Matters." Lack of industry diversification subjects us to the risks associated with investments in a single industry While we are authorized to invest in various types of income-producing real estate, our current strategy is to acquire and hold, as long-term investments, only healthcare-related properties. Consequently, we currently do not have any significant non-healthcare related real estate assets, and, therefore, are subject to the risks associated with investments in a single industry. Competition in the marketplace could adversely affect the ability of our lessees and borrowers to make lease and loan payments to us Lessees operating our owned properties or borrowers operating properties that secure loans we have made compete on a local and regional basis 42 with operators of other facilities that provide comparable services. Operators compete for residents based on a number of factors, including: o quality of care; o reputation; o physical appearance of facilities; o range and type of services offered; o family preferences; o physicians affiliated with the facility; o staff of the facility; and o price. There can be no assurance that operators of our facilities will be able to compete effectively. If they are unable to do so, their ability to make lease and loan payments to us could be adversely affected. Overbuilding in the assisted living industry could result in decreased occupancy, depressed margins and lower operating results for operators of our assisted living facilities In general, regulatory and other barriers to competitive entry in the assisted living industry are not substantial. Moreover, if the development of new assisted living facilities outpaces demand for these facilities, the market may become saturated. Such an oversupply of facilities could cause our operators to experience decreased occupancy, depressed margins and lower operating results, which could have a material adverse effect on their ability to make lease or loan payments to us. Assisted living revenues are derived from private pay sources Assisted living services currently are not generally reimbursable under government reimbursement programs, such as Medicare and Medicaid. Accordingly, substantially all of the revenues derived by operators of the assisted living facilities owned by us come from private pay sources consisting of income or assets of residents or their family members. In general, because of the cost associated with building new facilities and the staffing and other costs of providing the assisted living services at those facilities, only seniors with income or assets meeting or exceeding the comparable median in the region where the facilities are located can afford to pay the daily resident fees. An unexpectedly high resident turnover rate could adversely affect the revenues derived by operators of our assisted living facilities, which could adversely affect their ability to make lease and loan payments to us 43 State regulations governing assisted living facilities require written resident agreements with each resident. These regulations also require that each resident have the right to terminate the resident agreement for any reason on reasonable notice. Consistent with these regulations, the resident agreements entered into with operators of our assisted living facilities allow residents to terminate the agreement on 30 days' notice. Thus, operators of our assisted living facilities can not contract with residents to stay for longer periods of time, unlike typical apartment leasing arrangements that involve lease agreements with specified leasing periods of up to one year or longer. If a large number of residents elected to terminate their resident agreements at or around the same time, then the revenues derived by the operator of the facility could be adversely affected, which, in turn, would adversely affect the ability of the operator to make lease or loan payments to us. In addition, the advanced age of assisted living residents means that resident turnover in assisted living facilities may be less predictable. New acquisitions may fail to perform as expected Assuming we are able to obtain capital on commercially reasonable terms, we intend to continue to acquire assisted and independent living facilities, skilled nursing facilities and medical office and other buildings and to provide construction loans. Newly acquired properties and loans we make may fail to perform as expected, which could adversely affect our earnings and distributions to our shareholders. Some potential losses may not be covered by insurance We require our lessees and borrowers to secure and maintain, comprehensive liability and property insurance that covers the Company, as well as the lessees and borrowers on all of our properties. Some types of losses, however, either may be uninsurable or too expensive to insure against. Should an uninsured loss or a loss in excess of insured limits occur, we could lose all or a portion of the capital we have invested in a property, as well as the anticipated future revenue from the property. In such an event, we might nevertheless remain obligated for any mortgage debt or other financial obligations related to the property. We cannot assure shareholders that material losses in excess of insurance proceeds will not occur in the future. Our failure to comply with tax-exempt bond requirements for our Highgate and Woodbridge facilities could result in termination of the tax-exempt status or acceleration of the bonds Our indebtedness at December 31, 2000 includes approximately $20.0 million of tax-exempt bonds used to finance our Highgate and Woodbridge assisted living facilities. The bonds are subject to various requirements under the Internal Revenue Code. In addition, the bonds impose requirements on the operation of the facilities, including a requirement that at least 20% of the rental units in the facilities are occupied by tenants whose adjusted gross 44 family income does not exceed 50% of the median gross income for the relevant geographic area. If our lessees do not comply with these requirements, the tax-exempt status of the bonds could be terminated or the bonds could be accelerated. In the event of default under the bonds used to finance the Highgate and Woodbridge facilities, our interest in the relevant property would be subordinate to the interests of the bondholder. Provisions of our declaration of trust and bylaws could inhibit changes in control Various provisions of our declaration of trust and bylaws may delay or prevent a change in control or other transactions that could provide our shareholders with a premium over the then-prevailing market price of their shares or which might otherwise be in the best interest of our shareholders. These provisions include: o a classified board of trustees with the trustees divided into three classes with terms of three years each; o that the number of trustees may not be less than three nor more than nine, with the number of trustees fixed within this range by action of the board of trustees; o that trustees may be removed only for cause upon the affirmative vote of shareholders holding at least a majority of the shares entitled to be cast in an election of trustees; o the authority of the board of trustees to issue preferred shares of beneficial interest in one or more series without shareholder approval; o the exclusive authority of the board of trustees to amend the bylaws; o an advance notice bylaw requiring advance notice of shareholder nominations for trustee or new business proposals; o that special meetings of shareholders may be called only by the chairman, the president or at least one-third of the board of trustees; o a requirement of a vote of shareholders of not less than two-thirds of all the votes entitled to be cast on the matter to approve amendments to provisions of the declaration of trust that have an anti-takeover effect; and o the ownership limit described below which is primarily intended to satisfy requirements under the Internal Revenue Code for qualification as a REIT. 45 We also are subject to Maryland Business Combination Statute Provisions of Maryland law prohibit specified "business combinations" between a Maryland real estate investment trust and any person or entity who beneficially owns ten percent or more of the voting power of its outstanding shares, or any affiliate of the ten percent owner, for five years. Thereafter, the business combination must be approved by (a) 80% of the outstanding voting shares and (b) two-thirds of the outstanding voting shares, other than shares held by the ten percent owner, unless specified statutory conditions are met. A business combination that is approved any time before the ten- percent owner acquires his or her shares is not subject to these special voting requirements. We have not "opted out" of these provisions and, accordingly, we are subject to them. Our failure to qualify as a REIT would cause us to be taxed as a corporation We believe that we were organized and operated in a manner so as to qualify as a REIT under the Tax Code, commencing with our taxable year ended December 31, 1998. We can give no assurance that we will maintain our qualification as a REIT. Qualification as a REIT involves the satisfaction of numerous requirements, some on an annual and some on a quarterly basis, established under highly technical and complex Tax Code provisions for which there are only limited judicial and administrative interpretations, and involves the determination of various factual matters and circumstances not entirely within our control. For example, in order to qualify as a REIT, at least 95% of our gross income in any year must be derived from qualifying sources, and we must pay distributions to shareholders aggregating annually at least 95% (90% for taxable years beginning after December 31, 2000) of our REIT taxable income, excluding capital gains and certain non-cash income. The complexity of these provisions and of the applicable U.S. Treasury regulations is greater in the case of a REIT that holds its assets in partnership form. We can make no assurances that legislation, new regulations, administrative interpretations or court decisions will not significantly change the tax laws with respect to qualification as a REIT or the federal income tax consequences of qualification as a REIT. If we fail to qualify as a REIT or to maintain our REIT status, we will be subject to federal income taxes at regular corporate rates, including any alternative minimum tax. Moreover, we may be disqualified from treatment as a REIT for the next four taxable years. If we failed to qualify as a REIT, our net income available for investment or distribution to our shareholders would be significantly reduced because of the additional tax liability to us for the years involved. In addition, distributions to our shareholders would no longer be required to be made by us. 46 We have a share ownership limit primarily for REIT tax purposes To qualify and maintain qualification as a REIT for federal income tax purposes, not more than 50% in value of our outstanding common shares may be owned, directly or indirectly, by five or fewer individuals. In addition, in order for rent paid by the Company's tenants to qualify for purposes of the gross income tests applicable to REITs, no tenant (including Genesis) nor any person who constructively owns 10% or more of the outstanding shares of Genesis or any other tenant may own actually or constructively 10% or more, in value or voting rights, of our outstanding shares of beneficial interest. Primarily to facilitate compliance with these requirements, our declaration of trust prohibits ownership, directly or by virtue of the attribution provisions of the Tax Code, by any single shareholder of more than 8.6% of the issued and outstanding common shares and generally prohibits the ownership, directly or by virtue of these attribution rules, by any single shareholder of more than 9.9% of any class or series of preferred shares of beneficial interest. We refer to this as the "ownership limit." The federal tax laws include complex share ownership rules that apply in determining whether a shareholder exceeds the ownership limit. These rules may cause a shareholder to be treated as owning the shares of a number of related shareholders. Absent any such exemption or waiver by the board of trustees, shares acquired or held in violation of the ownership limit will be transferred to a trust for the exclusive benefit of a designated charitable beneficiary, and the shareholder's rights to distributions and to vote would terminate. Also, the ownership limit could delay or prevent a change in control and, therefore, could adversely affect our shareholders' ability to realize a premium over the then-prevailing market price for their shares. Special considerations apply to us because of the nature of our assets The manner in which we derive income from the assisted and independent living facilities and skilled nursing facilities we own is governed by special considerations in satisfying the requirements for REIT qualification. Because we would not qualify as a REIT if we directly operated an assisted or independent living facility or a skilled nursing facility, we lease such facilities to a healthcare provider, such as a subsidiary of Genesis, which operates the facilities. It is essential to our qualification as a REIT that these arrangements be respected as leases for federal income tax purposes and that the lessees, including the subsidiaries of Genesis that lease properties from us, not be regarded as "related parties" of us or our operating partnership, as determined under the applicable provisions of the Tax Code. In the event the leases expire and are not renewed, we will have to find a new lessee that is not related to us to lease and operate the properties in order to continue to qualify as a REIT. We are able to elect to treat property acquired as a result of an expired lease as foreclosure property if certain conditions are satisfied. With a valid election, we would be permitted to derive revenues directly from the ownership of such property other than deriving rental revenues payments to the lease of such property until the end of the second taxable year after the lease termination but only if an independent 47 contractor begins to operate the property within 90 days after the lease is terminated. The income from the foreclosure property would be subject to tax at the maximum corporate rate, but the income would qualify under the REIT gross income tests. In the event of a default on either a lease of, or a mortgage secured by, an assisted or independent living facility or skilled nursing facility, to maintain our REIT qualification, we would have to either immediately lease the property to a lessee that is not related to us, or make a foreclosure election and engage a new healthcare provider. Although with a valid election, we would be permitted to operate the facility for 90 days after taking possession of the facility pursuant to applicable U.S. Treasury regulations without jeopardizing our REIT status, the fact that the facility licenses are held by lessees or borrowers may preclude us from doing so under applicable healthcare regulatory requirements. The REIT requirements and applicable healthcare regulatory requirements could deter us from exercising our remedies in the event of a default even though such exercise otherwise would be in our best interests. We pay some taxes Even if we qualify as a REIT, we are required to pay certain federal, state and local taxes on our income and property. Our corporate subsidiary, ET Capital Corp., is subject to federal, state and local taxes on its net income. Various factors have affected and are likely to continue to affect our common share price Various factors have affected and are likely to continue to affect our common share price, including: o our financial performance and our dependence on Genesis as the primary operator of our facilities; o the financial performance of Genesis and other lessees of our facilities; o the extent to which a secondary market develops for our common shares; o the extent of institutional investor interest in us; o the market prices of other healthcare REITs and the attractiveness of their equity securities in comparison to other equity securities, including securities issued by other real estate-based companies; and o general stock and bond market conditions. Our common share price is affected by changes in our earnings and cash distributions 48 We believe that the market value of a REIT's equity securities is based primarily upon the market's perception of the REIT's growth potential and its current and potential future cash distributions, and is secondarily based upon the real estate market value of the underlying assets. For that reason, our shares may trade at prices that are higher or lower than the net asset value per share. To the extent we retain operating cash flow for investment purposes, working capital reserves or other purposes, these retained funds, while increasing the value of our underlying assets, may not correspondingly increase the market price of our shares. Our failure to meet the market's expectations with regard to future earnings and cash distributions would likely adversely affect the market price of our publicly traded securities. Market interest rates may have an effect on the value of our publicly traded securities One of the factors that investors consider important in deciding whether to buy or sell shares of a REIT is the distribution rate on such shares, considered as a percentage of the price of such shares, relative to market interest rates. If market interest rates go up, prospective purchasers of REIT shares may expect a higher distribution and this would likely increase our borrowing costs and potentially decrease funds available for distribution. Thus, higher market interest rates could cause the market price of our publicly traded securities to go down. Shares available for future sale could adversely affect the market price of our publicly traded securities At December 31, 2000, we had 394,725 units of limited partnership interest in our operating partnership which are owned by minority interests. These units are redeemable by the holder for cash or, at our election, common shares. In addition, we have reserved a total of 779,340 common shares for issuance pursuant to our 1998 share option and incentive plan, of which 321,779 are exercisable share options as of December 31, 2000. The Company also has reserved a total of 102,160 common shares for issuance pursuant to our 1999 share option and incentive plan, of which 34,053 are exercisable share options as of December 31, 2000. We cannot predict the effect that future sales of any of these common shares, or the perception that such sales could occur, will have on the market prices of our outstanding common shares. Environmental problems are possible and can be costly Federal, state and local laws and regulations relating to the protection of the environment may require a current or previous owner or operator of real estate to investigate and clean up hazardous or toxic substances or petroleum product releases at the property. If unidentified environmental problems arise, we may have to make substantial payments, which could adversely affect our cash flow and our ability to make distributions to our shareholders because: 49 o we or the operator may have to pay a governmental entity or third parties for property damage and for investigation and clean-up costs incurred by them in connection with the contamination; o environmental laws typically impose clean-up responsibility and liability without regard to whether the owner or operator knew or caused the presence of the contaminants; o even if more that one person may have been responsible for the contamination, each person covered by the environmental laws may be held responsible for all of the clean-up costs incurred; and o third parties may sue the owner or operator of a site for damages and costs resulting from environmental contamination emanating from that site. Environmental laws also govern the presence, maintenance and removal of asbestos. These laws require (1) that owners or operators of buildings containing asbestos properly manage and maintain the asbestos, (2) that they notify and train those who may come into contact with asbestos and (3) that they undertake special precautions, including removal or other abatement, if asbestos would be disturbed during renovation or demolition of a building. These laws may impose fines and penalties on building owners or operators who fail to comply with these requirements and may allow third parties to seek recovery from owners or operators for personal injury associated with exposure to asbestos fibers. Independent environmental consultants have conducted or updated environmental assessments at the properties in which we have an interest. These assessments included a visual inspection of the properties and the surrounding areas, an examination of current and historical uses of the properties and the surrounding areas and a review of relevant state, federal and historical documents. Where appropriate, on a property by property basis, these consultants conducted additional testing, including sampling for: asbestos, lead in drinking water, soil contamination where underground storage tanks are or were located or where other past site usage creates a potential for site impact and for contamination in groundwater. These environmental assessments have not revealed any environmental liabilities at the properties that we believe would have a material adverse effect on our business, financial condition, revenues or earnings. Asbestos is present at some of our buildings. The environmental consultants have not recommended removal or encapsulation of the asbestos, except in connection with the construction, remodeling, renovation or demolition of a building. For some of our properties, the environmental assessments also note potential offsite sources of contamination such as underground storage tanks. Additionally, for some of our properties, the environmental assessments note previous uses, such as the former presence of underground storage tanks, and in these cases, documented underground storage tanks subject to regulatory requirements were either removed, replaced or otherwise brought into compliance. 50 Failure of operators to comply with environmental laws regarding the use and disposal of hazardous substances and infectious medical wastes could adversely affect their ability to make lease and loan payments to us The operation of healthcare facilities also involves the handling, use, storage, transportation, disposal and/or discharge of hazardous, infectious, toxic, radioactive, flammable and other hazardous materials, wastes, pollutants or contaminants. These activities may result in: o damage to individuals, property or the environment; o interruption of operations and increases in costs; o legal liability, damages, injunctions or fines; o investigations, administrative proceedings, penalties or other governmental agency actions; and o costs that are not covered by insurance. We can make no assurance that our lessees or borrowers will not incur liability in connection with the use and disposal of hazardous substances and infectious medical waste, which could have a material adverse effect on their ability to make lease or loan payments to us. ERISA plans may be prohibited from investing in our common shares Depending upon the particular circumstances of an ERISA plan, an investment by an ERISA plan in our common shares may be inappropriate under the Employee Retirement Income Security Act of 1974. In deciding whether to purchase our common shares on behalf of an ERISA plan, a fiduciary of an ERISA plan, in consultation with its advisors, should carefully consider its responsibilities under ERISA, the prohibited transaction rules of ERISA and the Tax code and the effect of regulations issued by the U.S. Department of Labor defining what constitutes assets of an ERISA Plan. ITEM 2. PROPERTIES The Company's headquarters are currently located at 101 East State Street, Suite 100, Kennett Square, PA 19348. The Company leases its corporate office space from Genesis under an operating lease, which expires on May 31, 2001. Under the lease agreement, the Company pays base rent plus its portion of real estate taxes, common area maintenance and operation for the building based upon the ratio of square footage of the leased premises to the square footage of the building. As of December 31, 2000, the Company had no other material lease commitments as lessee. 51 The following table sets forth certain information comprising the Company's investments in owned real estate property as of December 31, 2000. Number of Annualized Property State Beds (3) Investment (4) Rental Income (5) - ------------------------------------- ---------- -------------- ---------------- ----------------- (dollar amounts in thousands) Assisted Living Facilities: Heritage Woods * (1) MA 132 $ 12,493 $ 1,045 Willowbrook * (1) PA (7) 54 6,465 (6) 640 Riverview Ridge (1) PA 96 6,586 551 Highgate at Paoli Pointe (1) PA 81 14,251 1,200 The Woodbridge PA 90 13,491 1,317 Heritage at North Andover (1) MA 97 12,145 1,132 Heritage at Vernon Court (1) MA 115 18,807 1,677 -------------- ---------------- ----------------- Total Assisted Living 665 84,238 7,562 -------------- ---------------- ----------------- Independent Living Facilities: Pleasant View (1) NH 72 4,178 466 -------------- ---------------- ----------------- Total Independent Living 72 4,178 466 -------------- ---------------- ----------------- Skilled Nursing Facilities: Rittenhouse CC * (1) PA 183 9,806 810 Lopatcong CC (1) NJ 153 15,177 1,260 Wayne NRC (2) PA 113 8,483 805 Belvedere NRC (1) PA 160 12,631 (6) 1,099 Phillipsburg CC (1) NJ 94 2,300 578 Chapel NRC (1) PA 240 12,305 1,167 Harston Hall NCH (1) PA 196 8,566 826 Pennsburg Manor NRC (1) PA 120 10,904 1,109 -------------- ---------------- ----------------- Total Skilled Nursing 1,259 80,172 7,654 -------------- ---------------- ----------------- Medical Office and Other Buildings: Professional Office Building I PA 4,571 844 DCMH Medical Office Building PA 8,371 1,574 Salisbury Medical Office Bldg. (1) MD 1,418 170 Windsor Office Building * (1) CT (7) 272 81 Windsor Clinic/Trg. Facility * (1) CT (7) 1,120 116 Lacey Branch Office Building NJ 625 57 ---------------- ----------------- Total Medical Office and Other 16,377 2,842 -------------- ---------------- ----------------- Total Owned Properties: 1,996 $184,965 $18,524 -------------- ---------------- ----------------- 52 - ------------------ * Represent properties included in the Company's borrowing base for the Credit Facility and pledged as collateral. (1) Represent properties that are leased to and/or managed by Genesis or Genesis Equity Investees. See "Transactions with Genesis." (2) Represents property managed by Genesis but leased by an unrelated third party. See "Transactions with Genesis." (3) Based upon the number of private and semi-private beds in service at December 31, 2000. (4) Includes investments in real estate properties on loans aggregating $176.6 million, before reductions for accumulated depreciation and includes credit enhancements on several properties, which aggregated $8.4 million. Credit enhancements include bond and operating reserve funds aggregating $4.3 million, security deposits of $2.3 million, letters of credit aggregating $1.0 million and mortgage escrow accounts of $0.8 million. (5) Reflects contract rate of annual base rent under fixed and minimum rent leases and estimated rent under percentage rent leases assuming rental income for these properties consistent with 2000. (6) As part of the restructuring, which closed on January 31, 2001, the annual minimum rent for the Willowbrook and the Phillipsburg facilities have been reduced by $345,000 and $400,000, respectively to $295,000 and $177,500, respectively per year beginning February 1, 2001. (7) These properties have been identified as held for sale. These assets are identified as properties held for sale and are disclosed separately on the Company's consolidated balance sheet. The Company holds a fee interest in each of its properties except for the land underlying the Windsor Clinic and Training Facility, the Professional Office Building I and the DCMH Medical Office Building (in which the Company owns a condominium unit), which are leasehold interests subject to long-term ground leases from Genesis and other unaffiliated companies. Each of the Company's skilled nursing and senior housing facilities, which includes the land (if owned), buildings, improvements and related rights, are leased principally to healthcare providers pursuant to long-term triple net leases. The leases generally have fixed terms of 5 to 12 years and contain multiple five to ten-year renewal options. These properties are leased principally under percentage and minimum rent leases. These lessees are required to insure, repair, rebuild and maintain the leased properties. The leases with tenants in the medical office and other buildings are generally fixed rent leases, which provide for specified annual rents, subject to annual increases in some of the leases. Generally, these leases are for a five-year period. Some of the lessees are required to insure, repair, rebuild and maintain the leased properties. See "Business - Investments - Owned Property - Operating Leases." The Company believes that its leased properties are adequately insured under insurance policies maintained by the lessees. 53 The above properties are encumbered by mortgage loans and bonds aggregating $107.9 million at December 31, 2000, bearing interest at a weighted average rate of 8.5%. These mortgage loans mature from December 2002 through September 2025. See Note 9 to the Company's Consolidated Financial Statements included in this Form 10-K. Additionally, five of the Company's properties, not already subject to mortgage loans, are included in the borrowing base for the Credit Facility and are pledged as collateral for outstanding borrowings. See Note 8 to the Company's consolidated financial statements included in this Form 10-K. The following table sets forth certain information regarding the Company's term and construction loans on real estate property investments as of December 31, 2000. Number of Interest Rate Term and Construction Loans State Beds (2) Investment (3) on Loans (3) - ------------------------------------- --------- --------------- ---------------- ------------------- (dollars in thousands) Term Loans - ------------------------------------- Assisted Living Facilities: Harbor Place * (1) FL 92 $4,828 9.5% Mifflin * (1) PA 57 5,164 9.5 Coquina Place * (1) FL 60 4,538 9.5 Lehigh * (1) PA 70 4,200 10.5 Berkshire * (1) PA 64 4,700 10.5 --------------- ---------------- Total Assisted Living 343 23,430 --------------- ---------------- Total Term Loans 343 23,430 --------------- ---------------- Construction Loans - ------------------------------------- Assisted Living Facilities: Oaks * (1) PA 52 5,033 9.0% Montchanin * DE 92 9,496 10.5 Sanatoga * (1) PA 75 3,600 10.5 --------------- ---------------- Total Assisted Living 219 18,129 --------------- ---------------- Total Construction Loans 219 18,129 --------------- ---------------- Total Term and Construction Loans 562 $ 41,559 =============== ================ - ---------------- * Represent loans included in the Company's borrowing base for the Credit Facility and pledged as collateral. (1) Represent properties that are managed by Genesis or Genesis Equity Investees. See "Business - Investments - Loan Restructurings and Related Matters." (2) Based upon the number of private and semi-private beds in service at December 31, 2000. (3) Represents principal balance, net of allowances and related rate of interest at December 31, 2000. See Note 4 to the Company's consolidated financial statements included in this Form 10-K. 54 ITEM 3. LEGAL PROCEEDINGS None. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS No matters were submitted to a vote of security holders during the three months ended December 31, 2000, through the solicitation of proxies or otherwise. PART II ITEM 5. MARKET FOR THE REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The following table sets forth, from January 27, 1998, the date the Company's common shares began trading, through the periods indicated, the high and low sales prices of the Company's common stock on the New York Stock Exchange and the distributions paid per share. There were 82 shareholders of record of the Company's common shares as of February 28, 2001. The number of shareholders of record does not include an indeterminate number of shareholders whose shares are held by brokers in "street name." Management believes there are approximately 4,000 beneficial shareholders of the Company's common shares. Distributions Per Quarter ended High Low Share ----------------------------- ----------- ----------- ------------------------- March 31, 1998 (1) $19.50 $17.38 - June 30, 1998 18.00 14.88 $0.243 September 30, 1998 17.75 11.63 0.365 December 31, 1998 14.50 9.25 0.365 March 31, 1999 11.63 7.50 0.365 June 30, 1999 10.38 8.44 0.365 September 30, 1999 10.06 6.50 0.365 December 31, 1999 7.63 5.00 0.365 (2) March 31, 2000 7.69 2.69 0.300 June 30, 2000 3.63 0.56 0.300 (3) September 30, 2000 1.38 0.69 - December 31, 2000 2.81 0.94 - - ---------- (1) Represents the period from January 27, 1998 through March 31, 1998. (2) Effective with the quarterly distribution paid in February 2000, the quarterly distribution was reduced from $0.365 per share to $0.30 per share. (3) Effective for the quarter ending September 30, 2000, the Company suspended the quarterly distributions. The Company does not expect to resume paying dividends until at least 2002. 55 In order to qualify as a REIT for federal income tax purposes, the Tax Code generally requires that a REIT distribute annually at least 95% (90% for taxable years beginning after December 31, 2000) of its net taxable income to its shareholders. See "Business - Taxation." The Company believes that, commencing with its taxable period ended December 31, 1998, it has been organized and operated in a manner so as to qualify for taxation as a REIT and intends to continue qualifying as a REIT in future periods. The Company suspended its distributions to its shareholders until further notice. The amount and timing of future distributions, however, will depend upon various factors, including the Company's cash available for distribution and limitations or restrictions under the Credit Facility on payment of dividends. See "Business - Genesis and Multicare file for Chapter 11 Bankruptcy Protection," "Business - Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations - Liquidity and Capital Resources." Distributions by the Company are at the discretion of the board of trustees. 56 ITEM 6. SELECTED FINANCIAL DATA The following selected consolidated financial data for the years ended December 31, 2000 and 1999 and for the period from January 30, 1998 through December 31, 1998, and as of December 31, 2000 and 1999, is derived from the consolidated financial statements of the Company. The following data should be read in conjunction with the Company's consolidated financial statements and related notes, and other financial information included in this Form 10-K, including "Management's Discussion and Analysis of Financial Condition and Results of Operations." 2000 1999 1998 ----------------- ----------------- ------------------ (in thousands, except per share data) Operating Data: Revenues $ 26,584 $28,141 $21,233 Expenses: Property expenses 1,128 1,124 975 Interest expense 14,007 13,136 6,256 Depreciation 5,850 5,788 4,460 General and administrative, separation agreement and start-up expenses 3,622 5,412 4,648 Loss on impairment of long-lived assets 5,306 - - Bad debt expense 9,522 - - ----------------------------------------------- Total expenses 39,435 25,460 16,339 ----------------------------------------------- Equity in losses of unconsolidated entities, net (10,010) (2,482) (648) Minority interest 1,531 (19) (273) ----------------------------------------------- Net income (loss) before extraordinary item (21,330) 180 3,973 Extraordinary item, net of minority interest - (1,210) - ----------------------------------------------- Net income (loss) ($ 21,330) ($ 1,030) $ 3,973 =============================================== Per share information: Basic and diluted net income (loss) per share before extraordinary item ($3.00) $0.03 $ 0.54 =============================================== Basic and diluted net income (loss) per share ($3.00) ($0.14) $ 0.54 =============================================== Weighted average basic and diluted common shares outstanding 7,119 7,198 7,369 =============================================== Distributions per share $0.60 $1.46 $0.97 =============================================== 57 December 31, 2000 December 31, 1999 --------------------------------------------------- (in thousands) Balance Sheet Data: Real estate properties, net $149,804 $171,681 Real estate loans receivable 41,559 48,646 Credit Facility 38,720 39,670 Mortgages, bonds and notes payable 108,947 110,084 Total liabilities 152,931 155,053 Total shareholders' equity $80,099 $103,440 2000 1999 --------------------------------------------------- (in thousands) Other Data: Funds from Operations (1) ($6,620) $9,939 --------------------------------------------------- - ---------- (1) The White Paper on Funds from Operations approved by the Board of Governors of NAREIT in October, 1999 defines Funds from Operations as net income (loss), computed in accordance with generally accepted accounting principles, excluding gains (or losses) from sales of property, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect funds from operations on the same basis. The Company believes that Funds from Operations is helpful to investors as a measure of the performance of an equity REIT because, along with cash flow from operating activities, financing activities and investing activities, it provides investors with an indication of the ability of the Company to incur and service debt, to make capital expenditures and to fund other cash needs. The Company computes Funds from Operations using standards established by NAREIT which may not be comparable to Funds from Operations reported by other REITs that do not define the term using the current NAREIT definition or that interpret the current NAREIT definition differently than the Company. Funds from Operations does not represent cash generated from operating activities using generally accepted accounting principles and should not be considered as an alternative to net income as an indication of the Company's financial performance, or to cash flow from operating activities as a measure of the Company's liquidity, nor is it indicative of funds available to fund the Company's cash needs, including its ability to make cash distributions. Effective January 1, 2000, Funds from Operations includes both recurring and non-recurring results of operations, except those results defined as "extraordinary items" under generally accepted accounting principles and gains and losses from sales of depreciable operating property. For comparison purposes the year ended December 31, 1999 has been restated to conform to the new FFO definition. See "Funds from Operations" for current definition. ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS General The Company is a self-managed and self-administered real estate investment trust that invests principally in senior housing and other healthcare facilities, including skilled nursing facilities, assisted and independent living facilities and medical office and other buildings. The Company conducts primarily all of its operations through the Operating Partnership, of which ElderTrust is the sole general partner. The Company's consolidated assets consist primarily of the assets of the Operating Partnership and its consolidated subsidiaries. As of December 31, 2000, skilled nursing, assisted and independent living facilities comprised approximately 91% of the Company's consolidated investments in real estate properties and loans. 58 Approximately 72% of the Company's consolidated assets at December 31, 2000 consisted of real estate properties leased to or managed by and loans on real estate properties made to Genesis or Genesis Equity Investees. Revenues recorded by the Company in connection with these leases and borrowings aggregated $17.9 million in 2000. In addition, the Company's Equity Investees have also leased properties to Genesis or Genesis Equity Investees. As a result of these relationships, the Company's revenues and ability to meet its obligations depends, in significant part, upon: o the ability of Genesis and Genesis Equity Investees to meet their lease and loan obligations; and o the revenues derived from, and the successful operation of, the facilities leased to or managed by Genesis or Genesis Equity Investees. Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring On June 22, 2000, Genesis and Multicare filed for protection under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code"). During the year, the Company, Genesis and Multicare and Genesis and Multicare's major creditors negotiated agreements to restructure their debt and lease obligations with the Company. The agreements were approved by the U.S. Bankruptcy Court on January 4, 2001 and were consummated on January 31, 2001. Under the more significant terms of the agreement with Genesis: 1) Twenty-one of the existing twenty-three lease agreements between Genesis subsidiaries and ElderTrust continued in effect in accordance with their terms, except as provided below: o Two leases were modified to reduce combined rents for the properties by $745,000 per year; o One lease was modified to create an early termination right commencing on December 31, 2002; and o One lease was modified to permit ElderTrust to terminate the lease during 2001 without penalty if the current tenant is unable to achieve occupancy targets specified by loan documents secured by property. 2) Two leases (Windsor Office Building and Windsor Clinic/Training facility) were terminated when the two properties subject to the leases were sold to Genesis for $1.25 million, such amount being paid via an increase in the notes receivable described in 4) below; 59 3) An $8.5 million loan previously guaranteed by ElderTrust and owed to Genesis by ET Sub-Meridian, an unconsolidated subsidiary of ElderTrust, was conveyed to ElderTrust in a manner to effect an $8.5 million reduction in amounts owed to ElderTrust by Genesis; 4) The maturity date for three loans (Oaks, Coquina and Mifflin) by ElderTrust to Genesis and affiliated entities with unpaid principal balances totaling approximately $7.5 million at June 30, 2000 (after taking into account the aforementioned $1.25 million increase and $8.5 million reduction) were extended to June 30, 2002 at the rates in effect prior to the Genesis bankruptcy filing; and 5) The maturity date and interest rate for one loan (Harbor Place) with a principal balance of approximately $4.8 million made by ElderTrust to an entity in which Genesis owns a 100% limited partner interest was extended to May 31, 2002 at a 10% interest rate, an increase of 0.5%. Under the terms of the agreement with Multicare, ElderTrust acquired three properties secured by three loans (Lehigh, Berkshire and Sanatoga) with outstanding principal amounts totaling approximately $19.5 million, and having a net book value of $12.5 million, at December 31, 2000, in exchange for the outstanding indebtedness. These properties were then leased back to Multicare under long-term operating lease agreements. ElderTrust has no other transactions with this entity. Although the agreements with Genesis and Multicare have been approved by the U.S. Bankruptcy Court and successfully consummated, there can be no assurance that either Genesis or Multicare will successfully emerge from bankruptcy. As a result, there can be no assurance that Genesis and Multicare will continue to make loan and lease payments under the terms of the restructured loan and lease arrangements with those entities. Genesis and Multicare are expected to file plans of reorganization with the U.S. Bankruptcy Court addressing their other creditors' claims. Both companies are currently operating as debtors-in-possession subject to the jurisdiction of the U.S. Bankruptcy Court. Approval of the reorganization plans by the U.S. Bankruptcy Court will be necessary for Genesis and Multicare to be able to emerge from bankruptcy. The independent auditors' report on Genesis' 2000 financial statements, included in Genesis' Form 10-K as of September 30, 2000, indicated that there is substantial doubt regarding the ability of Genesis and Multicare to continue as going concerns. Each Company's ability to continue as a going concern will be dependent upon, among other things, approval of their respective plan of reorganization, future profitable operations, the ability to comply with the terms of their debtor-in-possession financing arrangements and the ability to generate sufficient cash from operations and financing agreements to meet their obligations. Although we are hopeful Genesis and Multicare will emerge from bankruptcy and continue to make lease and loan payments to us, there can be no assurance that this will occur. Any failure of Genesis and Multicare to continue their operations and/or to continue to make lease and loan payments to us could have a significant adverse impact on our operations and cash flows due to the significant portion of our properties leased to and loans made to Genesis and Multicare. 60 If Genesis and Multicare were to cease making lease and loan payments to the Company, we may be required to terminate the underlying leases and foreclose on the outstanding loans, in which event we would likely be required to find new operators to operate the properties underlying the leases and loans and/or sell or close one or more properties. Management has contacted several alternative operators and, based on these preliminary discussions, believes that an adequate market currently exists in which the Company could arrange for property management, leasing or sale of these assets, and that the properties could be successfully transitioned to new operators. Based on the discussions with these operators, the Company's management believes that a property could be transitioned to a new operator without undue delay and that, due to the elderly resident population and care requirements this population requires, such transition would be completed in an orderly fashion and with the cooperation of the operators and the appropriate regulatory authorities, if any. Some of the operators contacted by the Company have indicated that they have experience in transitioning skilled nursing facilities to new management and that they have the staffing needed to transition such facilities. The Company would expect to rely upon that experience to effect an orderly transition should Genesis and/or Multicare fail to emerge from bankruptcy and/or cease making lease or loan payments to us. As a result of the relatively short estimated time period required to transition a property to a new operator, the Company's management believes that, even if Genesis or Multicare were to cease making lease and loan payments to us either because Genesis and Multicare did not emerge from bankruptcy or otherwise, the Company would still be able to satisfy its operating and debt service requirements during the next 12 months. Management fee arrangements currently charged in the market place typically range from 4% to 6% of property gross revenues. Actual fees incurred would depend upon property type and location as well as other property and operator specific factors. Management estimates that, if all of the properties subject to leases and loans with Genesis and Multicare were returned to the Company and were subjected to management agreements with new operators, the Company's annual cash flows could be reduced by approximately $1.6 million. While difficult to predict, this estimate is based upon expected property operations and assumptions made by management as to management fees, capital expenditures and possible property closures. The Company has multiple debt agreements and is subject to debt covenants that, among other things, require minimum principal payments and contain various financial covenants. Although the Company's management believes, based upon the above noted estimated cash flow reduction, that the Company would be able to meet its operating and debt service obligations during the next 12 months if it were required to obtain new managers for the properties now operated by Genesis and Multicare, a termination of leases and loans with Genesis and Multicare may impair the Company's ability to meet one or more of the financial covenants contained in its debt agreements. Should this occur, the Company's management believes that alternative arrangements could be reached with its various lenders to restructure its loan agreements, if necessary, so as to reflect any adverse change in economic condition. This belief is based, in part, upon the Company's past history in negotiating mutually acceptable agreements with these lenders. Depending on the magnitude of the reduction in the Company's operating cash flow, the Company would seek to offset the effect of such reduction in operating cash flow on the Company's ability to meet its debt service requirements through asset sales or through other available means. The Company believes that it has the ability to, and, if necessary, intends to, take these actions available to it and, as a result, believes it will be able to continue to satisfy its debt and operating obligations as they come due during the next twelve months. 61 As indicated above, based upon management's assessment of the long-term care economic environment, its discussions with alternative operators and the Company's past history with its lenders, the Company believes that, if the loans and leases with Genesis and Multicare were terminated, that the assets could be redeployed as needed. Were this to occur, management believes that new operators would be available to operate the properties, that any cash flow interruption resulting from such redeployment is unlikely or would be minimal and that, although cash flows may be reduced, the Company would be able to meet its operating and debt service requirements under its existing debt agreements during the next 12 months and negotiate amendments, if necessary, with respect to any failure to meet financial covenants in those debt instruments. The Company has incurred indebtedness to acquire its assets and may incur additional short and long-term indebtedness, and related interest expense, from time to time. See "Liquidity and Capital Resources" and Note 4 - Real Estate Loans Receivable to consolidated financial statements. Under the terms of the Bank Credit Facility, the Company cannot distribute to its shareholders more than 110% of that amount required to maintain REIT status. The Company intends to maintain its REIT status. However the amount and timing of distributions will depend upon various factors, including the Company's cash available for distribution. See "Liquidity and Capital Resources." Substantially all of the Company's revenues are derived from: o rents received under long-term leases of healthcare-related real estate; o interest earned from term and construction loans; and o interest earned from the temporary investment of funds in short-term instruments. The Company has incurred operating and administrative expenses, which principally include compensation expense for its executive officers and other employees, office rental and related occupancy costs. 62 The Company is self-administered and managed by its executive officers and staff, and has not engaged a separate advisor or paid an advisory fee for administrative or investment services, although the Company has engaged legal, accounting, tax and financial advisors as needed from time to time. The primary non-cash expenses of the Company are the depreciation of its healthcare facilities, amortization of its deferred loan origination costs and deferred financing costs. Investments in Equity Investees The Company's Equity Investees represent entities in which the controlling interest is owned by Mr. D. Lee McCreary, the Company's President, Chief Executive Officer and Chief Financial Officer. As a result, the Company records its investments in, and results of operations from, these entities using the equity method of accounting in its consolidated financial statements included in this Form 10-K. ET Capital Corp. The Company has a nonvoting 95% equity interest in, and has $3.5 million in loans to ET Capital Corp. ("ET Capital"). The remaining voting 5% equity interest in ET Capital is owned by Mr. McCreary. As of December 31, 2000, ET Capital owned a $7.8 million second trust mortgage note executed by AGE Institute of Florida, which it acquired from Genesis during 1998. This note is secured by a second lien on 11 Florida skilled nursing facilities owned by AGE Institute of Florida and a second lien on accounts receivable and other working capital assets. The $40.0 million first mortgage loan that is guaranteed by Genesis is held by a third party. The facilities were managed by subsidiaries of Genesis through September 30, 2000. The AGE Institute of Florida's second mortgage note to ET Capital matures on September 30, 2008 with payments of interest only, at a fixed annual rate of 13% due quarterly until the note is paid in full. The borrower ceased making interest payments to ET Capital during the quarter ended June 30, 2000 and since June 2000 the borrower has been in default under the $40.0 million first mortgage loan. ET Capital recorded a provision for bad debts of $8.8 million as of December 31, 2000 for interest and principal due on the $7.8 million second trust mortgage note through December 31, 2000. The Company recorded $0.7 million and $0.7 million in interest income for the years ended December 31, 2000 and 1999, respectively, on the notes receivable from ET Capital. The Company also recorded a loss of $7.2 million and income of $0.2 million related to the portion of its equity interest in ET Capital's results of operations for the years ended December 31, 2000 and December 31, 1999, respectively. In addition, the Company recorded an impairment loss of $1.4 million on the remaining balance of the notes receivable from ET Capital issued in connection with the second mortgage transaction. See Note 7 of the Company's consolidated financial statements included in this Form 10-K. 63 In addition to the AGE Institute of Florida second trust mortgage note, ET Capital has notes receivable aggregating $4.4 million at December 31, 2000 from two of the Company's Equity Investees and one of the Company's consolidated subsidiaries. These loans mature at various dates from April 2008 to December 2011 and bear interest at 14% per annum with interest and principal payable monthly. ET Capital's long-term debt includes two demand promissory notes payable to the Company aggregating $5.9 million at December 31, 2000 in connection with the above second mortgage note transaction. These notes bear interest at a weighted average rate of 12.1% per annum with interest only payable quarterly. ET Capital ceased making interest payments, on these notes to the Company during the quarter ended June 30, 2000. Management of the Company has determined that these notes are fully impaired at December 31, 2000. In addition, ET Capital has loans payable to the Company aggregating $3.3 million, bearing interest at 15% and maturing at various dates from April 2008 to December 2011. Payments on these notes were current at December 31, 2000. ET Sub-Meridian Limited Partnership, L.L.P. The Company has a 99% limited partnership interest in ET Sub-Meridian. The 1% general partner interest is owned by a limited liability company of which Mr. McCreary is the sole member. ET Sub-Meridian owns the leasehold and purchase option rights to seven skilled nursing facilities located in Maryland and New Jersey, which it purchased from Genesis for $35.5 million in cash and issuance of $8.5 million in term loans during September 1998. The purchase options are exercisable by ET Sub-Meridian in September 2008 for a cash exercise price of $66.5 million. ET Sub-Meridian subleased the facilities to Genesis for an initial ten-year period with a ten-year renewal option. Genesis has guaranteed the subleases. As part of the transaction, the Company agreed to indemnify the property owners for any loss of deferral of tax benefits prior to August 31, 2008 due to a default under a sublease or if a cure of a default by the Genesis subsidiary leasing the facilities resulted in a taxable event to the owners. The Company also agreed to indemnify Genesis for any amounts expended by Genesis under the back-up indemnity provided by Genesis to the current owners for the same loss. 64 The Company recorded losses of $2.5 million and $2.3 million related to the portion of its equity interest in ET Sub-Meridian's results of operations for the year ended December 31, 2000 and December 31, 1999, respectively. ET Sub-Meridian has real estate investments and long-term debt of $103.0 million and $105.4 million, respectively, at December 31, 2000. See Note 7 of the Company's consolidated financial statements included in this Form 10-K. At December 31, 2000, ET Sub-Meridian had a $17.6 million subordinated demand loan bearing interest at 12% per annum payable to the Company in connection with the above transaction. The Company recorded $2.1 million in interest income on this loan for the years ended December 31, 2000 and 1999, respectively. ET Sub-Heritage Andover, LLC ET Sub-Vernon Court, LLC ET Sub-Cabot Park, LLC ET Sub-Cleveland Circle, LLC The Company, through four limited liability companies (ET Sub-Heritage Andover, LLC, ET Sub-Vernon Court, LLC, ET Sub-Cabot Park, LLC, and ET Sub-Cleveland Circle, LLC), has member interests in three assisted living facilities and one independent living facility, which it acquired during December 1998 from an unrelated third party. A Genesis Equity Investee leases each of the facilities. The Company is the sole member of ET Sub-Heritage Andover, LLC, which, accordingly, is consolidated into the Company's consolidated financial statements at December 31, 2000. In each of the remaining three limited liability companies, the Company has a 99% member interest. The 1% managing member interest in these three companies is owned by a limited liability company of which Mr. McCreary is the sole member. The Company currently has the option to acquire the 1% managing member interest in ET Sub-Vernon Court, LLC from Mr. McCreary. The option exercise price is $3,200. As the Company has the ability to acquire the 1% managing member interest in ET Sub-Vernon Court, LLC for a nominal amount, this company is consolidated into the Company's consolidated financial statements at December 31, 2000. The two unconsolidated limited liability companies have subordinated demand loans in the aggregate amount of $3.1 million payable to the Company at December 31, 2000, bearing interest at 12% per annum. The Company recorded $382,000 and $381,000 in interest income for the year ended December 31, 2000 and 1999, respectively, in connection with these demand loans. In addition, three of the limited liability companies have loans payable to ET Capital aggregating $4.4 million at December 31, 2000, maturing at various dates from April 2008 to December 2011 and bearing interest at 14% per annum with interest and principal payable monthly. 65 The Company recorded aggregate losses of $342,000 and $401,000 related to its equity interest in ET-Sub-Cabot Park, LLC's and ET Sub-Cleveland Circle, LLC's results of operations for the years ended December 31, 2000 and 1999, respectively. These two entities have real estate investments and aggregate long-term debt of $30.2 million and $30.2 million, respectively, at December 31, 2000. See Note 7 of the Company's consolidated financial statements included in this Form 10-K. Results of Operations Year ended December 31, 2000 compared to the year ended December 31, 1999 Revenues Rental revenues were $18.6 million for the year ended December 31, 2000 as compared to $18.6 million for the year ended December 31, 1999. Interest income was $4.5 million, net of amortization of deferred loan costs of $145,000, for the year ended December 31, 2000 as compared to $5.7 million for the year ended December 31, 1999, a 19.6% decrease. This decrease was a result of debt restructuring involving Genesis and Multicare during 2000. See "Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring." Interest from unconsolidated Equity Investees was $3.3 million for the year ended December 31, 2000 as compared to $3.8 million for the year ended December 31, 1999. This represents a 14.6% decrease over the prior year. This decrease was primarily due to ET Capital not making its second, third or fourth quarter 2000 interest payments to the company on its notes payable related to the AGE Institute of Florida second mortgage transaction. See "Loan Restructuring and Related Matters." Expenses Property operating expenses principally relate to medical office buildings, which are not subject to leases that require the lessees to pay all operating expenses of the related property. Property operating expenses for these leased properties were $1.1 million for the years ended December 31, 2000 and December 31, 1999. Property operating expenses as a percentage of medical office building rental revenues decreased to 38.2% for the year ended December 31, 2000 as compared to 42.9% for the year ended December 31, 1999. Interest expense, which included amortization of deferred financing costs of $0.6 million, was $14.0 million for the year ended December 31, 2000 as compared to $13.1 million for year ended December 31, 1999. The increase of $0.9 million, is due to fluctuations in the LIBOR rate and under the Third Amendment to the Credit Facility the terms required the Company to pay a monthly facility fee in an amount equal to 0.0625% (0.75%) of the outstanding balance. This increase in interest expense of $1.8 million was partially offset by a reduction in amortization of deferred financing costs of $0.9 million. Third-party debt, which includes the Credit Facility and mortgages and notes payable to third parties, decreased from $148.7 million at December 31, 1999 to $146.7 million at December 31, 2000. The weighted average interest rate on outstanding third-party debt increased from 8.4% at December 31, 1999 to 8.5% at December 31, 2000. The Company's interest rate on the Credit Facility was 9.63% at December 31, 2000 and 9.25% at December 31, 1999. After January 31, 2001, amounts outstanding under the Credit Facility bear interest at a floating rate equal to 3.25% over one-month LIBOR per the Fourth Amendment to the Credit Agreement dated January 31, 2001. 66 Depreciation was approximately $5.8 million for the years ended December 31, 2000 and December 31, 1999. This amount relates to depreciation taken on the real estate properties owned by the Company at December 31, 2000 and 1999. General and administrative expenses were $3.6 million for the year ended December 31, 2000 as compared to $2.6 million for the year ended December 31, 1999, an increase of 38.5%. The increase was primarily due to increased compensation for officers and the expenses of $0.7 million in connection with property due diligence for investment transactions that were not completed. Bad debt expense of $9.5 million was recorded for the twelve months ending December 31, 2000 resulting from impairment charges recorded on real estate loans receivable of $7.1 million, investments in and advances to unconsolidated entities of $1.4 million and a note receivable from a former officer of the Company of $990,000. An extraordinary loss of $1.2 million, net of a minority interest benefit of $86,000, was recorded for the year ended December 31, 1999 in connection with the prepayment of an existing mortgage loan. Year ended December 31, 1999 compared with the period from January 30, 1998 to December 31, 1998 Revenues Rental revenues of $18.6 million were generated for the year ended December 31, 1999. This represented a 30.7% increase from $14.2 million for the corresponding period in 1998. This increase was a result of 1998 including only eleven months of operations and due to acquisitions of senior housing and other healthcare-related properties at various times during 1998. Interest income of $5.7 million, net of amortization of deferred loan costs of $227,000, was earned for the year ended December 31, 1999. This represented a 26.8% increase from $4.5 million for the corresponding period in 1998. This increase was a result of 1998 including only eleven months of operations and due to additional funding of construction loans at various times during 1998 and 1999. The increase was comprised of an increase of $1.1 million in interest on term and construction loans and an increase of $206,000 in interest earned on excess invested funds and bond and operating reserve funds, offset, in part, by a decrease of $73,000 in connection with a mortgage loan receivable that was collected in December 1998. 67 Interest from unconsolidated Equity Investees of $3.8 million was earned for the year ended December 31, 1999. This represented a 163.4% increase from $1.4 million for the corresponding period in 1998. This increase was a result of a large increase in the average loan balance with these unconsolidated Equity Investees from 1998 to 1999, primarily in connection with two transactions that occurred in September and December 1998. Expenses Property operating expenses principally relate to medical office buildings, which are not subject to leases that require the lessees to pay all operating expenses of the related property. Property operating expenses for these leased properties were $1.1 million for the year ended December 31, 1999. This represented a 15.3% increase from $975,000 for the corresponding period in 1998. This increase was a result of 1998 including less than eleven months of operations for the Company's medical office buildings due to one of these buildings being acquired by the Company during the last half of February 1998. Property operating expenses as a percentage of medical office building rental revenues decreased to 42.9% for the year ended December 31, 1999 as compared to 44.7% for the corresponding period in 1998. Interest expense, which included amortization of deferred financing costs of $1.6 million, was $13.1 million for the year ended December 31, 1999. This represented a 110.0% increase in interest expense from $6.3 million for the corresponding period in 1998. This increase was primarily due to 1998 including only eleven months of operations, increased amortization of deferred financing costs of $1.5 million, increases in third-party debt at various times during 1998 and 1999 to fund operating, investing and financing activities, and a higher interest rate on the Credit Facility. Third-party debt, which includes the Credit Facility and mortgages and notes payable to third parties, increased from $142.8 million at December 31, 1998 to $148.7 million at December 31, 1999. The weighted average interest rate on outstanding third-party debt increased from 7.2% at December 31, 1998 to 8.4% at December 31, 1999. The Company's interest expense increased as a result of the increase in the interest rate on the Credit Facility in June 1999 from a margin of 1.80% over the one-month LIBOR to 2.75%. The Company's interest rate on the Credit Facility was 9.25% at December 31, 1999 versus 7.36% at December 31, 1998. Depreciation was $5.8 million for the year ended December 31, 1999. This represented a 29.8% increase from $4.5 million for the corresponding period in 1998. This increase was a result of 1998 including only eleven months of operations and increases in real estate properties and other depreciable assets that were placed in service at various times during 1998 and 1999. 68 General and administrative expenses were $2.6 million for the year ended December 31, 1999. This represented a 61.1% increase from $1.6 million for the corresponding period in 1998. This increase was a result of 1998 including only eleven months of operations and additional expenses as the Company established its current internal infrastructure. General and administrative expenses increased as a percentage of total rental revenues to 9.3% for the year ended December 31, 1999 as compared to 7.6% for the corresponding period in 1998. This increase was due to the growth in the Company's infrastructure which began in late 1998. These expenses consisted principally of management salaries and benefits and legal and other administrative costs. Separation agreement expenses of $2.8 million were recorded for the year ended December 31, 1999 in connection with Mr. Romanov's resignation from the Company. These expenses are comprised of cancellation of indebtedness payable by Mr. Romanov to the Company of $2.6 million and $200,000 in costs payable to third parties in connection with a separation agreement with Mr. Romanov. Start-up expenses were $3.0 million for the period ended December 31, 1998. These expenses were principally comprised of nonrecurring compensation expense of $2.0 million recorded in connection with the issuance of units of beneficial interest of the operating partnership to certain officers of the Company and approximately $700,000 of amounts reimbursed to Genesis for certain formation expenses. An extraordinary loss of $1.2 million, net of a minority interest benefit of $86,000, was recorded for the year ended December 31, 1999 in connection with the prepayment of an existing mortgage loan. Income Taxes The Company believes that, commencing with its taxable period ended December 31, 1998, it has been organized and operated in a manner so as to qualify for taxation as a REIT under Sections 856 through 860 of the Tax Code. As a result, the Company generally will not be subject to income tax on its taxable income at corporate rates to the extent it distributes annually at least 95% (90% for taxable years beginning after December 31, 2000) of its taxable income to its shareholders and complies with certain other requirements. The Company believes it will continue to qualify as a REIT and, accordingly, no provision has been made for income taxes in the accompanying consolidated financial statements. 69 Liquidity and Capital Resources Net cash provided by operating activities was $7.5 million for the year ended December 31, 2000 compared to $16.7 million for the year ended December 31, 1999. Net cash used in financing activities was $7.7 million for the year ended December 31, 2000 compared to net cash used in financing activities of $10.5 million for 1999. Net cash used in financing activities for 2000 principally included (a) $1.0 million in payments on the Credit Facility, (b) $0.8 million in deferred financing fees and other related costs in connection with amendments to the Credit Facility, (c) $4.3 million in distributions to shareholders, and (d) $1.1 million in payments on mortgage loans payable. Net cash used in financing activities for 1999 included borrowings under the Credit Facility of $9.5 million and new mortgages payable issued of $71.1 million reduced by $60.1 million in payments on the Credit Facility, $3.0 million in deferred financing fees and other related costs, $10.5 million in distributions to shareholders, $14.7 million in payments on mortgage loans and notes payable, $0.9 million in common share repurchases and $1.2 million prepayment penalty on a mortgage loan. Net cash used in investing activities was $0.3 million for the year ended December 31, 2000 compared to $4.9 million for 1999. The Company used its net cash provided by operating activities for the year ended December 31, 2000 principally to fund its investing activities, including $1.7 million in bond and operating reserve funds and deposits and $0.2 million in capital expenditures offset by $1.5 million of proceeds received from unconsolidated entities. Similarly, net cash provided by operating activities for the year ended December 31, 1999 was used principally to fund its investing activities, including (a) $5.1 million in construction loans, (b) $3.6 million in bond and operating reserve funds and deposits and (c) $1.3 million in purchases of equipment and building renovations, partially offset by $4.3 million in payments received on term and construction loans receivable and $0.8 million of proceeds received from unconsolidated entities. At December 31, 2000, the Company's consolidated net real estate investments in properties and loans aggregated $202.7 million, including net assets held for sale of $11,365, as compared to $220.3 million as of December 31, 1999. Working capital, excluding the current portion of the balance outstanding under the Credit Facility of approximately $5.0 million and $0.9 million as of December 31, 2000 and 1999, respectively, was ($21.5) million and $3.5 million at December 31, 2000 and 1999 respectively. The working capital (deficit) at December 31, 2000 was caused primarily by the reclassification of approximately $25.8 million of long-term debt as current, due to the Company's technical defaults. Cash and cash equivalents were $3.1 million and $3.6 million, at December 31, 2000 and December 31, 1999, respectively. As of December 31, 2000, the Company had shareholders' equity of $80.1 million and Credit Facility borrowings and mortgages, bonds and notes payable to third parties aggregating $146.7 million, which represents a debt to equity ratio of 1.83 to 1. This was an increase from 1.44 to 1 at December 31, 1999. This increase was due primarily to a net decrease of $2.0 million in such indebtedness and a net decrease in shareholders' equity of $23.3 million. The net decrease in third-party indebtedness resulted from repayments of third-party indebtedness aggregating $1.1 million and repayments under the Credit Facility of $0.9 million. The net decrease in shareholders' equity primarily resulted from the payment of $4.3 million in dividends to shareholders, and a net loss aggregating $21.3 million for the year ended December 31, 2000. These equity reductions were partially offset by the acquisition of minority interests. 70 The Company did not fund any construction loan commitments for the year ended December 31, 2000 as compared to the $5.1 million which was funded by the Company for the year ended December 31, 1999. The Company, currently, does not have any further funding requirements under the existing commitments. The Company previously was obligated to purchase and leaseback, upon the maturity of the related loan or the facility reaching stabilized occupancy, five assisted living facilities (Mifflin, Coquina Place, Lehigh, Berkshire and Harbor Place) securing term loans and two assisted living facilities (Oaks and Sanatoga) securing construction loans made by the Company in January 1998. Of these seven loans, which had an aggregate principal balance at December 31, 2000 of $32.1 million, three loans, secured by the Mifflin, Coquina Place and Oaks facilities, were made to wholly-owned subsidiaries of Genesis, three loans, secured by the Lehigh, Berkshire and Sanatoga facilities, were made to wholly-owned subsidiaries of Multicare and one loan, secured by the Harbor Place facility, was made to a Genesis Equity Investee. The Company's ability to purchase and leaseback these facilities was terminated as part of the lease and loan restructuring with Genesis and Multicare. Credit Facility On January 3, 2000, the term of the Company's bank Credit Facility (the "Credit Facility") with Deutsche Bank Securities ("Deutsche Bank") was extended from January 1, 2000 to June 30, 2001 through an amendment ("Third Amendment"). This amendment also reduced borrowings available under the Credit Facility to $45.4 million. During 2000 the Company failed to meet certain financial covenants required by its Credit Facility. On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002 ("Fourth Amendment") and the covenants amended to, in part, cure the existing covenant violations. The Credit Facility contains various financial and other covenants, including, but not limited to, minimum net asset value, minimum tangible net worth, a total leverage ratio and minimum interest coverage ratio. The Company's owned properties and properties underlying loans receivable with an aggregate cost of $79.2 million are included in the Credit Facility borrowing base and pledged as collateral at December 31, 2000. Credit Facility Terms Effective through January 30, 2001 Under the Third Amendment Under the Third Amendment, the Credit Facility terms required the Company to make monthly principal payments equal to 0.22% of the outstanding balance on the first day of the prior calendar month. In addition, the Company was required to pay a monthly facility fee in an amount equal to 0.0625% of the outstanding balance. Re-borrowings were not permitted after repayment, except for the $5.75 million revolving credit portion of the Credit Facility. Dividend distributions over the term of the loan were limited to $3.0 million plus 95% of the Company's Funds from Operations, as defined by the National Association of Real Estate Investment Trusts ("NAREIT") prior to January 1, 2000. At December 31, 2000, the Company had $38.7 million outstanding under the Credit Facility. 71 In 2000 the Company paid financing fees and other related costs of approximately $0.5 million primarily associated with the Third Amendment to the Credit Facility. Of the $0.5 million, $0.3 million was expensed and included as a component of interest expense. Amounts outstanding under the Credit Facility bore interest at floating rates ranging from 2.75% to 3.25% over one-month LIBOR as determined by the percentage of the Credit Facility outstanding as compared to the borrowing base. The effective interest rate on borrowings outstanding under the Credit Facility at December 31, 2000 was 10.38%, 2.75% over one-month LIBOR including the facility fee. Credit Facility Terms Effective after January 30, 2001 Under the Fourth Amendment On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002. As a result of this further extension the Company is (i) prohibited from further borrowings under the facility, (ii) required to make monthly principal payments equal to the cash flow generated by the Company for the month and, (iii) is prevented from paying distributions in excess of 110% of that amount required to maintain REIT status. In December 2000, the Company paid a non-refundable loan maturity extension fee of $0.3 million in connection with the Fourth Amendment to the Credit Facility. In addition, and with respect to the Fourth Amendment, the Company issued to the lender warrants on January 31, 2001, to purchase 118,750 common shares of stock at $1.70 per share. The amounts outstanding under the Credit Facility bear interest at a floating rate equal to 3.25% over one-month LIBOR and the monthly facility fee has been eliminated. If this agreement were in effect on December 31, 2000, the effective interest rate on borrowings outstanding under the Credit Facility would have been 10.13%. Other Giving effect to the lease and loan restructurings with Genesis and Multicare, the Company currently expects net cash provided by operations to be sufficient to enable it to meet its short-term cash flow requirements through December 31, 2001. See "Genesis and Multicare Chapter 11 Bankruptcy Filings; Lease and Loan Restructuring." 72 The Credit Facility currently matures on August 31, 2002. If the Company is unable to pay-off or obtain replacement financing by August 31, 2002, or is unable to negotiate a further extension of the current Credit Facility at that time, or for any other reason the Company were to be in default under the Credit Facility prior to its maturity, Deutsche Bank could exercise its right to foreclose on the collateral securing the Credit Facility, which would have a significant adverse affect on the Company's ability to continue its operations and meet its obligations. The terms of the Credit Facility extension reduced the Company's cash flows and impose limits on its ability to make distributions to its shareholders. Future increases in interest rates, as well as any defaults by tenants or borrowers on their leases or loans, also could adversely affect the Company's cash flow and its ability to pay its obligations. To qualify as a REIT, the Company must distribute to its shareholders each year at least 95% (90% for taxable years beginning after December 31, 2000) of its net taxable income, excluding any net capital gain. If the Company is unable to make any required shareholder distributions, then the Company may be unable to qualify as a REIT and would be subject to federal income taxes. Facilities owned by the Company and leased to third parties under percentage and minimum rent triple net leases require the lessee to pay substantially all expenses associated with the operation of such facilities. Facilities owned by the Company and subject to percentage and minimum rent leases represent approximately 91% of the Company's investments in owned facilities at December 31, 2000. As a result of these arrangements, the Company does not believe it will be responsible for significant expenses in connection with the facilities during the terms of the leases. The Company anticipates entering into similar leases with respect to additional properties acquired. However, there can be no assurance the Company will not be responsible for significant expenses of its leased properties in the event one or more of its lessees default on their leases with the Company. In August 1998, the Company implemented a share repurchase program. Under the share repurchase program, the Company was authorized from time to time to repurchase shares in open market transactions up to an amount equal to the Company's excess cash flow on a quarterly and cumulative basis. In March 1999, in light of the Company's cash position and Credit Facility negotiations, the Company suspended the share repurchase program. In November 1999, the Company reinstated the share repurchase program on a limited basis. The Company completed this limited share repurchase program in December 1999 with the repurchase of 82,100 common shares at an average price of $6.08. The Company repurchased and effectively retired 125,800 and 147,800 common shares for an aggregate purchase price of $923,000 and $1.7 million for the years ended December 31, 1999 and 1998, respectively. These shares are reflected as a reduction of shares issued and outstanding in the accompanying financial statements. The Company did not repurchase any common shares in 2000. 73 Funds from Operations The White Paper on Funds from Operations approved by the Board of Governors of NAREIT in October 1999 defines Funds from Operations as net income (loss), computed in accordance with generally accepted accounting principles, excluding gains (or losses) from sales of property, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Adjustments for unconsolidated partnerships and joint ventures will be calculated to reflect Funds from Operations on the same basis. The Company believes that Funds from Operations (FFO) is helpful to investors as a measure of the performance of an equity REIT because, along with cash flow from operating activities, financing activities and investing activities, it provides investors with an indication of the ability of the Company to incur and service debt, to make capital expenditures and to fund other cash needs. The Company computes Funds from Operations using standards established by NAREIT which may not be comparable to Funds from Operations reported by other REITs that do not define the term using the current NAREIT definition or that interpret the current NAREIT definition differently than the Company. Funds from Operations does not represent cash generated from operating activities using generally accepted accounting principles and should not be considered as an alternative to net income as an indication of the Company's financial performance, or to cash flow from operating activities as a measure of the Company's liquidity, nor is it indicative of funds available to fund the Company's cash needs, including its ability to make cash distributions. Effective January 1, 2000, Funds from Operations includes both recurring and non-recurring results of operations, except those results defined as "extraordinary items" under generally accepted accounting principles and gains and losses from sales of depreciable property. 74 The following table presents the Company's Funds from Operations for the years ended December 31, 2000 and 1999 and for the period from January 30, 1998 to December 31, 1998: 2000 1999 (1) 1998 (1) ---------------------------------------------------- (in thousands) Funds from Operations: Net income (loss) ($ 21,330) ($ 1,030) $ 3,973 Minority interest (1,531) (67) 273 ---------------------------------------------------- Net income (loss) before minority interest (22,861) (1,097) 4,246 Adjustments to derive funds from operations: Add: Real estate depreciation and amortization: Consolidated entities 5,976 5,963 4,664 Unconsolidated entities 4,489 4,492 1,243 Impairment charges on real estate properties 5,306 - - Extraordinary loss on debt extinguishment - 1,296 - ---------------------------------------------------- Funds from Operations before allocation to minority interest (7,090) 10,654 10,153 Funds from Operations allocable to minority interest 470 (715) (635) Funds from Operations attributable to the common shareholders ($ 6,620) $ 9,939 $ 9,518 ==================================================== (1) For comparison purposes the year ended December 31, 1999 and the period from January 30, 1998 to December 31, 1998 have been restated to conform to the new FFO definition. See "Funds from Operations" for current definition. Impact of Inflation Earnings of the Company are primarily from long-term investments with fixed interest rates and fixed and percentage rental streams. These investments are mainly financed with a combination of equity, long-term mortgages and borrowings under the revolving lines of credit. During inflationary periods, which generally are accompanied by rising interest rates, the Company's ability to grow may be adversely affected because the yield on new investments may increase at a slower rate than new borrowing costs. 75 Recent Accounting Pronouncements See the Company's consolidated financial statements and related notes for information relating to the impact on the Company of new accounting pronouncements. Summary Condensed Consolidated Financial Data of Genesis As leases with and loans to Genesis represent a significant portion of the Company's consolidated assets and revenues, the Company has included certain summary condensed consolidated financial data of Genesis for the periods discussed below. The summary condensed consolidated financial data of Genesis was extracted from Genesis' annual report on Form 10-K for the year ended September 30, 2000 and from Genesis' quarterly report on Form 10-Q for the quarter ended December 31, 2000 as filed with the Securities and Exchange Commission (the "Commission") under the Securities Exchange Act of 1934, as amended, (the "Exchange Act"). The Genesis financial data presented includes only the most recent interim and fiscal year end reporting periods. The Company can make no representation as to the accuracy and completeness of Genesis' public filings. It should be noted that Genesis has no duty, contractual or otherwise, to advise the Company of any events subsequent to such dates which might affect the significance or accuracy of such information. Genesis is subject to the information filing requirements of the Exchange Act, and in accordance therewith, is obligated to file periodic reports, proxy statements and other information with the Commission relating to its business, financial condition and other matters. Such reports, proxy statements and other information may be inspected at the offices of the Commission at 450 Fifth Street, N.W., Washington, D.C. 20549, and should also be available at the following Regional Offices of the Commission: 7 World Trade Center, New York, N.Y. 10048, and 500 West Madison Street, Suite 1400, Chicago, IL 60661. Such reports and other information concerning Genesis can also be inspected at the offices of the New York Stock Exchange, Inc., 20 Broad Street, Room 1102, New York, New York 10005. The SEC also maintains an Internet web site that contains reports, proxy statements and other information regarding issuers, like Genesis, that file electronically with the SEC. The address of that site is http://www.sec.gov. 76 The following table sets forth certain summary condensed consolidated financial data for Genesis for the quarter ended December 31, 2000 and the years ended September 30, 2000 and 1999. For the quarter ended For the years ended December 31, September 30, ------------------------------------------- 2000 2000 1999 - -------------------------------------------------------------------------------------------------------- Operations Data - ------------------------------------------------------------ Net revenues $629,019 $2,433,858 $1,866,426 Operating income before debt restructuring, reorganization costs and capital and other costs (1) (4) 60,018 (138,280) 85,879 Debt restructuring and reorganization costs 14,209 62,795 - (Gain) loss on sale of assets (1,770) 7,922 - Multicare joint venture restructuring - 420,000 - Depreciation and amortization 26,926 116,961 74,955 Lease expense 9,405 38,124 26,653 Interest expense, net 34,154 203,570 119,220 ------------------------------------------- Loss before income tax benefit, equity in net loss of unconsolidated affiliates, extraordinary items and cumulative effect of accounting change (22,906) (987,652) (134,949) Income tax benefit - (27,168) (44,711) ------------------------------------------- Loss before equity in net loss of unconsolidated affiliates and extraordinary items (22,906) (960,484) (90,238) Minority interest 1,811 132,444 - Equity in loss of unconsolidated affiliates (216) (2,407) (178,235) Extraordinary items, net of tax - - (2,100) Cumulative effect of accounting change (3) - (10,412) - ------------------------------------------- Net loss (21,311) (840,859) (270,573) ------------------------------------------- Net loss applicable to common shareholders (2) ($32,811) ($883,455) ($290,050) =========================================== 77 For the quarter ended For the years ended December 31, September 30, ------------------------------------------- 2000 2000 1999 - -------------------------------------------------------------------------------------------------------- (in thousands, except per share data) Per common share data: Basic and diluted Loss before extraordinary items and cumulative effect of accounting change ($ 0.67) ($18.55) ($8.11) Net loss ($ 0.67) ($18.77) ($8.17) Weighted average shares of common stock and equivalents 48,641 47,077 35,485 - -------- (1) Capital costs include depreciation and amortization, lease expense and interest expense. (2) Net income (loss) reduced by preferred stock dividends. (3) Cumulative effect of accounting change relates to October 1, 1999 adoption of American Institute of Certified Public Accountant's Statement of Position 98-5 "Reporting on the Costs of Start-Up Activities", which requires start-up costs to be expensed as incurred. (4) Operating income is reduced by $374,708 and $167,070 of asset impairment and charges for the years ended September 30, 2000 and 1999, respectively. December 31, September 30, September 30, 2000 2000 1999 ----------------- ------------------ ----------------- (amounts in thousands) Balance Sheet Data Working capital $ 296,960 $ 304,241 $ 235,704 Total assets 3,126,691 3,127,899 2,429,914 Liabilities subject to compromise 2,449,192 2,446,673 - Long-term debt 10,359 10,441 1,484,510 Shareholders' equity (deficit) ($ 279,050) ($ 246,926) $ 587,890 Multicare On October 8, 1999, Genesis entered into an agreement to restructure its 1997 investment in Multicare. Genesis initially acquired a 43.6% interest in Multicare and was to become sole owner of Multicare at a later date through a cash payment or the issuance of additional Genesis common shares at equivalent value. In the restructuring, Genesis completed the Multicare acquisition through the issuance of convertible preferred shares. The restructuring also included a $50 million cash investment in Genesis by the Multicare financial partners in exchange for Genesis common shares and warrants. This transaction was approved by Genesis' shareholders on November 11, 1999. Prior to the restructuring transaction, Genesis accounted for its investment in Multicare using the equity method of accounting. Under the terms of the restructuring agreement, Genesis has managerial, operational and financial control of Multicare. Accordingly, Multicare's assets, liabilities, revenues and expenses are now consolidated by Genesis. The non-Genesis shareholders' remaining 56.4% interest in Multicare is carried as minority interest. 78 ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK The Company's investments in real estate loans receivable bear interest at fixed rates. Changes in interest rates generally affect the fair market value of the underlying fixed interest rate loans receivable, but not earnings or cash flows. The carrying amount of real estate loans receivable at December 31, 2000 approximates the fair value of the underlying properties. The Company's bonds and most of the Company's mortgages payable bear interest at fixed rates. The Company is exposed to market risks related to fluctuations in interest rates on its Credit Facility and variable rate mortgages. The Company utilizes interest rate cap agreements to limit the impact that interest rate fluctuations have on its variable rate mortgages. Interest rate cap agreements are used for hedging purposes rather than for trading purposes. The Company does not utilize interest rate swaps, forward or option contracts on foreign currencies or commodities, or any other type of derivative financial instruments, other than interest rate cap agreements. For fixed rate debt, changes in interest rates generally affect the fair market value of the underlying indebtedness, but not earnings or cash flows. The Company generally cannot prepay fixed rate debt prior to maturity. Therefore, interest rate risk and changes in fair market value should not have a significant impact on the fixed rate debt until the Company would be required to refinance such debt. The maturity schedule for the Company's fixed rate mortgages and bonds payable is as follows (in thousands): 2001 $ 16,227 2002 1,002 2003 1,076 2004 1,158 2005 1,249 Thereafter 57,220 -------- $ 77,932 ======== At December 31, 2000, the fair value of the Company's fixed rate mortgages and bonds payable approximates its carrying value of $77.9 million. For variable rate debt, changes in interest rates generally do not impact fair market value, but do affect future earnings and cash flows. At December 31, 2000, the fair value of the Company's variable rate debt approximates its carrying value of $68.7 million. The weighted average interest rate on borrowings outstanding under the Credit Facility and variable rate mortgages was 9.5% at December 31, 2000. Assuming the Credit Facility and variable rate mortgage balances outstanding at December 31, 2000 of $68.7 million remains constant, each one percentage point increase in interest rates 79 from 9.5% at December 31, 2000 would result in an increase in interest expense for the coming year of approximately $687,000, based on the current interest rate terms. Amounts outstanding under the Credit Facility bear interest at floating rates ranging from 2.75% to 3.25% over one-month LIBOR as determined by the percentage of the Credit Facility outstanding as compared to the borrowing base. Variable-rate mortgages bear interest at 3.00% over one-month LIBOR. The Company may borrow additional money with variable interest rates in the future. Increases in interest rates, therefore, would result in increases in interest expenses, which could adversely affect the Company's cash flow and its ability to pay its obligations and make distributions to shareholders at current levels. See "Management's Discussion and Analysis of Financial Condition and Results of Operations - Liquidity and Capital Resources." 80 ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA Independent Auditors' Report The Board of Trustees and Shareholders ElderTrust: We have audited the accompanying consolidated balance sheets of ElderTrust and subsidiaries as of December 31, 2000 and 1999, and the consolidated statements of operations, shareholders' equity and cash flows for the years ended December 31, 2000 and 1999 and the period from January 30, 1998 to December 31, 1998. We have also audited the related financial statement schedules III and IV as listed in the accompanying index for Item 14(a) 2 on page 110. These consolidated financial statements and financial statement schedules are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated financial statements and financial statement schedules based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of ElderTrust and subsidiaries as of December 31, 2000 and 1999, and the results of their operations and their cash flows for the years ended December 31, 2000 and 1999 and the period from January 30, 1998 to December 31, 1998 in conformity with accounting principles generally accepted in the United States of America. Also, in our opinion, the related financial statement schedules, when considered in relation to the basic consolidated financial statements taken as a whole, present fairly, in all material respects, the information set forth therein. /s/ KPMG LLP McLean, VA. February 2, 2001 81 ELDERTRUST CONSOLIDATED BALANCE SHEETS (in thousands, except share and per share amounts) December December 31, 2000 31, 1999 ----------------------------- ASSETS Assets: Real estate properties, at cost $148,939 $165,206 Less - accumulated depreciation (14,085) (10,180) Land 14,950 16,655 ----------------------------- Net real estate properties 149,804 171,681 Properties held for sale, net of impairment allowance of $1,433 in 2000 11,365 - Real estate loans receivable, net of allowance of $7,087 in 2000 41,559 48,646 Cash and cash equivalents 3,105 3,605 Restricted cash 8,409 7,194 Accounts receivable, net of allowance of $1,247 in 2000 1,466 629 Accounts receivable from unconsolidated entities 1,905 1,068 Prepaid expenses 483 1,000 Investment in and advances to unconsolidated entities, net of allowance of $1,446 in 2000 18,137 31,129 Other assets, net of accumulated amortization and depreciation of $2,840 and $2,148, respectively 1,454 1,530 ----------------------------- Total assets $237,687 $266,482 ============================= LIABILITIES AND SHAREHOLDERS' EQUITY Liabilities: Bank credit facility $38,720 $39,670 Accounts payable and accrued expenses 1,613 1,535 Accounts payable to unconsolidated entities 12 13 Mortgages and bonds payable 107,932 109,005 Notes payable to unconsolidated entities 1,015 1,079 Other liabilities 3,639 3,751 ----------------------------- Total liabilities 152,931 155,053 ----------------------------- Minority interest 4,657 7,989 Shareholders' equity: Preferred shares, $.01 par value; 20,000,000 shares authorized; none outstanding - - Common shares, $.01 par value; 100,000,000 shares authorized; 7,119,000 and 7,119,000 shares issued and outstanding, respectively 71 71 Capital in excess of par value 120,377 119,106 Deficit (40,349) (14,747) Note receivable from former officer for common shares sold, net - (990) ----------------------------- Total shareholders' equity 80,099 103,440 ----------------------------- Total liabilities and shareholders' equity $237,687 $266,482 ============================= The accompanying notes to consolidated financial statements are an integral part of these statements. 82 ELDERTRUST CONSOLIDATED STATEMENTS OF OPERATIONS (in thousands, except per share amounts) Period from January 30, Year ended Year ended 1998 to December December December 31, 2000 31, 1999 31, 1998 ----------------------------------------------- Revenues: Rental revenues $18,601 $18,552 $14,198 Interest, net of amortization of deferred loan origination costs 4,542 5,653 4,458 Interest from unconsolidated equity investees 3,252 3,809 1,446 Fee income - - 1,018 Other income 189 127 113 ----------------------------------------------- Total revenues 26,584 28,141 21,233 ----------------------------------------------- Expenses: Property operating expenses 1,128 1,124 975 Interest expense, including amortization of deferred finance costs 14,007 13,136 6,256 Depreciation 5,850 5,788 4,460 General and administrative 3,622 2,612 1,621 Bad debt expense 9,522 - - Loss on impairment of long-lived assets 5,306 - - Separation agreement expenses - 2,800 - Start-up expenses - - 3,027 ----------------------------------------------- Total expenses 39,435 25,460 16,339 ----------------------------------------------- Net income (loss) before equity in losses of unconsolidated entities, minority interest and extraordinary item (12,851) 2,681 4,894 Equity in losses of unconsolidated entities, net (10,010) (2,482) (648) Minority interest 1,531 (19) (273) ----------------------------------------------- Net income (loss) before extraordinary item (21,330) 180 3,973 Extraordinary item: Loss on extinguishment of debt - (1,296) - Minority interest in extraordinary item - 86 - ----------------------------------------------- Net income (loss) ($21,330) ($1,030) $3,973 =============================================== Basic and diluted weighted average number of common shares outstanding 7,119 7,198 7,369 =============================================== Net income (loss) per share before extraordinary item - basic and diluted ($3.00) $0.03 $0.54 =============================================== Net income (loss) per share - basic and diluted ($3.00) ($0.14) $0.54 =============================================== The accompanying notes to consolidated financial statements are an integral part of these statements. 83 ELDERTRUST CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY Years ended December 31, 2000 and 1999 and the Period from January 30, 1998 to December 31, 1998 (in thousands) Note Capital In Receivable Total Shares Common Excess of From Former Shareholders' Outstanding Shares Par Value Deficit Officer Equity ------------ ------------------------ ----------------- ------------ ------------- Balances at December 31, 1997 - $ - $ - $ - $ - $ - Issuance of common shares, net 7,393 74 121,770 - - 121,844 Repurchase of common shares (148) (2) (1,742) - - (1,744) Net income - - - 3,973 - 3,973 Distributions - - (7,177) - (7,177) Loan to officer - - - - (3,600) (3,600) ------------ ---------- ------------ ----------------- ------------ ------------- Balances at December 31, 1998 7,245 72 120,028 (3,204) (3,600) 113,296 Repurchase of common shares (126) (1) (922) - - (923) Net loss - - - (1,030) - (1,030) Distributions - - - (10,513) - (10,513) Forgiveness of loan to former officer - - - - 2,600 2,600 Loan repayment from former officer - - - - 10 10 ------------ ---------- ------------ ----------------- ------------ ------------- Balances at December 31, 1999 7,119 71 119,106 (14,747) (990) 103,440 Purchase of partnership units - - 1,271 - - 1,271 Net loss - - - (21,330) - (21,330) Distributions - - - (4,272) - (4,272) Bad debt allowance on loan from former officer - - - - 990 990 ------------ ---------- ------------ ----------------- ------------ ------------- Balances at December 31, 2000 7,119 $ 71 $120,377 ($40,349) $ - $ 80,099 ============ ========== ============ ================= ============ ============= The accompanying notes to consolidated financial statements are an integral part of these statements. 84 ELDERTRUST CONSOLIDATED STATEMENTS OF CASH FLOWS (in thousands) Period from Year Year January 30, ended ended 1998 to December December December 31, 2000 31, 1999 31, 1998 ---------------------------------------- CASH FLOWS FROM OPERATING ACTIVITIES: Net income (loss) ($21,330) ($1,030) $ 3,973 Adjustments to reconcile net income (loss) to net cash provided by operating activities: Depreciation and amortization 6,613 7,526 4,802 Bad debt expense 9,522 - - Loss on impairment of long-lived assets 5,306 - - Extraordinary loss on extinguishment of debt - 1,296 - Non-cash separation expense from debt forgiveness to officer - 2,600 - Non-cash compensation expense to officers - - 2,018 Non-cash expense in connection with issuance of stock to trustees - - 179 Non-cash expense in connection with write-off of unamortized deferred financing costs - 129 - Minority interest and equity in losses from unconsolidated entities 8,479 2,415 921 Other - - 4 Net changes in assets and liabilities: Accounts receivable and prepaid expenses (1,246) 3,704 (3,385) Accounts payable and accrued expenses 77 (37) 1,585 Other 78 124 3,645 ---------------------------------------- Net cash provided by operating activities 7,499 16,727 13,742 ---------------------------------------- CASH FLOWS FROM INVESTING ACTIVITIES: Acquisition and cost of real estate investments - - (116,388) Investment in real estate loans receivable - (5,095) (50,213) Investment in and advances to unconsolidated entities - - (38,226) Capital expenditures (186) (1,330) (243) Proceeds from collection on advances to unconsolidated entities 1,536 815 1,462 Payments received on real estate loans receivable - 4,348 2,314 Net increase in reserve funds and deposits - restricted cash (1,663) (3,645) (3,549) Other - 52 (559) ---------------------------------------- Net cash used in investing activities (313) (4,855) (205,402) ---------------------------------------- CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from initial public offering, net of offering costs - - 114,213 Payment of deferred financing fees (797) (2,965) (364) Borrowings under credit facility - 9,518 90,204 Payments under credit facility (950) (60,052) - Proceeds from mortgages payable - 71,145 - Payments on mortgages payable (1,073) (11,734) (734) Payments on notes payable - (3,000) - Purchase of partnership units (203) - - Distributions to shareholders (4,272) (10,513) (7,177) Distributions to minority interests (327) (750) (469) Repurchases of common shares - (923) (1,744) Prepayment penalty on mortgage loan - (1,157) - Other (64) (108) 3 ---------------------------------------- Net cash provided by (used in) financing activities (7,686) (10,539) 193,932 ---------------------------------------- Net increase (decrease) in cash and cash equivalents (500) 1,333 2,272 Cash and cash equivalents, beginning of period 3,605 2,272 - ---------------------------------------- Cash and cash equivalents, end of period $ 3,105 $3,605 $ 2,272 ======================================== The accompanying notes to consolidated financial statements are an integral part of these statements. 85 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1. Organization and Operations ElderTrust was formed in the State of Maryland on September 23, 1997 and began operations upon the completion of its initial public offering on January 30, 1998 (the "Offering") pursuant to which it issued 6,957,500 common shares. Net proceeds to ElderTrust were approximately $114.2 million. ElderTrust had no operations prior to January 30, 1998. At December 31, 2000 and 1999, ElderTrust's total assets consisted primarily of a 95% and 93%, respectively, owned subsidiary, ElderTrust Operating Limited Partnership (the "Operating Partnership") and its wholly-owned subsidiaries and controlled partnerships (collectively, "ElderTrust" or the "Company"). At December 31, 2000 and 1999, the Company's assets primarily consisted of (i) a diversified portfolio of 22 healthcare properties, consisting primarily of assisted living and skilled nursing facilities which are leased back to the prior owners or other third parties, (ii) construction loans totaling $18.1 million and $21.2 million, respectively, collateralized by healthcare properties under construction, (iii) term loans totaling $23.4 million and $27.4 million, respectively, collateralized by healthcare properties on which construction has been recently completed but which are still in transition to stabilized occupancy levels, (iv) a 95% non-voting equity interest in an unconsolidated entity (ET Capital Corp.) which owns a $7.8 million second mortgage note, (v) a 99% non-voting limited partnership interest in an unconsolidated entity (ET Sub-Meridian Limited Partnership, LLP) which holds leasehold and purchase option rights for seven skilled nursing facilities, and (vi) a 99% non-voting limited member interest in two unconsolidated entities (ET Sub-Cabot Park, LLC and ET Sub-Cleveland Circle, LLC) which each own an assisted living facility. Genesis Health Ventures, Inc. was co-registrant in the Company's Offering. Approximately 72% and 70% of the Company's consolidated assets at December 31, 2000 and 1999, respectively, consisted of real estate properties leased to or managed by and loans on real estate properties made to Genesis Health Ventures, Inc. or its consolidated subsidiaries (unless the context otherwise requires, collectively, "Genesis") or entities in which Genesis accounts for its investment using the equity method of accounting ("Genesis Equity Investees"). In addition, the Company has investments in unconsolidated entities that have also leased properties to Genesis or Genesis Equity Investees. As such, the Company's consolidated revenues and ability to make expected distributions to shareholders depends, in significant part, upon the revenues derived from Genesis. See Note 6 regarding the Genesis and Multicare filings on June 22, 2000 for protection under Chapter 11 of the United States Bankruptcy Code. Additionally, Michael R. Walker serves as Chairman of the Board and Chief Executive Officer of Genesis and Chairman of the Board of ElderTrust. Basis of Presentation The consolidated financial statements of ElderTrust include all the accounts of ElderTrust, the Operating Partnership, and the Operating Partnership's wholly-owned subsidiaries and controlled partnerships. All significant intercompany balances and transactions have been eliminated. Certain amounts included in the consolidated financial statements for prior periods have been reclassified for comparative purposes to conform to the presentation for 2000. 86 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) 2. Summary of Significant Accounting Policies Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and 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. Actual results could vary from those estimates. Cash and Cash Equivalents The Company considers all short-term, highly liquid investments that are readily convertible to cash and have an original maturity of three months or less at the time of purchase to be cash equivalents. Restricted Cash Restricted cash represents bond and operating reserve funds required in connection with outstanding debt issues, security deposits, letters of credit and mortgage escrow accounts. Real Estate Properties Real estate properties are recorded at cost. Acquisition costs and transaction fees, including legal fees, title insurance, transfer taxes, external due diligence costs and market interest rate adjustments on assumed debt directly related to each property are capitalized as a cost of the respective property. The cost of real estate properties acquired is allocated between land and buildings and improvements based upon estimated market values at the time of acquisition. Depreciation is provided for on a straight-line basis over an estimated composite useful life of twenty-eight and one-half years for buildings and improvements. Impairment of Long-Lived Assets and Properties Held for Sale The Company reviews its long-lived assets, which includes real estate properties, and certain identifiable intangibles for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets held and used is measured by a comparison of the carrying amount of an asset to future net cash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the estimated fair value of the assets. Properties held for sale are reported at the lower of the carrying amount or estimated fair value less cost to sell. 87 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) Real Estate Loans Receivable Real estate loans receivable are recorded at cost, less the related allowance for impairment, if any. Management, considering current information and events regarding the borrowers' ability to repay their obligations, considers a note to be impaired when it is probable that the Company will be unable to collect all amounts due according to the contractual terms of the note agreement. When a loan is considered to be impaired, the amount of the impairment is measured based on the present value of expected future cash flows discounted at the note's effective interest rate. It is the Company's policy that impairment losses are included in the allowance for credit losses through a charge to bad debt expense. It is also the Company's policy to account for cash receipts for interest as interest revenue and to perform impairment reviews as needed. Real estate loans receivable consist of term loans on assisted living facilities in the lease-up phase and construction loans on assisted living or independent living facilities. Interest income on the loans is recognized as earned based upon the principal amount outstanding. The loans are generally fully collateralized by the real estate and may include guarantees from the borrower and/or affiliates. Deferred Loan Costs Deferred loan costs are incurred in the process of acquiring financing for the properties. The Company amortizes these costs over the term of the loan using a method that approximates the interest method. Income Taxes The Company believes that, commencing with its taxable period ended December 31, 1998, it has been organized and operated in a manner so as to qualify for taxation as a real estate investment trust ("REIT") under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. As a result, the Company generally will not be subject to income tax on its taxable income at corporate rates to the extent it distributes annually at least 95% (90% for taxable years beginning after December 31, 2000) of its taxable income to its shareholders and complies with certain other requirements. The Company believes it will continue to qualify as a REIT and, accordingly, no provision has been made for income taxes in the accompanying consolidated financial statements. Leases and Rental Income Real estate properties are leased to operators primarily on a long-term triple net-lease basis. Some of these leases provide for rents based on a specific percentage of facility operating revenues with no required minimum rent ("percentage rent leases"). Other leases provide for base rent, increasing each year by the lesser of 5% of the increase in facility revenues for the immediately preceding year or one-half of the percentage increase in the Consumer Price Index for the immediately preceding year ("minimum rent leases"). Both types of leases are triple net-leases that require the lessees to pay all operating expenses, taxes, insurance, maintenance and other costs, including a portion of capitalized expenditures. The remaining leases ("fixed rent leases") are with tenants in the medical office and other buildings and provide for specific annual rents, subject to annual increases in some of the leases. Some of the lessees subject to fixed rent leases are required to repair, rebuild and maintain the leased properties. 88 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) Lease payments are recognized as revenue as earned. Certain of the leases provide for scheduled annual rent increases. The Company reports base rental revenue on these leases using the straight-line method over the terms of the respective leases. The Company records an unbilled rent receivable or payable representing the amount that the straight-line rental revenue exceeds or reduces the rent currently collectible under the lease agreements. Share Option Plans The Company applies the intrinsic value-based method of accounting prescribed by the Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees," and related interpretations, in accounting for its fixed plan share options. As such, compensation expense would be recorded only if the current market price of the underlying shares on the date of grant exceeded the exercise price. Investments in Unconsolidated Entities The Company has several investments in entities in which the controlling voting interest is owned by Mr. D. Lee McCreary, Jr., the Company's President, Chief Executive Officer and Chief Financial Officer. As a result, the Company accounts for these investments using the equity method of accounting. Hedging Transactions The Company utilizes interest rate cap agreements to limit the impact that interest rate fluctuations have on its variable rate mortgages. Cap fees are amortized over the term of the underlying debt instruments using a method that approximates the interest method. Net Income/(Loss) per Share Basic income/(loss) per share is calculated by dividing net income by the weighted average number of common shares outstanding. Diluted income/(loss) per share is calculated by dividing net income/(loss) by the addition of weighted average common shares and common share equivalents outstanding, if dilutive. 89 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) Segment Reporting The Company is a real estate investment trust whose primary objective is to invest in healthcare facilities. The Company has one reportable segment, investments in healthcare facilities. Start-up Expenses Start-up activities, including organizational costs, are expensed as incurred. Start-up activities are defined as those one-time activities related to opening a new facility, introducing a new product or service, conducting businesses in a new territory, conducting business with a new process in an existing facility, or commencing a new operation. The Company expensed $3.0 million of start-up expenses in 1998. Recent Accounting Pronouncements Derivative Instruments and Hedging Activities In June 1998, the FASB issued SFAS No. 133, "Accounting for Derivative Instruments and Hedging Activities." SFAS No. 133 establishes accounting and reporting standards for derivative instruments, including certain derivative instruments embedded in other contracts, and for hedging activities. SFAS No. 133 requires that an entity recognize all derivatives as either assets or liabilities in the statement of financial position and measure the instrument at fair value. The accounting for changes in the fair value of a derivative depends on the intended use of the derivative and the resulting designation. SFAS No. 133 is effective for the Company on January 1, 2001. The Company does not expect the adoption of Statement 133 to have a material adverse impact on the Company's financial condition or results of operations because the Company does not use derivative instruments other than interest rate cap agreements. 3. Properties Held for Sale During November 2000, the Company identified real estate, located in Windsor, Connecticut, referred to as the Windsor Office Building and the Windsor Clinic/Training Facility properties as held for sale. The Windsor Office Building and the Windsor Clinic/Training facility properties were subsequently sold to Genesis on January 31, 2001 upon the closing of the Genesis Health Ventures/Multicare restructuring as approved by the U.S. Bankruptcy court on January 4, 2001. The Company has decided to sell the Windsor properties back to Genesis, due in part to their inconsistency with the Company's current infrastructure. The Windsor Office Building property consists of land and a building with a net carrying value of $243,000 as of December 31, 2000. The Windsor Clinic/Training facility consists of a building with a net carrying value of $978,000 as of December 31, 2000. After adjusting for costs to sell, the impairment losses recognized at December 31, 2000 are $56,000 and $361,000, respectively. 90 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) During December 2000, the Company entered into discussions to sell the Woodbridge facility. The sale is expected to close during the second quarter of 2001. The Woodbridge property consists of land and a building with a net carrying value of $10.1million as of December 31, 2000. After adjusting for costs to sell, the impairment loss recognized at December 31, 2000 is $1.0 million. 4. Real Estate Loans Receivable The following is a summary of real estate loans receivable at December 31, 2000 and December 31, 1999 (dollars in thousands): Scheduled Balance at Balance at Type of Interest Maturity December 31, December 31, Property Loan Rate Date 2000 1999 - --------------------------------------- --------------- ------------ ------------- --------------- --------------- Harbor Place Melbourne, FL Term 10.0% 5/2002 $ 4,828 $ 4,828 Mifflin Shillington, PA Term 9.5% 6/2002 5,164 5,164 Coquina Place Ormond Beach, FL Term 9.5% 6/2002 4,577 4,577 Lehigh Macungie, PA Term 10.5% 6/2000 6,665 6,665 Berkshire Reading, PA Term 10.5% 6/2000 6,167 6,167 Oaks Wyncote, PA Construction 9.0% 6/2002 5,033 5,033 Montchanin Wilmington, DE Construction 10.5% 8/2000 9,496 9,496 Sanatoga Pottstown, PA Construction 10.5% 1/2001 6,716 6,716 -------- -------- $ 48,646 $ 48,646 Allowance for credit losses (7,087) - -------- -------- $ 41,559 $ 48,646 ======== ======== The following is a summary of real estate loans receivable at December 31, 2000, including allowances for credit losses at December 31, 2000 and the average recorded investment and total interest received for the period noted (dollars in thousands): Interest Income Average Recorded Allowances Net Carrying Recorded During Investment for the Total for credit Value at the year ended year ended Property Investment losses December 31, 2000 December 31, 2000 December 31, 2000 - ---------------------------------------------------------------------------------------------------------- Harbor Place $ 4,828 $ - $ 4,828 $ - $ 4,828 Mifflin 5,164 - 5,164 292 3,834 Coquina Place 4,577 39 4,538 258 2,285 Lehigh 6,665 2,465 4,200 104 4,460 Berkshire 6,167 1,467 4,700 143 4,812 Oaks 5,033 - 5,033 269 4,382 Montchanin 9,496 - 9,496 - 9,496 Sanatoga 6,716 3,116 3,600 169 4,905 --------------------------------------------------------------------------------------- $ 48,646 $ 7,087 $ 41,559 $ 1,235 $ 39,002 ======================================================================================= Activity in the allowance for credit losses for the year ended December 31, 2000 is as follows: Balance at beginning of year $ - Charges to bad debt expense (18,106) Recoveries of bad debt expense 11,019 ---------- Balance, end of year $ 7,087 ========== 91 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) On January 31, 2001, and under the restructuring of the agreements with Genesis and Multicare (See Note 6), the Company acquired the Lehigh, Berkshire and Sanatoga facilities in exchange for the release of the Company's loans to the subsidiaries of Multicare. The Company has leased these properties to subsidiaries of Multicare for an initial lease term of 10 years, with two five-year renewal options. In addition, the Company had one term loan in the amount of $4.8 million with an annual interest rate of 9.5%, secured by the Harbor Place facility which was not included in the June 22, 2000 bankruptcy filing by Genesis. This loan initially matured on January 31, 2000 and again after the extension on June 23, 2000. The Company had declared this loan in default during the second half of 2000. On January 31, 2001, under the restructuring of the relationships between ElderTrust and Genesis, the Company extended the term of the loan until May 31, 2002, for a fee of $24,000 which was paid on January 31, 2001. The Company also increased the interest rate to 10.0% per annum. Principal payments will be made monthly to the extent of one half of excess cash, if any, after payment of operating expenses, management fee, interest and an amount to be agreed upon by the parties for capital expenditures. The Company has declared the Montchanin loan, with a principal balance of $9.5 million at December 31, 2000, in default and is pursuing its remedies to collect the amounts due. The borrower is currently being charged interest at the default interest rate. The Company has the option to purchase this facility for $13.0 million. The Company has no construction loan commitments at December 31, 2000. 5. Real Estate Investments As of December 31, 2000, the Company had investments in 22 real estate properties located in six states. The properties include seven assisted living facilities and one independent living facility with a total of 737 beds, eight skilled nursing facilities with a total of 1,259 beds, and six medical office and other buildings. The Company leases its properties to operators pursuant to long-term triple net leases. At December 31, 2000, future minimum lease payments receivable are as follows (dollars in thousands): 2001 $ 17,779 2002 16,784 2003 15,908 2004 14,967 2005 14,950 Thereafter 52,586 -------- $132,974 ======== 92 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) As part of the restructuring, which consummated on January 31, 2001, the annual minimum rent for the Willowbrook and the Phillipsburg facilities have been reduced by $345,000 and $400,000, respectively to $295,000 and $177,500, respectively per year. The lease term of the Rittenhouse facility has been extended to 2018 representing a minimum increase of $8.9 million in additional rents over the extended term. 6. Concentration of Risk Revenues recorded by the Company under leases with and loans to Genesis or Genesis Equity Investees were approximately $17.9 million, $18.6 million and $14.0 million in 2000, 1999 and 1998, respectively. The Company's equity in net losses of unconsolidated entities (see Note 7) derived from arrangements with Genesis or Genesis Equity Investees totaled approximately $2.8 million, $2.7 million and $0.8 million in 2000, 1999 and 1998, respectively. The Company's consolidated revenues depends, in significant part, upon the revenues derived from Genesis. On June 22, 2000, Genesis and Multicare filed for protection under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code"). During the year, the Company, Genesis and Multicare and Genesis and Multicare's major creditors negotiated agreements to restructure their debt and lease obligations with the Company. The agreements were approved by the U.S. Bankruptcy Court on January 4, 2001 and were consummated on January 31, 2001. Under the more significant terms of the agreement with Genesis: 1) Twenty-one of the existing twenty-three lease agreements between Genesis subsidiaries and ElderTrust continued in effect in accordance with their terms, except as provided below: o Two leases were modified to reduce combined rents for the properties by $745,000 per year; o One lease was modified to create an early termination right commencing on December 31, 2002; and o One lease was modified to permit ElderTrust to terminate the lease during 2001 without penalty if the current tenant is unable to achieve occupancy targets specified by loan documents secured by property. 2) Two leases (Windsor Office Building and Windsor Clinic/Training facility) were terminated when the two properties subject to the leases were sold to Genesis for $1.25 million, such amount being paid via an increase in the notes receivable described in 4) below; 3) An $8.5 million loan previously guaranteed by ElderTrust and owed to Genesis by ET Sub-Meridian, an unconsolidated subsidiary of ElderTrust, was conveyed to ElderTrust in a manner to effect an $8.5 million reduction in amounts owed to ElderTrust by Genesis; 4) The maturity date for three loans (Oaks, Coquina and Mifflin) by ElderTrust to Genesis and affiliated entities with unpaid principal balances totaling approximately $7.5 million at June 30, 2000 (after taking into account the aforementioned $1.25 million increase and $8.5 million reduction) were extended to June 30, 2002 at the rates in effect prior to the Genesis bankruptcy filing; and 93 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) 5) The maturity date and interest rate for one loan (Harbor Place) with a principal balance of approximately $4.8 million made by ElderTrust to an entity in which Genesis owns a 100% limited partner interest was extended to May 31, 2002 at a 10% interest rate, an increase of 0.5%. Under the terms of the agreement with Multicare, ElderTrust acquired three properties secured by three loans (Lehigh, Berkshire and Sanatoga) with outstanding principal amounts totaling approximately $19.5 million, and having a net book value of $12.5 million, at December 31, 2000, in exchange for the outstanding indebtedness. These properties were then leased back to Multicare under long-term operating lease agreements. ElderTrust has no other transactions with this entity. Although the agreements with Genesis and Multicare have been approved by the U.S. Bankruptcy Court and successfully consummated, there can be no assurance that either Genesis or Multicare will successfully emerge from bankruptcy. As a result, there can be no assurance that Genesis and Multicare will continue to make loan and lease payments under the terms of the restructured loan and lease arrangements with those entities. Genesis and Multicare are expected to file plans of reorganization with the U.S. Bankruptcy Court addressing their other creditors' claims. Both companies are currently operating as debtors-in-possession subject to the jurisdiction of the U.S. Bankruptcy Court. Approval of the reorganization plans by the U.S. Bankruptcy Court will be necessary for Genesis and Multicare to be able to emerge from bankruptcy. The independent auditors' report on Genesis' 2000 financial statements, included in Genesis' Form 10-K as of September 30, 2000, indicated that there is substantial doubt regarding the ability of Genesis and Multicare to continue as going concerns. Each company's ability to continue as a going concern will be dependent upon, among other things, approval of their respective plan of reorganization, future profitable operations, the ability to comply with the terms of their debtor-in-possession financing arrangements and the ability to generate sufficient cash from operations and financing agreements to meet their obligations. Although we are hopeful Genesis and Multicare will emerge from bankruptcy and continue to make lease and loan payments to us, there can be no assurance that this will occur. Any failure of Genesis and Multicare to continue their operations and/or to continue to make lease and loan payments to us could have a significant adverse impact on our operations and cash flows due to the significant portion of our properties leased to and loans made to Genesis and Multicare. If Genesis and Multicare were to cease making lease and loan payments to the Company, we may be required to terminate the underlying leases and foreclose on the outstanding loans, in which event we would likely be required to find new operators to operate the properties underlying the leases and loans and/or sell or close one or more properties. Management has contacted several alternative operators and, based on these preliminary discussions, believes that an adequate market currently exists in which the Company could arrange for property management, leasing or sale of these assets, and that the properties 94 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) could be successfully transitioned to new operators. Based on the discussions with these operators, the Company's management believes that a property could be transitioned to a new operator without undue delay and that, due to the elderly resident population and care requirements this population requires, such transition would be completed in an orderly fashion and with the cooperation of the operators and the appropriate regulatory authorities, if any. Some of the operators contacted by the Company have indicated that they have experience in transitioning skilled nursing facilities to new management and that they have the staffing needed to transition such facilities. The Company would expect to rely upon that experience to effect an orderly transition should Genesis and/or Multicare fail to emerge from bankruptcy and/or cease making lease or loan payments to us. As a result of the relatively short estimated time period required to transition a property to a new operator, the Company's management believes that, even if Genesis or Multicare were to cease making lease and loan payments to us either because Genesis and Multicare did not emerge from bankruptcy or otherwise, the Company would still be able to satisfy its operating and debt service requirements during the next 12 months. Management fee arrangements currently charged in the market place typically range from 4% to 6% of property gross revenues. Actual fees incurred would depend upon property type and location as well as other property and operator specific factors. Management estimates that, if all of the properties subject to leases and loans with Genesis and Multicare were returned to the Company and were subjected to management agreements with new operators, the Company's annual cash flows could be reduced by approximately $1.6 million. While difficult to predict, this estimate is based upon expected property operations and assumptions made by management as to management fees, capital expenditures and possible property closures. The Company has multiple debt agreements and is subject to debt covenants that, among other things, require minimum principal payments and contain various financial covenants. Although the Company's management believes, based upon the above noted estimated cash flow reduction, that the Company would be able to meet its operating and debt service obligations during the next 12 months if it were required to obtain new managers for the properties now operated by Genesis and Multicare, a termination of leases and loans with Genesis and Multicare may impair the Company's ability to meet one or more of the financial covenants contained in its debt agreements. Should this occur, the Company's management believes that alternative arrangements could be reached with its various lenders to restructure its loan agreements, if necessary, so as to reflect any adverse change in economic condition. This belief is based, in part, upon the Company's past history in negotiating mutually acceptable agreements with these lenders. Depending on the magnitude of the reduction in the Company's operating cash flow, the Company would seek to offset the effect of such reduction in operating cash flow on the Company's ability to meet its debt service requirements through asset sales or through other available means. The Company believes that it has the ability to, and, if necessary, intends to, take these actions available to it and, as a result, believes it will be able to continue to satisfy its debt and operating obligations as they come due during the next twelve months. 95 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) As indicated above, based upon management's assessment of the long-term care economic environment, its discussions with alternative operators and the Company's past history with its lenders, the Company believes that, if the loans and leases with Genesis and Multicare were terminated, that the assets could be redeployed as needed. Were this to occur, management believes that new operators would be available to operate the properties, that any cash flow interruption resulting from such redeployment is unlikely or would be minimal and that, although cash flows may be reduced, the Company would be able to meet its operating and debt service requirements under its existing debt agreements during the next 12 months and negotiate amendments, if necessary, with respect to any failure to meet financial covenants in those debt instruments. 7. Investments in Unconsolidated Entities Summary combined financial information for unconsolidated entities accounted for by the equity method is as follows (dollars in thousands): As of and for the year ended December 31, 2000 ET ET Sub- ET Sub- Sub-Meridian, ET Capital Cabot Cleveland LLP Corp. Park, LLC Circle, LLC Total -------------- ------------- -------------- -------------- --------------- Current assets $ 1,598 $ 131 $ 54 $ 77 $ 1,860 Real estate properties (1) 103,034 - 16,555 13,667 133,256 Notes receivable - 4,354 - - 4,354 Other assets - - 535 505 1,040 Current liabilities 3,118 223 585 643 4,569 Long-term debt (2) 105,381 9,247 16,717 13,513 144,856 Total deficit (5,575) (4,715) (426) (132) (10,848) Rental revenue 9,800 - 1,644 1,453 12,897 Interest income 28 890 38 36 992 Interest expense 8,736 726 1,377 1,056 11,895 Bad debt expense - 7,800 - - 7,800 Depreciation/amortization 3,513 118 560 462 4,653 Net income (loss) (2,485) (7,587) (285) (60) (10,417) Percent ownership 99% 95% 99% 99% 96 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) As of and for the year ended December 31, 1999 ET ET Sub- ET Sub-Meridian, ET Capital Cabot Sub-Cleveland LLP Corp. Park, LLC Circle, LLC Total -------------- ------------- -------------- -------------- ------------- Current assets $ 124 $ 352 $ 2 $ 2 $ 480 Real estate properties (1) 106,547 - 17,115 14,129 137,791 Notes receivable - 12,358 - - 12,358 Other assets 1,110 117 514 490 2,231 Current liabilities 1,260 414 504 463 2,641 Long-term debt (2) 106,919 9,424 16,920 13,791 147,054 Total equity (deficit) (2,106) 2,991 (61) 140 964 Rental revenue 9,800 - 1,617 1,423 12,840 Interest income 16 1,687 26 27 1,756 Interest expense 8,633 1,289 1,387 1,070 12,379 Depreciation/amortization 3,514 14 560 462 4,550 Net income (loss) (2,341) 249 (313) (91) (2,496) Percent ownership 99% 95% 99% 99% (1) Includes properties under capital lease. (2) Includes capital lease obligations. As of and for the period ended December 31, 1998 ET ET Sub- ET Sub- Sub-Meridian, ET Capital Cabot Cleveland LLP Corp. Park, LLC Circle, LLC Total -------------- ------------- -------------- -------------- ------------ Current assets $ - $ 57 $ - $ 6 $ 63 Real estate properties (1) 110,024 - 17,670 14,646 142,340 Notes receivable - 12,537 - - 12,537 Other assets 1,169 127 504 474 2,274 Current liabilities 1,458 21 496 577 2,552 Long-term debt (2) 107,400 9,714 17,151 14,088 148,353 Total equity 702 2,986 252 231 4,171 Rental revenue 3,266 - 137 121 3,524 Interest income 3 939 - - 942 Interest expense 2,859 687 127 98 3,771 Depreciation/amortization 1,170 11 46 39 1,266 Net income (loss) (760) 164 (36) (16) (648) Percent ownership 99% 95% 99% 99% (1) Includes properties under capital lease. (2) Includes capital lease obligations. In connection with ET Sub-Meridian's acquisition of seven skilled nursing facilities from Genesis, the Company agreed to indemnify the property owners for any loss of deferral of tax benefits prior to August 31, 2008 due to a default under a sublease or if a cure of a default by the Genesis subsidiary leasing the facilities resulted in a taxable event to the owners. The Company also agreed to indemnify Genesis for any amounts expended by Genesis under the back-up indemnity provided by Genesis to the current owners for the same loss. 97 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) As of December 31, 2000, ET Capital owned a $7.8 million second trust mortgage note executed by AGE Institute of Florida, which it acquired from Genesis during 1998. This note is secured by a second lien on 11 Florida skilled nursing facilities owned by AGE Institute of Florida and a second lien on accounts receivable and other working capital assets. The facilities are managed by a third party. This note matures on September 30, 2008 with payments of interest only, at a fixed annual rate of 13% due quarterly until the note is paid in full. The borrower ceased making interest payments to ET Capital during the quarter ended June 30, 2000. In 1999, the senior lender on the $40 million first trust mortgage loan to the AGE Institute of Florida, which is guaranteed by Genesis, extended the loan maturity date from September 30, 1999 to March 28, 2000 to permit the AGE Institute of Florida time to obtain refinancing of the loan. A letter agreement dated December 22, 1999 made certain modifications and defined certain rights of the senior lender and ET Capital related to their respective loans to the AGE Institute of Florida. In June 2000, the senior lender notified the borrower that it was in default of the loan due to the borrowers' failure to meet certain financial covenants. In November 2000, ET Capital notified the borrower that it was in default of the $7.8 million second trust mortgage loan held by ET Capital due to the failure to remit required interest payments and due to the default in the $40.0 million first trust mortgage loan. Management of ET Capital has determined, based on the decrease in the underlying cash flows generated by the properties securing the note, that the value of the underlying collateral may not be sufficient to satisfy the borrower's obligation under the note. As a result, a bad debt allowance of $7.8 million was recorded by ET Capital during the period ended December 31, 2000. The Company has recorded a similar bad debt allowance of $1.4 million with respect to its investment in ET Capital. In addition to the AGE Institute of Florida second trust mortgage note, ET Capital has notes receivable aggregating $4.4 million at December 31, 2000 from two of the Company's Equity Investees and one of the Company's consolidated subsidiaries. These loans mature at various dates from April 2008 to December 2011 and bear interest at 14% per annum with interest and principal payable monthly. ET Capital's long-term debt includes two demand promissory notes payable to the Company aggregating $5.9 million at December 31, 2000 in connection with the above second mortgage note transaction. These notes bear interest at a weighted average rate of 12.1% per annum with interest only payable quarterly. In addition, ET Capital has loans payable to the Company aggregating $3.3 million, bearing interest at 15% and maturing at various dates from April 2008 to December 2011. 8. Credit Facility On January 3, 2000, the term of the Company's bank Credit Facility (the "Credit Facility") with Deutsche Bank Securities ("Deutsche Bank") was extended from January 1, 2000 to June 30, 2001 through an amendment ("Third Amendment"). This amendment also reduced borrowings available under the Credit Facility to $45.4 million. During 2000 the Company failed to meet certain financial covenants required by its Credit Facility. On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002 ("Fourth Amendment") and the covenants amended to, in part, cure the existing covenant violations. 98 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) The Credit Facility contains various financial and other covenants, including, but not limited to, minimum net asset value, minimum tangible net worth, a total leverage ratio and minimum interest coverage ratio. The Company's owned properties and properties underlying loans receivable with an aggregate cost of $79.2 million are included in the Credit Facility borrowing base and pledged as collateral at December 31, 2000. Credit Facility Terms Effective through January 30, 2001 Under the Third Amendment Under the Third Amendment, the Credit Facility terms required the Company to make monthly principal payments equal to 0.22% of the outstanding balance on the first day of the prior calendar month. In addition, the Company was required to pay a monthly facility fee in an amount equal to 0.0625% of the outstanding balance. Re-borrowings were not permitted after repayment, except for the $5.75 million revolving credit portion of the Credit Facility. Dividend distributions over the term of the loan were limited to $3.0 million plus 95% of the Company's Funds from Operations, as defined by the National Association of Real Estate Investment Trusts ("NAREIT") prior to January 1, 2000. At December 31, 2000, the Company had $38.7 million outstanding under the Credit Facility. In 2000, the Company paid financing fees and other related costs of approximately $0.5 million primarily associated with the Third Amendment to the Credit Facility. Of the $0.5 million, $0.3 million was expensed and included as a component of interest expense. Amounts outstanding under the Credit Facility bore interest at floating rates ranging from 2.75% to 3.25% over one-month LIBOR as determined by the percentage of the Credit Facility outstanding as compared to the borrowing base. The effective interest rate on borrowings outstanding under the Credit Facility at December 31, 2000 was 10.38%, 2.75% over one-month LIBOR including the facility fee. Credit Facility Terms Effective after January 30, 2001 Under the Fourth Amendment On December 28, 2000, and effective January 31, 2001, the Credit Facility was further extended to August 31, 2002. As a result of this further extension the Company is (i) prohibited from further borrowings under the facility, (ii) required to make monthly principal payments equal to the cash flow generated by the Company for the month and, (iii) is prevented from paying distributions in excess of 110% of that amount required to maintain REIT status. 99 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) In December 2000, the Company paid a non-refundable loan maturity extension fee of $0.3 million in connection with the Fourth Amendment to the Credit Facility. In addition, and with respect to the Fourth Amendment, the Company issued to the lender warrants on January 31, 2001, to purchase 118,750 common shares of stock at $1.70 per share. The amounts outstanding under the Credit Facility bear interest at a floating rate equal to 3.25% over one-month LIBOR and the monthly facility fee has been eliminated. If this agreement were in effect on December 31, 2000, the effective interest rate on borrowings outstanding under the Credit Facility would have been 10.13%. Other Giving effect to the lease and loan restructurings with Genesis and Multicare, the Company currently expects net cash provided by operations to be sufficient to enable it to meet its short-term cash flow requirements through December 31, 2001. See "Note 6 - Concentration of Risk." The Credit Facility currently matures on August 31, 2002. If the Company is unable to pay-off or obtain replacement financing by August 31, 2002, or is unable to negotiate a further extension of the current Credit Facility at that time, or for any other reason the Company were to be in default under the Credit Facility prior to its maturity, Deutsche Bank could exercise its right to foreclose on the collateral securing the Credit Facility, which would have a significant adverse affect on the Company's ability to continue its operations and meet its obligations. The terms of the Credit Facility extension restricted the use of the Company's cash flows and impose the limits on its ability to make distributions to its shareholders. Future increases in interest rates, as well as any defaults by tenants or borrowers on their leases or loans, also could adversely affect the Company's cash flow and its ability to pay its obligations. To qualify as a REIT, the Company must distribute to its shareholders each year at least 95% (90% for taxable years beginning after December 31, 2000) of its net taxable income, excluding any net capital gain. If the Company is unable to make any required shareholder distributions, then the Company may be unable to qualify as a REIT and would be subject to federal income taxes. 100 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) 9. Mortgages and Bonds Payable The following is a summary of mortgages and bonds payable at December 31, 2000 and 1999 (dollars in thousands): Effective Balance at Balance at Interest Maturity December December Property Rate Date 31, 2000 31, 1999 - ---------------------------------- ------------ ------------ ------------- ------------- LIBOR Wayne NRC +3.00% 12/2002 $ 4,600 $ 4,600 Pennsburg Manor NRC/ Harston LIBOR Hall NCH +3.00% 12/2002 14,900 14,900 LIBOR Lopatcong Care Center +3.00% 12/2002 10,500 10,500 DCMH Medical Office Building 8.35% 11/2009 5,790 5,855 Professional Office Building I 8.35% 11/2009 2,551 2,581 Pleasant View 8.26% 10/2009 3,846 3,890 Salisbury Medical Office Building 8.16% 10/2009 1,034 1,047 Heritage at North Andover 8.26% 10/2009 8,648 8,747 The Woodbridge Bonds due 2005 7.81% * 9/2005 735 833 Bonds due 2025 7.81% * 9/2025 9,470 9,500 Belvedere NRC/ Chapel NRC 8.46% 10/2009 18,720 18,928 Highgate at Paoli Pointe Series A Bonds 7.81% * 1/2024 9,739 9,878 Riverview Ridge 7.81% * 1/2020 2,807 2,890 Vernon Court 5.80% * 5/2025 14,100 14,357 Lacey Branch Office Bldg. 7.81% * 10/2022 492 499 -------- -------- Total $107,932 $109,005 ======== ======== * The stated interest rates on these mortgages are higher than the effective interest rates because they were adjusted to market rates when the loans were acquired by the Company. The Company's weighted average effective interest rate on mortgages and bonds payable was 8.5% and 8.4% at December 31, 2000 and 1999, respectively. Scheduled principal payments and bond sinking fund requirements are as follows: (dollars in thousands) 2001 $ 26,727 2002 20,502 2003 1,076 2004 1,158 2005 1,249 Thereafter 57,220 --------- $ 107,932 ========= 101 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) The Company is in default on mortgages totaling $25.8 million for failure to meet technical requirements, including property information reporting requirements and the tenant filing for bankruptcy. These loans are included in the 2001 payment requirement schedule above. There can be no assurance that the Company will be able to cure these defaults. Based, in part, on the Company's favorable payment history, the Company believes that the lenders will take no action in regard to these technical defaults. 10. Operating Lease The Company leases its corporate office space from Genesis under an operating lease, which expires on May 31, 2001. Under the lease agreement, the Company pays base rent plus its portion of real estate taxes, common area maintenance and operation for the building based upon the ratio of square footage of the leased premises to the square footage of the building. The future minimum rental payments under the operating lease, for the period of January 1 through May 31, 2001, is $25,000. 11. Share Option and Incentive Plans and Other Retirement Arrangements The Company established the 1998 share option and incentive plan (the "1998 Plan") for the purpose of attracting and retaining key executive officers and employees, as well as non-employee trustees. A total of 779,340 common shares were reserved for issuance under the 1998 Plan at December 31, 2000. At the time of the Offering, the Company granted options with respect to 504,000 common shares to officers, employees and trustees. The exercise price for such options is the Offering price of $18.00. The term of such options is ten years from the date of grant. Of these options, 150,000 vested immediately, 322,500 vest ratably over three years from the date of grant and 31,500 vest ratably over five years from date of grant. Additional options with respect to 7,500 and 25,000 common shares were granted to a trustee and officer of the Company, respectively, during 1998 at an exercise price of $17.75 and $15.125 per share, respectively. These options vest ratably over three and five years respectively, and terminate ten years from the date of grant. Additional options of 231,500 were granted during 1999 to a key executive officer and employees of the Company at exercise prices ranging from $5.31 to $6.69 per share. These options vest over three to four years and terminate ten years from the date of grant or three month's after termination of employment. During 1999, options of 307,500 were cancelled upon the resignations of a former executive officer and a trustee. Additional options of 323,840 were granted under the 1998 plan during 2000 to a key executive officer and employees of the Company at exercise prices ranging from $0.75 to $2.75 per share. Of these options, 108,612 vested immediately, 215,228 vest over two years from the date of grant and terminate ten years from the date of grant or three month's after termination of employment. During 2000, options of 15,000 were cancelled upon the resignations of two former trustees. 102 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) During 1999, the Company established the 1999 share option and incentive plan (the "1999 Plan") for the purpose of encouraging and enabling the officers, employees, non-employee trustees and other key persons of the Company to acquire a proprietary interest in the Company. As of December 31, 2000, a total of 350,000 common shares were reserved for issuance under the 1999 Plan. Options of 102,160 were granted during 2000 from the 1999 Plan to a key executive officer and employees of the Company at an exercise price of $0.75 per share. Of these options 34,053 vest immediately and the remaining 68,107 vest on each of the annual anniversaries and terminate ten years from the date of grant or three month's after termination of employment. The following summarizes the activity in the 1998 and 1999 Plans for the years ended December 31, 2000, 1999 and 1998: 2000 1999 1998 Weighted Weighted Weighted Average Average Average Exercise Exercise Exercise 1998 Plan and 1999 Plan Shares Price Shares Price Shares Price - ------------------------------------------------------------------------------------------------------------------------------ Options outstanding, beginning of year 460,500 $ 12.06 536,500 $ 17.16 - $ - Options granted 426,000 0.82 231,500 6.50 536,500 17.16 Options exercised - - - - - - Options forfeited (15,000) 18.00 (307,500) 18.00 - - -------------------------------------------------------------------------------- Options outstanding, end of year 871,500 $ 6.47 460,500 $ 12.06 536,500 $ 17.16 ================================================================================ Options exercisable, end of year 355,833 $ 8.24 81,400 $ 15.86 150,000 $ 18.00 ================================================================================ Weighted average fair value of options granted during the year (calculated as of the grant date): $ 0.28 $ 0.07 $ 1.69 Information regarding stock options outstanding and exercisable under the 1998 and 1999 Plans as of December 31, 2000 is as follows: Exercise Price Range ----------------------------------------------------- $0.75-$2.75 $5.31-$6.69 $15.13-$18.00 ----------------------------------------------------- Options outstanding at December 31, 2000: Shares 426,000 231,500 214,000 Weighted average exercise price $0.82 $6.50 $17.66 Weighted average remaining contractual life 4.7 years 7.9 years 7.1 years Options exercisable at December 31, 2000: Shares 142,666 85,567 127,600 Weighted average exercise price $0.83 $6.38 $17.78 No compensation expense has been recognized for options granted under the 1998 and 1999 Plans as the Company adopted the disclosure-only provisions of SFAS No. 123, "Stock Based Compensation" during 2000. Under SFAS No. 123, compensation expense of $114,000, $106,000 and $443,000 would have been recorded in 2000, 1999 and 1998, respectively, for the 1998 and 1999 Plan based upon the fair value of the option awards. Earnings/(loss) per share would have been 103 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) ($3.01), ($0.16) and $0.48 in 2000, 1999 and 1998, respectively, had the Company adopted the fair value provisions of SFAS No. 123. The fair value determination was calculated using the Black-Scholes option-pricing model to value all stock options granted in 2000, 1999 and 1998 using the following assumptions: 2000 1999 1998 --------------- -------------- -------------- Weighted average risk free interest rate 6.1% 6.2% 5.9% Expected volatility 75.7% 21.0% 17.7% Expected dividend yield 7.71% 11.2% 8.1% Weighted average expected life of options 3.55 years 3.89 years 3.65 years The Company has established a defined contribution retirement plan covering all eligible employees. Under this plan, eligible employees may make contributions up to the Internal Revenue Service maximum, and the Company is required to make certain minimum contributions. Company contributions to this Plan were $16,000, $16,000 and $14,000 in 2000, 1999 and 1998, respectively. 12. Shareholder's Rights Plan On October 13, 1999, the Company adopted a Shareholder Rights Plan (the "Rights Plan"). The Rights Plan is designed to deter coercive and unfair hostile takeover tactics. Under the Rights Plan, the Company authorized and declared a distribution of one right for each of its outstanding common shares held on the record date of October 29, 1999. Each right entitles the holder to purchase from the Company one one-thousandth of a Series A Junior Participating Preferred Share, $.01 par value per share, of the Company (which is intended to be the economic equivalent of one common share) at an initial purchase price of $35. The rights are neither exercisable nor traded separately from the common shares and will expire on October 13, 2009, unless exchanged or redeemed earlier. The rights will be exercisable only if a person or group in the future becomes the beneficial owner of 15% or more of the common shares of the Company, or announces a tender or exchange offer which, if consummated, would result in that person or group owning at least 15% of the common shares, subject to certain exceptions. The Company generally may redeem the rights for $.0005 per right at any time until ten days following the public disclosure that the 15% position has been met. A total of 16,000 preferred shares are reserved for issuance under the rights. 104 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) 13. Distributions The Company must distribute at least 95% (90% for taxable years beginning after December 31, 2000) of its taxable income in order to continue to qualify as a REIT. Distributions in a given year may exceed the Company's earnings and profits due to non-cash expenses such as depreciation and amortization. Per share distributions on the Company's common shares include the following categories for income tax purposes: 2000 1999 1998 ----------------------------------------------- Ordinary income $0.5508 $0.1232 $0.973 Capital gains - - - Return of capital 0.0492 1.3368 - ----------------------------------------------- $0.6000 $1.4600 $0.973 =============================================== On January 13, 2000, the Board of Trustees declared a distribution of $0.30 per share for the period October 1, 1999 through December 31, 1999. The distribution was paid on February 15, 2000 to shareholders of record on January 28, 2000. On April 14, 2000, the Board of Trustees declared a distribution of $0.30 per share for the period January 1, 2000 through March 31, 2000. The distribution was paid on May 16, 2000 to shareholders of record on April 28, 2000. No additional distributions have been made for the period from April 1, 2000 through December 31, 2000. 14. Earnings (Loss) Per Share The following table sets forth the computation of basic and diluted earnings (loss) per share (in thousands, except per share data): 2000 1999 1998 ---------------------------------------- Net income (loss) available for basic and diluted earnings per share ($21,330) ($1,030) $3,973 ======================================== Shares for basic and diluted net earnings per share 7,119 7,198 7,369 ======================================== Basic and diluted net income (loss) per share ($3.00) ($0.14) $0.54 ======================================== The Operating Partnership units are not included in the determination of weighted average common shares outstanding since they are not considered to be common share equivalents as they are redeemable for cash at the Company's discretion. 15. Repurchase of Common Shares In August 1998, the Company implemented a share repurchase program. Under the share repurchase program, the Company was authorized from time to time to repurchase shares in open market transactions up to an amount equal to the Company's excess cash flow on a quarterly and cumulative basis. In March 1999, in light of the Company's cash position and Credit Facility negotiations, the Company suspended the share repurchase program. In November 1999, the Company reinstated the share repurchase program on a limited basis. The Company completed this limited share repurchase program in December 1999 with the 105 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) repurchase of 82,100 common shares at an average price of $6.08. The Company repurchased and effectively retired 125,800 and 147,800 common shares for an aggregate purchase price of $0.9 and $1.7 million for the years ended December 31, 1999 and 1998, respectively. These shares are reflected as a reduction of shares issued and outstanding in these consolidated financial statements. The Company did not repurchase any common shares in 2000. The share repurchase program was suspended for the entire year of 2000. 16. Disclosure About Fair Value of Financial Instruments The carrying amount of cash and cash equivalents, restricted cash and accounts receivable approximates fair value based on the short-term nature of these investments. The carrying amount of real estate loans receivable at December 31, 2000 approximates the fair market value of the underlying properties, as affirmed by the U.S. Bankruptcy Court on January 4, 2001. The carrying amounts of the Company's Credit Facility and variable rate mortgages payable at December 31, 2000 and 1999 approximate fair value because the borrowings are interest rate variable. The fair value of the Company's fixed rate mortgages and bonds payable at December 31, 2000 and 1999 is estimated using discounted cash flow analysis and the Company's current incremental borrowing rates for similar types of borrowing arrangements. The difference between the carrying amount and the fair value of the Company's fixed rate mortgages and bonds payable at December 31, 2000 and 1999 is not significant. 17. Quarterly Financial Information (Unaudited) The following quarterly financial data summarize the unaudited quarterly results for the years ended December 31, 2000 and 1999 (in thousands, except per share amounts): Quarter ended -------------------------------------------------------------------- December 31 September 30 June 30 March 31 -------------------------------------------------------------------- 2000 - ---------------------------- Revenues $ 7,088 $ 5,991 $ 6,501 $ 7,004 Net income (loss) 5,460 (584) (26,722) 516 Net income (loss) per share - basic 0.77 (0.08) (3.75) 0.07 Net income (loss) per share - diluted 0.75 (0.08) (3.75) 0.07 Distributions per share - - 0.30 0.30 106 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) During the second quarter the Company established allowances of $18.1 million for credit losses on real estate loans receivable from bankrupt customers. During the fourth quarter, and as a result of negotiations with these customers, the Company recovered $11.0 million of these allowances. In addition during the fourth quarter, the Company recorded impairment losses on real estate properties of $5.3 million. Quarter ended -------------------------------------------------------------------- December 31 September 30 June 30 March 31 -------------------------------------------------------------------- 1999 - ------------------------------------ Revenues $ 6,949 $ 7,022 $ 7,122 $ 7,048 Net income (loss) before extraordinary item 436 617 (1,832) 959 Net income (loss) 436 (593) (1,832) 959 Net income (loss) per share before extraordinary item - basic and diluted 0.06 0.09 (0.25) 0.13 Net income (loss) per share - basic and diluted 0.06 (0.08) (0.25) 0.13 Distributions per share 0.365 0.365 0.365 0.365 18. Related Party Transactions Mr. McCreary acquired the controlling interest in ET Capital Corp. and ET Sub-Meridian, LLP from a former executive official of the Company during 1999. As a result, Mr. D. Lee McCreary owns all of the voting interest in ET Capital Corp., representing a 5% equity interest. Additionally, Mr. McCreary also owns a 1% general partner interest in ET Sub-Meridian, through a limited liability company which he is the sole member. Also, after obtaining final approval from the Massachusetts Housing Finance Agency and the U.S. Department of Housing and Urban Development in January 2000, Mr. McCreary owns a 1% managing member interest in ET Sub-Vernon Court, LLC, ET Sub-Cabot Park, LLC and ET Sub-Cleveland Circle, LLC. In addition, Mr. McCreary owns 12,000 units in the Operating Partnership at December 31, 2000 and 1999, which represented an interest of approximately 0.2%, and received cash distributions of $7,500 and $17,500 during 2000 and 1999, respectively. In December 2000, the Company acquired 118,750 units owned by a former Executive Officer of the Company for $203,000. 19. Minority Interest The Company owned approximately 94.8% and 93.3% of the Operating Partnership, at December 31, 2000 and 1999, respectively. The ownership interest is represented by 7,237,750 and 7,119,000 units owned as of December 31, 2000 and 1999, respectively. The remaining ownership interests include interests owned directly or indirectly by directors and officers of the Company and Genesis totaling 394,725 units. 107 ELDERTRUST NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued) Subject to certain limitations in the Operating Partnership Agreement the limited partners that hold units in the Operating Partnership have the right to require the redemption of their units at any time after March 30, 1999 ("Unit Redemption Rights"). The Operating Partnership's obligation with respect to the Unit Redemption Rights is that the limited partner will receive cash from the Operating Partnership in an amount equal to the market value of the units to be redeemed. However, in lieu of the Operating Partnership acquiring the units for cash, the Company has the right to elect to acquire the units directly from the limited partner, either for cash or common shares of ElderTrust at the Company's discretion. 20. Supplemental Cash Flow Information: Supplemental cash flow information for the years ended December 31, 2000 and December 31,1999 and the period from January 31, 1998 through December 31, 1998 is as follows (amounts in thousands): Cash Paid For: 2000 1999 1998 --------------------------------------- Interest $ 13,324 $ 11,814 $ 5,412 ======================================= Non-Cash Investing and Financing Transactions: Note receivable relating to officer share purchase $ - $ - $ 3,600 ======================================= Assumption of debt in connection with acquisition of real estate properties $ - $ - $ 50,328 ======================================= Units issued in connection with acquisition of real estate properties $ - $ - $ 10,511 ======================================= Notes issued in connection with acquisition of real estate properties $ - $ - $ 4,134 ======================================= Non-cash transaction relating to the sale of partnership units: Accounts receivable $ - $ - $ 3,000 ======================================= Reduction in advances to unconsolidated entities $ - $ - $ 1,690 ======================================= Issuance of partnership units $ - $ - $ 375 ======================================= Reduction in cost of real estate investments $ - $ - $ 935 ======================================= ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None. 108 PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The information required by this Item is incorporated herein by reference to the information under the heading "Election of Trustees" in the Company's proxy statement to be filed with respect to the 2000 annual meeting of shareholders (the "Proxy Statement"). ITEM 11. EXECUTIVE COMPENSATION The information required by this Item is incorporated herein by reference to the information under the heading "Executive Compensation and Other Information" in the Proxy Statement. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The information required by this Item is incorporated herein by reference to the information under the heading "Securities Owned by Management and Principal Shareholders" in the Proxy Statement. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS The information required by this Item is incorporated herein by reference to the information under the heading "Certain Relationships and Related Transactions" in the Proxy Statement. PART IV ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K (a) The following documents are included in Part II, Item 8 of this report: (1) Financial Statements: Page Number ----------- Independent Auditors' Report 81 Consolidated Balance Sheets as of December 31, 2000 and 1999 82 Consolidated Statements of Operations for the years ended December 31, 2000, 1999 and the period from January 30 to December 31, 1998 83 Consolidated Statements of Shareholders' Equity for the years ended December 31, 2000 and 1999 and the period from January 30 to December 31, 1998 84 Consolidated Statements of Cash Flows for the year ended December 31, 2000 and 1999 and the period from January 30 to December 31, 1998 85 Notes to Consolidated Financial Statements 86 109 (2) The following Financial Statement Schedules are included in Item 14 (d): Separate Financial Statements and Schedule for ET Sub-Meridian Limited Partnership, L.L.P. Separate Financial Statements and Schedule for ET Capital Corp. Schedule III - Real Estate and Accumulated Depreciation Schedule IV - Mortgage Loans on Real Estate All other schedules for which provision is made in the applicable accounting regulation of the Securities and Exchange Commission are not required under the related instructions or are inapplicable and therefore have been omitted. (3) Exhibits: The exhibits filed with this report are listed in the exhibit index on page 112. (b) Current Reports on Form 8-K: The Company filed a report on Form 8-K dated December 11, 2000 announcing that it had reached tentative agreements with Genesis and Multicare relating to a restructuring of its loans and leases with these entities. The Form 8-K also addressed continued listing of the Company's common shares on the NYSE. (c) Exhibits: The exhibits listed in Item 14(a)(3) above are filed with this Form 10-K. (d) Financial Statement Schedules: Financial statement schedules are included on pages S-24 through S-28. 110 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized, on April 10, 2001. ElderTrust --------------------------------------------- Registrant By: /s/ D. Lee McCreary, Jr. --------------------------------------------- President, Chief Executive Officer and Chief Financial Officer Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities indicated on April 10, 2001. By: /s/ D. Lee McCreary, Jr. -------------------------------------------- D. Lee McCreary, Jr. President, Chief Executive Officer, Chief Financial Officer and Trustee (Principal Executive, Financial and Accounting Officer) By: /s/ Michael R. Walker -------------------------------------------- Michael R. Walker Chairman of the Board By: -------------------------------------------- Rodman W. Moorhead, III Trustee By: /s/ John G. Foos -------------------------------------------- John G. Foos Trustee 111 EXHIBIT INDEX Exhibit No. Description - ----------- ----------- (a) 3.1 Amended and Restated Declaration of Trust of the Company (a) 3.2 Articles Supplementary to the Company (a) 3.3 Amended and Restated Bylaws of the Company (h) 4.1 Rights Agreement between ElderTrust and First Union National Bank, as Rights Agent (i) 4.2 Articles Supplementary for Classifying and Designating Series A Junior Participating Preferred Shares (a) 10.1 Second Amended and Restated Agreement of Limited Partnership of the Operating Partnership (a) 10.2 Registration Rights Agreement between the Company and the persons named therein (a) 10.3 1998 Share Option and Incentive Plan* (i) 10.4 1999 Share Option and Incentive Plan* (a) 10.5 Non-Competition Agreement between the Company and Michael R. Walker* (b) 10.6 Indemnification Agreement between the Company and each of its officers and trustees* (b) 10.7 Form of Asset Transfer Agreement between the Operating Partnership and Genesis (Heritage Woods, Willowbrook, Riverview Ridge, Pleasant View, Rittenhouse, Lopatcong, Phillipsburg, Wayne, POB 1, Lacey Bank Building, Belvedere, Chapel Manor and Pennsburg Manor) (b) 10.8 Plan of Asset Transfer and Contribution Agreement between the Operating Partnership and Senior LifeChoice dated as of September 25, 1997 (b) 10.9 Form of Asset Transfer Agreement between the Operating Partnership and certain limited partners in Senior LifeChoice of Paoli, L.P. and Senior LifeChoice of Kimberton, L.P. who are selling partnership interests for cash (b) 10.10 Plan of Asset Transfer and Contribution Agreement among the Operating Partnership, GHV Associates and the partners in GHV Associates dated as of September 25, 1997 (b) 10.11 Plan of Asset Transfer and Contribution Agreement among the Operating Partnership and certain partners in Salisbury Medical Office Building General Partnership dated as of September 25, 1997 (b) 10.12 Asset Transfer Agreement between the Operating Partnership and certain parties in Salisbury Medical Office Building General Partnership who are selling partnership interests for cash (b) 10.13 Form of Term Loan Agreement (Mifflin and Coquina Center (Genesis)) (b) 10.13.1 Form of Secured Note (Mifflin and Coquina Center (Genesis)) (b) 10.13.2 Form of Mortgage and Security Agreement (Mifflin and Coquina Center (Genesis)) (b) 10.13.3 Form of Assignment of Rents and Leases (Mifflin and Coquina Center (Genesis)) (b) 10.13.4 Form of Collateral Assignment of Agreements Affecting Real Estate (Mifflin and Coquina Center (Genesis)) (b) 10.13.5 Form of Guaranty and Suretyship Agreement (Mifflin and Coquina Center (Genesis)) (b) 10.14 Form of Construction Loan Agreement (Oaks (Genesis)) (b) 10.14.1 Form of Secured Note (Oaks (Genesis)) (b) 10.14.2 Form of Mortgage and Security Agreement (Oaks (Genesis)) 112 (b) 10.14.3 Form of Assignment of Rents and Leases (Oaks (Genesis)) (b) 10.14.4 Form of Collateral Assignment of Agreements Affecting Real Estate (Oaks (Genesis)) (b) 10.14.5 Form of Guaranty and Suretyship Agreement (Oaks (Genesis)) (b) 10.15 Form of Assignment and Assumption Agreement between the Operating Partnership and Genesis (Montchanin Construction Loan) (a) 10.16 Assignment and Assumption Agreement between ET Capital Corp. and Genesis (a) 10.16.1 Amendment of Working Capital Loan and Security Agreement among ET Capital Corp., Genesis and AGE Institute of Florida (a) 10.16.2 Intercreditor Agreement among ET Capital Corp., Genesis and AGE Institute of Florida (i) 10.16.3 Intercreditor Agreement among ET Capital Corp., AGE Institute of Florida and Bank of America, N.A. (a) 10.17 Right of First Refusal Agreement between the Operating Partnership and Genesis (a) 10.18 Option Agreement to purchase Holton Point facility between the Operating Partnership and Genesis (b) 10.19 Form of Minimum Rent Lease between the Operating Partnership and Genesis (Heritage Woods, Highgate at Paoli Pointe, Rittenhouse, Lopatcong, Phillipsburg and Wayne) (b) 10.20 Form of Percentage Rent Lease between the Operating Partnership and Genesis (Willowbrook, Riverview Ridge and Pleasant View) (b) 10.21 Form of Fixed Rent Lease between the Operating Partnership and Genesis (Salisbury Medical Office Building, Windsor Office Building and Windsor Clinic and Training Facility) (a) 10.22 Credit Facility (e) 10.23 First Amendment to Credit Facility (a) 10.24 Cross Indemnification and Contribution Agreement between the Company and Genesis (c) 10.25 Subordinated Promissory Note of ET Sub-Meridian payable to the Operating Partnership in the amount of $18.5 million (c) 10.26 Agreement of Limited Partnership of ET Sub-Meridian (c) 10.27 Indemnification Agreement dated September 3, 1998 in favor of the persons and entities listed on Exhibit B thereto (c) 10.28 Indemnification Consent and Acknowledgment Agreement dated September 3, 1998 between the Operating Partnership and Genesis (c) 10.29 Guarantee Agreement dated September 3, 1998 between Operating Partnership and ET Sub-Meridian (c) 10.30 Subordinated Promissory Note of ET Sub-Meridian payable to Genesis in the amount of $8.5 million (d) 10.31 Purchase and Sale Agreement dated as of June 12, 1998 by and among ElderTrust Operating Limited Partnership, Genesis Health Ventures, Inc., collectively "the Purchasers" and Cabot Park Limited Partnership, Cleveland Circle Assisted Living Limited Partnership, Heritage at the Falls Assisted Living Limited Partnership, Vernon Court Associated Partnership, and North Andover Assisted Living Limited Partnership, collectively "the Seller" (d) 10.32 Amendment to the Purchase and Sale Agreement dated July 22, 1998 by and among ElderTrust Operating Limited Partnership, Genesis Health Ventures, Inc. and Robert A. Fishman, counsel for the Seller and the NDNE/ADS Entities 113 (d) 10.33 Second Amendment to the Purchase and Sale Agreement dated July 22, 1998 by and among ElderTrust Operating Limited Partnership, Genesis Health Ventures, Inc. and Robert A. Fishman, counsel for the Seller and the NDNE/ADS Entities (d) 10.34 Amendment to the Purchase and Sale Agreement dated November 30, 1998 by and among ElderTrust Operating Limited Partnership, Genesis Health Ventures, Inc. and Robert A. Fishman, counsel for the Seller and the NDNE/ADS Entities (d) 10.35 Assignment and Assumption of the Purchase and Sale Agreement by and between ElderTrust Operating Limited Partnership and Genesis Health Ventures, Inc. dated November 23, 1998 (e) 10.36 Operating Agreement of ET-Sub Vernon Court, L.L.C. (e) 10.37 Operating Agreement of ET-Sub Cabot Park, L.L.C. (e) 10.38 Operating Agreement of ET-Sub Cleveland Circle, L.L.C. (i) 10.39 Option Agreement by and between D. Lee McCreary, Jr. and the Operating Partnership to purchase Mr. McCreary's controlling ownership interest in ET-Sub Vernon Court, L.L.C. (f) 10.40 Certificate of Designation for Class C (LIHTC) Units of ElderTrust Operating Limited Partnership (f) 10.41 Second Amendment to Credit Agreement (i) 10.42 Third Amendment to Credit Agreement (i) 10.43 Second Amendment to Second Amended and Restated Agreement of Limited Partnership of ElderTrust Operating Limited Partnership (i) 10.44 Employment Agreement between the Company and D. Lee McCreary, Jr. dated as of October 13, 1999* (j) 10.45 Master Agreement with Genesis (j) 10.46 Master Agreement with the Multicare Companies, Inc. 10.47 Master Agreement 11.1 Computation of basic and diluted earnings per share 21.1 Subsidiaries of the Registrant 21.3 Consent of Independent Auditors - ---------------- * Represents management contract or compensatory plan (a) Incorporated by reference to the Company's Form 10-K for the year ended December 31, 1997. (b) Incorporated by reference to the Company's Form S-11 Registration Statement (No. 333-37451). (c) Incorporated by reference to the Company's Form 8-K filed on September 18, 1998. (d) Incorporated by reference to the Company's Form 8-K filed on December 16, 1998. (e) Incorporated by reference to the Company's Form 10-K for the year ended December 31, 1998. (f) Incorporated by reference to the Company's Form 10-Q for the quarter ended March 31, 1999. (g) Incorporated by reference to the Company's Form 8-K filed on July 29, 1999. (h) Incorporated by reference to the Company's Form 8-K filed on October 13, 1999. (i) Incorporated by reference to the Company's Form 10-K for the year ended December 31, 1999. (j) Incorporated by reference to the Company's Form 8-K filed on December 11, 2000. 114 Independent Auditors' Report The Partners ET Sub-Meridian Limited Partnership, L.L.P.: We have audited the accompanying balance sheets of ET Sub-Meridian Limited Partnership, L.L.P. (the Partnership) as of December 31, 2000 and 1999, and the related statements of operations, partners' capital (deficit), and cash flows for the years then ended. We also have audited the related financial statement schedule III. These financial statements and the financial statement schedule are the responsibility of the Partnership's management. Our responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of ET Sub-Meridian Limited Partnership, L.L.P. as of December 31, 2000 and 1999, and the results of its operations and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America. Also, in our opinion, the related financial statement schedule III when considered in relation to the basic financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein. /s/KPMG LLP McLean, VA. February 2, 2001 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. BALANCE SHEETS (in thousands) December 31, December 31, 2000 1999 ---------------------------- ASSETS Assets: Properties under capital leases, less accumulated amortization of $8,197 and $103,034 $106,547 $4,684, respectively Cash and cash equivalents 539 124 Restricted cash 1,057 1,110 Prepaid expenses 2 - ------------------------- Total assets $104,632 $107,781 ========================= LIABILITIES AND PARTNERS' DEFICIT Liabilities: Accounts payable and accrued expenses 1,153 126 Accounts payable to related parties 1,148 317 Rent received in advance 817 817 Capital lease obligations 64,662 64,373 Notes payable 23,143 24,970 Note payable to related party 17,576 17,576 Other liabilities 1,708 1,708 ------------------------- Total liabilities 110,207 109,887 Partners' deficit (5,575) (2,106) ------------------------- Total liabilities and partners' deficit $104,632 $107,781 ========================= The accompanying notes to financial statements are an integral part of these statements. S-2 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. STATEMENTS OF OPERATIONS (in thousands) Year ended December Year ended December 31, 2000 31, 1999 ------------------------------------------- Revenues: Rental revenues $ 9,800 $9,800 Other income 28 16 ------------------------------- Total revenues 9,828 9,816 Expenses: Interest expense 6,592 6,495 Interest expense - related party 2,144 2,138 Amortization expense 3,513 3,514 General and administrative 40 2 Management fee - related party 24 8 ------------------------------- Total expenses 12,313 12,157 ------------------------------- Net loss ($2,485) ($2,341) =============================== The accompanying notes to financial statements are an integral part of these statements. S-3 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. STATEMENTS OF PARTNERS' CAPITAL (DEFICIT) Years ended December 31, 2000 and 1999 (in thousands) General General Partner Partner --------------------- ------------------ Limited Toughkenamon, ET Meridian, Partner L.L.C L.L.C. Total --------------- --------------------- ------------------ -------------- Balances at January 1, 1999 $ 690 $ - $12 $ 702 Net loss (2,318) (12) (11) (2,341) Distributions (449) (18) - (467) Transfer of general partnership interest - 1 (1) - --------- ----- ----- -------- Balances at December 31, 1999 (2,077) (29) - (2,106) Net loss (2,460) (25) - (2,485) Distributions (982) (2) - (984) --------- ----- ----- -------- Balances at December 31, 2000 ($5,519) ($56) $ - ($5,575) ========= ===== ===== ======== The accompanying notes to financial statements are an integral part of these statements. S-4 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. STATEMENTS OF CASH FLOWS (in thousands) Year ended Year ended December 31, 2000 December 31, 1999 ------------------------------------- CASH FLOWS FROM OPERATING ACTIVITIES: Net loss ($2,485) ($2,341) Adjustments to reconcile net loss to net cash provided by operating activities: Amortization 3,513 3,514 Net changes in assets and liabilities: Accounts payable and accrued expenses 1,858 (198) Accrued interest on capital lease obligations 289 (93) Other (2) 75 ----------------------------------- Net cash provided by operating activities 3,173 957 ----------------------------------- CASH FLOWS FROM INVESTING ACTIVITIES: Acquisition cost of additions to real estate investments - (37) Net decrease in restricted cash 53 59 ----------------------------------- Net cash provided by investing activities 53 22 ----------------------------------- CASH FLOWS FROM FINANCING ACTIVITIES: Distributions to partners (984) (467) Payments of principal on notes payable (1,827) (388) ----------------------------------- Net cash used in financing activities (2,811) (855) ----------------------------------- Net increase in cash and cash equivalents 415 124 Cash and cash equivalents, beginning of year 124 - ----------------------------------- Cash and cash equivalents, end of year $ 539 $ 124 =================================== Supplemental cash flow information: Cash paid for interest $8,299 $8,898 =================================== The accompanying notes to financial statements are an integral part of these statements. S-5 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 1. Organization and Operations ET Sub-Meridian Limited Partnership, L.L.P. (the "Partnership") was formed pursuant to the Virginia Revised Uniform Limited Partnership Act, as amended, on August 7, 1998 by and among ET Meridian, L.L.C., a Delaware limited liability company as the general partner, and ElderTrust Operating Limited Partnership as the limited partner (the "Limited Partner"). The limited partner is a 95% owned subsidiary of ElderTrust. During 1999, ET Meridian, L.L.C. sold its general partner interest in the Partnership to Toughkenamon, L.L.C. (the "General Partner"). The Partnership owns the leasehold and purchase option rights to seven skilled nursing facilities located in Maryland and New Jersey, which it purchased from a wholly-owned subsidiary of Genesis Health Ventures, Inc. ("Genesis") in September 1998 for $35.5 million in cash and issuance of $8.5 million in term loans. The owners of the skilled nursing facilities provided $17.7 million of financing to the Partnership in connection with this transaction. The purchase options are exercisable by the Partnership in September 2008 for a cash exercise price of $66.5 million. The Partnership subleased the facilities to Genesis for an initial ten-year period with a ten-year renewal option. Genesis has guaranteed the subleases. All of the Partnership's assets at December 31, 2000 and December 31, 1999 consisted of real estate properties under capital lease, which were subleased to Genesis. As such, the Partnership's revenues and ability to make distributions to partners' depend, in significant part, upon the revenues derived from Genesis (See Note 4). Additionally, Michael R. Walker serves as Chairman of the Board of Genesis and ElderTrust. 2. Summary of Significant Accounting Policies Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America, requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the amounts of revenues and expenses during the reporting period. Actual results could vary from those estimates. Cash and Cash Equivalents The Partnership considers all short-term, highly liquid investments that are readily convertible to cash and have an original maturity of three months or less at the time of purchase to be cash equivalents. S-6 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 (Continued) Restricted Cash Restricted cash represents future lease payments on the capital lease obligations and principal and interest payments on the note payable to owners of the skilled nursing facilities required to be maintained in a lockbox. Properties Under Capital Leases Properties under capital leases consist of real estate properties, which are recorded at cost. Acquisition costs and transaction fees, including legal fees and external due diligence costs, are capitalized as a cost of the respective property. The cost of real estate properties under capital lease is allocated between land and buildings and improvements based upon estimated fair values at the time of acquisition. Amortization of properties under capital lease is provided for on a straight-line basis over an estimated composite useful life of 28.5 years for buildings and improvements. Impairment of Long-Lived Assets and Long-Lived Assets to be Disposed of The Partnership reviews its long-lived assets, which includes properties under capital leases, for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets held and used is measured by a comparison of the carrying amount of an asset to future net cash flows expected to be generated by the asset. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value less cost to sell. Income Taxes No provision for income taxes is necessary in the financial statements of the Partnership because, as a partnership, it is not subject to income taxes and the tax effect of its activities accrues to the partners. Subleases and Rental Income Real estate properties under capital lease are subleased to operators on a long-term triple net-lease basis. Triple net-leases require lessees to pay all operating expenses, taxes, insurance, maintenance and other costs, including a portion of capital expenditures. Subleases provide for minimum rent, based on the lesser of stated amounts in the sublease agreement or minimum rent for the prior year multiplied by two times the change in the Consumer Price Index ("minimum rent leases"). Sublease payments are recognized as revenue as earned. S-7 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 (Continued) 3. Properties Under Capital Leases The Partnership conducts all of its operations from properties which are classified as capital leases. As of December 31, 2000 and 1999, properties under capital lease consisted of seven skilled nursing facilities with a total of 1,176 beds located in two states. All of the leases are for 10 years and expire in 2008. The following is an analysis of properties under capital lease at December 31, 2000 and 1999 by major class (dollars in thousands): 2000 1999 ------------------------------ Real estate properties, at cost $100,108 $100,108 Less- accumulated depreciation (8,197) (4,684) Land 11,123 11,123 ------------------------------ Net real estate properties $103,034 $106,547 ============================== The following is a schedule by years of future minimum lease payments under capital leases together with the present value of the minimum lease payments as of December 31, 2000 (dollars in thousands): 2001 $4,245 2002 4,245 2003 4,245 2004 4,245 2005 4,245 Thereafter 78,931 ------- Total minimum lease payments 100,156 Less: amount representing interest at 7.06% per annum 35,494 ------- Present value of future minimum lease payments $64,662 ======= The Partnership subleases these properties to operators pursuant to long-term triple net leases. At December 31, 2000, future minimum sublease payments receivable are as follows (dollars in thousands): S-8 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 (Continued) 2001 $ 9,800 2002 9,800 2003 9,800 2004 9,800 2005 9,800 Thereafter 26,133 ------- $75,133 ======= 4. Concentration of Risk Revenues recorded by the Partnership under leases with Genesis aggregated $9.8 million in 2000 and 1999. The Partnership's revenues and ability to make distributions to partners' depends, in significant part, upon the revenues derived from Genesis. On June 22, 2000, Genesis filed for protection under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code"). During the year, the Partnership, Genesis and Genesis' major creditors negotiated agreements whereby the lease obligations with the Partnership would be continued. The agreements were approved by the U.S. Bankruptcy Court on January 4, 2001 and were consummated on January 31, 2001. Genesis is expected to file a plan of reorganization with the U.S. Bankruptcy Court addressing its other creditors' claims. Genesis is currently operating as a debtor-in-possession subject to the jurisdiction of the U.S. Bankruptcy Court. Approval of the reorganization plan by the U.S. Bankruptcy Court will be necessary for Genesis to be able to emerge from bankruptcy. The independent auditors' report on Genesis' 2000 financial statements, included in Genesis' Form 10-K as of September 30, 2000, indicated that there is substantial doubt regarding the ability of Genesis to continue as a going concern. Genesis' ability to continue as a going concern will be dependent upon, among other things, approval of their respective plan of reorganization, future profitable operations, the ability to comply with the terms of their debtor-in-possession financing arrangements and the ability to generate sufficient cash from operations and financing agreements to meet their obligations. Although we are hopeful Genesis will emerge from bankruptcy and continue to make lease payments to us, there can be no assurance that this will occur. Any failure of Genesis to continue its operations and/or to continue to make lease payments to us could have a significant adverse impact on our operations and cash flows due to the significant portion of our properties leased to Genesis. S-9 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 (Continued) If Genesis were to cease making lease payments to the Partnership, we may be required to terminate the underlying leases, in which event we would likely be required to find new operators to operate the properties underlying the leases. Management has contacted several alternative operators and, based on these preliminary discussions, believes that an adequate market currently exists in which the Partnership could arrange for property management or leasing of these assets, and that the properties could be successfully transitioned to new operators. Based on the discussions with these operators, the Partnership's management believes that a property could be transitioned to a new operator without undue delay and that, due to the elderly resident population and care requirements this population requires, such transition would be completed in an orderly fashion and with the cooperation of the operators and the appropriate regulatory authorities, if any. Some of the operators contacted by the Partnership have indicated that they have experience in transitioning skilled nursing facilities to new management and that they have the staffing needed to transition such facilities. The Partnership would expect to rely upon that experience to effect an orderly transition should Genesis fail to emerge from bankruptcy and/or cease making lease payments to us. As a result of the relatively short estimated time period required to transition a property to a new operator, the Partnership's management believes that, even if Genesis were to cease making lease payments to us either because Genesis did not emerge from bankruptcy or otherwise, the Partnership would still be able to satisfy its operating and debt service requirements during the next 12 months. Management fee arrangements currently charged in the market place typically range from 4% to 6% of property gross revenues. Actual fees incurred would depend upon property type and location as well as other property and operator specific factors. Management estimates that, if all of the properties subject to leases with Genesis returned to the Partnership and were subjected to management agreements with new operators, the Partnership's annual cash flows could be reduced by approximately $1.0 million. This estimate is based upon expected property operations and assumptions made by management as to management fees and capital expenditures. The Partnership has payment obligations under its debt agreements. The Partnership's management believes, based upon the above noted estimated cash flow reduction, that the Partnership would be able to meet its operating and debt service obligations during the next 12 months if it were required to obtain new managers for the properties now operated by Genesis. S-10 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 (Continued) As indicated above, based upon management's assessment of the long-term care economic environment, its discussions with alternative operators, the Partnership believes that, if the leases with Genesis were terminated, that the assets could be redeployed as needed. Were this to occur, management believes that new operators would be available to operate the properties, that any cash flow interruption resulting from such redeployment is unlikely or would be minimal and that, although cash flows may be reduced, the Partnership would be able to meet its operating and debt service requirements under its existing debt agreements during the next 12 months. 5. Notes Payable The Partnership partially financed the acquisition of properties under capital leases with notes payable of $8.5 million to Genesis, $17.7 million to the owners of the skilled nursing facilities and $17.6 million to the Limited Partner. The $8.5 million promissory note bears interest at an annual rate of 8% for the first year, 9% for the second year and 10% for remainder of the term of the note, with interest payable monthly through September 3, 2003. The $17.7 million promissory note bears interest at 7.06% annually, with principal and interest payable monthly through September 1, 2008. The $17.6 million subordinated demand loan payable to the Limited Partner bears interest at 12% per annum and is due on demand. Under the terms of a modification to the $8.5 million promissory note agreement, the principal payment due on September 3, 1999 was extended until the maturity date of September 3, 2003 and the interest rate on the note was increased to 10% effective September 3, 1999. Under the terms of the agreements approved by the U. S. Bankruptcy Court, Meridian Healthcare, Inc. (a Genesis affiliate) assigned to ElderTrust Operating Limited Partnership, the Limited Partner, the $8.5 million promissory note, in consideration for reductions in the loan balances on the loans Genesis owes to ElderTrust Operating Limited Partnership. A modification to the note was executed to extend the term and change the interest rate. S-11 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. Notes to Financial Statements December 31, 2000 and December 31, 1999 (Continued) 6. Partners' Capital The Partnership percentage interests of the partners are as follows: General Partner 1% Limited Partner 99% ---- 100% ==== Distribution of Cash: Cash flow, as defined in the partnership agreement, shall be distributed to the partners in proportion to their percentage interests. Distribution of Income or Loss: Net income or net loss of the partnership shall be allocated to the partners in proportion to their percentage interests. 7. Disclosure About Fair Value of Financial Instruments The carrying amount of cash and cash equivalents and restricted cash approximates fair value based on the short-term nature of these investments. The fair value of the Partnership's notes payable at December 31, 2000 and 1999 is estimated using discounted cash flow analysis and currently prevailing rates. The difference between the carrying amount and the fair value of the Partnership's notes payable at December 31, 2000 and 1999 is not significant. 8. Related Party Transactions During 2000, the Partnership paid management fees of $24,000 to the Limited Partner for administrative services provided to the Partnership. At December 31, 2000 and 1999, Mr. D. Lee McCreary, the President, Chief Executive Officer and Chief Financial Officer of ElderTrust, was the sole member of the limited liability company which owned the 1% general partner interest in the Partnership. Mr. McCreary acquired the controlling interest in the Partnership from the former President and Chief Executive Officer of ElderTrust, during 1999 for $20,000. S-12 Independent Auditors' Report The Board of Directors ET Capital Corp.: We have audited the accompanying balance sheet of ET Capital Corp. as of December 31, 2000, and the related statements of operations, shareholders' equity (deficit), and cash flows for the year then ended. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of ET Capital Corp. as of December 31, 2000, and the results of its operations and its cash flows for the year then ended in conformity with accounting principles generally accepted in the United States of America. /s/ KPMG LLP McLean, VA. February 2, 2001 ET CAPITAL CORP. BALANCE SHEET (in thousands) December 31, 2000 ------------------ ASSETS Assets: Cash and cash equivalents $ 78 Accounts receivable from related party 53 AGE Institute of Florida note receivable, net - Deferred income tax asset 270 Notes receivable from related parties 4,354 -------- Total assets $4,755 ======== LIABILITIES AND SHAREHOLDERS' DEFICIT Liabilities: Accounts payable and accrued expenses 188 Accounts payable to related parties 35 Notes payable to related party 9,247 -------- Total liabilities 9,470 Shareholders' Deficit: Capital stock, $0.01 par value; 1,000 shares authorized issued and outstanding - Capital in excess of par 2,822 Accumulated deficit (7,537) -------- Total shareholders' deficit (4,715) -------- Total liabilities and shareholders' deficit $4,755 ======== The accompanying notes to financial statements are an integral part of these statements. S-14 ET CAPITAL CORP. STATEMENT OF OPERATIONS (in thousands, except per share data) Year ended December 31, 2000 ---------------------- Revenues: Interest income, net of bad debt expense of $951 $ 257 Interest income, related parties 633 --------- Total revenues 890 --------- Expenses: Interest expense - related party 726 Amortization expense 118 Bad debt expense 7,800 General and administrative 13 Management fee - related party 24 --------- Total expenses 8,681 --------- Loss before income taxes (7,791) Income tax benefit 204 --------- Net loss ($7,587) ========= Earnings per share data: Basic and diluted loss per share ($ 7,587) ========= Basic and diluted weighted average shares of common stock 1,000 ========= The accompanying notes to financial statements are an integral part of these statements. S-15 ET CAPITAL CORP. STATEMENT OF SHAREHOLDERS' EQUITY (DEFICIT) Year ended December 31, 2000 (in thousands) Capital in Accumulated Shares Capital Excess of Equity Shareholders' Outstanding Stock Par Value (Deficit) Equity (Deficit) ------------------------------------------------------------------------- Balance at January 1, 2000 1 $ - $ 2,822 $ 169 $2,991 Net loss - - - (7,587) (7,587) Dividends - - - (119) (119) ------------------------------------------------------------------------- Balance at December 31, 2000 1 $ - $ 2,822 ($ 7,537) ($4,715) ========================================================================= The accompanying notes to financial statements are an integral part of these statements. S-16 ET CAPITAL CORP. STATEMENT OF CASH FLOWS (in thousands) Year ended December 31, 2000 ----------------- CASH FLOWS FROM OPERATING ACTIVITIES: Net loss ($7,587) Adjustments to reconcile net loss to net cash provided by operating activities: Bad debt expense 7,800 Net changes in assets and liabilities: Amortization expense 118 Accounts payable and accrued expenses (212) Accounts receivable and prepaid expense 260 Deferred tax asset (270) -------- Net cash provided by operating activities 109 -------- CASH FLOWS FROM INVESTING ACTIVITIES: Payments received on notes receivable 204 -------- Net cash provided by investing activities 204 -------- CASH FLOWS FROM FINANCING ACTIVITIES: Dividends to shareholders (119) Payments of principal on notes payable (154) -------- Net cash used in financing activities (273) -------- Net increase in cash and cash equivalents 40 Cash and cash equivalents, beginning of year 38 -------- Cash and cash equivalents, end of year $ 78 ======== Supplemental cash flow information: Cash paid for interest $ 726 ======== The accompanying notes to financial statements are an integral part of these statements. S-17 ET CAPITAL CORP. NOTES TO FINANCIAL STATEMENTS December 31, 2000 1. Organization and Operations ET Capital Corp. (the "Company") was incorporated in the State of Delaware in January 1998. Equity interests are held by ElderTrust Operating Limited Partnership (the "Operating Partnership"), which owns all of the nonvoting stock of ET Capital Corp. (representing a 95% equity interest), and Mr. D. Lee McCreary, who owns the remaining 5% voting stock equity interest. Additionally, Michael R. Walker, a director of the Company, serves as Chairman of the Board of Genesis Health Ventures ("Genesis") and ElderTrust. The Company's operations consist primarily of financing activities with third parties and subsidiaries of ElderTrust. These activities generally take the form of unsecured notes receivable from the third parties and/or subsidiaries of ElderTrust that are financed through notes payable to the Operating Partnership. The Company's net revenue is generated through interest rate spreads ranging from 1% to 2% between the amounts charged on the notes receivable and the amounts paid on notes payable. As of December 31, 2000, the Company owned a $7.8 million second trust mortgage note executed by AGE Institute of Florida, which it acquired from Genesis during 1998. This note is secured by a second lien on 11 Florida skilled nursing facilities owned by AGE Institute of Florida and a second lien on accounts receivable and other working capital assets. The facilities are managed by a third party. This note matures on September 30, 2008 with payments of interest only, at a fixed annual rate of 13% due quarterly. The borrower ceased making interest payments to the Company during the quarter ended June 30, 2000. During 2000, the Company recorded interest income of $1.2 million related to the AGE Institute of Florida Note and a corresponding provision for bad debt expense of $951,000 during 2000 for interest due on the $7.8 million second trust mortgage note. In September 1999, the senior lender on the $40.0 million first trust mortgage to the AGE Institute of Florida, which is guaranteed by Genesis, notified the borrower that it was in default of the loan due to the borrowers' failure to meet certain financial covenants. In November 1999, the Company notified the borrower that it was in default of the $7.8 million second trust mortgage loan held by the Company because of the default in the $40.0 million first trust mortgage loan. Subsequently, the senior lender extended the maturity date of the first mortgage trust loan from September 30, 1999 to March 28, 2000 to permit the AGE Institute of Florida time to obtain refinancing of the loan. A letter agreement dated December 22, 1999 made certain modifications and defined certain rights of the senior lender and the Company related to their respective loans to the AGE Institute of Florida. The AGE Institute of Florida has been working to obtain replacement financing of the $40.0 million first trust mortgage loan and is seeking a further extension of the loan maturity date from the senior lender. S-18 ET CAPITAL CORP. NOTES TO FINANCIAL STATEMENTS December 31, 2000 (Continued) In January 2000, the AGE Institute of Florida received a tax determination letter confirming its tax-exempt status. The Company understands from the AGE Institute of Florida that it is continuing to pursue tax-exempt and other financing sources to refinance the first and second trust mortgages. If the AGE Institute of Florida is unable to refinance the $40.0 million first trust loan, or is otherwise unable to reach acceptable extension terms with the senior lender, the senior lender may take actions to recover its investment in such first trust loan. The Company has no control over the actions of the senior lender and such actions could be unfavorable to the Company. Management of the Company has determined, based on a decrease in the underlying cash flows generated during 2000 by the properties securing the note, that the value of the underlying collateral is not sufficient to satisfy the borrower's obligation under the note. As a result, a bad debt allowance of $7.8 million was recorded by the Company during 2000. 2. Summary of Significant Accounting Policies Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and 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. Actual results could vary from those estimates. Cash and Cash Equivalents The Company considers all short-term, highly liquid investments that are readily convertible to cash and have an original maturity of three months or less at the time of purchase to be cash equivalents. Notes Receivable Notes receivable are recorded at cost, less any related allowance for losses. Management, considering current information and events regarding the borrowers' ability to repay their obligations, considers a note to be impaired when it is probable that the Company will be unable to collect all amounts due according to the contractual terms of the note agreement. When a loan is considered to be impaired, the amount of the impairment is measured based on the S-19 ET CAPITAL CORP. NOTES TO FINANCIAL STATEMENTS December 31, 2000 (Continued) present value of expected future cash flows discounted at the note's effective interest rate. It is the Company's policy that impairment losses are included in the allowance for doubtful accounts through a charge to bad debt expense. It is also the Company's policy that impairment losses are included in the allowance for credit losses through a charge to bad debt expense. It is also the Company's policy to account for cash receipts for interest as interest revenue and to perform impairment reviews as needed. Interest income on unimpaired notes receivable is recognized as earned based on the contractual terms of the notes. Income Taxes Income taxes are accounted for using the asset and liability method, whereby deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. A valuation allowance is established if, based on the weight of available evidence, it is more likely than not that some portion, or all, of the deferred tax assets will not be realized. The effect on deferred tax assets of a change in tax rates is recognized in income in the period that includes the enactment date. The Corporation has made estimated federal income tax payments during 2000. In connection with the Company's net loss incurred for the year ended December 31, 2000, the Company has recorded a deferred tax asset of $270,000 during 2000, which represents federal taxes paid by the Company from its inception date, which are recoverable. 3. Concentration of Risk At December 31, 2000, the Company's revenue producing assets consisted primarily of notes receivable from subsidiaries of ElderTrust. These subsidiaries own assisted living facilities that are leased to equity investees of Genesis. On June 22, 2000, Genesis filed for protection under Chapter 11 of the U.S. Bankruptcy Code. Any failure on the part of Genesis to make its required lease payments could significantly and adversely impact payments to the Company for interest under the notes, and its ability to meet its debt obligations. If Genesis were to cease making lease payments to ElderTrust's subsidiaries, the subsidiaries may be required to terminate the underlying leases. ElderTrust would likely be required to find new operators to operate S-20 ET CAPITAL CORP. NOTES TO FINANCIAL STATEMENTS December 31, 2000 (Continued) the properties underlying the leases and/or sell one or more properties. ElderTrust's management has contacted several alternative operators and, based on these preliminary discussions, believes that an adequate market currently exists in which ElderTrust could arrange for property management, leasing or sale of these assets, and that the properties could be successfully transitioned to new operators. Based on the discussions with these operators and ElderTrust's management, the Company's management believes that a property could be transitioned to a new operator without undue delay and that, due to the elderly resident population and care requirements this population requires, such transition would be completed in an orderly fashion and with the cooperation of the operators and the appropriate regulatory authorities, if any. Some of the operators contacted by ElderTrust have indicated that they have experience in transitioning skilled nursing facilities to new management and that they have the staffing needed to transition such facilities. ElderTrust and the Company would expect to rely upon that experience to effect an orderly transition should Genesis fail to emerge from bankruptcy and/or cease making lease payments to us. Accordingly, the Company believes that ElderTrust's subsidiaries will be able to comply with the payment terms of the notes receivable. 4. Notes Receivable from Related Parties As of December 31, 2000, the Company's notes receivable consisted of the following (in thousands): ET Sub-Cleveland Circle, LLC $ 953 ET Sub-Cabot Park, LLC 2,386 ET Sub-Vernon Court, LLC 1,015 --------- Total $ 4,354 ========= These notes mature at various dates between April 2008 and December 2011 and bear interest at 14% per annum with interest and principal payable monthly. 5. Notes Payable The Company's long-term debt includes two demand promissory notes payable to the Operating Partnership aggregating $5.9 million at December 31, 2000, obtained in connection with the AGE Institute of Florida transaction. These notes bear interest at a weighted average of 12.1% per annum with interest only payable quarterly. The Company ceased making interest payments to the Operating Partnership during the quarter ended June 30, 2000. Interest expense related to these notes for the year ended December 31, 2000 was $178,000. The Company believes, taking into consideration discussions with management of the Operating Partnership, that the Operating Partnership will not pursue collection or take any action that would be adverse to the operations of the Company. S-21 ET CAPITAL CORP. NOTES TO FINANCIAL STATEMENTS December 31, 2000 (Continued) Additionally, the Company has three unsecured demand promissory notes payable to the Operating Partnership at December 31, 2000, which aggregate to $3.3 million. These notes bear interest at an annual rate of 15% and mature at various dates from April 2008 through December 2011. Interest expense related to these notes for the year ended December 31, 2000 was $548,000. 6. Disclosure About Fair Value of Financial Instruments Based on the Company's assessment of the estimated fair value of the facilities securing the second trust mortgage loan, the Company believes that the $7.8 million second trust mortgage loan has become fully impaired. The Company recorded a provision for bad debts of $7.8 million for the second trust mortgage note in June 2000. Additionally, the Company believes that the fair value of the $5.9 million note payable is negligible. This assessment is based on the Company's default under the note, and the non-performance of the AGE Institute of Florida note. The estimated fair values of the Company's other notes receivable and payable approximate their carrying value as of December 31, 2000. 7. Related Party Transactions Mr. McCreary acquired the controlling interest in the Company during 1999. As a result, Mr. D. Lee McCreary owns all of the voting interest in the Company, representing a 5% equity interest. Mr. McCreary received cash distributions of $5,900 during 2000. During 2000, the Company paid management fees of $24,000 to the Operating Partnership for administrative services provided to the Company. S-22 ET CAPITAL CORP. NOTES TO FINANCIAL STATEMENTS December 31, 2000 (Continued) 8. Earnings Per Share The following table sets forth the computation of basic and diluted earnings per share (in thousands, except per share data) Net income (loss) available for basic and diluted earnings per share ($7,587) ========== Shares for basic and diluted net earnings per share 1,000 ========== Basic and diluted net income (loss) per share ($7,587) ========== S-23 ET SUB-MERIDIAN LIMITED PARTNERSHIP, L.L.P. SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2000 (dollars in thousands) Initial Cost to Gross Amount at Which Carried Company Cost at Close of Period ----------------------- Capitalized ------------------------------------------------ Buildings Subsequent Buildings and to and Accum. Description Encumbrances Land Improvements Acquisition Land Improvements Total(1) Deprec.(2) - ------------------------------------------------------------------------------------------------------------------------- Skilled Nursing Facilities: La Plata, MD $ 9,208 $ 1,306 $ 11,751 $ 4 $ 1,306 $ 11,755 $ 13,061 $ 963 Voorhees, NJ 12,173 1,745 15,699 6 1,745 15,705 17,450 1,286 Centerville, MD 10,033 1,424 12,809 5 1,424 12,814 14,238 1,049 Dundalk, MD 13,484 1,916 17,241 6 1,916 17,247 19,163 1,412 Towson, MD 3,883 546 4,912 2 546 4,914 5,460 402 Severna Park, MD 12,958 1,841 16,567 6 1,841 16,573 18,414 1,357 Westfield, NJ 16,484 2,345 21,092 8 2,345 21,100 23,445 1,728 ------------------------------------------------ --------------------------------- -------- Grand Total $78,223 $11,123 $100,071 $37 $11,123 $100,108 $111,231 $8,197 ================================================ ================================= ======== [RESTUB] Orig. Construct. / Date Description Renovation Date Acquired - --------------------------------------------------------- Skilled Nursing Facilities: La Plata, MD 1983 Sep-98 Voorhees, NJ 1986/1988 Sep-98 Centerville, MD 1977/1983/1991 Sep-98 Dundalk, MD 1981 Sep-98 Towson, MD 1972-1973 Sep-98 Severna Park, MD 1982 Sep-98 Westfield, NJ 1970/1980/1994 Sep-98 Grand Total (1) The aggregate cost for Federal income tax purposes is $3,177. (2) Depreciation expense is calculated using a 28.5 year composite life for buildings. The following represents a rollforward of the balance of leased properties under capital lease and related amortization from January 1, 1999 to December 31, 2000: Accumulated Cost Basis Amortization ---------------- ------------------- Balance at January 1, 1999 $ 111,194 $ 1,170 Additions during period: Acquisitions 37 3,514 Improvements - - --------- ------- Balance at December 31, 1999 111,231 4,684 --------- ------- Additions during period: Acquisitions - 3,513 Improvements - - --------- ------- Balance at December 31, 2000 $ 111,231 $ 8,197 ========= ======= S-24 ELDERTRUST SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2000 (dollars in thousands) Initial Cost to Gross Amount at Which Carried at Company Cost Close of Period ----------------------- Capitalized ----------------------------------------------- Buildings Subsequent Buildings and to and Accum. Description Encumbrances Land Improvements Acquisition Land Improvements Total(1) Deprec.(2) - ------------------------------------------------------------------------------------------------------------------------- Assisted Living Facilities: Agawam, MA $ - (3) $1,249 $11,243 $ - $1,249 $11,243 $12,492 $1,151 Clark's Summit, PA - (3) 645 5,802 18 645 5,820 6,465 596 Wilkes-Barre, PA 2,724 662 5,932 - 654 5,932 6,586 572 Paoli, PA 9,680 1,128 10,079 - 1,152 10,287 11,439 1,053 North Andover, MA 8,770 1,194 10,729 3 1,194 10,732 11,926 785 Newton, MA 13,964 1,793 16,091 5 1,793 16,096 17,889 1,177 ------------- -------------------------------- ----------------------------------- --------- Subtotal 35,138 6,671 59,876 26 6,687 60,110 66,797 5,334 ------------- -------------------------------- ----------------------------------- --------- Independent Living Facility: Concord, NH 3,900 407 3,667 - 407 3,667 4,074 375 Skilled Nursing Facilities: Philadelphia, PA - (3) 985 8,821 - 985 8,820 9,805 903 Lopatcong, NJ 10,500 1,490 13,406 - 1,490 13,406 14,896 1,372 Phillipsburg, NJ - 679 6,110 10 230 2,070 2,300 - Wayne, PA 4,600 662 5,921 1,761 662 7,682 8,344 678 Chester, PA 18,975 (4) 1,187 10,670 - 1,187 10,670 11,857 1,092 Philadelphia, PA - (4) 1,230 11,074 - 1,230 11,074 12,304 1,133 Flourtown, PA 14,900 (5) 784 7,052 - 784 7,100 7,884 722 Pennsburg, PA - (5) 1,091 9,813 - 1,091 9,813 10,904 1,005 ------------- -------------------------------- ----------------------------------- --------- Subtotal 48,975 8,108 72,867 1,771 7,659 70,635 78,294 6,905 ------------- -------------------------------- ----------------------------------- --------- Medical Office and Other Buildings: Upland, PA 2,585 - 4,383 72 - 4,488 4,488 454 Drexel Hill, PA 5,865 - 8,132 26 - 8,211 8,211 834 Salisbury, MD 1,050 135 1,212 - 135 1,265 1,400 125 Forked River, NJ 494 62 563 - 62 563 625 58 ------------ -------------------------------- ----------------------------------- --------- Subtotal 9,994 197 14,290 98 197 14,527 14,724 1,471 ------------ -------------------------------- ----------------------------------- --------- ------------ -------------------------------- ----------------------------------- --------- Total Operating $98,007 $15,383 $150,700 $1,895 $14,950 $148,939 $163,889 $14,085 ============ ================================ =================================== ========= [RESTUB] Orig. Construct. / Date Description Renovation Date Acquired - -------------------------------------------------------- Assisted Living Facilities: Agawam, MA 1997 Jan-98 Clark's Summit, PA 1996 Jan-98 Wilkes-Barre, PA 1993 Mar-98 Paoli, PA 1995 Jan-98 North Andover, MA 1995 Dec-98 Newton, MA 1905/1995 Dec-98 Subtotal Independent Living Facility: Concord, NH 1926 Jan-98 Skilled Nursing Facilities: Philadelphia, PA 1930/1993/2000 Jan-98 Lopatcong, NJ 1984/1992 Jan-98 Phillipsburg, NJ 1930/1993 Jan-98 Wayne, PA 1920/1999 Jan-98 Chester, PA 1960/1983 Jan-98 Philadelphia, PA 1973 Jan-98 Flourtown, PA 1977/1991 Jan-98 Pennsburg, PA 1982 Jan-98 Subtotal Medical Office and Other Buildings Upland, PA 1977 Jan-98 Drexel Hill, PA 1984/1997 Feb-98 Salisbury, MD 1984 Jan-98 Forked River, NJ 1996 Jan-98 Subtotal Total Operating (1) The aggregate cost for Federal income tax purposes is $157,069. (2) Depreciation expense is calculated using a 28.5 year composite life for both building and equipment. (3) Encumbered by the Credit Facility in the aggregate amount of $38.7 million. (4) This is a single note which covers both properties. (5) This is a single note which covers both properties. S-25 ELDERTRUST SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2000 (continued) (dollars in thousands) Initial Cost to Gross Amount at Which Carried at Company Cost Close of Period ----------------------- Capitalized ----------------------------------------------- Buildings Subsequent Buildings and to and Accum. Description Encumbrances Land Improvements Acquisition Land Improvements Total(1) Deprec.(2) - -------------------------------------------------------------------------------------------------------------------------- Properties held for sale: Assisted Living Facilities: Kimberton, PA $9,945 $1,239 $10,834 $1 $1,261 $10,013 $11,274 $1,130 Medical Office and Other Buildings: Windsor, CT - (3) - 1,481 - - 1,120 1,120 142 Windsor, CT - (3) 33 295 - 33 239 272 29 ------------ -------------------------------- ----------------------------------- --------- Subtotal - 33 1,776 - 33 1,359 1,392 171 ------------ -------------------------------- ----------------------------------- --------- ------------ -------------------------------- ----------------------------------- --------- Total assets held for sale $9,945 $1,272 $12,610 $1 $1,294 $11,372 $12,666 $1,301 ============ ================================ =================================== ========= [RESTUB] Orig. Construct. / Date Description Renovation Date Acquired - -------------------------------------------------------- Properties held for Sale: Assisted Living Facilities: Kimberton, PA 1996 Jan-98 Medical Office and Other Buildings: Windsor, CT 1996 Jan-98 Windsor, CT 1934/1965 Jan-98 Subtotal (1) The aggregate cost for Federal income tax purposes is $16,880. (2) No depreciation expense has been recorded during the period these assets have been held for disposal. (3) Encumbered by the Credit Facility in the aggregate amount of $38.7 million. S-26 ELDERTRUST SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION December 31, 2000 (continued) (dollars in thousands) The following represents a rollforward of the balance of real estate properties and related accumulated depreciation from January 1, 1998 to December 31, 2000 excluding assets held for sale: Accumulated Cost Basis Depreciation ------------------- ---------------------- Balance at January 1, 1998 $ - $ - Additions during period Acquisitions 180,426 4,442 Improvements 147 2 ---------- -------- Balance at December 31, 1998 180,573 4,444 Additions during period Acquisitions - 5,723 Improvements 1,288 13 --------- -------- Balance at December 31, 1999 $ 181,861 $10,180 --------- -------- Additions during period Acquisitions - - Assets held for sale written down to fair value (5,932) (626) Assets held for sale reclassed on balance sheet (12,666) (1,301) Improvements 626 5,832 --------- -------- Balance at December 31, 2000 (1) $ 163,889 $14,085 ========= ======== (1) Balance does not reflect assets held for sale. Assets held for sale are disclosed separately on the Balance Sheet. S-27 ELDERTRUST SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE December 31, 2000 (dollars in thousands) Final Periodic Number of Interest Maturity Payment Face Amount Description Beds Rate Date Term Prior Liens of Mortgages - ----------------------------------------------------------------------------------------------------------------------------- Term Loans - Assisted Living Facilities: Melbourne, FL 92 10.0% 5/2002 (3) None $4,828 Shillington, PA 57 9.50% 6/2002 (2) None 5,164 Ormond Beach, FL 60 9.50% 6/2002 (2) None 4,577 Macungie, PA 70 10.50% 6/2002 (2) None 6,665 Reading, PA 64 10.50% 6/2002 (2) None 6,269 ---- ------- Subtotal 343 27,503 ---- ------- Construction Loans - Assisted Living Facilities: Wyncote, PA 52 9.00% 6/2002 (2) None 5,380 Wilmington, DE 92 10.50% 8/2000 (2) None 9,500 Pottstown, PA 75 10.50% 1/2001 (2) None 6,511 ---- ------- Subtotal 219 21,391 ---- ------- Grand Total 562 $48,894 ==== ======= [RESTUB] Carrying Amount Loans Subject to of Mortgages at Delinquent Principal Description December 31, 2000(1) or Interest - ------------------------------------------------------------------------------------ Term Loans - Assisted Living Facilities: Melbourne, FL $4,828 (6) Shillington, PA 5,164 (5) Ormond Beach, FL 4,538 (5) Macungie, PA 4,200 (5) Reading, PA 4,700 (5) ------- Subtotal 23,430 ------- Construction Loans - Assisted Living Facilities: Wyncote, PA 5,033 (5) Wilmington, DE 9,496 (4) Pottstown, PA 3,600 (5) ------- Subtotal 18,129 ------- Grand Total $41,559 ======= (1) The aggregate cost for Federal income tax purposes is $41,559. (2) Interest only payable to maturity date. (3) Interest only payable to maturity date. Principal payments will be made monthly to the extent of one half of excess cash, if any, after payment of operating expenses, management fee, interest and an amount to be agreed upon by the parties for capital expenditures. Principal payments will become effective upon closing of bankruptcy proceedings, which were consummated on January 31, 2001. (4) Loan is currently in default status. The original maturity date was August 1, 2000. Borrower is currently seeking financing to pay off loan. Loan is subject to a default interest rate of 3% payable each month, the loan is not settled. Borrower is currently paying interest at the stated interest rate of 10.5%, as provided in the loan agreement. (5) Loans are currently in default at December 31, 2000. On June 22, 2000 Genesis and the Multicare companies, the borrowers under these loans, filed for protection under Chapter 11 of the United States Bankruptcy Code. The Company, Genesis and Multicare were able to negotiate agreements, which were approved by the bankruptcy court on January 4, 2001 and were consummated on January 31, 2001, which cured all defaults on the loans. See "Genesis and Multicare Chapter 11 Bankruptcy Filing; Lease and Loan Restructuring" and "Debt Restructuring and Related Matters." (6) Loan is currently in default at December 31, 2000. Under the master agreement between Genesis Health Ventures and ElderTrust as executed on January 31, 2001, all defaults resulting solely from the filing of the bankruptcy proceedings by Genesis as guarantor of the Harbor Place loan shall be waived. See "Genesis and Multicare Chapter 11 Bankruptcy Filing; Lease and Loan Restructuring" and "Debt Restructuring and Related Matters." Mortgage loan activity for the years ended December 31, 2000, 1999 and the period from January 30, 1998 through December 31, 1998 is as follows: 2000 1999 1998 ------------ ------------- ------------- Balance, beginning of year $ 48,646 $ 47,899 $ - Additions during the period: New mortgage loans - 5,095 50,213 Deductions during the period: Collections of principal - (4,348) (2,314) Other (refinancing agreement)(7) (7,087) --------- --------- --------- Balance, end of year $ 41,559 $ 48,646 $ 47,899 ========= ========= ========= (7) Adjustment to mortgage amounts due to negotiation with Genesis due to its bankruptcy proceedings. S-28