10-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K

x ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the fiscal year ended December 31, 2015

OR

o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission file number:  000-54685

CNL Healthcare Properties, Inc.

(Exact name of registrant as specified in its charter)

Maryland	27-2876363
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)
CNL Center at City Commons
450 South Orange Avenue Orlando, Florida	32801
(Address of principal executive offices)	(Zip Code)

Registrant’s telephone number, including area code (407) 650-1000

Securities registered pursuant to Section 12(b) of the Act:

Title of each class	Name of each exchange on which registered
None	Not applicable

Securities registered pursuant to Section 12(g) of the Act: Common Stock, $0.01 par value per share

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.    Yes o    No x

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.    Yes o    No x

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 o

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes x    No o

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 to this Form 10-K. x

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer	o	Accelerated filer	o
Non-accelerated filer	x  (Do not check if a smaller reporting company)	Smaller reporting company	o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes o    No x

There is currently no established public market for the registrant’s shares of common stock.  Based on the $10.58 offering price of the shares in effect on June 30, 2015 (the last business day of the registrant’s most recently completed second fiscal quarter), the aggregate market value of the stock held by non-affiliates of the registrant on such date was $1.6 billion.

The number of shares of common stock of the registrant outstanding as of March 3, 2016 was 174,430,100.

DOCUMENTS INCORPORATED BY REFERENCE

Registrant incorporates by reference portions of the CNL Healthcare Properties, Inc.

Definitive Proxy Statement for the 2016 Annual Meeting of Stockholders

(Items 10, 11, 12, 13 and 14 of Part III) to be filed no later than

April 30, 2016.

Contents

			Page
Part I.			3
		Statement Regarding Forward Looking Information	3
	Item 1.	Business	4
	Item 1A.	Risk Factors	30
	Item 1B.	Unresolved Staff Comments	61
	Item 2.	Properties	62
	Item 3.	Legal Proceedings	69
	Item 4.	Mine Safety Disclosures	69
Part II.			70
	Item 5.	Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities	70
	Item 6.	Selected Financial Data	74
	Item 7.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	76
	Item 7A.	Quantitative and Qualitative Disclosures About Market Risk	98
	Item 8.	Financial Statements and Supplementary Data	100
	Item 9.	Changes in and Disagreements With Accountants on Accounting and Financial Disclosure	152
	Item 9A.	Controls and Procedures	152
	Item 9B.	Other Information	152
Part III.			153
	Item 10.	Directors, Executive Officers and Corporate Governance	153
	Item 11.	Executive Compensation	153
	Item 12.	Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters	153
	Item 13.	Certain Relationships and Related Transactions, and Director Independent	153
	Item 14.	Principal Accountant Fees and Services	153
Part IV.
	Item 15.	Exhibits and Financial Statement Schedules	154
Signatures			162
Schedule II—Valuation and Qualifying Accounts			164
Schedule III—Real Estate and Accumulated Depreciation			165
Schedule IV—Mortgage Loans on Real Estate			173

PART I

STATEMENT REGARDING FORWARD LOOKING INFORMATION

Statements contained under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in this Annual Report on Form 10-K for the fiscal year ended December 31, 2015 (this “Annual Report”) that are not statements of historical or current fact may constitute “forward-looking statements” within the meaning of the Federal Private Securities Litigation Reform Act of 1995.  The Company intends that such forward-looking statements be subject to the safe harbor created by Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”).  Forward-looking statements are statements that do not relate strictly to historical or current facts, but reflect management’s current understandings, intentions, beliefs, plans, expectations, assumptions and/or predictions regarding the future of the Company’s business and its performance, the economy, and other future conditions and forecasts of future events and circumstances.  Forward-looking statements are typically identified by words such as “believes,” “expects,” “anticipates,” “intends,” “estimates,” “plans,” “continues,” “pro forma,” “may,” “will,” “seeks,” “should,” “could” and words and terms of similar substance in connection with discussions of future operating or financial performance, business strategy and portfolios, projected growth prospects, cash flows, costs and financing needs, legal proceedings, amount and timing of anticipated future distributions, estimates of per share net asset value of the Company’s common stock, and/or other matters.  The Company’s forward-looking statements are not guarantees of future performance.  While the Company’s management believes its forward-looking statements are reasonable, such statements are inherently susceptible to uncertainty and changes in circumstances.  As with any projection or forecast, forward-looking statements are necessarily dependent on assumptions, data and/or methods that may be incorrect or imprecise, and may not be realized.  The Company’s forward-looking statements are based on management’s current expectations and a variety of risks, uncertainties and other factors, many of which are beyond the Company’s ability to control or accurately predict.  Although the Company believes that the expectations reflected in such forward-looking statements are based upon reasonable assumptions, the Company’s actual results could differ materially from those set forth in the forward-looking statements due to a variety of risks, uncertainties and other factors.  Given these uncertainties, the Company cautions you not to place undue reliance on such statements.

For further information regarding risks and uncertainties associated with the Company’s business, and important factors that could cause the Company’s actual results to vary materially from those expressed or implied in its forward-looking statements, please refer to the factors listed and described under “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the “Risk Factors” sections of the Company’s  documents filed from time to time with the U.S. Securities and Exchange Commission, including, but not limited to, this Annual Report and the Company’s quarterly reports on Form 10-Q, copies of which may be obtained from the Company’s website at www.cnlhealthcareproperties.com.

All written and oral forward-looking statements attributable to the Company or persons acting on its behalf are qualified in their entirety by this cautionary note.  Forward-looking statements speak only as of the date on which they are made, and the Company undertakes no obligation to, and expressly disclaims any obligation to, publicly release the results of any revisions to its forward-looking statements to reflect new information, changed assumptions, the occurrence of unanticipated subsequent events or circumstances, or changes to future operating results over time, except as otherwise required by law.

3

Item 1. BUSINESS 

General

CNL Healthcare Properties, Inc. is a Maryland corporation incorporated on June 8, 2010 that qualified as a real estate investment trust (“REIT”) beginning with the year ended December 31, 2012 for United States (“U.S.”) federal income tax purposes. The terms “us,” “we,” “our,” “Company” and “CNL Healthcare Properties” include CNL Healthcare Properties, Inc. and each of its subsidiaries.

We are externally managed and advised by CNL Healthcare Corp. (“Advisor”).  Our Advisor is responsible for managing our day-to-day affairs and for identifying and making acquisitions and investments on our behalf. We have also retained CNL Healthcare Manager Corp. (“Property Manager”) to manage our properties under a six year property management agreement, the term of which expires on June 8, 2017.

We had no operations prior to the commencement of our initial public offering on June 27, 2011 (“Initial Offering”).  The net proceeds from our public offerings were contributed to CHP Partners, LP (“Operating Partnership”), in exchange for partnership interests.  Substantially all of our assets are held by, and all operations are conducted, either directly or indirectly, through: (1) the Operating Partnership in which we are the sole limited partner and our wholly owned subsidiary, CHP GP, LLC, is the sole general partner; (2) a wholly owned taxable REIT subsidiary (“TRS”), CHP TRS Holding, Inc.; (3) property owner subsidiaries and lender subsidiaries, which are single purpose entities; and (4) investments in joint ventures.

Our offices are located at 450 South Orange Avenue within the CNL Center at City Commons in Orlando, Florida, 32801, and our telephone number is (407) 650-1000.

Investment Objectives and Strategy

Our primary investment objectives have been to invest in a diversified portfolio of assets that will allow us to:

· provide stockholders with attractive and stable cash distributions;

· preserve, protect and grow stockholders’ invested capital; and

· explore liquidity opportunities in the future, such as the sale of either the Company or our assets, potential merger, or the listing of our common shares on a national securities exchange.

There can be no assurance that we will be able to achieve our investment objectives.

With the completion of our public offerings, our Advisor is focused on actively managing our diversified portfolio of healthcare real estate and real estate-related assets within the seniors housing, medical office, post-acute care and acute care asset classes.  The types of seniors housing properties that we have acquired include independent and assisted living facilities, continuing care retirement communities, and Alzheimer’s / memory care facilities.  The types of medical office facilities that we have acquired include medical office buildings, specialty medical and diagnostic service facilities, surgery centers, outpatient rehabilitation facilities, and other facilities designed for clinical services. The types of post-acute care facilities that we have acquired include skilled nursing facilities and inpatient rehabilitative facilities.  The types of acute care facilities that we have acquired include general acute care hospitals and specialty surgical hospitals.  We view, manage and evaluate our portfolio homogeneously as one collection of healthcare assets with a common goal of maximizing revenues and property income regardless of the asset class or asset type.

We have primarily leased our seniors housing properties to wholly owned TRS entities and engaged independent third-party managers under management agreements to operate the properties as permitted under the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”).  We have also leased certain of our seniors housing properties to third-party tenants under triple-net or similar lease structures, where the tenant bears all or substantially all of the costs (including cost increases for real estate taxes, utilities, insurance and ordinary repairs).  Medical office, post-acute care and acute care properties have been leased on a triple-net, net or modified gross basis to third-party tenants.  In addition, most of our investments are wholly owned, although, we have invested through partnerships with other entities where we believe it is appropriate and beneficial.   We have and will continue to invest in new property developments or properties which have not reached full stabilization.

4

Portfolio Overview

We believe recent demographic trends and compelling supply and demand indicators present a strong case for an investment focus on healthcare real estate and real estate-related assets. We believe that the healthcare sector will continue to provide attractive opportunities as compared to other asset sectors over the long-term.  Our healthcare investment portfolio is geographically diversified with properties in 33 states. The map below shows our current property allocations across geographic regions as of March 3, 2016:

As of March 3, 2016, our healthcare investment portfolio consisted of interests in 144 properties, including 74 seniors housing communities, 54 medical office buildings (“MOB”), 11 post-acute care facilities and five acute care hospitals.  Of our properties held at March 3, 2016, eight of our 74 seniors housing communities currently have real estate under development or current expansion projects and five were owned through an unconsolidated joint venture. One of our 11 post-acute care facilities currently has real estate under development. The following table summarizes our healthcare portfolio by asset class and investment structure as of March 3, 2016:

			Amount of		Percentage
Type of Investment	Number of Investments		Investments (in millions)		of Total Investments
Consolidated investments:
Seniors housing leased (1)		15	$	327.7		11.4	%
Seniors housing managed (2)		48		1,221.2		42.5	%
Seniors housing developments (3)		6		59.0		2.1	%
Seniors housing expansion projects (3)		(4)		0.3		0.0	%
Medical office leased (1)		54		929.9		32.4	%
Post-acute care leased (1)		10		148.0		5.1	%
Post-acute care development (3)		1		3.2		0.1	%
Acute care leased (1)		5		153.9		5.3	%
Unconsolidated investments:
Seniors housing managed (5)		5		31.1		1.1	%
		144	$	2,874.3		100.0	%

FOOTNOTES:

(1) Properties that are leased to third-party tenants for which we report rental income from operating leases.

(2) Properties that are leased to TRS entities and managed pursuant to third-party management contracts (i.e. RIDEA structure) where we report resident fees and services, and the corresponding property operating expenses.

(3) Investments herein represent funded and accrued development costs as of December 31, 2015.

(4) Investments herein relate to expansion projects whose property counts are included in seniors housing managed.

(5) Properties that are owned through an unconsolidated joint venture and are leased to TRS entities and managed pursuant to third-party management contracts (i.e. RIDEA structure).  The joint venture is accounted for using the equity method.

5

Portfolio Evaluation

We monitor the performance of our tenants and third-party operators to stay abreast of any material changes in the operations of the underlying properties by (1) reviewing the current, historical and prospective operating margins (measured by a tenant’s earnings before interest, taxes, depreciation, amortization and facility rent), (2) monitoring trends in the source of our tenants’ revenue, including the relative mix of public payors (including Medicare, Medicaid, etc.) and private payors (including commercial insurance and private pay patients), (3) evaluating the effect of evolving healthcare legislation and other regulations on our tenants’ profitability and liquidity, and (4) reviewing the competition and demographics of the local and surrounding areas in which the tenants operate.

In addition to operating statistics of the underlying properties, when evaluating the performance of our healthcare portfolio within the seniors housing and post-acute care asset classes, management reviews occupancy levels and monthly revenue per occupied unit (“RevPOU”), which we define as total revenue divided by average number of occupied units or beds during a month and is considered a performance metric within these asset classes.  Similarly, within the medical office and acute care asset classes, management reviews operating statistics of the underlying properties, including occupancy levels and monthly rent per square foot.  Lastly, when evaluating the performance of our third-party operators or developers, management reviews monthly financial statements, property-level operating performance versus budgeted expectations, conducts periodic operational review calls with operators and conducts periodic property inspections or site visits.  All of the aforementioned metrics assist us in determining the ability of our properties or operators to achieve market rental rates, to assess the overall performance of our diversified healthcare portfolio, and to review compliance with leases, debt, licensure, real estate taxes, and other collateral.

Furthermore, in our evaluation of the properties that we have purchased and any additional properties that we may purchase, we consider the operating stage of the investments within the following stages: development, value-add or stabilizing and stabilized.  Development properties are those in which we or our joint venture have purchased land for the development of new operating properties.  We typically hold rights as the owner or managing member of the development properties while a third-party or our joint venture partner manages the development, construction and certain day-to-day operations of the property subject to our oversight.  Stabilizing properties are either developed properties that have been fully constructed and in lease-up phase (typically 18 months post-construction) or existing (“value-add”) properties in which we expect to make capital investments to upgrade or expand.  A property is considered stabilized upon the earlier of (i) when the property reaches 85% occupancy for a trailing three month period, or (ii) a two year period from acquisition or completion of development.  For those assets that are above an 85% occupancy level and subsequently drop below 85%, they are reclassified to stabilizing until they hit the trailing three month 85% occupancy metric.

We have increased the level of our investment in new ground-up development and value-add or stabilizing properties.  During the construction and lease-up phase, these types of investments are expected to generate limited cash flows from operations and may result in near term downward pressure on our results of operations and net asset valuation.  However, we believe that investing a portion of our capital into these types of properties is beneficial because they are expected to provide a higher yield on cost and higher net asset valuations in the long-term as compared to stabilized acquisitions.  Additionally, these types of assets will result in our portfolio having a lower average age, which we believe will enhance our overall market value over the long-term.

Based on revenues as of December 31, 2015, the Company’s portfolio is comprised of 77.7% stabilized properties, of which 3.0% are completed developments that have stabilized but are still in the lease-up phase and 22.3% value-add or stabilizing properties, of which 0.7% are recently completed developments that are currently stabilizing and in the lease-up phase.

6

The following table lists the occupancy, RevPOU and rent per square feet of our 132 consolidated operating properties by asset class as of December 31, 2015:

Operating Stage	Occupancy %			RevPOU		Rent per Square Feet
Value-add or Stabilizing:
Seniors Housing		81.0	%	$	3,632	$	—
Medical Office		79.6	%	$	—	$	2.83
Acute Care (1)		0.0	%	$	—	$	—
Stabilized:
Seniors Housing		90.7	%	$	4,594	$	—
Medical Office		95.4	%	$	—	$	2.76
Acute Care		100.0	%	$	—	$	3.72
Post-Acute Care (2)		99.9	%	$	6,801	$	2.73

FOOTNOTES:

(1) This represents a single specialty hospital which was vacant until January 2016. Refer to Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Tenant Workouts” for more information.

(2) Post-acute care is comprised of skilled nursing facilities, which are evaluated based on RevPOU, and inpatient rehab hospitals, which are evaluated based on rent per square feet.

7

Real Estate Under Development

As of March 3, 2016, we had interests in seven properties under development and two properties with expansion projects that will provide us with 890 additional units upon completion as follows:

Property Name(and Location)	Developer	Number of Units Upon Completion	Development Costs Incurred (in millions) (1)		Remaining Development Budget (in millions)(2)		Maximum Construction Loans (in millions)		Estimated Completion Date
Developments
Raider Ranch (Lubbock, TX)	South Bay Partners, Ltd	72 units	$	9.9	$	2.3	$	2.2	1st quarter 2016
Watercrest at Katy (Katy, TX) (3)	South Bay Partners, Ltd	210 units		26.6		16.2		16.1	3rd quarter 2016
Welbrook Senior Living Grand Junction (Grand Junction, CO)	Embree Asset Group, Inc.	50 units		3.2		10.7		—	4th quarter 2016
Waterstone (Greenville, SC)	The Balance Group, Inc.	114 units		7.2		21.3		18.9	1st quarter 2017
Wellmore of Lexington (Lexington, SC)	Maxwell Group, Inc.	212 units		8.7		46.3		35.7	2nd quarter 2017
Dogwood Forest of Grayson (Grayson, GA)	Solomon Development Services, LLC	99 units		4.0		23.0		16.4	3rd quarter 2017
Fieldstone at Pear Orchard (Yakima, WA) (4)	Cascadia Development, LLC	75 units		2.6		13.1		10.9	4th quarter 2017
Expansion Projects
Tranquillity at Fredericktowne (Frederick, MD)	Capital Health Partners	32 units		0.2		5.6		—	1st quarter 2017
Brookridge Heights Assisted Living & Memory Care (Marquette, MI)	Capital Health Partners	26 units		0.1		4.7		—	2nd quarter 2017
	Total	890 units	$	62.5	$	143.2	$	100.2

FOOTNOTES:

(1) This amount represents land and total capitalized costs for GAAP purposes for the acquisition, development and construction of these properties as of December 31, 2015.  Amounts include investment services fees, asset management fees, interest expense and other costs capitalized during the development period.

(2) This amount includes preleasing and marketing costs which will be expensed as incurred.

(3) This property is owned through a joint venture in which the Company’s initial ownership interest is 95%.

(4) This property is owned through a joint venture in which the Company’s initial ownership interest is 75%.

The development budgets include the cost of the land, construction costs, development fees, financing costs, start-up costs and initial operating deficits of the respective properties.  Generally, an affiliate of the developer of the respective community coordinates and supervises the management and administration of the development and construction.  Each developer is responsible for any cost overruns beyond the approved development budget for the applicable project.

8

Significant Tenants and Operators

Our real estate portfolio is operated by a mix of national or regional operators and the following represent the significant tenants and operators that lease or manage 5% or more of our rentable space as of December 31, 2015:

Tenants	Number of Properties		Rentable Square Feet (in thousands)		Percentage of Rentable Square Feet			Lease Expiration Year
TSMM Management, LLC		13		1,261		22.9	%	2022-2025
Parc Communities, LLC		2		385		7.0	%	2017
Novant Medical Group, Inc.		5		276		5.0	%	2018-2025
Other tenants (1)		64		3,582		65.1	%	2016-2033
		84		5,504		100.0	%

Operators	Number of Properties		Rentable Square Feet (in thousands)		Percentage of Rentable Square Feet			Operator Expiration Year
Integrated Senior Living, LLC		5		1,319		24.7	%	2019
Prestige Senior Living, LLC		13		895		16.8	%	2019
MorningStar Senior Management, LLC		4		834		15.6	%	2018-2019
Other operators (1)		26		2,285		42.9	%	2017-2025
		48		5,333		100.0	%

FOOTNOTE:

(1) Comprised of various tenants or operators each of which comprise less than 5% of our rentable square footage.

While we are not directly impacted by the performance of the underlying properties leased to third-party tenants, we believe that the financial and operational performance of our tenants provides an indication about the health of our tenants and their ability to pay rent. To the extent that our tenants, managers or joint venture partners experience operating difficulties and become unable to generate sufficient cash to make rent payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. Our tenants and managers are contractually required to provide this information to us in accordance with their respective lease, management and joint venture agreements. Therefore, in order to mitigate the aforementioned risk, we monitor our investments through a variety of methods determined by the type of property.

We monitor the credit of our tenants to stay abreast of any material changes in quality. We monitor tenant credit quality by (1) reviewing financial statements that are publicly available or that are required to be delivered to us under the applicable lease, (2) direct interaction with onsite property managers, (3) monitoring news and rating agency reports regarding our tenants (or their parent companies) and their underlying businesses, (4) monitoring the timeliness of rent collections and (5) monitoring lease coverage.

Tenant Lease Expirations

As of December 31, 2015, we owned 84 properties that were leased to tenants on a triple-net, net or modified gross basis, and accounted for as operating leases.  During the year ended December 31, 2015, our rental revenues from operating leases represented approximately 33.6% of our total revenues.  As of December 31, 2015, approximately 68.5% of our rental revenues from operating leases were scheduled to expire in 2020 or later.  We do not expect lease turnover to have a significant impact on our cash flows from operations in the near term.

Our asset management team collaborates with existing tenants to understand their current and anticipated space needs in advance of their lease term renewal date.  As of December 31, 2015, approximately 31.5% of our rental revenues from operating leases were scheduled to expire through 2020.  We work with and begin lease-related negotiations well in advance of the lease expirations or renewal period options in order for us to maintain a balanced lease rollover schedule and high occupancy levels, as well as to enhance the value of our properties through extended lease terms.  Lease extensions are likely to create an obligation to pay lease commissions, lease incentives and/or tenant improvements and may also provide our tenants with some periods of reduced and/or “free rent.”  Although modifications to leases could adversely impact our cash flows from operations in the near term, we anticipate that any extensions of existing lease terms could increase the value of our properties.  Also, certain amendments or modifications to the terms of existing leases could require lender approval.

9

Under the terms of our triple-net lease agreements, each tenant is responsible for the payment of property taxes, general liability insurance, utilities, repairs and maintenance, including structural and roof expenses (“Triple-net Lease”). Each tenant is expected to pay real estate taxes directly to taxing authorities.  However, if the tenant does not pay, we will be liable.

Under the terms of our net, modified gross or similar lease agreements for multi-tenant properties with third-party property managers, each tenant is responsible for the payment of their proportionate share of property taxes, general liability insurance, utilities, repairs and common area maintenance (“Modified Lease”). These amounts are billed monthly and recorded as tenant reimbursement income in the accompanying consolidated statements of operations.

The following table lists, on an aggregate basis, scheduled expirations for the next 10 years ending December 31st and thereafter on our consolidated healthcare investment portfolio (excludes real estate under development), assuming that none of the tenants exercise any of their renewal options (in thousands, except for number of tenants and percentages) as of December 31, 2015:

Year of Expiration (1)	Number of Tenants		Expiring Leased Square Feet		Expiring Annualized Base Rents (2)		Percentage of Expiring Annual Base Rents
2016		65		225	$	5,616		5.1	%
2017		70		648		11,512		10.5	%
2018		99		410		10,504		9.5	%
2019		67		294		7,104		6.4	%
2020		54		321		7,542		6.9	%
2021		21		147		3,354		3.0	%
2022		22		1,019		14,748		13.4	%
2023		59		636		14,879		13.5	%
2024		8		239		5,669		5.2	%
2025		29		603		11,816		10.7	%
Thereafter		34		724		17,392		15.8	%
Total		528		5,266	$	110,136		100.0	%
Weighted Average Remaining Lease Term (in years): (3)   7.4

FOOTNOTES:

(1) Represents current lease expiration and does not take into consideration lease renewals available under existing leases at the option of the tenants.

(2) Represents the current base rent, excluding tenant reimbursements and the impact of future rent bumps included in leases, multiplied by 12 and included in the year of expiration.

(3) Weighted average remaining lease term is the average remaining term weighted by annualized current base rents.

Share Price Valuation

We have adopted a valuation policy designed to follow recommendations of the Investment Program Association (“IPA”), in the IPA Practice Guideline 2013-01, Valuations of Publicly Registered Non-Listed REITs, which was adopted by the IPA effective May 1, 2013 (“IPA Valuation Guideline”).  The purpose of our valuation policy is to establish guidelines to be followed in determining the net asset value per share of our common stock for regulatory and investor reporting and on-going evaluation of investment performance.  Net asset value (“NAV”) means the fair value of real estate, real estate-related investments and all other assets less the fair value of total liabilities.  Our NAV will be determined based on the fair value of our assets less liabilities under market conditions existing as of the time of valuation and assuming the allocation of the resulting net value among our stockholders after any adjustments for incentive, preferred or special interests, if applicable.

In accordance with our policy, the audit committee of our board of directors, comprised of our independent directors (“Valuation Committee”), oversees our valuation process and engages one or more third-party valuation advisors to assist in the process of determining the NAV per share of our common stock.

To assist our board of directors in its determination of the NAV per share of our common stock, our board of directors engaged an independent valuation firm, CBRE Capital Advisors, Inc. (“CBRE Cap”) to provide property-level and aggregate valuation analyses of the Company and a range for the NAV per share of our common stock and to consider other information provided by our Advisor.

10

Our NAV per share was $9.75 as of December 31, 2015.  In accordance with our valuation policy and as recommended by the IPA Valuation Guideline, we expect to produce an estimated NAV per share at least annually as of December 31 and disclose such amount as soon as possible after year-end.

For a detailed discussion of the determination of the NAV per share of our common stock, including our valuation process and methodology, see Item 5.  “Market For Registrant’s Common Equity, Related Stockholder Matters And Issuer Purchases Of Equity Securities – Stock Valuation.”

Common Stock Offerings

On June 27, 2011, we commenced our Initial Offering, including shares being offered through our distribution reinvestment plan (“Reinvestment Plan”), pursuant to a registration statement on Form S-11 under the Securities Act of 1933 with the Securities and Exchange Commission (“SEC”). In addition, we filed a follow-on registration statement on Form S-11 under the Securities Act of 1933 with the SEC in connection with the proposed offering of up to $1 billion in shares of common stock (“Follow-On Offering”), which was declared effective on February 2, 2015. We closed our Follow-On Offering on September 30, 2015 and discontinued our stock distributions concurrently after taking into account such factors as deemed appropriate, including but not limited to, the amount of capital raised, future acquisition opportunities, and economic or market trends.

The following table details our aggregate proceeds from our Initial Offering and Follow-on Offering (collectively, the “Offerings”) as of December 31, 2015 and December 31, 2014 (in millions):

	December 31, 2015								December 31, 2014
	Subscriptions				Reinvestment Plan				Subscriptions				Reinvestment Plan
	Proceeds		Shares		Proceeds		Shares		Proceeds		Shares		Proceeds		Shares
Initial Offering	$	1,271.4		125.1	$	27.1		2.8	$	1,114.2		110.2	$	27.1		2.8
Follow-on Offering		394.6		37.4		36.8		3.7		—		—		—		—
	$	1,666.0		162.5	$	63.9		6.5	$	1,114.2		110.2	$	27.1		2.8

Distribution Policy

In order to qualify as a REIT, we are required to make distributions, other than capital gain distributions, to our stockholders each year in the amount of at least 90% of our REIT taxable income.  We may make distributions in the form of cash or other property, including distributions of our own securities.  Our Advisor, its affiliates or other related parties may defer or waive asset management fees, property management fees, expense reimbursements or other fees in order for us to have cash to pay distributions in excess of available cash flows from operating activities or funds from operations.  While we generally expect to pay distributions from cash flows provided by operating activities, we have and may continue to cover periodic shortfalls between distributions paid and cash flows from operating activities from other sources; such as from cash flows provided by financing activities, a component of which could include borrowings, whether collateralized by our assets or unsecured, or proceeds from our Reinvestment Plan.  Refer to Item 5. “Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities – Distributions” for additional information regarding our monthly cash and stock distributions.

Borrowings

We have borrowed funds to acquire properties, make loans and other permitted investments and to pay certain related fees.  We may borrow money to pay distributions to stockholders, for working capital and for other corporate purposes.  We also intend to encumber assets in connection with such borrowings and are subject to certain customary covenants and limitations in connection with our borrowings.  The aggregate amount of long-term financing is not expected to exceed 60% of our total assets on an annual basis.

There is no limitation on the amount we may invest in any single property or other asset or on the amount we can borrow for the purchase of any individual property or other investment.  Our board of directors has adopted a policy to generally limit our aggregate borrowings to approximately 75% of the aggregate value of our assets, unless substantial justification exists that borrowing a greater amount is in our best interests. Our intent is to target our aggregate borrowings ranging from 40% to 60% of the aggregate value of our assets once we own a seasoned and stable asset portfolio, although initially our aggregate borrowings may be greater than 60% of the aggregate value of our assets. Under our articles of incorporation, the maximum amount of our indebtedness cannot exceed 300% of our “net assets,” as defined by the Statement of Policy Regarding Real Estate Investment Trusts adopted by the North American Securities Administrators Association on May 7, 2007 (“NASAA REIT Guidelines”) as of the date of any borrowing unless any excess borrowing is approved by a majority of our independent directors and is disclosed to stockholders in our next quarterly report,

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together with a justification for the excess.  As of December 31, 2015 and December 31, 2014, we had an aggregate debt leverage ratio of approximately 52.8% and 53.3%, respectively, of the aggregate carrying value of our assets.

Competition

The current market for healthcare real estate is highly competitive as is the leasing market for such properties.  We compete for investments and financing with many other entities engaged in real estate investment activities, including individuals, corporations, bank and insurance company investment accounts, REITs, real estate limited partnerships, many of which will have greater resources and lower costs of capital than we do.  The level of competition impacts both our ability to manage our investments and locate suitable tenants.  We may also compete with affiliates to acquire properties and other investments.

Our tenants and operators compete with other properties that provide comparable services in their local markets.  Tenants and operators compete for patients, tenants and residents based on a variety of factors including, but not limited to: quality of care, reputation, location, services offered, physician groups, staff and price. We also face competition from other properties for tenants or residents, such as physicians and other health care providers that provide comparable facilities and services.

Employees

We are externally managed and as such we do not have any employees.

Financial Information about Industry Segments

We have determined that we operate in one business segment, real estate ownership, which consists of owning, managing, leasing, acquiring, developing, investing in, and as conditions warrant, disposing of real estate assets.  We internally evaluate all of our real estate assets as one operating segment and, accordingly, we do not report segment information.

Taxation

The following summary of the taxation of the Company and the material federal income tax consequences to the holders of our equity securities (“securities”) is for general information only and is not tax advice. This summary does not address all aspects of taxation that may be relevant to certain types of holders of securities (including, but not limited to, insurance companies, tax-exempt entities, financial institutions or broker-dealers, persons holding our securities as part of a hedging, integrated conversion, or constructive sale transaction or a straddle, traders in securities that use a mark-to-market method of accounting for their securities, investors in pass-through entities and foreign corporations and persons who are not citizens or residents of the United States).

This summary does not discuss all of the aspects of U.S. federal income taxation that may be relevant in light of a particular investment or other circumstances. In addition, this summary does not discuss any state or local income taxation or foreign income taxation or other tax consequences. This summary is based on current U.S. federal income tax law. Subsequent developments in U.S. federal income tax law, including changes in law or differing interpretations, which may be applied retroactively, could have a material effect on the U.S. federal income tax consequences of purchasing, owning and disposing of our securities as set forth in this summary.

General.  We elected to be taxed as a real estate investment trust under the Code beginning with our taxable year ended December 31, 2012. We believe that, commencing with such taxable year, we have been organized and have operated in a manner so as to qualify as a REIT for U.S. federal income tax purposes.

Qualification and taxation as a REIT has depended upon, and will continue to depend upon, our ability to meet on a continuing basis, through actual operating results, distribution levels, diversity of share ownership and various qualification requirements imposed upon REITs by the Code. Our ability to qualify as a REIT also requires that we satisfy certain asset tests (discussed below), some of which depend upon the fair market values of assets directly or indirectly owned by us. Such values may not be susceptible to a precise determination. While we intend to continue to operate in a manner that will allow us to qualify as a REIT, no assurance can be given that the actual results of our operations for any taxable year will satisfy such requirements for qualification and taxation as a REIT.

As a REIT, we generally will not be subject to federal corporate income taxes on that portion of our ordinary income or capital gain we distribute currently to our stockholders, because the REIT provisions of the Code generally allow a REIT to deduct distributions, which are taxable dividends, paid to its stockholders. This substantially eliminates the federal double taxation on earnings (taxation at both the corporate level and stockholder level) that usually results from an investment in a corporation. With limited exceptions, dividends from us or from other entities that are taxed as REITs are generally not eligible for the capital gain rate and will continue to be taxed at rates applicable to ordinary income.

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Any net operating losses, foreign tax credits and other tax attributes generally do not pass through to our stockholders, subject to special rules for certain items such as the capital gains that we recognize.

Even if we qualify for taxation as a REIT, however, we will be subject to federal income taxation as follows:

· We will be taxed at regular corporate rates on our undistributed taxable income, including undistributed net capital gains.

· Under some circumstances, we may be subject to an “alternative minimum tax.”

· If we have net gain for tax purposes from prohibited transactions (which are, in general, sales or other dispositions of property, other than foreclosure property, held primarily for sale to customers in the ordinary course of business), such gain will be subject to a 100% tax.

· If we elect to treat property that we acquire in connection with a foreclosure of a mortgage loan or certain leasehold terminations as “foreclosure property,” we may avoid the 100% tax on gain from a sale of that property (if the sale would otherwise constitute a prohibited transaction), but the income from the sale or operation of the property may be subject to corporate income tax at the highest applicable rate.

· If we should fail to satisfy the asset test other than certain de minimis violations or other requirements applicable to REITs, as described below, yet nonetheless maintain our qualification as a REIT because there is reasonable cause for the failure and other applicable requirements are met, we may be subject to an excise tax. In that case, the amount of the tax will be at least $50,000 per failure, and, in the case of certain asset test failures, will be determined as the amount of net income generated by the assets in question multiplied by the highest corporate tax rate if that amount exceeds $50,000 per failure.

· If we fail to satisfy either of the 75% or 95% income tests (discussed below) but have nonetheless maintained our qualification as a REIT because certain conditions have been met, we will be subject to a 100% tax on an amount based on the magnitude of the failure, as adjusted to reflect the profit margin associated with our gross income.  

· If we fail to distribute during each year at least the sum of (i) 85% of our REIT ordinary income for the year, (ii) 95% of our REIT capital gain net income for such year, and (iii) any undistributed taxable income from prior periods, then we will be subject to a 4% excise tax on the excess of the required distribution over the sum of (A) the amounts actually distributed, plus (B) retained amounts on which corporate level tax is paid by us.

· We may elect to retain and pay tax on our net long-term capital gains. In that case, a U.S. stockholder would be taxed on its proportionate share of our undistributed long-term capital gains and would receive a credit or refund for its proportionate share of the tax we paid.  

· If we acquire appreciated assets from a C corporation that is not a REIT (i.e., a corporation generally subject to corporate level tax) in a transaction in which the C corporation would not normally be required to recognize any gain or loss on disposition of the asset and we subsequently recognize gain on the disposition of the asset during the five-year period beginning on the date on which we acquired the asset, then a portion of the gain may be subject to tax at the highest regular corporate rate, unless the C corporation made an election to treat the asset as if it were sold for its fair market value at the time of our acquisition. We will also be required to distribute prior non-REIT earnings and profits.  

· We may be required to pay monetary penalties to the Internal Revenue Service in certain circumstances, including if we fail to meet record keeping requirements intended to monitor our compliance with rules relating to the composition of a REIT’s stockholders.

· The earnings of our taxable REIT subsidiaries are subject to federal corporate income tax. In addition, a 100% excise tax will be imposed on the REIT and a corporate level tax on the taxable REIT subsidiary for transactions between a taxable REIT subsidiary and the REIT that are deemed not to be conducted on an arm’s length basis.

In addition, we and our subsidiaries may be subject to a variety of taxes, including payroll taxes and state, local, foreign, property and other taxes, on our assets and operations. We could also be subject to tax in situations and on transactions not presently contemplated.

Requirements for Qualification as a REIT.  Our qualification as a REIT has depended upon and will continue to depend upon our meeting and continuing to meet the requirements discussed below relating to our organization, sources of income, nature of assets and distributions of income to our stockholders.

Organizational Requirements.  In order to qualify for taxation as a REIT under the Code we must meet tests regarding our income and assets described below and we must (i) be a corporation, trust or association that would be taxable as a domestic corporation but for the REIT provisions of the Code; (ii) be managed by one or more trustees or directors; (iii) have our beneficial ownership evidenced

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by transferable shares; (iv) not be a financial institution or an insurance company subject to special provisions of the federal income tax laws; (v) use a calendar year for federal income tax purposes; (vi) have at least 100 stockholders for at least 335 days of each taxable year of 12 months or during a proportionate part of a taxable year of less than 12 months; and (vii) not be closely held, as defined for purposes of the REIT provisions of the Code.

We would be treated as closely held if, during the last half of any taxable year, more than 50% in value of our outstanding capital shares is owned, directly or indirectly through the application of certain attribution rules, by five or fewer individuals, as defined in the Code to include certain entities. Items (vi) and (vii) above do not apply until after the first taxable year for which we elect to be taxed as a REIT. If we comply with Treasury Regulations that provide procedures for ascertaining the actual ownership of our common stock for each taxable year and we did not know, and with the exercise of reasonable diligence could not have known, that we failed to meet item (vii) above for a taxable year, we will be treated as having met item (vii) for that year.

We have elected to be taxed as a REIT commencing with our taxable year ended December 31, 2012, and we intend to satisfy the other requirements described in items (i) through (v) above at all times during each of our taxable years. In addition, our charter contains restrictions regarding ownership and transfer of shares of our common stock that are intended to assist us in continuing to satisfy the share ownership requirements in items (vi) and (vii) above. For purposes of the requirements described herein, any corporation that is a qualified REIT subsidiary of ours will not be treated as a corporation separate from us and all assets, liabilities and items of income, deduction and credit of our qualified REIT subsidiaries will be treated as our assets, liabilities and items of income, deduction and credit. A qualified REIT subsidiary is a corporation, other than a taxable REIT subsidiary (described below under “— Operational Requirements — Asset Tests”), of which all of its capital shares are owned by a REIT.

In the case of a REIT that is a partner in an entity treated as a partnership for federal tax purposes, the REIT is treated as owning its proportionate share, based on its capital interest, of the assets of the partnership and as earning its allocable share of the gross income of the partnership for purposes of the requirements described herein. In addition, the character of the assets and gross income of the partnership will retain the same character in the hands of the REIT for purposes of the REIT requirements, including the asset and income tests described below. As a result, our proportionate share, based on our capital interest, of the assets, liabilities and items of income of our operating partnership and of any other partnership, joint venture, limited liability company or other entity treated as a partnership for federal tax purposes in which we or the operating partnership have an interest, will be treated as our assets, liabilities and items of income.

The Code provides relief from violations of the REIT gross income requirements, as described below under “— Operational Requirements — Gross Income Tests,” in cases where a violation is due to reasonable cause and not willful neglect, and other requirements are met, including the payment of a penalty tax that is based upon the magnitude of the violation. In addition, the Code includes provisions that extend similar relief in the case of certain violations of the REIT asset requirements (see “— Operational Requirements — Asset Tests” below) and other REIT requirements, again provided that the violation is due to reasonable cause and not willful neglect, and other conditions are met, including the payment of a penalty tax. If we fail to satisfy any of the various REIT requirements, there can be no assurance that these relief provisions would be available to enable us to maintain our qualification as a REIT. If relief provisions are available, the amount of any resultant penalty tax could be substantial.

Operational Requirements — Gross Income Tests.  To maintain our qualification as a REIT, we must satisfy annually two gross income requirements:

· At least 75% of our gross income, excluding gross income from prohibited transactions, for each taxable year must be derived directly or indirectly from investments relating to real property or mortgages on real property and from other specified sources, including qualified temporary investment income, as described below. Gross income includes “rents from real property” (as defined in the Code) and, in some circumstances, interest, but excludes gross income from dispositions of property held primarily for sale to customers in the ordinary course of a trade or business. These dispositions are referred to as “prohibited transactions.” This is the “75% Income Test.”  

· At least 95% of our gross income, excluding gross income from prohibited transactions, for each taxable year must be derived from the real property investments described above and generally from dividends and interest and gains from the sale or disposition of shares of common stock or securities or from any combination of the foregoing. This is the “95% Income Test.”

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The rents we will receive or be deemed to receive will qualify as “rents from real property” for purposes of satisfying the gross income requirements for a REIT only if the following conditions are met:

· The amount of rent received from a tenant must not be based in whole or in part on the income or profits of any Person; however, an amount received or accrued generally will not be excluded from the term “rents from real property” solely by reason of being based on a fixed percentage or percentages of gross receipts or sales.

· In general, neither we nor an owner of 10% or more shares of our common stock may directly or constructively own 10% or more of a tenant, which we refer to as a “Related Party Tenant,” or a subtenant of the tenant (in which case only rent attributable to the subtenant is disqualified).

· Rent attributable to personal property leased in connection with a lease of real property cannot be greater than 15% of the total rent received under the lease, as determined based on the average of the fair market values as of the beginning and end of the taxable year.

· We normally must not operate or manage the property or furnish or render services to tenants, other than through an “independent contractor” (as defined in the Code) who is adequately compensated and from whom we do not derive any income or through a taxable REIT subsidiary (discussed below). However, a REIT may provide services with respect to its properties, and the income derived therefrom will qualify as “rents from real property” if the services are “usually or customarily rendered” (as defined in the Code) in connection with the rental of space only and are not otherwise considered “rendered to the occupant” (as defined in the Code). Even if the services provided by us with respect to a property are impermissible customer services, the income derived therefrom will qualify as “rents from real property” if such income does not exceed 1% of all amounts received or accrued with respect to that property.

Interest income constitutes qualifying mortgage interest for purposes of the 75% Income Test to the extent that the obligation upon which such interest is paid is secured by a mortgage on real property. If we receive interest income with respect to a mortgage loan that is secured by both real property and other property, and the highest principal amount of the loan outstanding during a taxable year exceeds the fair market value of the real property on the date that we acquired or originated the mortgage loan, the interest income will be apportioned between the real property and the other collateral, and our income from the arrangement will qualify for purposes of the 75% income test only to the extent that the interest is allocable to the real property. Even if a loan is not secured by real property, or is under-secured, the income that it generates may nonetheless qualify for purposes of the 95% Income Test.

To the extent the terms of a loan provide for contingent interest that is based on the cash proceeds realized upon the sale of the property securing the loan (a “shared appreciation provision”), income attributable to the participation feature will be treated as gain from sale of the underlying property, which generally will be qualifying income for purposes of both the 75% Income Test and 95% Income Test, provided that the real property is not held as inventory or dealer property or primarily for sale to customers in the ordinary course of business. Similar to the treatment of contingent rents from real property (discussed above), to the extent that we derive interest income from a mortgage loan where all or a portion of the amount of interest or rental income payable is contingent, such income generally will qualify for purposes of the 75% Income Test and 95% Income Test only if it is based upon the gross receipts or sales and not on the net income or profits of the borrower.

We may invest in mezzanine loans, which are loans secured by equity interests in an entity that directly or indirectly owns real property, rather than by a direct mortgage of the real property. The Internal Revenue Service has issued Revenue Procedure 2003-65, which provides a safe harbor applicable to mezzanine loans. Under the Revenue Procedure, if a mezzanine loan meets each of the requirements contained in the Revenue Procedure, (i) the mezzanine loan will be treated by the Internal Revenue Service as a real estate asset for purposes of the Asset Tests described below, and (ii) interest derived from the mezzanine loan will be treated as qualifying mortgage interest for purposes of the 75% Income Test. Although the Revenue Procedure provides a safe harbor on which taxpayers may rely, it does not prescribe rules of substantive tax law. We intend to structure any investments in mezzanine loans or similar products in a manner that generally complies with the various requirements applicable to our qualification as a REIT. Certain of our mezzanine loans may qualify under the safe harbor set forth in the Revenue Procedure. However, we may make or acquire some mezzanine loans that do not qualify for the safe harbor. To the extent that any of our mezzanine loans do not meet all of the requirements for reliance on the safe harbor set forth in the Revenue Procedure, there can be no assurance that the Internal Revenue Service will not challenge the tax treatment of these loans.

We may, from time to time, enter into hedging transactions with respect to interest rate exposure or currency fluctuation on one or more of our assets or liabilities. Any such hedging transactions could take a variety of forms, including the use of derivative instruments such as interest rate swap contracts, interest rate cap or floor contracts, futures or forward contracts, and options. To the extent that we or a pass-through subsidiary enters into a hedging transaction (i) to reduce interest rate risk on indebtedness incurred to acquire or carry real estate assets, (ii) to manage risk of currency fluctuations with respect to any item of income that would qualify under the 75% Income Test or the 95% Income Test, or (iii) for taxable years beginning after December 31, 2015, new hedging transactions entered into to hedge the income or loss from prior hedging transactions, where the property or indebtedness which was

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the subject of the prior hedging transaction was extinguished or disposed of, and the instrument is properly identified as a hedge along with the risk it hedges within prescribed time periods, any periodic income from the instrument, or gain from the disposition of such instrument, would be excluded altogether from the 95% Income Test or the 75% Income Test. To the extent that we hedge in certain other situations, the resultant income will be treated as income that does not qualify under the 75% Income Test or the 95% Income Test, provided that certain requirements are met. We intend to structure any hedging transactions in a manner that does not jeopardize our status as a REIT. We may conduct some or all of our hedging activities through a TRS or other corporate entity, the income from which may be subject to federal, state, and/or international income tax, rather than by participating in the arrangements directly or through pass-through subsidiaries. No assurance can be given, however, that our hedging activities will not give rise to income that does not qualify for purposes of either or both of the REIT income tests, or that our hedging activities will not adversely affect our ability to satisfy the REIT qualification requirements.

Prior to the making of investments in real properties, we may invest the Net Offering Proceeds in liquid assets such as government securities or certificates of deposit. For purposes of the 75% Income Test, income attributable to a stock or debt instrument purchased with the proceeds received by a REIT in exchange for stock in the REIT (other than amounts received pursuant to a distribution reinvestment plan) constitutes qualified temporary investment income if such income is received or accrued during the one-year period beginning on the date the REIT receives such new capital. To the extent we hold any proceeds of the offering for longer than one year, we may invest those amounts in less liquid investments such as mortgage-backed securities, maturing mortgage loans purchased from mortgage lenders or shares of common stock in other REITs in order to satisfy the 75% Income Test and the 95% Income Test and the Asset Tests described below. We expect the bulk of the remainder of our income to qualify under the 75% Income and 95% Income Tests as rents from real property, gains from the sale of real property interests and interest on mortgages on real property in accordance with the requirements described above.

With regard to rental income, we anticipate most of our leases will be for fixed rentals with annual CPI or similar adjustments and that none of the rentals under our leases will be based on the income or profits of any Person. Rental leases may provide for payments based on gross receipts, which are generally permissible under the REIT income tests. In addition, none of our tenants are expected to be “Related Party Tenants” and the portion of the rent attributable to personal property is not expected to exceed 15% of the total rent to be received under any lease. We anticipate that all or most of the services to be performed with respect to our real properties will be performed by our property manager, and such services are expected to be those usually or customarily rendered in connection with the rental of real property and not rendered to the occupant of such real property. Finally, we anticipate any non-customary services will be provided by a taxable REIT subsidiary or, alternatively, by an independent contractor that is adequately compensated and from whom we derive no income. However, we can give no assurance that the actual sources of our gross income will allow us to satisfy the 75% Income Test and the 95% Income Test described above.

Further, we and our subsidiaries may hold investments in, and pay taxes to, foreign countries. Taxes that we pay in foreign jurisdictions may not be passed through to, or used by, our stockholders or us as a foreign tax credit or otherwise. Our foreign investments might also generate foreign currency gains and losses. Foreign currency gains that we derive from certain of our investments will be excluded for purposes of computing the REIT income tests if such foreign currency gain is “real estate foreign exchange gain” (as defined in the Code), that is, if such gains are attributable to any item of income that itself qualifies for purposes of the 75% Income Test or other specified sources. Other foreign currency gains, however, if such foreign currency gain is “passive foreign exchange gain” (as defined in the Code), will be excluded for purposes of computing the 95% Income Test but will be treated as income that does not qualify under the 75% Income Test. Generally, “passive foreign exchange gain” includes foreign exchange gain attributable to any item of income that itself qualifies for purposes of the 95% Income Test or other specified sources.

Notwithstanding our failure to satisfy one or both of the 75% Income and the 95% Income Tests for any taxable year, we may still qualify as a REIT for that year if we are eligible for relief under specific provisions of the Code. These relief provisions generally will be available if:

· our failure to meet these tests was due to reasonable cause and not due to willful neglect; and

· following our identification of the failure, we file a schedule with a description of each item of gross income that caused the failure in accordance with Treasury Regulations.

It is not possible, however, to state whether, in all circumstances, we would be entitled to the benefit of these relief provisions. In addition, as discussed above in “- Taxation of CNL Healthcare Properties,” even if these relief provisions apply, a tax would be imposed with respect to the excess net income.

Operational Requirements — Prohibited Transactions.  A “prohibited transaction” is a sale by a REIT of real property or other assets held primarily for sale in the ordinary course of the REIT’s trade or business (i.e., real property or other assets that are not held for investment but are held as inventory for sale by the REIT). A 100% penalty tax is imposed on any gain realized by a REIT from a prohibited transaction (including our distributive share of any such gain realized by our operating partnership). Under existing law,

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whether property is held as inventory or primarily for sale to customers in the ordinary course of a trade or business is a question of fact that depends on all the facts and circumstances surrounding the particular transaction. We do not presently intend to acquire or hold or allow the operating partnership to acquire or hold any property that represents inventory or other property held primarily for sale to customers in the ordinary course of our or the operating partnership’s trade or business.

A safe harbor to the characterization of the sale of property by a REIT as a prohibited transaction and the 100% prohibited transaction tax is available if the following requirements are met:  

· the REIT has held the property for not less than two years;

· the aggregate expenditures made by the REIT, or any partner of the REIT, during the two-year period preceding the date of the sale that are includable in the basis of the property do not exceed 30% of the net selling price of the property;

· either (i) during the year in question, the REIT did not make more than seven sales of property other than foreclosure property or Section 1031 like-kind exchanges, or (ii) the aggregate adjusted bases of the non-foreclosure property sold by the REIT during the year did not exceed 10% of the aggregate bases of all of the assets of the REIT at the beginning of such year, or (iii) the fair market value of the non-foreclosure property sold by the REIT during the year did not exceed 10% of the fair market value of all the assets of the REIT at the beginning of such year (20% for both aggregate basis and fair market value determinations beginning with taxable years beginning after December 18, 2015);

· the REIT has held the property for at least two years for the production of rental income; and

· if the REIT has made more than seven sales of non-foreclosure property during the year, substantially all of the marketing and development expenditures with respect to the property were made through an independent contractor from whom the REIT derives no income.

For purposes of the limitation on the number of sales that a REIT may complete in any given year, the sale of more than one property to one buyer will be treated as one sale. Moreover, if a REIT obtains replacement property pursuant to a Section 1031 like-kind exchange, then it will be entitled to tack the holding period it has in the relinquished property for purposes of the two-year holding period requirement.

The failure of a sale to fall within the safe harbor does not alone cause such sale to be a prohibited transaction and subject to the 100% prohibited transaction tax. In that event, the particular facts and circumstances of the transaction must be analyzed to determine whether it is a prohibited transaction.

Operational Requirements — Asset Tests.  At the close of each quarter of our taxable year, starting with the taxable year ending December 31, 2012 (i.e., starting with the quarter ending March 31, 2012), we also must satisfy four tests, which we refer to as “Asset Tests,” relating to the nature and diversification of our assets.  

· First, at least 75% of the value of our total assets must be represented by real estate assets, cash, cash items and government securities. The term “real estate assets” includes real property, mortgages on real property, shares of common stock in other qualified U.S. REITs, property attributable to the temporary investment of new capital as described above and a proportionate share of any real estate assets owned by a partnership in which we are a partner (for example, our operating partnership) or of any qualified REIT subsidiary of ours. For taxable years beginning after December 31, 2015, the term “real estate assets” also includes debt instruments of publicly offered REITs, personal property securing a mortgage secured by both real property and personal property if the fair market value of such personal property does not exceed 15% of the total fair market value of all such property, and personal property leased in connection with a lease of real property for which the rent attributable to personal property is not greater than 15% of the total rent received under the lease.

· Second, no more than 25% of our total assets may be represented by securities other than those in the 75% asset class.

· Third, of the investments included in the 25% asset class, the value of any one issuer’s securities that we own may not exceed 5% of the value of our total assets. Additionally, we may not own more than 10% of the voting power or value of any one issuer’s outstanding securities, which we refer to as the “10% Asset Test.” The 10% Asset Test does not apply to securities of a TRS, nor does it apply to certain “straight debt” (as defined in the Code) instruments possessing certain characteristics. The term “securities” also does not include the equity or debt securities of a qualified REIT subsidiary of ours or an equity interest in any entity treated as a partnership for federal tax purposes.

· Fourth, no more than 25% (20% for taxable years beginning after December 31, 2017) of the value of our total assets may consist of the securities of one or more TRSs.

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· Fifth, for taxable years beginning after December 31, 2015, not more than 25% of the value of our total assets may be represented by debt instruments of publicly offered REITs to the extent those debt instruments would not be real estate assets but for the inclusion of debt instruments of publicly offered REITs in the meaning of real estate assets effective for taxable years beginning after December 31, 2015, as described above. 

Any interests we hold in a REMIC will generally qualify as real estate assets and income derived from REMIC interests will generally be treated as qualifying income for purposes of the REIT income tests described above. If less than 95% of the assets of a REMIC are real estate assets, however, then only a proportionate part of our interest in the REMIC and income derived from the interest will qualify for purposes of the REIT asset and income tests. If we hold a “residual interest” (as defined in the Code) in a REMIC from which we derive “excess inclusion income” (as defined in the Code), we will be required either to distribute the excess inclusion income or to pay tax on it (or a combination of the two), even though we may not receive the income in cash. To the extent that distributed excess inclusion income is allocable to a particular stockholder, the income (i) would not be allowed to be offset by any net operating losses otherwise available to the stockholder, (ii) would be subject to tax as unrelated business taxable income in the hands of most types of stockholders that are otherwise generally exempt from federal income tax, and (iii) would result in the application of U.S. federal income tax withholding at the maximum rate without reduction pursuant to any otherwise applicable income tax treaty, to the extent allocable to most types of foreign stockholders. Moreover, any excess inclusion income that we receive that is allocable to specified categories of tax-exempt investors which are not subject to unrelated business income tax, such as government entities, may be subject to corporate-level income tax in our hands, whether or not it is distributed.

To the extent we hold mortgage participations or commercial mortgage-backed securities that do not represent REMIC interests, such assets may not qualify as real estate assets, and the income generated from them may not qualify for purposes of either or both of the REIT income tests, depending upon the circumstances and the specific structure of the investment.

We may enter into sale and repurchase agreements under which we would nominally sell certain of our loan assets to a counterparty and simultaneously enter into an agreement to repurchase the sold assets. We believe that we would be treated for U.S. federal income tax purposes as the owner of the loan assets that are the subject of any such agreement notwithstanding that such agreements may transfer record ownership of the assets to the counterparty during the term of the agreement. It is possible, however, that the Internal Revenue Service could assert that we did not own the loan assets during the term of the sale and repurchase agreement, in which case we could fail to qualify as a REIT.

Certain of our mezzanine loans which may qualify for the safe harbor in Revenue Procedure 2003-65 pursuant to which certain loans secured by a first priority security interest in ownership interests in a partnership or limited liability company will be treated as qualifying assets for purposes of the 75% real estate asset test and the 10% vote or value test. See “— Operational Requirements — Gross Income Tests.” We may make some mezzanine loans that do not qualify for that safe harbor and that do not qualify as “straight debt” securities or for one of the other exclusions from the definition of “securities” for purposes of the 10% value test. We intend to make such investments in such a manner as not to fail the asset tests described above.

Independent appraisals are not necessarily obtained by us to support our conclusions as to the value of our total assets or the value of any particular security or securities for purposes of these operational requirements. Moreover, values of some assets, including instruments issued in securitization transactions, may not be susceptible to a precise determination, and values are subject to change in the future. Furthermore, the proper classification of an instrument as debt or equity for federal income tax purposes may be uncertain in some circumstances, which could affect the application of the REIT asset requirements. Accordingly, there can be no assurance that the Internal Revenue Service will not contend that our interests in our subsidiaries or in the securities of other issuers will not cause a violation of the REIT asset tests.

The Asset Tests must generally be met for each quarter. Upon full investment of the Net Offering Proceeds, we expect most of our assets will consist of “real estate assets” and we therefore expect to satisfy the Asset Tests.

If we meet the Asset Tests at the close of any quarter, we maintain our qualification as a REIT despite a failure to satisfy the Asset Tests at the end of a later quarter in which we have not acquired any securities or other property if such failure occurs solely because of changes in asset values. If our failure to satisfy the Asset Tests results from an acquisition of securities or other property during a quarter, we can cure the failure by disposing of a sufficient amount of non-qualifying assets within 30 days after the close of that quarter. We intend to maintain adequate records of the value of our assets to ensure compliance with the Asset Tests and to take other action within 30 days after the close of any quarter as may be required to cure any noncompliance. If that does not occur, we may nonetheless qualify for one of the relief provisions described below.

The Code contains a number of provisions applicable to REITs, including relief provisions that allow REITs to satisfy the asset requirements, or to maintain REIT qualification notwithstanding certain violations of the asset and other requirements.

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One such provision allows a REIT which fails one or more of the asset requirements to nevertheless maintain its REIT qualification if (i) it provides the Internal Revenue Service with a description of each asset causing the failure; (ii) the failure is due to reasonable cause and not willful neglect; (iii) the REIT pays a tax equal to the greater of (A) $50,000 per failure; or (B) the product of the net income generated by the assets that caused the failure multiplied by the highest applicable corporate tax rate; and (iv) the REIT either disposes of the assets causing the failure within six months after the last day of the quarter in which it identifies the failure, or otherwise satisfies the relevant asset tests within that time frame.

A second relief provision applies to de minimis violations of the 10% and 5% asset tests. A REIT may maintain its qualification despite a violation of such requirements if (i) the value of the assets causing the violation do not exceed the lesser of 1% of the REIT’s total assets and $10,000,000, or (ii) the REIT either disposes of the assets causing the failure within six months after the last day of the quarter in which it identifies the failure, or the relevant tests are otherwise satisfied within that time frame.

The Code also provides that certain securities will not cause a violation of the 10% value test described above. Such securities include instruments that constitute “straight debt,” which includes securities having certain contingency features. A security cannot qualify as “straight debt” if a REIT (or a controlled taxable REIT subsidiary) owns other securities in the issuer of that security which do not qualify as straight debt, unless the value of those other securities constitutes, in the aggregate, 1% or less of the total value of that issuer’s outstanding securities. In addition to straight debt, the Code provides that certain other securities will not violate the 10% value test. Such securities include:  

· any loan made to an individual or an estate;

· certain rental agreements in which one or more payments are to be made in subsequent years (other than agreements between a REIT and certain Persons related to the REIT);

· any obligation to pay rents from real property;

· securities issued by governmental entities that are not dependent in whole or in part on the profits of (or payments made by) a non-governmental entity;

· any security issued by another REIT; and

· any debt instrument issued by a partnership if the partnership’s income is of a nature that it would satisfy the 75% gross income test described above under “— Operational Requirements — Gross Income Tests.”

In addition, when applying the 10% value test, a debt security issued by a partnership is not taken into account to the extent, if any, of the REIT’s proportionate equity interest in that partnership.

Operational Requirements — Annual Distribution Requirement.  In order to be taxed as a REIT, we are required to make cash or taxable property distributions, other than capital gain distributions, to our stockholders each year in the amount of at least 90% of our taxable income (computed without regard to the dividends paid deduction and our net capital gain and subject to certain other potential adjustments) for all tax years. While we must generally make distributions in the taxable year to which they relate, we may also make distributions in the following taxable year if (i) they are declared before we timely file our federal income tax return for the taxable year in question and (ii) they are paid on or before the first regular distribution payment date after the declaration.

Even if we satisfy the foregoing distribution requirement and, accordingly, continue to qualify as a REIT for tax purposes, we will still be subject to federal income tax on the excess of our net capital gain and our REIT taxable income, as adjusted, over the amount of distributions to stockholders.

In addition, if we fail to distribute during each calendar year at least the sum of:

· 85% of our ordinary income for that year;

· 95% of our capital gain net income other than the capital gain net income which we elect to retain and pay tax on for that year; and

· any undistributed taxable income from prior periods,

then we will be subject to a 4% non-deductible excise tax on the excess of the amount of the required distributions over the sum of (i) the amounts actually distributed plus (ii) retained amounts on which corporate level tax is paid by us.

We intend to make timely distributions sufficient to satisfy this requirement; however, it is possible we may experience timing differences between (i) the actual receipt of income and payment of deductible expenses, and (ii) the inclusion of that income and deduction of those expenses for purposes of computing our taxable income. It is also possible we may be allocated a share of net

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capital gain attributable to the sale of depreciated property by the operating partnership, or any other partnership in which we own an interest, that exceeds our allocable share of cash attributable to that sale. In those circumstances, we may have less cash than is necessary to meet our annual distribution requirement or to avoid income or excise taxation on undistributed income. We may find it necessary in those circumstances to arrange for financing, raise funds through the issuance of additional shares of our common stock or to make a taxable stock distribution in order to meet our distribution requirements. If we fail to satisfy the distribution requirement for any taxable year by reason of a later adjustment to our taxable income made by the Internal Revenue Service, we may be able to pay “deficiency dividends” (as defined in the Code) in a later year and include such distributions in our deductions for dividends paid for the earlier year. In that event, we may be able to avoid the disqualification of our REIT status or being taxed on amounts distributed as deficiency dividends, but we would be required to pay interest and a penalty to the Internal Revenue Service based upon the amount of any deduction taken for deficiency dividends for the earlier year.

As noted above, we may also elect to retain, rather than distribute, some or all of our net long-term capital gains. The effect of such an election would be as follows:

· We would be required to pay the federal income tax on the undistributed gains;

· Taxable U.S. stockholders, while required to include their proportionate share of the undistributed long-term capital gains in income, would receive a credit or refund for their share of the tax paid by the REIT; and

· The basis of the stockholder’s shares of our common stock would be increased by the difference between the designated amount included in the stockholder’s long-term capital gains and the tax deemed paid with respect to such shares of common stock.

In computing our taxable income, we will use the accrual method of accounting and intend to depreciate depreciable property under the alternative depreciation system. We are required to file an annual federal income tax return, which, like other corporate returns, is subject to examination by the Internal Revenue Service. Because the tax law requires us to make many judgments regarding the proper treatment of a transaction or an item of income or deduction, it is possible that the Internal Revenue Service will challenge positions we take in computing our taxable income and our distributions.

Challenges could arise, for example, with respect to the allocation of the purchase price of real properties between depreciable or amortizable assets and non-depreciable or non-amortizable assets such as land and the current deductibility of fees paid to our Advisor or its affiliates. If the Internal Revenue Service were to successfully challenge our characterization of a transaction or determination of our taxable income, we could be found to have failed to satisfy a requirement for qualification as a REIT. If we are determined to have failed to satisfy the distribution requirements for a taxable year, we would be disqualified as a REIT, unless we were permitted to pay a deficiency dividend to our stockholders and pay interest thereon to the Internal Revenue Service, as provided by the Code.

Operational Requirement — Recordkeeping.  We must maintain certain records as set forth in Treasury Regulations in order to avoid the payment of monetary penalties to the Internal Revenue Service. Such Treasury Regulations require that we request, on an annual basis, certain information designed to disclose the ownership of shares of our outstanding common stock. We intend to comply with these requirements. See “— Statement of Share Ownership” below.

Taxable REIT Subsidiaries.  A taxable REIT subsidiary (each a “TRS,” and any two or more, “TRSs”) is any corporation in which a REIT directly or indirectly owns stock, provided that the REIT and that corporation make a joint election to treat the corporation as a TRS. The election can be revoked at any time as long as the REIT and the TRS revoke such election jointly. In addition, if a TRS holds, directly or indirectly, more than 35% of the securities of any other corporation (by vote or by value), then that other corporation also is treated as a TRS. A corporation can be a TRS with respect to more than one REIT. We may form one or more TRSs for the purpose of owning and selling properties that do not meet the requirements of the “prohibited transactions” safe harbor. See “— Requirements for Qualification as a REIT — Operational Requirements — Prohibited Transactions” above.

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To the extent of its taxable income, a TRS is subject to federal income tax at regular corporate rates and also may be subject to state and local taxation. Any distributions paid or deemed paid by any one of our TRSs also will be subject to tax, either (i) to us if we do not pay the distributions received to our stockholders as distributions, or (ii) to our stockholders if we do pay out the distributions received to our stockholders. Further, the rules impose a 100% excise tax on transactions between a TRS and its parent REIT or to the REIT’s tenants that are not conducted on an arm’s-length basis. We may hold more than 10% of the stock of a TRS without jeopardizing our qualification as a REIT notwithstanding the rule described above under “— Requirements for Qualification as a REIT — Operational Requirements — Asset Tests” that generally precludes ownership of more than 10% (by vote or value) of any issuer’s securities. However, as noted below, in order for us to qualify as a REIT, the non-mortgage securities (both debt and equity) of all of the TRSs in which we have invested either directly or indirectly may not represent more than 25% (20% for taxable years beginning after December 31, 2017) of the total value of our assets. We expect that the aggregate value of all of our interests in TRSs will represent less than 25% of the total value of our assets. We cannot, however, assure you that we will always satisfy the 25% value limit or that the Internal Revenue Service will agree with the value we assign to our TRSs.

We may engage in activities indirectly through a TRS as necessary or convenient to avoid receiving the benefit of income or services that would jeopardize our REIT status if we engaged in the activities directly. In particular, in addition to the ownership of certain of our properties as noted above, we would likely use TRSs for providing services that are non-customary or that might produce income that does not qualify under the gross income tests described above. We may also use TRSs to satisfy various lending requirements with respect to special-purpose bankruptcy-remote entities.

Finally, while a REIT is generally limited in its ability to earn rents that qualify as “rents from real property” from a related party as defined by the Code, a REIT can earn “rents from real property” from the lease of a qualified healthcare property or qualified lodging facility to a TRS (even a wholly owned TRS) if an eligible independent contractor operates the facility. Generally, a qualified healthcare property means a property which is a healthcare facility or is necessary or incidental to the use of a healthcare facility. A qualified healthcare facility is defined as a hospital, nursing facility, assisted living facility, congregate care facility, qualified continuing care facility or other licensed facility which extends medical or nursing or ancillary services to patients operated by a provider of such services which was eligible for participation in the Medicare program under title XVIII of the Social Security Act with respect to such facility. Qualified lodging facilities are defined as hotels, motels or other establishments where more than half of the dwelling units are used on a transient basis, provided that legally authorized wagering or gambling activities are not conducted at or in connection with such facilities. Also included in the definition are the qualified lodging facility’s customary amenities and facilities. For these purposes, a contractor qualifies as an “eligible independent contractor” if it is less than 35% affiliated with the REIT and, at the time the contractor enters into the agreement with the TRS to operate the qualified healthcare property or qualified lodging facility, that contractor or any Person related to that contractor is actively engaged in the trade or business of operating qualified healthcare properties or qualified lodging facilities, respectively, for Persons unrelated to the TRS or its affiliated REIT. For these purposes, an otherwise eligible independent contractor is not disqualified from that status on account of the TRS bearing the expenses for the operation of the qualified healthcare property or qualified lodging facility, the TRS receiving the revenues from the operation of the qualified healthcare property or qualified lodging facility, net of expenses for that operation and fees payable to the eligible independent contractor, or the REIT receiving income from the eligible independent contractor pursuant to a preexisting or otherwise grandfathered lease of another property.

Failure to Qualify as a REIT.  If we fail to qualify as a REIT for any reason in a taxable year and applicable relief provisions do not apply, then we will be subject to tax (including any applicable alternative minimum tax) on our taxable income at regular corporate rates. We will not be able to deduct dividends paid to our stockholders in any year in which we fail to qualify as a REIT. In addition, if we fail to qualify as a REIT, all distributions to stockholders will be taxable as regular corporate dividends to the extent of current and accumulated earnings and profits. In this event, stockholders taxed as individuals will be taxed on these dividends at the preferential income tax rates currently in effect for qualified dividends received from taxable C corporations and corporate distributees may be eligible for the dividends received deduction. We also will be disqualified for the four taxable years following the year during which qualification was lost unless we are entitled to relief under specific statutory provisions. It is not possible to state whether we would be entitled to this statutory relief.

Sale-Leaseback Transactions.  We normally intend to treat our property leases as true leases for federal income tax purposes. However, depending on the terms of any specific transaction, the Internal Revenue Service might take the position that the transaction is not a true lease but is more properly treated in some other manner. If such re-characterization were successful, we would not be entitled to claim the depreciation deductions available to an owner of the property. In addition, the re-characterization of one or more of these transactions might cause us to fail to satisfy the Asset Tests or the Income Tests described above based upon the asset we would be treated as holding or the income we would be treated as having earned and such failure could result in our failing to qualify as a REIT. Alternatively, the amount or timing of income inclusion or the loss of depreciation deductions resulting from the re-characterization might cause us to fail to meet the distribution requirement described above for one or more taxable years absent the availability of the deficiency dividend procedure or might result in a larger portion of our dividends being treated as ordinary income to our stockholders.

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Taxation of Taxable U.S. Stockholders

Definition.  In this section, the phrase “U.S. stockholder” means a holder of our common stock that for federal income tax purposes is:

· a citizen or resident of the United States;

· a corporation, partnership or other entity treated as a corporation or partnership for U.S. federal income tax purposes created or organized in or under the laws of the United States or of any political subdivision thereof;

· an estate, the income of which is subject to U.S. federal income taxation regardless of its source; or

· a trust, if a U.S. court is able to exercise primary supervision over the administration of the trust and one or more U.S. Persons have the authority to control all substantial decisions of the trust.

If a partnership, including for this purpose any entity that is treated as a partnership for U.S. federal income tax purposes, holds our common stock, the tax treatment of a partner in the partnership will generally depend upon the status of the partner and the activities of the partnership. An investor that is a partnership and the partners in such partnership should consult their tax advisors about the U.S. federal income tax consequences of the acquisition, ownership and disposition of our common stock.

For any taxable year for which we qualify for taxation as a REIT, amounts distributed to, and gains realized by, taxable U.S. stockholders with respect to our common stock generally will be taxed as described below. For a summary of the federal income tax treatment of distributions reinvested in additional shares of our common stock pursuant to our Reinvestment Plan, see “Summary of Our Reinvestment Plan.”

Distributions Generally.  Distributions paid to U.S. stockholders, other than capital gain distributions discussed below, made out of our current or accumulated earnings and profits and will be taxable to the stockholders as ordinary income for federal income tax purposes. These distributions are not eligible for the dividends received deduction generally available to corporations. In addition, with limited exceptions, these distributions are not eligible for taxation at the preferential income tax rates currently in effect for qualified dividends received by U.S. stockholders that are individuals, trusts and estates from taxable C corporations. Stockholders that are individuals, trusts or estates however, may be taxed at the preferential rates currently in effect (assuming the relevant holding periods have been met) on dividends designated by and received from us to the extent that the dividends are attributable to (i) income retained by us in the prior taxable year on which we were subject to corporate level income tax (less the amount of tax), (ii) dividends received by us from taxable C corporations, including any dividends we may receive from a TRS, or (iii) income in the prior taxable year from the sales of “built-in gain” property acquired by us from C corporations in carryover basis transactions (less the amount of corporate tax on such income).

To the extent we make a distribution in excess of our current and accumulated earnings and profits, the distribution will be treated first as a tax-free return of capital, reducing the tax basis in a U.S. stockholder’s shares of common stock, and the amount of each distribution in excess of a U.S. stockholder’s tax basis in its shares of common stock will be taxable as gain realized from the sale of its shares of common stock. Dividends we declare in October, November or December of any year payable to a stockholder of record on a specified date in any of these months will be treated as both paid by us and received by the stockholder on December 31 of the year, provided that we actually pay the dividends during January of the following calendar year.

To the extent we have available net operating losses and capital losses carried forward from prior tax years, such losses may reduce the amount of distributions we must make in order to comply with the REIT distribution requirements. See “— Requirements for Qualification as a REIT — Operational Requirements — Annual Distribution Requirement.” Such losses, however, are not passed through to stockholders and do not offset income of stockholders from other sources, nor would such losses affect the character of any distributions that we make, which are generally subject to tax in the hands of stockholders to the extent that we have current or accumulated earnings and profits.

If excess inclusion income from a taxable mortgage pool or REMIC residual interest is allocated to any stockholder, that income will be taxable in the hands of the stockholder and would not be offset by any net operating losses of the stockholder that would otherwise be available. As required by Internal Revenue Service guidance, we intend to notify our stockholders if a portion of a dividend paid by us is attributable to excess inclusion income.

We will be treated as having sufficient earnings and profits to treat as a dividend any distribution by us up to the amount required to be distributed in order to avoid imposition of the 4% excise tax discussed above. Moreover, any “deficiency distribution” will be treated as an ordinary or capital gain distribution, as the case may be, regardless of our earnings and profits. As a result, stockholders may be required to treat as taxable some distributions that would otherwise result in a tax-free return of capital.

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Distributions to U.S. stockholders that we properly designate as capital gain distributions normally will be treated as long-term capital gains to the extent they do not exceed our actual net capital gain for the taxable year without regard to the period for which the U.S. stockholder has held his or her shares of common stock and, for taxable years beginning after December 31, 2015, may not exceed our distributions paid for the taxable year, including distributions paid the following year that are treated as paid in the current year,. A corporate U.S. stockholder might be required to treat up to 20% of some capital gain distributions as ordinary income. Long-term capital gains are generally taxable at preferential rates in the case of stockholders who are individuals, estates, and trusts. Capital gains attributable to the sale of depreciable real property held for more than 12 months are subject to a 25% maximum federal income tax rate for taxpayers who are individuals, to the extent of previously claimed depreciation deductions (unrecaptured Section 1250 gains). See “— Requirements for Qualification as a REIT — Operational Requirements — Annual Distribution Requirement” for the treatment by U.S. stockholders of net long-term capital gains that we elect to retain and pay tax on.

Certain Dispositions of Our Common Stock.  In general, capital gains recognized by individuals upon the sale or disposition of shares of our common stock will be subject to tax at the federal capital gains rate if such shares of common stock are held for more than 12 months, and will be taxed at ordinary income rates if such shares of common stock are held for 12 months or less. Gains recognized by stockholders that are corporations are subject to federal income tax at a current maximum rate of 35%, whether or not classified as long-term capital gains. Capital losses recognized by a stockholder upon the disposition of a share of our common stock held for more than one year at the time of disposition will be considered long-term capital losses, and are generally available only to offset capital gain income of the stockholder but not ordinary income (except in the case of individuals, trusts and estates who may offset up to $3,000 of ordinary income each year). In addition, any loss upon a sale or exchange of shares of common stock by a stockholder who has held such shares of common stock for six months or less, after applying holding period rules, will be treated as a long-term capital loss to the extent of distributions received from us that are required to be treated by the stockholder as long-term capital gain. In addition, under the so-called “wash sale” rules (as defined in the Code), all or a portion of any loss that a stockholder realizes upon a taxable disposition of shares of common stock may be disallowed if the stockholder purchases (including through our Reinvestment Plan) other shares of our stock (or stock substantially similar to our stock) within 30 days before or after the disposition.

If an investor recognizes a loss upon a subsequent disposition of our stock or other securities in an amount that exceeds a prescribed threshold, it is possible that the provisions of Treasury Regulations involving “reportable transactions” (as defined in the Code) could apply, with a resulting requirement to separately disclose the loss-generating transaction to the Internal Revenue Service. These regulations, though directed towards tax shelters, are broadly written and apply to transactions that would not typically be considered tax shelters. The Code imposes significant penalties for failure to comply with these requirements. You should consult your tax advisor concerning any possible disclosure obligation with respect to the receipt or disposition of our stock or securities or transactions that we might undertake directly or indirectly. Moreover, you should be aware that we and other participants in the transactions in which we are involved (including their advisors) might be subject to disclosure or other requirements pursuant to these regulations, and that the failure to make such disclosures would result in substantial penalties.

Distributions we make and gain arising from the sale or exchange by a U.S. stockholder of our stock will not be treated as passive activity income. As a result, stockholders will not be able to apply any passive losses against income or gain relating to our stock. To the extent distributions we make do not constitute a return of capital or a long term capital gain (unless you elect otherwise), they will be treated as investment income for purposes of computing the investment interest limitation.

Additional Medicare Contribution Tax.  An additional tax of 3.8% generally will be imposed on the “net investment income” of U.S. stockholders who meet certain requirements and are individuals, estates or certain trusts. Among other items, “net investment income” generally includes gross income from dividends and net gain attributable to the disposition of certain property, such as shares of our common stock. In the case of individuals, this tax will only apply to the extent such individual’s modified adjusted gross income exceeds $200,000 ($250,000 for married couples filing a joint return and surviving spouses, and $125,000 for married individuals filing a separate return). U.S. stockholders should consult their tax advisors regarding the possible applicability of this additional tax in their particular circumstances.

Information Reporting Requirements and Backup Withholding for U.S. Stockholders.  As required, we will report to U.S. stockholders of our common stock and to the Internal Revenue Service the amount of distributions made or deemed made during each calendar year and the amount of tax withheld, if any. Under some circumstances, U.S. stockholders may be subject to backup withholding on payments made with respect to, or cash proceeds of a sale or exchange of, our common stock. Backup withholding will apply only if the stockholder:

· Fails to furnish its taxpayer identification number (which, for an individual, would typically be his or her Social Security number);

· Furnishes an incorrect taxpayer identification number;

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· Is notified by the Internal Revenue Service that the stockholder has failed to properly report payments of interest or dividends and is subject to backup withholding; or  

· Under some circumstances, fails to certify, under penalties of perjury, that it has furnished a correct taxpayer identification number and has not been notified by the Internal Revenue Service that the stockholder is subject to backup withholding for failure to report interest and dividend payments or has been notified by the Internal Revenue Service that the stockholder is no longer subject to backup withholding for failure to report those payments.

Backup withholding will not apply with respect to payments made to some stockholders, such as corporations in certain circumstances and tax-exempt organizations. Backup withholding is not an additional tax. Rather, the amount of any backup withholding with respect to a payment to a U.S. stockholder will be allowed as a credit against the U.S. stockholder’s U.S. federal income tax liability and may entitle the U.S. stockholder to a refund, provided that the required information is furnished to the Internal Revenue Service. U.S. stockholders should consult their tax advisors regarding their qualification for exemption from backup withholding and the procedure for obtaining an exemption.

Cost Basis Reporting.  The Internal Revenue Service has issued final regulations that require us to report the cost basis and gain or loss to a stockholder upon the sale or liquidation of “covered shares.” For purposes of the final regulations, all shares acquired by non-tax exempt stockholders through the Reinvestment Plan will be considered “covered shares” and will be subject to the applicable reporting requirements.

Upon the sale or liquidation of “covered shares,” a broker must report both the cost basis of the shares and the gain or loss recognized on the sale of those shares to the stockholder and to the Internal Revenue Service on Form 1099-B. In addition, stockholders that are S-corporations are no longer exempt from Form 1099-B reporting and shares purchased by an S-corporation are “covered shares” under the final regulations. If we take an organizational action such as a stock split, merger, or acquisition that affects the cost basis of “covered shares,” we will report to each stockholder and to the Internal Revenue Service via our website a description of any such action and the quantitative effect of that action on the cost basis on an information return.

We have elected the first in, first out (FIFO) method as the default for calculating the cost basis and gain or loss upon the sale or liquidation of “covered shares”. A non-tax exempt stockholder may elect a different method of computation until the settlement date of the sold or liquidated shares. We suggest that you consult with your tax advisor to determine the appropriate method of accounting for your investment.

Treatment of Tax-Exempt Stockholders

Tax-exempt entities, including employee pension benefit trusts and individual retirement accounts, generally are exempt from U.S. federal income taxation. These entities are subject to taxation, however, on any “unrelated business taxable income” (“UBTI”), as defined in the Code. The Internal Revenue Service has issued a published ruling that distributions from a REIT to a tax-exempt pension trust do not constitute UBTI. Although rulings are merely interpretations of law by the Internal Revenue Service and may be revoked or modified, based on this analysis, indebtedness incurred by us or by our operating partnership in connection with the acquisition of a property should not cause any income derived from the property to be treated as UBTI upon the distribution of those amounts as dividends to a tax-exempt U.S. stockholder of our common stock. A tax-exempt entity that incurs indebtedness to finance its purchase of our common stock, however, will be subject to UBTI under the debt-financed income rules.

In certain circumstances, a pension trust that owns more than 10% of our stock could be required to treat a percentage of the dividends as UBTI if we are a “pension-held REIT.” We will not be a pension-held REIT unless (i) we are required to look through one or more of our pension trust stockholders in order to satisfy the REIT “closely-held” test, and (ii) either (A) one pension trust owns more than 25% of the value of our stock, or (B) one or more pension trusts, each individually holding more than 10% of the value of our stock, collectively owns more than 50% of the value of our stock. Certain restrictions on ownership and transfer of our stock generally should prevent a tax-exempt entity from owning more than 10% of the value of our stock and generally should prevent us from becoming a pension-held REIT. Tax-exempt stockholders are urged to consult their tax advisors regarding the federal, state, local and foreign income and other tax consequences of owning our common stock.

For social clubs, voluntary employee benefit associations, supplemental unemployment benefit trusts and qualified group legal services plans exempt from federal income taxation under Sections 501(c)(7), (c)(9), (c)(17) and (c)(20) of the Code, respectively, income from an investment in our shares will generally constitute UBTI unless the stockholder in question is able to deduct amounts set aside or placed in reserve for certain purposes so as to offset the UBTI generated. Any such organization that is a prospective stockholder should consult its own tax advisor concerning these set aside and reserve requirements, and regarding the treatment of distributions to such organization.

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Special Tax Considerations for Non-U.S. Stockholders

The rules governing U.S. federal income taxation of non-resident alien individuals, foreign corporations, foreign partnerships and other foreign stockholders, which we refer to collectively as “Non-U.S. holders,” are complex. The following discussion is intended only as a summary of these rules. Non-U.S. holders should consult with their own tax advisors to determine the impact of U.S. federal, state and local income tax laws on an investment in our common stock, including any reporting requirements as well as the tax treatment of the investment under the tax laws of their home country.

Ordinary Dividends.  The portion of distributions received by Non-U.S. holders payable out of our earnings and profits which are not attributable to our capital gains and which are not effectively connected with a U.S. trade or business of the Non-U.S. holder will be subject to U.S. withholding tax at the rate of 30%, unless reduced or eliminated by treaty. Reduced treaty rates and other exemptions are not available to the extent that income is attributable to excess inclusion income allocable to the foreign stockholder. Accordingly, we will withhold at a rate of 30% on any portion of a dividend that is paid to a non-U.S. holder and attributable to that holder’s share of our excess inclusion income. As required by Internal Revenue Service guidance, we intend to notify our stockholders if a portion of a dividend paid by us is attributable to excess inclusion income. In general, Non-U.S. holders will not be considered to be engaged in a U.S. trade or business solely as a result of their ownership of our common stock. In cases where the distribution income from a Non-U.S. holder’s investment in our common stock is, or is treated as, effectively connected with the Non-U.S. holder’s conduct of a U.S. trade or business, the Non-U.S. holder generally will be subject to U.S. tax at graduated rates, in the same manner as U.S. stockholders are taxed with respect to such distributions, such income must generally be reported on a U.S. income tax return filed by or on behalf of the Non-U.S. holder, and the income may also be subject to the 30% branch profits tax in the case of a Non-U.S. holder that is a corporation.

Non-Dividend Distributions.  Unless our common stock constitutes a U.S. real property interest (a “USRPI”), distributions by us which are not distributions out of our earnings and profits will not be subject to U.S. income tax. If it cannot be determined at the time at which a distribution is made whether or not the distribution will exceed current and accumulated earnings and profits, the distribution will be subject to withholding at the rate applicable to distributions. However, the Non-U.S. holder may seek a refund from the Internal Revenue Service of any amounts withheld if it is subsequently determined that the distribution was, in fact, in excess of our current and accumulated earnings and profits. If our common stock constitutes a USRPI, as described below, distributions by us in excess of the sum of our earnings and profits plus the stockholder’s basis in shares of our common stock will be taxed under the Foreign Investment in Real Property Tax Act of 1980 (“FIRPTA”) at the rate of tax, including any applicable capital gains rates, that would apply to a U.S. stockholder of the same type (e.g., an individual or a corporation, as the case may be), and the collection of the tax will be enforced by a refundable withholding at a rate of 10% of the amount by which the distribution exceeds the stockholder’s share of our earnings and profits.

Capital Gain Distributions.  A capital gain distribution will generally not be treated as income that is effectively connected with a U.S. trade or business, and will instead be treated the same as an ordinary distribution from us (see “— Special Tax Considerations for Non-U.S. Stockholders — Ordinary Dividends”), provided that (i) the capital gain distribution is received with respect to a class of stock that is regularly traded on an established securities market located in the United States, and (ii) the recipient Non-U.S. holder does not own more than 10% of that class of stock at any time during the taxable year in which the capital gain distribution is received. If such requirements are not satisfied, distributions that are sourced from capital gains will be treated as income that is effectively connected with a U.S. trade or business of the Non-U.S. holder without regard to whether the distribution is designated as a capital gain distribution and, in addition, shall be subject to a 35% withholding tax. We do not anticipate our common stock satisfying the “regularly traded” requirement. Distributions subject to FIRPTA may also be subject to a 30% branch profits tax in the hands of a Non-U.S. holder that is a corporation. A distribution is not a USRPI capital gain if we held the underlying asset solely as a creditor. Capital gain distributions received by a Non-U.S. holder from a REIT that are not USRPI capital gains are generally not subject to U.S. income tax, but may be subject to withholding tax. Distributions, to “qualified foreign pension funds” or entities all of the interests of which are held by “qualified foreign pension funds” are exempt from FIRPTA. Non-U.S. holders should consult their tax advisors regarding the application of these rules.

Estate Tax.  If our stock is owned or treated as owned by an individual who is not a citizen or resident (as specially defined for U.S. federal estate tax purposes) of the United States at the time of such individual’s death, the stock will be includable in the individual’s gross estate for U.S. federal estate tax purposes, unless an applicable estate tax treaty provides otherwise, and may therefore be subject to U.S. federal estate tax.

Dispositions of Our Common Stock.  Unless our common stock constitutes a USRPI, a sale of our common stock by a Non-U.S. holder generally will not be subject to U.S. taxation under FIRPTA. Our common stock will not be treated as a USRPI if less than 50% of our assets throughout a prescribed testing period consist of interests in real property located within the United States, excluding, for this purpose, interests in real property solely in a capacity as a creditor.

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Even if the foregoing test is not met, our common stock nonetheless will not constitute a USRPI if we are a “domestically controlled REIT.” A “domestically controlled REIT” is a REIT in which, at all times during a specified testing period, less than 50% in value of its shares of common stock is held directly or indirectly by Non-U.S. holders. We currently anticipate that we will be a domestically controlled REIT and, therefore, the sale of our common stock should not be subject to taxation under FIRPTA. However, we cannot assure you that we are or will continue to be a domestically controlled REIT. If we were not a domestically controlled REIT, whether a Non-U.S. holder’s sale of our common stock would be subject to tax under FIRPTA as a sale of a USRPI would depend on whether our common stock were “regularly traded” on an established securities market and on the size of the selling stockholder’s interest in us.

In addition, even if we are a domestically controlled REIT, upon disposition of our common stock (subject to the exception applicable to “regularly traded” stock described above), a non-U.S. holder may be treated as having gain from the sale or exchange of a USRPI if the non-U.S. holder (i) disposes of our common stock within a 30-day period preceding the ex-dividend date of distribution, any portion of which, but for the disposition, would have been treated as gain from the sale or exchange of a USRPI and (ii) acquires, or enters into a contract or option to acquire, other shares of our common stock within 30 days after such ex-dividend date.

If the gain on the sale of shares of common stock were subject to taxation under FIRPTA, a Non-U.S. holder would be subject to the same treatment as a U.S. stockholder with respect to the gain, subject to any applicable alternative minimum tax and a special alternative minimum tax in the case of non-resident alien individuals.

Gain from the sale of our common stock that would not otherwise be subject to FIRPTA will nonetheless be taxable in the United States to a non-U.S. holder in two cases: (i) if the non-U.S. holder’s investment in our common stock is effectively connected with a U.S. trade or business conducted by such non-U.S. holder, the non-U.S. holder will be subject to the same treatment as a U.S. stockholder with respect to such gain; or (ii) if the non-U.S. holder is a nonresident alien individual who was present in the United States for 183 days or more during the taxable year and has a “tax home” (as defined in the Code) in the United States, the nonresident alien individual will be subject to a 30% tax on the individual’s capital gain.

Information Reporting Requirements and Backup Withholding for Non-U.S. Holders.  Non-U.S. holders should consult their tax advisors with regard to U.S. information reporting and backup withholding requirements under the Code. We will provide you with an annual Internal Revenue Service Form 1042-S, if required, by March 15 following the end of our fiscal year.

Statement of Share Ownership

We are required to demand annual written statements from the record holders of designated percentages of our common stock disclosing the actual owners of the shares of common stock. Any record stockholder who, upon our request, does not provide us with required information concerning actual ownership of the shares of common stock is required to include specified information relating to his or her shares of common stock in his or her federal income tax return. We also must maintain, within the Internal Revenue District in which we are required to file our federal income tax return, permanent records showing the information we have received about the actual ownership of our common stock and a list of those Persons failing or refusing to comply with our demand.

Federal Income Tax Aspects of the Operating Partnership

The following discussion summarizes certain federal income tax considerations applicable to our investment in the operating partnership. This discussion applies only if, and during the period that, the operating partnership is treated as a partnership instead of a disregarded entity for federal income tax purposes. During the period that (i) we own 100% of the general and limited partnership interests in the operating partnership, either directly or indirectly through CHP GP, LLC and (ii) CHP GP, LLC has not elected to be taxed as a corporation for federal income tax purposes, the operating partnership will be disregarded as an entity separate from us for federal income tax purposes, and all of the operating partnership’s assets, liabilities and activities will be treated as our assets, liabilities and activities for federal income tax purposes. We do not know if or when additional interests in the operating partnership will be issued to a third party in a manner that would cause the operating partnership to cease being treated as a disregarded entity for federal income tax purposes. The discussion does not cover state or local tax laws or any federal tax laws other than income tax laws.

Classification as a Partnership.  We will be entitled to include in our income a distributive share of the operating partnership’s income and to deduct our distributive share of the operating partnership’s losses only if the operating partnership is classified for federal income tax purposes as a partnership, rather than as a corporation or an association taxable as a corporation. Under applicable Treasury Regulations (the “Check-the-Box-Regulations”), an unincorporated domestic entity with at least two members may elect to be classified either as an association taxable as a corporation or as a partnership. If the entity fails to make an election, it generally will be treated as a partnership for federal income tax purposes. The operating partnership intends to be classified as a partnership for federal income tax purposes and will not elect to be treated as an association taxable as a corporation under the Check-the-Box-Regulations.

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Even though the operating partnership will not elect to be treated as an association for U.S. federal income tax purposes, it may be taxed as a corporation if it is deemed to be a “publicly traded partnership.” A “publicly traded partnership” is a partnership whose interests are traded on an established securities market or are readily tradable on a secondary market or the substantial equivalent thereof. Under applicable Treasury Regulations (the “PTP Regulations”), limited safe harbors from the definition of a publicly traded partnership are provided. Pursuant to one of those safe harbors (the “Private Placement Exclusion”), interests in a partnership will not be treated as readily tradable on a secondary market or the substantial equivalent thereof if (i) all interests in the partnership were issued in a transaction (or transactions) that were not required to be registered under the Securities Act, and (ii) the partnership does not have more than 100 partners at any time during the partnership’s taxable year. In determining the number of partners in a partnership, a person owning an interest in a flow-through entity (including a partnership, grantor trust or S corporation) that owns an interest in the partnership is treated as a partner in such partnership only if (i) substantially all of the value of the owner’s interest in the flow-through entity is attributable to the flow-through entity’s direct or indirect interest in the partnership, and (ii) a principal purpose of the use of the flow-through entity is to permit the partnership to satisfy the 100 partner limitation. We and the operating partnership believe and currently intend to take the position that the operating partnership should not be classified as a publicly traded partnership because (i) operating partnership units are not traded on an established securities market, and (ii) operating partnership units should not be considered readily tradable on a secondary market or the substantial equivalent thereof. In addition, the operating partnership presently qualifies for the Private Placement Exclusion.

Even if the operating partnership were considered a publicly traded partnership under the PTP Regulations, the operating partnership should not be treated as a corporation for U.S. federal income tax purposes as long as 90% or more of its gross income consists of “qualifying income” under section 7704(d) of the Code. In general, “qualifying income” includes interest, dividends, real property rents (as defined by section 856 of the Code) and gain from the sale or disposition of real property. If the operating partnership were characterized as a publicly traded partnership even if it were not taxable as a corporation because of the qualifying income exception, however, holders of operating partnership units would be subject to special rules under section 469 of the Code. Under such rules, each holder of operating partnership units would be required to treat any loss derived from the operating partnership separately from any income or loss derived from any other publicly traded partnership, as well as from income or loss derived from other passive activities. In such case, any net losses or credits attributable to the operating partnership which are carried forward may only be offset against future income of the operating partnership. Moreover, unlike other passive activity losses, suspended losses attributable to the operating partnership would only be allowed upon the complete disposition of the operating partnership unit holder’s entire interest in the operating partnership.

We have not requested, and do not intend to request, a ruling from the Internal Revenue Service that the operating partnership will be classified as a partnership for federal income tax purposes.

If for any reason the operating partnership were taxable as a corporation, rather than a partnership, for federal income tax purposes, we would not be able to qualify as a REIT, unless we are eligible for relief from the violation pursuant to relief provisions described above. See “— Requirements for Qualification as a REIT — Organizational Requirements” and “Requirements for Qualification as a REIT—Operational Requirements—Asset Tests” above for discussion of the effect of the failure to satisfy the REIT tests for a taxable year, and of the relief provisions. In addition, any change in the operating partnership’s status for tax purposes might be treated as a taxable event, in which case we might incur a tax liability without any related cash distribution. Further, items of income and deduction of the operating partnership would not pass through to its partners, and its partners would be treated as stockholders for tax purposes. The operating partnership would be required to pay income tax at corporate tax rates on its net income, and distributions to its partners would constitute distributions that would not be deductible in computing the operating partnership’s taxable income.

Income Taxation of the Operating Partnership and Its Partner, Not the Operating Partnership, Subject to Tax.  A partnership is not a taxable entity for federal income tax purposes. As a partner in the operating partnership, we will be required to take into account our allocable share of the operating partnership’s income, gains, losses, deductions and credits for any taxable year of the operating partnership ending within or with our taxable year, without regard to whether we have received or will receive any distributions from the operating partnership.

Operating Partnership Allocations.  Although a partnership agreement generally determines the allocation of income and losses among partners, such allocations will be disregarded for tax purposes if they do not comply with the provisions of section 704(b) of the Code and the Treasury Regulations promulgated thereunder. If an allocation is not recognized for federal income tax purposes, the item subject to the allocation will be reallocated in accordance with the partner’s interests in the partnership, which will be determined by taking into account all of the facts and circumstances relating to the economic arrangement of the partners with respect to such item. The operating partnership’s allocations of taxable income and loss are intended to comply with the requirements of section 704(b) of the Code and the Treasury Regulations promulgated thereunder.

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Tax Allocations With Respect to Contributed Properties.  Pursuant to section 704(c) of the Code, income, gain, loss and deduction with respect to property that is contributed to a partnership in exchange for an interest in the partnership must, for federal income tax purposes, be shared among the partners to take account of the unrealized gain or unrealized loss associated with the property at the time of the contribution. The amount of unrealized gain or unrealized loss is generally equal to the difference between the fair market value of the contributed property at the time of contribution and the adjusted tax basis of such property at the time of contribution. Under applicable Treasury Regulations, partnerships are required to use a reasonable method for allocating items subject to section 704(c) of the Code, and several reasonable allocation methods are described therein.

Under the operating partnership agreement, subject to exceptions applicable to limited partnership interests, depreciation or amortization deductions of the operating partnership generally is allocated among the partners in accordance with their respective interests in the operating partnership, except to the extent that the operating partnership is required under section 704(c) of the Code to use a different method for allocating depreciation deductions attributable to its properties. In addition, gain or loss on the sale of a property that has been contributed to the operating partnership will be specially allocated to the contributing partner to the extent of any built-in gain or loss with respect to the property for federal income tax purposes. It is possible that we may (i) be allocated lower amounts of depreciation deductions for tax purposes with respect to contributed properties than would be allocated to us if each such property were to have a tax basis equal to its fair market value at the time of contribution and (ii) be allocated taxable gain in the event of a sale of such contributed properties in excess of the economic profit allocated to us as a result of such sale. These allocations may cause us to recognize taxable income in excess of cash proceeds received by us, which might adversely affect our ability to comply with the REIT distribution requirements, although we do not anticipate that this event will occur. The foregoing principles also will affect the calculation of our earnings and profits for purposes of determining the portion of our distributions that are taxable as a dividend. The allocations described in this paragraph may result in a higher portion of our distributions being taxed as a dividend than would have occurred had we purchased such properties for cash.

Basis in Operating Partnership Interest.  The adjusted tax basis of our partnership interest in the operating partnership generally is equal to the amount of cash and the basis of any other property contributed to the operating partnership by us, (i) increased by (A) our allocable share of the operating partnership’s income and (B) our allocable share of indebtedness of the operating partnership, and (ii) reduced, but not below zero, by (A) our allocable share of the operating partnership’s loss and (B) the amount of cash distributed to us, including constructive cash distributions resulting from a reduction in our share of indebtedness of the operating partnership. If the allocation of our distributive share of the operating partnership’s loss would reduce the adjusted tax basis of our partnership interest in the operating partnership below zero, the recognition of the loss will be deferred until such time as the recognition of the loss would not reduce our adjusted tax basis below zero. If a distribution from the operating partnership or a reduction in our share of the operating partnership’s liabilities would reduce our adjusted tax basis below zero, that distribution, including a constructive distribution, will constitute taxable income to us. The gain realized by us upon the receipt of any such distribution or constructive distribution would normally be characterized as capital gain, and if our partnership interest in the operating partnership has been held for longer than the long-term capital gain holding period (currently one year), the distribution would constitute long-term capital gain.

Depreciation Deductions Available to the Operating Partnership.  The operating partnership uses a portion of contributions we make from Net Offering Proceeds to acquire interests in properties and securities. To the extent that the operating partnership acquires properties or securities for cash, the operating partnership’s initial basis in such properties for federal income tax purposes generally will be equal to the purchase price paid by the operating partnership. The operating partnership depreciates each depreciable property for federal income tax purposes under the alternative depreciation system of depreciation (“ADS”). Under ADS, the operating partnership generally depreciates buildings and improvements over a 40-year recovery period using a straight-line method and a mid-month convention and will depreciate furnishings and equipment over a 10-year recovery period using a straight-line method and a half-year convention. To the extent that properties are contributed to the operating partnership in exchange for units of the operating partnership, the operating partnership’s initial basis in each such property for federal income tax purposes should be the same as the transferor’s basis in that property on the date of contribution to the operating partnership. Although the law is not entirely clear, the operating partnership generally depreciates such depreciable property for federal income tax purposes over the same remaining useful lives and under the same methods used by the transferors.

Sale of the Operating Partnership’s Property.  Generally, any gain realized by the operating partnership on the sale of property held for more than one year will be long-term capital gain, except for any portion of such gain that is treated as depreciation or cost recovery recapture. Our share of any gain realized by the operating partnership on the sale of any property held by the operating partnership as inventory or other property held primarily for sale to customers in the ordinary course of the operating partnership’s trade or business will be treated as income from a prohibited transaction that is subject to a 100% tax. We, however, do not presently intend to acquire or hold or allow the operating partnership to acquire or hold any property that represents inventory or other property held primarily for sale to customers in the ordinary course of our or the operating partnership’s trade or business.

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Partnership Audit Rules  

The recently enacted Bipartisan Budget Act of 2015 changes the rules applicable to U.S. federal income tax audits of partnerships. Under the new rules (which are generally effective for taxable years beginning after December 31, 2017), among other changes and subject to certain exceptions, any audit adjustment to items of income, gain, loss, deduction, or credit of a partnership (and any partner’s distributive share thereof) is determined, and taxes, interest, or penalties attributable thereto are assessed and collected, at the partnership level. Although it is uncertain how these new rules will be implemented, it is possible that they could result in partnerships in which we directly or indirectly invest being required to pay additional taxes, interest and penalties as a result of an audit adjustment, and we, as a direct or indirect partner of these partnerships, could be required to bear the economic burden of those taxes, interest, and penalties even though we, as a REIT, may not otherwise have been required to pay additional corporate-level taxes as a result of the related audit adjustment. The changes created by these new rules are sweeping and in many respects dependent on the promulgation of future regulations or other guidance by the U.S. Department of the Treasury. Prospective investors are urged to consult their tax advisors with respect to these changes and their potential impact on their investment in our shares.

Other Tax Considerations

Payments to Certain Foreign Financial Entities and Other Foreign Entities.  Withholding tax at a rate of 30% will be imposed on certain payments to you or certain foreign financial institutions (including investment funds) and other non-U.S. entities receiving payments on your behalf, including distributions in respect of shares of our stock and gross proceeds from the sale of shares of our stock, if you or such institutions fail to comply with certain due diligence and other reporting rules as set forth in the recently issues Treasury regulations. Accordingly, the entity through which shares of our stock are held will affect the determination of whether such withholding is required. Withholding currently applies to payments of dividends and will apply to payments of gross proceeds from a sale of shares of our stock made after December 31, 2019. Stockholders that are otherwise eligible for an exemption from, or reduction of, U.S. withholding taxes with respect to such dividends and proceeds will be required to seek a refund from the Internal Revenue Service to obtain the benefit of such exemption or reduction. Additional requirements and conditions may be imposed pursuant to an intergovernmental agreement, if and when entered into, between the United States and such institution’s home jurisdiction. We will not pay any additional amounts to any stockholders in respect of any amounts withheld. You are encouraged to consult with your tax advisor regarding U.S. withholding taxes and the application of the recently issued Treasury regulations in light of your particular circumstances.

Legislative or Other Actions Affecting REITs.  Current and prospective holders of our stock should recognize the present federal income tax treatment of an investment in our stock may be modified by legislative, judicial or administrative action at any time and that any such action may affect investments and commitments previously made. The rules dealing with federal income taxation are constantly under review by persons involved in the legislative process and by the Internal Revenue Service and the U.S. Treasury Department. Changes to the federal tax laws and interpretations thereof could adversely affect an investment in our stock.

State, Local and Foreign Taxes.  We and our subsidiaries and stockholders may be subject to state, local or foreign taxation in various jurisdictions including those in which we or they transact business, own property or reside. We own properties located in numerous jurisdictions, and may be required to file tax returns in some or all of those jurisdictions. Our state, local or foreign tax treatment and that of our stockholders may not conform to the federal income tax treatment discussed above. To the extent, if any, that we or our subsidiaries own assets, directly or indirectly, or conduct operations in foreign jurisdictions, we may be subject to foreign tax systems. Our favorable tax treatment in the United States as a REIT may not be recognized by foreign jurisdictions where we may be treated as a foreign corporation or other type of entity subject to a variety of taxes, such as income, corporate, trade, local and capital taxes, and distributions from such operations may be subject to withholding both as to dividends and interest paid to us.

Although we will seek to reduce the foreign taxes payable on foreign operations, it is unlikely that we will be able to mitigate totally such taxes, which could be significant. To the extent we incur such foreign taxes; we will receive reduced amounts from foreign operations and will have less cash available for distribution to our stockholders. Further, the foreign taxes cannot be passed through to our stockholders as a foreign tax credit and we cannot generally make effective use of foreign tax credits. As a result, we expect that neither we nor our stockholders will be able to reduce U.S. tax liability on account of our payment of foreign taxes. Accordingly, foreign taxes would impact our operations as an additional cost.

Prospective investors should consult their tax advisors regarding the application and effect of state, local and foreign income and other tax laws on an investment in our stock.

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Advisor

Our Advisor has responsibility for our day-to-day operations, administering our accounting functions, serving as our consultant in connection with policy decisions to be made by our board of directors, and identifying and making acquisitions and investments on our behalf.  In exchange for these services, our Advisor is entitled to receive certain fees from us.

Our Advisor and its affiliates are entitled to reimbursement of certain costs incurred on our behalf in connection with our organization, our Offerings, acquisitions, and operating activities. To the extent that operating expenses payable or reimbursable by us in any four consecutive fiscal quarters (“Expense Year”), commencing with the Expense Year ending June 30, 2013, exceed the greater of 2% of average invested assets or 25% of net income, the Advisor shall reimburse us, within 60 days after the end of the Expense Year, the amount by which the total operating expenses paid or incurred by us exceed the greater of the 2% or 25% threshold. Notwithstanding the above, we may reimburse the Advisor for expenses in excess of this limitation if a majority of our independent directors determines that such excess expenses are justified based on unusual and non-recurring factors.  For the Expense Year ended December 31, 2015, the Company did not incur operating expenses in excess of the limitation.

The current advisory agreement, which was approved by the board of directors on March 15, 2016, continues through June 2017.  Our independent directors are required to review and approve the terms of our advisory agreement at least annually.

For additional information on our Advisor, its affiliates or other related parties, as well as the fees and reimbursements we pay, see Item 8. “Financial Statements and Supplementary Data” – Note 11. “Related Party Arrangements.”

Available Information

CNL Financial Group, LLC (“Sponsor” or “CNL”) maintains a web site at www.cnlhealthcareproperties.com containing additional information about our business, and a link to the SEC web site (www.sec.gov).  We make available free of charge on our web site, our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and, if applicable, amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, as soon as reasonably practical after we file such material, or furnish it to, the SEC. You may read and copy any materials we file with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, DC 20549. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains a web site (www.sec.gov) where you can search for annual, quarterly and current reports, proxy and information statements, and other information regarding us and other public companies.  

The contents of our web site are not incorporated by reference in, or otherwise a part of, this report.

Item 1A. RISK FACTORS

Valuation Related Risks

In determining the Company’s estimated net asset value per share, the Company primarily relied upon a valuation of the Company’s portfolio of properties and debt as of December 31, 2015.  Valuations and appraisals of the Company’s properties and outstanding debt are estimates of fair value and may not necessarily correspond to realizable value upon the sale of such properties.  Therefore, the Company’s estimated net asset value per share may not reflect the amount that would be realized upon a sale of each of the Company’s properties.

For the purposes of calculating the Company’s estimated net asset value per share, the Company retained an investment banking firm as valuation expert to determine the Company’s estimated net asset value per share and the value of the Company’s properties and debt as of December 31, 2015.  The valuation methodologies used to estimate the net asset value of the Company’s shares as well as the value of the Company’s properties and outstanding debt, involved certain subjective judgments, including but not limited to, discounted cash flow analyses for wholly owned and partially owned properties.  Ultimate realization of the value of an asset depends to a great extent on economic and other conditions beyond the Company’s control.  Further, valuations do not necessarily represent the price at which an asset would sell, since market prices of assets can only be determined by negotiation between a willing buyer and seller.  Therefore, the valuations of the Company’s properties and the Company’s investments in real estate-related assets may not correspond to the realizable value upon a sale of those assets.  

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Company Related Risks

The Company and its Advisor have limited operating histories and there is no assurance the Company will achieve its goals.

The Company and the Advisor have limited operating histories.  To be successful, the Advisor must, among other things:

· identify and acquire investments that meet the Company’s investment objectives;

· attract, integrate, motivate and retain qualified personnel to manage the Company’s day-to-day operations;

· respond to competition for the Company’s targeted real estate properties and other investments; and

· continue to build and expand its operational structure to support the Company’s business.

There can be no assurance that the Advisor will succeed in achieving these goals.

In prior periods the Company has not had sufficient cash available from operations to pay distributions, and, therefore, has paid distributions from the net proceeds of the Company’s offering.  The Company may continue to pay distributions from sources other than its cash flow from operations or funds from operations, and any such distributions may reduce the amount of cash the Company ultimately invests in assets, negatively impact the value of the Company’s stockholders’ investment and be dilutive to itsstockholders.

Prior to 2013, the Company generated little, if any, cash flow from operations or funds from operations.  Further, investments by the Company in development or redevelopment projects, or in properties requiring significant capital, may affect the Company’s ability to make cash distributions.The Company’s organizational documents permit it to make distributions from any source, such as from the proceeds of the Company’s offerings (including its Reinvestment Plan), cash resulting from a deferral or waiver of asset management fees or expense reimbursements, and borrowings, which may be unsecured or secured by the Company’s assets, in anticipation of future net operating cash flow.  The Company has not established any limit on the extent to which the Company may use alternate sources, including borrowings or proceeds of the Company’s offerings, to pay distributions.  Commencing in the fourth fiscal quarter of 2011 through the fourth quarter of 2015, the Company made cash distributions from offering proceeds, which were dilutive to the Company’s stockholders.  To the extent the Company makes cash distributions, or a portion thereof, from sources other than operating cash flow or funds from operations, the Company will have less capital available to invest in properties and other real estate-related assets, the book value per share may decline, which might cause the Company to reduce the offering price in this offering or in future offerings, and there will be no assurance that the Company will be able to sustain distributions at that level.  Further, distributions that exceed cash flows from operations or funds from operations may not be sustainable.  Distributions will be taxable as ordinary income to the stockholders to the extent such distributions are made from the Company’s current and accumulated earnings and profits (“E&P”).  In addition, to the extent distributions exceed E&P calculations on a tax basis, a stockholder’s basis in the Company’s stock will be reduced and, to the extent distributions exceed a stockholder’s basis, the stockholder may recognize a capital gain in the future.

There can be no assurance that the Company will be able to achieve expected cash flows necessary to pay or maintain distributions at any particular level or that distributions will increase over time.

There are many factors that can affect the availability and timing of distributions to stockholders.  Distributions generally will be based upon such factors as the amount of cash available or anticipated to be available from real estate investments and investments in real estate-related securities, mortgage or other loans and assets, current and projected cash requirements and tax considerations.  Distributions may be limited in whole or in part by covenants of the Company’s revolving credit facilities or other loans.  Because the Company receives income from property operations and interest or rents at various times during the Company’s fiscal year, distributions paid may not reflect the Company’s income earned in that particular distribution period.  The amount of cash available for distributions is affected by many factors, such as the Company’s ability to make asset acquisitions as offering proceeds become available, the income from those investments and yields on securities of other real estate programs that the Company invests in, as well as the Company’s operating expense levels and many other variables.  Actual cash available for distribution may vary substantially from estimates.  The Company’s actual results may differ significantly from the assumptions used by the Company’s board of directors in establishing the distribution rates to be paid on its shares.  

The Company cannot assure investors that:

· rents or operating income from the Company’s properties will remain stable or increase;

· tenants will not default under or terminate their leases;

· acquisitions of real properties will increase the Company’s cash available for distributions to stockholders; or

· development properties will be developed on budget or generate income once stabilized.

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Many of the factors that can affect the availability and timing of cash distributions to stockholders are beyond the Company’s control, and a change in any one factor could adversely affect the Company’s ability to pay distributions.  For instance:

· Cash available for distributions may decrease if the Company is required to spend money to correct defects or to make improvements to properties.

· Cash available for distributions may decrease if the assets the Company acquires have lower yields than expected.

· Federal income tax laws require REITs to distribute at least 90% of their taxable income to stockholders each year.  The Company has elected to be treated as a REIT for tax purposes, and this limits the earnings that the Company may retain for corporate growth, such as asset acquisition, development or expansion, and will make the Company more dependent upon additional debt or equity financing than corporations that are not REITs.  If the Company borrows more funds in the future, more of the Company’s operating cash will be needed to make debt payments and cash available for distributions may decrease.

· The payment of principal and interest required to service the debt resulting from the Company’s policy to use leverage to acquire assets may leave the Company with insufficient cash to pay distributions.

· As the Company has elected to be taxed as a REIT, the Company may pay distributions to the Company’s stockholders to comply with the distribution requirements of the Code, and to eliminate, or at least minimize, exposure to federal income taxes and the nondeductible REIT excise tax.  Differences in timing between the receipt of income and the payment of expenses, and the effect of required debt payments, could require the Company to borrow funds on a short term basis to meet the distribution requirements that are necessary to achieve the tax benefits associated with qualifying as a REIT.

If the Company decides to list the Company’s common stock on a national exchange, it may wish to lower the Company’s distribution rate in order to optimize the price at which the Company’s shares would trade.  In addition, subject to the applicable REIT rules, the Company’s board of directors, in its discretion, may retain any portion of the Company’s cash on hand or use offering proceeds for capital needs and other corporate purposes.  Future distribution levels are subject to adjustment based upon any one or more of the risk factors set forth in this prospectus, as well as other factors that the Company’s board of directors may, from time to time deem relevant to consider when determining an appropriate common stock distribution.  As of December 31, 2015, the Company has experienced cumulative losses and cannot assure investors that it will generate or have sufficient cash available to continue paying distributions to investors at any specified level or that distributions the Company makes may not be decreased or be eliminated in the future.

Because the Company relies on affiliates of CNL for advisory, property management and managing dealer services, if these affiliates or their executive officers and other key personnel are unable to meet their obligations to the Company, the Company may be required to find alternative providers of these services, which could disrupt the Company’s business.

CNL, through one or more of its affiliates or subsidiaries, owns and controls the Sponsor, Advisor and Property Manager, as well as CNL Securities Corp., the managing dealer of the Company’s offering.  In the event that any of these affiliates are unable to meet their obligations to the Company, the Company might be required to find alternative service providers, which could disrupt the Company’s business by causing delays and/or increasing the Company’s costs.

Further, the Company’s success depends to a significant degree upon the contributions of James M. Seneff, Jr., the Company’s chairman of the board of directors, Thomas K Sittema, vice chairman of the board of directors, Stephen H. Mauldin, the Company’s president and chief executive officer, and Kevin Maddron, the Company’s chief operating officer, financial officer and treasurer, each of whom would be difficult to replace.  If any of these key personnel were to cease their affiliation with the Company or the Company’s affiliates, the Company may be unable to find suitable replacement personnel and the Company’s operating results could suffer.  In addition, the Company has entered into an advisory agreement with the Advisor which contains a non-solicitation and non-hire clause prohibiting the Company or the Company’s operating partnership from (i) soliciting or encouraging any person to leave the employment of the Advisor; or (ii) hiring on the Company’s behalf or on behalf of the Company’s operating partnership any person who has left the employment of the Advisor for one year after such departure.  All of the Company’s executive officers and the executive officers of the Advisor are also executive officers of CNL Lifestyle Properties, Inc. (“CLP”) and its advisor, and CNL Healthcare Properties II, Inc. (“CHP II”), a new non-traded corporation that intends to qualify as a real estate investment trust sponsored by CNL, whose registration statement on Form S-11 has recently been declared effective by the SEC under the Act and which intends to invest in healthcare properties substantially similar to those in which the Company has currently invested, and CHP II’s advisor, all of which are affiliates of the Advisor.  The Company believes that its future success depends, in large part, upon the Advisor’s ability to hire and retain highly skilled managerial, operational and marketing personnel.  Competition for such personnel is intense, and the Advisor may be unsuccessful in attracting and retaining such skilled personnel.  The Company does not maintain key person life insurance on any of its officers.

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Any adverse changes in CNL’s financial health, the public perception of CNL or the Company’s relationship with its sponsor or its affiliates could hinder the Company’s operating performance and the return on an investment.

Under certain circumstances, the Advisor and Property Manager have both committed to accept unvested restricted common stock in lieu of certain fees and expenses payable to them in order to provide additional cash to support of the Company’s distributions to investors.  The Advisor and Property Manager may terminate their expense support obligations upon 30 days’ notice to the Company.  If such expense support is terminated by either the Advisor, the Property Manager or both due to their or CNL’s financial health, the Company’s results from operations, cash from operations and funds from operations would all be negatively impacted and the Company’s ability to pay distributions to investors would be adversely impacted.  

In addition, any deterioration in the perception of CNL in the broker-dealer and financial advisor industries could result in an adverse effect on the Company’s ability to acquire assets and obtain financing from third parties on favorable terms.

Adverse changes in affiliated programs could also adversely affect our ability to raise capital.

CNL has one other public, non-traded, real estate investment program which has investment objectives similar to the Company’s, CHP II, which recently has had its registration statement on Form S-11 been declared effective by the SEC and which intends to begin raising equity capital to invest in the healthcare sector.  The Company’s Sponsor also has two other public, non-traded real estate investment programs, CLP and CNL Growth Properties, Inc. (“CGP”), which are closed to new investors.  Adverse results in the other non-traded REITs on the CNL platform have the potential to affect CNL’s and the Company’s reputation among financial advisors and investors.

The Company may be restricted in its ability to replace the Property Manager under certain circumstances which could have a material adverse effect on the Company’s business and financial condition.

The Company’s ability to replace the Property Manager may be limited.  Under the terms of the Company’s property management and leasing agreement, the Company may terminate the agreement (a) in the event of the Property Manager’s voluntary or involuntary bankruptcy or a similar insolvency event or (b) for “cause.” In this case, “cause” means a material breach of the property management and leasing agreement of any nature by the property manager relating to all or substantially all of the properties being managed under the agreement that is not cured within 30 days after notice to the property manager.  The Company may amend the property management and leasing agreement from time to time to remove a particular property from the pool of properties managed by the Property Manager (a) if the property is sold to a bona fide unaffiliated purchaser, or (b) for “cause.” The Company’s board of directors may find the performance of the property manager to be unsatisfactory.  However, unsatisfactory performance by the property manager may not constitute “cause.” As a result, the Company may be unable to terminate the property management and leasing agreement even if the Company’s board of directors concludes that doing so is in the Company’s best interest.

An investment return may be reduced if the Company is required to register as an investment company under the Investment Company Act.

The Company is not registered, and does not intend to register the Company or any of its subsidiaries, as an investment company under the Investment Company Act.  If the Company or any of its subsidiaries become obligated to register as an investment company, the registered entity would have to comply with a variety of substantive requirements under the Investment Company Act imposing, among other things:

· limitations on capital structure;

· restrictions on specified investments;

· prohibitions on transactions with affiliates; and

· compliance with reporting, record keeping, voting, proxy disclosure and other rules and regulations that would significantly change the Company’s operations.

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The Company believes it conducts its operations, directly and through the Company’s wholly and majority owned subsidiaries, so that neither the Company nor any of its subsidiaries will be an investment company and, therefore, will not be required to register as an investment company under the Investment Company Act.  Under Section 3(a)(1)(A) of the Investment Company Act, a company is deemed to be an “investment company” if it is, or holds itself out as being, engaged primarily, or proposes to engage primarily, in the business of investing, reinvesting or trading in securities.  Under Section 3(a)(1)(C) of the Investment Company Act, a company is deemed to be an “investment company” if it is engaged, or proposes to engage, in the business of investing, reinvesting, owning, holding or trading in securities and owns or proposes to acquire “investment securities” having a value exceeding 40% of the value of its total assets (exclusive of government securities and cash items) on an unconsolidated basis, which the Company refer to as the “40% Test.”

Since the Company is primarily engaged in the business of acquiring real estate, the Company believes that the Company and most, if not all, of the Company’s wholly and majority-owned subsidiaries will not be considered investment companies under either Section 3(a)(1)(A) or Section 3(a)(1)(C) of the Investment Company Act.  If the Company or any of the Company’s wholly or majority-owned subsidiaries would ever inadvertently fall within one of the definitions of “investment company,” the Company intends to rely on the exception provided by Section 3(c)(5)(C) of the Investment Company Act.

Under Section 3(c)(5)(C), a company generally must maintain at least 55% of its assets directly in what are deemed “qualifying” real estate assets and at least 80% of the entity’s assets in such qualifying assets and in a broader category of what are deemed “real estate-related” assets to qualify for this exception.  Mortgage-related securities may or may not constitute qualifying assets, depending on the characteristics of the mortgage-related securities, including the rights that the Company has with respect to the underlying loans.  The Company’s ownership of mortgage-related securities, therefore, is limited by provisions of the Investment Company Act and Commission staff interpretations.

The method the Company uses to classify its assets for purposes of the Investment Company Act is based in large measure upon no-action positions taken by the Commission staff in the past.  These no-action positions were issued in accordance with factual situations that may be substantially different from the factual situations the Company may face, and a number of these no-action positions were issued more than ten years ago.  No assurance can be given that the Commission staff will concur with the Company’s classification of the Company’s assets.  In addition, the Commission staff may, in the future, issue further guidance that may require the Company to re-classify the Company’s assets for purposes of qualifying for an exclusion from regulation under the Investment Company Act.  If the Company is required to re-classify its assets, the Company may no longer be in compliance with the exception from the definition of an “investment company” provided by Section 3(c)(5)(C) of the Investment Company Act.

A change in the value of any of the Company’s assets could cause the Company or one or more of its wholly or majority-owned subsidiaries to fall within the definition of “investment company” and negatively affect the Company’s ability to maintain the Company’s exception from regulation under the Investment Company Act.  To avoid being required to register as an investment company under the Investment Company Act, the Company and its subsidiaries may be unable to sell assets the Company would otherwise want to sell and may need to sell assets the Company would otherwise wish to retain.  In addition, the Company may have to acquire additional income- or loss-generating assets that the Company might not otherwise have acquired or may have to forego opportunities to acquire interests in companies that the Company would otherwise want to acquire and would be important to the Company’s investment strategy.

If the Company were required to register as an investment company but failed to do so, it would be prohibited from engaging in the Company’s business, and criminal and civil actions could be brought against the Company.  In addition, the Company’s contracts would be unenforceable unless a court required enforcement, and a court could appoint a receiver to take control of the Company and liquidate its business.

Stockholders have limited control over changes in the Company’s policies and operations.

The Company’s board of directors determines the Company’s investment policies, including its policies regarding financing, growth, debt capitalization, REIT qualification and distributions.  The Company’s board of directors may amend or revise these and other policies without a vote of the Company’s stockholders.  Under the Company’s charter and the Maryland General Corporation Law, its stockholders currently have a right to vote only on the following matters:

· the election or removal of directors;

· any amendment of the Company’s charter, except that the Company’s board of directors may amend its charter without stockholder approval to change the Company’s name, increase or decrease the aggregate number of the Company’s shares or the number of shares of any class or series that the Company has the authority to issue, effect certain reverse stock splits, or change the name or other designation or par value of any class or series of the Company’s stock and the aggregate par value of the Company’s stock;

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· the Company’s liquidation and dissolution; and 

· except as otherwise permitted by law, the Company’s being a party to any merger, consolidation, sale or other disposition of substantially all of its assets or similar reorganization.

If the Company does not successfully implement a liquidity event, investors may have to hold an investment for an indefinite period.

It is currently contemplated that by 2018 the Company’s board of directors will begin to evaluate various strategic options to provide stockholders with liquidity of their investment.  If the Company’s board of directors determines to pursue a liquidity event, the Company would be under no obligation to conclude the process within a set time. If the Company adopts a plan of liquidation, the timing of the sale of assets will depend on real estate and financial markets, economic conditions in areas in which its investments are located and federal income tax effects on stockholders that may prevail in the future. The Company cannot guarantee that the Company will be able to liquidate all of the Company’s assets on favorable terms, if at all. After the Company adopts a plan of liquidation, the Company would likely remain in existence until all its investments are liquidated. If the Company does not pursue a liquidity event or delays such a transaction due to market conditions, the Company’s common stock may continue to be illiquid and investors may, for an indefinite period of time, be unable to convert investor shares to cash easily, if at all, and could suffer losses on an investment in the Company’s shares.

Non-traded REITs have been the subject of increased scrutiny by regulators and media outlets resulting from inquiries and investigations initiated by Financial Industry Regulatory Authority, Inc. and the Commission.

The Company’s securities, like other non-traded REITs, are sold through broker-dealers and financial advisors. Governmental and self-regulatory organizations such as the Commission and self-regulatory organizations such as Financial Industry Regulatory Authority, Inc. (“FINRA”) impose and enforce regulations on broker-dealers, investment advisers and similar financial services companies.  In disciplinary proceedings in 2012, the Enforcement Division of FINRA required a broker-dealer to pay restitution to investors of a non-traded REIT in connection with the broker-dealer’s sale and promotion activities.  FINRA has also filed complaints against a broker-dealer firm with respect to (i) its solicitation of investors to purchase shares in a non-traded REIT without conducting a reasonable inquiry of investor suitability and (ii) its provision of misleading distribution information.  In February 2014, four non-traded REITs with affiliated sponsors disclosed in public filings a settlement with the Commission with respect to allegations that these REITs misled investors about their share-pricing methods, concealing inter-fund transactions and extra payments to executives.

The above-referenced proceedings have resulted in increased regulatory scrutiny from the Commission regarding non-traded REITs.  As a result of this increased scrutiny and accompanying negative publicity and coverage by media outlets, FINRA may impose additional restrictions on sales practices in the independent broker-dealer channel for non-traded REITs, and accordingly the Company may face increased difficulties in raising capital.  If the Company becomes the subject of scrutiny, even if the Company has complied with all applicable laws and regulations, responding to such regulator inquiries could be expensive and distract the Company’s management.

Risks Related to Conflicts of Interest and the Company’s Relationships with Its Advisor and Its Affiliates

There may be conflicts of interest because of interlocking boards of directors with affiliated companies.

James M. Seneff, Jr. serves as chairman of the board of directors of the Company, as well as chairman of the board of directors of CLP and CGP, affiliates of the Company and/or the Advisor. Thomas K. Sittema serves as the Company’s vice chairman, as well as chairman of the board of directors of CHP II and as a director for CLP.  These directors may experience conflicts of interest in managing the Company because they also have management responsibilities for these affiliated entities, which invest in properties in the same markets as the Company’s properties.

There will be competing demands on the Company’s officers and directors, and they may not devote all of their attention to the Company which could have a material adverse effect on its business and financial condition.

Two of the Company’s directors, James M. Seneff, Jr. and Thomas K. Sittema, are also officers and directors of the Advisor and other affiliated entities and may experience conflicts of interest in managing the Company because they also have management responsibilities for other companies including companies that may invest in some of the same types of assets in which the Company may invest.  In addition, substantially all of the other companies that they work for are affiliates of the Company and/or the Advisor.  For these reasons, all of these individuals share their management time and services among those companies and the Company and will not devote all of their attention to the Company and could take actions that are more favorable to the other companies than to the Company.

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In addition, Stephen H. Mauldin, the Company’s president and chief executive officer, Kevin Maddron, the Company’s chief operating officer, chief financial officer and treasurer, and the Company’s other officers serve as officers of, and devote time to, the Advisor, as well as CHP II, which has similar investment objectives to the Company.  Certain of the Company’s officers may also serve as officers of, and devote time to, CLP and CGP, two other non-traded REITs affiliated with the Sponsor, and their respective advisors and other companies which may be affiliated with the Company in the future.  These officers may experience conflicts of interest in managing the Company because they also have management responsibilities for multiple programs.  For these reasons, these officers will share their management time and services among these other programs and the Company, and will not devote all of their attention to the Company and could take actions that are more favorable to CHP II than to the Company.

Other real estate investment programs sponsored by CNL or the Sponsor use investment strategies that are similar to the Company’s.  The Advisor and its affiliates and their and the Company’s executive officers will face conflicts of interest relating to the purchase and leasing of properties and other investments, and such conflicts may not be resolved in the Company’s favor.

One or more real estate investment programs sponsored by CNL or the Sponsor may seek to invest in properties and other real estate-related investments similar to the assets the Company seeks to acquire.  CNL has one public, real estate investment program, CHP II, which has investment strategies similar to the Company and which recently had its registration statement on Form S-11 become effective. CHP II will be managed by the executive officers of the Advisor and expects to invest in the same asset classes in which the Company owns properties.  As a result, the Company may be buying properties and other real estate-related investments at the same time as CHP II is buying properties and other real estate-related investments in the asset classes in which the Company focuses.  The Company cannot assure investors that properties the Company wants to acquire will be allocated to the Company in this situation.  CNL is not required to allocate each prospective investment to the Advisor for review.  The Advisor may choose a property that provides lower returns to the Company than a property allocated to CHP II.  In addition, the Company may acquire properties in geographic areas where other programs sponsored by CNL or the Sponsor also invest.  If one of such other programs sponsored by CNL or the Sponsor attracts a tenant for which the Company is competing, the Company could suffer a loss of revenue due to delays in locating another suitable tenant.  Investors will not have the opportunity to evaluate the manner in which these conflicts of interest are resolved before or after making an investment.

The Advisor and its affiliates, including all of the Company’s executive officers and affiliated directors, will face conflicts of interest as a result of their compensation arrangements with the Company, which could result in actions that are not in the best interest of the Company’s stockholders.

The Company pays its Advisor and its affiliates, including the managing dealer of the Company’s offering and the Property Manager, substantial fees.  These fees could influence their advice to the Company, as well as the judgment of affiliates of the Advisor performing services for the Company.  Among other matters, these compensation arrangements could affect their judgment with respect to:

· the continuation, renewal or enforcement of the Company’s agreements with its Advisor and its affiliates;

· additional public offerings of equity by the Company, which would create an opportunity for CNL Securities Corp., as managing dealer, to earn additional fees and for the Advisor to earn increased advisory fees;

· property sales, which may entitle the Advisor to real estate commissions;

· property acquisitions from third parties, which entitle the Advisor to an investment services fee;

· borrowings to acquire assets, which increase the investment services fees and asset management fees payable to the Advisor and which entitle the Advisor or its affiliates to receive other acquisition fees in connection with assisting in obtaining financing for assets if approved by the Company’s board of directors, including a majority of the Company’s independent directors;

· whether the Company seeks to internalize its management functions, which could result in it retaining some of the Advisor’s and its affiliates’ key officers for compensation that is greater than that which they currently earn or which could require additional payments to affiliates of the Advisor to purchase the assets and operations of the Advisor and its affiliates performing services for the Company;

· the listing of, or other liquidity event with respect to, the Company’s shares, which may entitle the Advisor to a subordinated incentive fee;

· a sale of assets, which may entitle the Advisor to a subordinated share of net sales proceeds; and

· whether and when the Company seeks to sell the Company’s operating partnership or its assets, which sale could entitle the Advisor to additional fees.

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The fees the Advisor receives in connection with transactions involving the purchase and management of the Company’s assets are not necessarily based on the quality of the investment or the quality of the services rendered to the Company.  The basis upon which fees are calculated may influence the Advisor to recommend riskier transactions to the Company.

None of the agreements with the Advisor, Property Manager or any other affiliates were negotiated at arm’s length.

Agreements with the Advisor, Property Manager or any other affiliates may contain terms that would not otherwise apply if the Company entered into agreements negotiated at arm’s length with third parties.

If the Company internalizes the Company’s management functions, an interest in the Company could be diluted, the Company could incur other significant costs associated with being self-managed, the Company may not be able to retain or replace key personnel and may have increased exposure to litigation as a result of internalizing its management functions.

The Company may internalize management functions provided by the Advisor, Property Manager and their respective affiliates.  The Company’s board of directors may decide in the future to acquire assets and personnel from the Advisor or its affiliates for consideration that would be negotiated at that time.  However, as a result of the non-solicitation clause in the advisory agreement, generally the acquisition of Advisor personnel would require the prior written consent of the Advisor.  There can be no assurances that the Company will be successful in retaining the Advisor’s key personnel in the event of an internalization transaction.  In the event the Company acquires the Advisor or the Property Manager, the Company cannot be sure of the form or amount of consideration or other terms relating to any such acquisition, which could take many forms, including cash payments, promissory notes and shares of the Company’s stock.  The payment of such consideration could reduce the percentage of the Company’s shares owned by persons who purchase shares in the Company’s offering and could reduce the net income per share and funds from operations per share attributable to an investment.

In addition, the Company may issue equity awards to officers and consultants, which would increase operating expenses and decrease net income and funds from operations.  The Company cannot reasonably estimate the amount of fees to the Advisor, Property Manager and other affiliates the Company would save, and the costs it would incur, if the Company acquired these entities.  If the expenses the Company assumes as a result of an internalization are higher than the expenses the Company avoid paying to the Advisor, Property Manager and other affiliates, its net income per share and funds from operations per share would be lower than they otherwise would have been had the Company not acquired these entities.

Additionally, if the Company internalizes its management functions, the Company could have difficulty integrating these functions.  Currently, the officers of the Advisor and its affiliates perform asset management and general and administrative functions, including accounting and financial reporting, for multiple entities.  The Company may fail to properly identify the appropriate mix of personnel and capital needs to operate as a stand-alone entity.  An inability to manage an internalization transaction effectively could result in the Company’s incurring additional costs and divert its management’s attention from effectively managing the Company’s properties and overseeing other real estate-related assets.

In recent years, internalization transactions have been the subject of stockholder litigation.  Stockholder litigation can be costly and time-consuming, and there can be no assurance that any litigation expenses the Company might incur would not be significant or that the outcome of litigation would be favorable to the Company.  Any amounts the Company is required to expend defending any such litigation will reduce the amount of funds available for investment by the Company in properties or other investments.

The Company is not in privity of contract with service providers that may be engaged by the Advisor to perform advisory services and they may be insulated from liabilities to the Company, and the Advisor has minimal assets with which to remedy any liabilities to the Company.

The Advisor sub-contracts with affiliated or unaffiliated service providers for the performance of substantially all of its advisory services.  The Advisor has engaged affiliates of the Sponsor to perform certain services on its behalf pursuant to agreements to which the Company is not a party.  As a result, the Company is not in privity of contract with any such service provider and, therefore, such service provider will have no direct duties, obligations or liabilities to the Company.  In addition, the Company has no right to any indemnification to which the Advisor may be entitled under any agreement with a service provider.  The service providers the Advisor may subcontract with may be insulated from liabilities to the Company for services they perform, but may have certain liabilities to the Advisor.  The Advisor has minimal assets with which to remedy liabilities to the Company resulting under the advisory agreement.

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Risks Related to The Company’s Business

The Company has not established investment criteria limiting the size of property acquisitions.  If the Company has an investment that represents a material percentage of the Company’s assets which experiences a loss, the value of an investment in the Company would be significantly diminished.

The Company is not limited in the size of any single property acquisition the Company may make and certain of the Company’s investments may represent a significant percentage of its assets. Should the Company experience a loss on a portion or all of an investment that represents a significant percentage of the Company’s assets, this event would have a material adverse effect on the Company’s business and financial condition, which would result in an investment in the Company being diminished.

The Company depends on tenants for a significant portion of its revenue and lease defaults or terminations could have an adverse effect.

The Company’s ability to repay any outstanding debt and make distributions to stockholders depends upon the ability of its tenants to make payments to the Company, and their ability to make these payments depends primarily on their ability to generate sufficient revenues in excess of operating expenses from businesses conducted on the Company’s properties.  For example, a tenant’s failure or delay in making scheduled rent payments to the Company may result from the tenant realizing reduced revenues at the properties it operates.  Defaults on lease payment obligations by tenants would cause the Company to lose the revenue associated with those leases and require the Company to find an alternative source of revenue to pay the Company’s mortgage indebtedness and prevent a foreclosure action.  In addition, if a tenant at one of the Company’s single-user facilities, which are properties designed or built primarily for a particular tenant or a specific type of use, defaults on its lease obligations, the Company may not be able to readily market a single-user facility to a new tenant without making capital improvements or incurring other significant costs.

Significant tenant lease expirations may decrease the value of the Company’s investments.

Multiple, significant lease terminations in a given year in the Company’s medical office buildings produce tenant roll concentration and uncertainty as to the future cash flow of a property or portfolio and often decreases the value a potential purchaser will pay for one or more properties.  There is no guarantee that medical office buildings acquired will not have tenant roll concentration, and if such concentration occurs it could decrease the Company’s ability to pay distributions to stockholders and the value of their investment.

The Company’s long-term leases may not result in fair market lease rates over time; therefore, the Company’s income and its distributions could be lower than if the Company did not enter into long-term leases.

The Company typically enters into long-term leases with tenants of certain of its properties.  The Company’s long-term leases would likely provide for rent to increase over time.  However, if the Company does not accurately judge the potential for increases in market rental rates, the Company may set the terms of these long-term leases at levels less than then-current market rental rates even after contractual rent increases.  Further, the Company may have no ability to terminate those leases or to adjust the rent to then-prevailing market rates.  As a result, the Company’s income and distributions could be lower than if the Company did not enter into long-term leases.

Medical office building properties that have vacancies for a significant period of time could be difficult to sell, which could diminish the return on your investment.

The Company’s medical office building properties may have vacancies as a result of the continued default of tenants under their leases or the expiration of tenant leases.  If a high rate of vacancies persist, the Company may suffer reduced revenues.  In addition, because properties’ market values depend principally upon the value of the properties’ leases, the resale value of properties with prolonged vacancies could suffer, which could further reduce your return.

The continuation of a slow economy could adversely affect certain of the properties in which the Company invests, and the financial difficulties of the Company’s tenants and operators could adversely affect the Company.

The continuation of a slow economy could adversely affect certain of the properties in which the Company invests.  Although a general downturn in the real estate industry would be expected to adversely affect the value of the Company’s properties, a downturn in the seniors housing and healthcare sectors in which the Company invests could compound the adverse effect.  Continued economic weakness combined with higher costs, especially for energy, food and commodities, has put considerable pressure on consumer spending, which, along with the lack of available debt, could result in the Company’s tenants experiencing a decline in financial and operating performance and/or a decline in earnings from the Company’s TRS investments.

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Further disruptions in the financial markets and deteriorating economic conditions could impact certain of the real estate properties the Company acquires and such real estate could experience reduced occupancy levels from that anticipated at the time of the Company’s acquisition of such real estate.  The value of the Company’s real estate investments could decrease below the amounts the Company paid for the investments.  Revenues from properties could decrease due to lower occupancy rates, reduced rental rates and potential increases in uncollectible rent.  The Company will incur expenses, such as for maintenance costs, insurances costs and property taxes, even though a property is vacant.  The longer the period of significant vacancies for a property, the greater the potential negative impact on the Company’s revenues and results of operations.

The inability of seniors to sell their homes could negatively impact occupancy rates, revenues, cash flows and results of operations of the properties the Company acquires.

Downturns in the housing markets could adversely affect the ability (or perceived ability) of seniors to currently afford entrance fees and resident fees as potential residents frequently use the proceeds from the sale of their homes to cover the cost of these fees.  Specifically, if seniors have a difficult time selling their homes, these difficulties could impact their ability to relocate into, or finance their stays at, the Company’s seniors housing and post-acute care properties with private resources.  If the volatility in the housing market returns, the occupancy rates, revenues, cash flows and results of operations for these properties could be negatively impacted.

The Company does not have control over market and business conditions that may affect its success.

The following external factors, as well as other factors beyond the Company’s control, may reduce the value of properties that it acquires, the ability of tenants to pay rent on a timely basis, or at all, the amount of the rent to be paid and the ability of borrowers to make loan payments on time, or at all:

· changes in general or local economic or market conditions;

· the pricing and availability of debt, operating lines of credit or working capital;

· inflation and other increases in operating costs, including utilities and insurance premiums;

· increased costs and shortages of labor;

· increased competition;

· quality of management;

· failure by a tenant to meet its obligations under a lease;

· bankruptcy of a tenant or borrower;

· the ability of an operator to fulfill its obligations;

· limited alternative uses for properties;

· changing consumer habits or other changes in supply of, or demand for, similar or competing products;

· acts of God, such as earthquakes, floods and hurricanes;

· condemnation or uninsured losses;

· changing demographics; and

· changing government regulations, including REIT taxation, real estate taxes, environmental, land use and zoning laws.

Further, the results of operations for a property in any one period may not be indicative of results in future periods, and the long-term performance of such property generally may not be comparable to, and cash flows may not be as predictable as, other properties owned by third parties in the same or similar industry.  If tenants are unable to make lease payments, TRS entities do not achieve the expected levels of operating income, or borrowers are unable to make loan payments as a result of any of these factors, cash available for distributions to the Company’s stockholders may be reduced.

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The Company may be limited in its ability to vary the Company’s portfolio in response to changes in economic, market or other conditions, including by restrictions on transfer imposed by the Company’s limited partners, if any, in the Company’s operating partnership or by the Company’s lenders.  Additionally, the return on the Company’s real estate assets also may be affected by a continued or exacerbated general economic slowdown experienced in the U.S. generally and in the local economies where its properties and the properties underlying the Company’s other real estate-related investments are located, including:

· poor economic conditions may result in a decline in the operating income at the Company’s properties and defaults by tenants of the Company’s properties and borrowers under its investments in mortgage, bridge or mezzanine loans; and

· increasing concessions, reduced rental rates or capital improvements may be required to maintain occupancy levels.

The Company’s exposure to typical real estate investment risks could reduce its income.

The Company’s properties, loans and other real estate-related investments are subject to the risks typically associated with investments in real estate.  Such risks include the possibility that the Company’s properties will generate operating income, rent and capital appreciation, if any, at rates lower than anticipated or will yield returns lower than those available through other investments.  Further, there are other risks by virtue of the fact that the Company’s ability to vary its portfolio in response to changes in economic and other conditions will be limited because of the general illiquidity of real estate investments.  Income from the Company’s properties may be adversely affected by many factors including, but not limited to, an increase in the local supply of properties similar to the Company’s properties, newer competing properties, a decrease in the number of people interested in the properties that the Company acquires, changes in government regulation, including healthcare regulation, international, national or local economic deterioration, increases in operating costs due to inflation and other factors that may not be offset by increased lease rates, and changes in consumer tastes.

The Company may be unable to sell assets if or when the Company decides to do so.

Maintaining the Company’s REIT qualification and continuing to avoid registration under the Investment Company Act as well as many other factors, such as general economic conditions, the availability of financing, interest rates and the supply and demand for the particular asset type, may limit the Company’s ability to sell real estate assets.  These factors are beyond the Company’s control.  The Company cannot predict whether it will be able to sell any real estate asset on favorable terms and conditions, if at all, or the length of time needed to sell an asset.

An increase in real estate taxes may decrease the Company’s income from properties.

From time to time, the amount the Company pays for property taxes will increase as either property values increase or assessment rates are adjusted.  Increases in a property’s value or in the assessment rate will result in an increase in the real estate taxes due on that property.  If the Company is unable to pass the increase in taxes through to its tenants, the Company’s net operating income for the property will decrease.

Acquiring or attempting to acquire multiple properties in a single transaction may adversely affect the Company’s operations.

From time to time, the Company acquires multiple properties in a single transaction.  Portfolio acquisitions typically are more complex and expensive than single property acquisitions, and the risk that a multiple-property acquisition does not close may be greater than in a single-property acquisition.  Portfolio acquisitions may also result in the Company’s ownership of investments in geographically dispersed markets, placing additional demands on the Advisor and Property Manager in managing the properties in the portfolio.  In addition, a seller may require that a group of properties be purchased as a package even though the Company may not want to purchase one or more properties in the portfolio.  The Company also may be required to accumulate a large amount of cash to fund such acquisitions.  The Company would expect the returns that it earns on such cash to be less than the returns on real property.  Therefore, acquiring multiple properties in a single transaction may reduce the overall yield on the Company’s portfolio.

If one or more of the Company’s tenants file for bankruptcy protection, the Company may be precluded from collecting all sums due.

If one or more of the Company’s tenants, or the guarantor of a tenant’s lease, commences, or has commenced against it, any proceeding under any provision of the U.S. federal bankruptcy code, as amended, or any other legal or equitable proceeding under any bankruptcy, insolvency, rehabilitation, receivership or debtor’s relief statute or law, the Company may be unable to collect sums due under the Company’s lease(s) with that tenant.  Any or all of the tenants, or a guarantor of a tenant’s lease obligations, could be subject to a bankruptcy or similar proceeding.  A bankruptcy or similar proceeding may bar the Company’s efforts to collect pre-bankruptcy debts from those entities or their properties unless the Company is able to obtain an order from the bankruptcy court.  If a lease is rejected by a tenant in bankruptcy, the Company would only have a general unsecured claim against the tenant, and may not

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be entitled to any further payments under the lease.  Such an event could cause a decrease or cessation of rental payments which would reduce the Company’s cash flow and the amount available for distribution to stockholders.  In the event of a bankruptcy or similar proceeding, the Company cannot assure investors that the tenant or its trustee will assume the Company’s lease.  If a given lease, or guaranty of a lease, is not assumed, the Company’s cash flow and the amounts available for distribution to stockholders may be adversely affected.

If a sale-leaseback transaction is re-characterized in a tenant’s bankruptcy proceeding, the Company’s financial condition could be adversely affected.

The Company has entered into sale-leaseback transactions whereby the Company purchases a property and then leases the same property back to the person from whom it was purchased.  In the event of the bankruptcy of a tenant, a transaction structured as a sale-leaseback may be re-characterized as either a financing or a joint venture, either of which outcomes could adversely affect the Company’s financial condition, cash flow, REIT qualification and the amount available for distributions to investors.

If the sale-leaseback were re-characterized as a financing, the Company might not be considered the owner of the property, and as a result would have the status of a creditor in relation to the tenant.  In that event, the Company would no longer have the right to sell or encumber its ownership interest in the property.  Instead, the Company would have a claim against the tenant for the amounts owed under the lease, with the claim arguably secured by the property.  The tenant/debtor might have the ability to propose a plan restructuring the term, interest rate and amortization schedule of its outstanding balance.  If confirmed by the bankruptcy court, the Company could be bound by the new terms and prevented from foreclosing its lien on the property.  If the sale-leaseback were re-characterized as a joint venture, the Company’s lessee and the Company could be treated as co-venturers with regard to the property.  As a result, the Company could be held liable, under some circumstances, for debts incurred by the lessee relating to the property.

Multiple property leases or loans with individual tenants or borrowers increase the Company’s risks in the event that such tenants or borrowers become financially impaired.

Defaults by a tenant or borrower may continue for some time before the Company determines that it is in the Company’s best interest to evict the tenant or foreclose on the property of the borrower.  Tenants may lease more than one property, and borrowers may enter into more than one loan.  As a result, a default by, or the financial failure of, a tenant or borrower could cause more than one property to become vacant or be in default or more than one lease or loan to become non-performing.  Defaults or vacancies can reduce the Company’s rental income and funds available for distribution and could decrease the resale value of affected properties until they can be re-leased.

The Company relies on various security provisions in the Company’s leases for minimum rent payments which could have a material adverse effect on the Company’s financial condition.

The Company’s leases may, but are not required to, have security provisions such as deposits, stock pledges and guarantees or shortfall reserves provided by a third-party tenant or operator.  These security provisions may terminate at either a specific time during the lease term once net operating income of the property exceeds a specified amount or upon the occurrence of other specified events.  Certain security provisions may also have limits on the overall amount of the security under the lease.  After the termination of a security feature, or in the event that the maximum limit of a security provision is reached, the Company may only look to the tenant to make lease payments.  In the event that a security provision has expired or the maximum limit has been reached or a provider of a security provision is unable to meet its obligations, the Company’s results of operations and ability to pay distributions to the Company’s stockholders could be adversely affected if the Company’s tenants are unable to generate sufficient funds from operations to meet minimum rent payments and the tenants do not otherwise have the resources to make rent payments.

The Company’s real estate assets may be subject to impairment charges which could have a material adverse effect on the Company’s financial condition.

The Company is required to periodically evaluate the recoverability of the carrying value of the Company’s real estate assets for impairment indicators.  Factors considered in evaluating impairment of the Company’s real estate assets held for investment include significant declines in property operating profits, recurring property operating losses and other significant adverse changes in general market conditions that are considered permanent in nature.  Generally, a real estate asset held for investment is not considered impaired if the undiscounted, estimated future cash flows of the asset over its estimated holding period are in excess of the asset’s net book value at the balance sheet date.  Management makes assumptions and estimates when considering impairments and actual results could vary materially from these assumptions and estimates.

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The Company is uncertain that its existing sources for funding of future capital needs will remain adequate.

The Company has established a revolving credit facility and capital reserves on a property-by-property basis, as the Company deems appropriate to fund anticipated capital improvements.  If the Company’s revolving credit facility is inadequate to address its acquisition needs or if the Company does not have enough capital reserves to supply needed funds for capital improvements throughout the life of the Company’s investment in a property and there is insufficient cash available from operations or from other sources, the Company may be required to defer necessary improvements to a property.  This may result in decreased cash flow and reductions in property values.  If the Company’s reserves are insufficient to meet its cash needs, the Company may have to obtain financing from either affiliated or unaffiliated sources to fund its cash requirements.  There can be no guarantee that these sources will be available to the Company.  Accordingly, in the event that the Company develops a need for additional capital in the future for acquisitions or the maintenance or improvement of the Company’s properties or for any other reason, the Company has not identified any additional established sources for such funding, and the Company cannot assure investors that such sources of funding will be available to the Company in the future.

Increased competition for residents or patients may reduce the ability of certain of the Company’s operators to make scheduled rent payments to the Company or affect the Company’s operating results.

The types of properties in which the Company invests are expected to face competition for residents or patients from other similar properties, both locally and nationally.  For example, competing seniors housing properties may be located near the seniors housing properties the Company owns or acquires.  Any decrease in revenues due to such competition at any of the Company’s properties may adversely affect the Company’s operators’ ability to make scheduled rent payments to the Company and with respect to the Company’s seniors housing and other healthcare properties leased to TRS entities, may adversely affect the Company’s operating results of those properties.

Lack of diversification of the Company’s properties may increase the Company’s exposure to the risks of adverse economic conditions as to particular asset classes and categories of property within asset classes.

Since the Company’s assets are concentrated in certain asset classes or any brand or other category within an asset class, an economic downturn in such class or asset category could have an adverse effect on the Company’s results of operations and financial condition.

The Company may be subject to litigation which could have a material adverse effect on its business and financial condition.

The Company may be subject to litigation, including claims relating to the Company’s operations, offerings, unrecognized pre-acquisition contingencies and otherwise in the ordinary course of business.  Some of these claims may result in potentially significant judgments against the Company, some of which are not, or cannot be, insured against.  The Company generally intends to vigorously defend itself; however, the Company cannot be certain of the ultimate outcomes of claims that may arise in the future.  Resolution of these types of matters against the Company may result in its payment of significant fines or settlements, which, if not insured against, or if these fines and settlements exceed insured levels, would adversely impact the Company’s earnings and cash flows.  Certain litigation or the resolution of certain litigation may affect the availability or cost of some of the Company’s insurance coverage which could adversely impact the Company’s results of operations and cash flows, expose the Company to increased risks that would be uninsured and/or adversely impact its ability to attract officers and directors.

The Company will have no economic interest in the land beneath ground lease properties that the Company may acquire.

Certain of the properties that the Company acquires may be on land owned by a governmental entity or other third-party, while the Company owns a leasehold, permit, or similar interest.  This means that the Company does not retain fee ownership in the underlying land.  Accordingly, with respect to such properties, the Company will have no economic interest in the land or buildings at the expiration of the ground lease or permit.  As a result, the Company will not share in any increase in value of the land associated with the underlying property and may forfeit rights to assets constructed on the land such as buildings and improvements at the end of the lease.  Further, because the Company does not completely control the underlying land, the governmental or other third-party owners that lease this land to the Company could take certain actions to disrupt the Company’s rights in the properties or the Company’s tenants’ operation of the properties or take the properties in an eminent domain proceeding.  Such events are beyond the Company’s control.  If the entity owning the land under one of the Company’s properties chose to disrupt the Company’s use either permanently or for a significant period of time, then the value of the Company’s assets could be impaired.

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Existing seniors housing, medical office buildings, acute care and post-acute care properties that the Company acquires may be subject to unknown or contingent liabilities which could cause the Company to incur substantial costs.

The Company has acquired operating seniors housing, medical office buildings, acute care and post-acute care properties which may be subject to unknown or contingent liabilities for which the Company may have no recourse, or only limited recourse, against the sellers.  In general, the representations and warranties provided under transaction agreements related to the Company’s acquisition of seniors housing and healthcare properties do not survive the closing of the transactions.  While the Company generally requires the sellers to indemnify the Company with respect to breaches of representations and warranties that survive, such indemnification may be limited and subject to various materiality thresholds, a significant deductible or an aggregate cap on indemnifiable losses.  There is no guarantee that the Company will recover any amounts with respect to losses due to breaches by the sellers of their representations and warranties.  In addition, the total amount of costs and expenses that may be incurred with respect to liabilities associated with these properties may exceed the Company’s expectations, and it may experience other unanticipated adverse effects, all of which may adversely affect the Company’s financial condition, results of operations, the market price of its common stock and its ability to make distributions to the Company’s stockholders.

The Company may not be able to compete effectively in those markets where overbuilding exists and the Company’s inability to compete in those markets may have a material adverse effect on the Company’s business, financial condition and results of operations and the Company’s ability to make distributions to investors.

Overbuilding in the seniors housing segment in the late 1990s reduced occupancy and revenue rates at seniors housing facilities. The occurrence of another period of overbuilding could adversely affect the Company’s future occupancy and resident fee rates, decreased occupancy and operating margins, and lower profitability, which in turn could materially adversely affect the Company’s business, financial condition and results of operations and the Company’s ability to make distributions to its stockholders.

The Company invests in private-pay seniors housing properties, an asset class of the seniors housing sector that is highly competitive.

Private-pay seniors housing is a competitive asset class of the seniors housing sector.  The Company’s seniors housing properties compete on the basis of location, affordability, quality of service, reputation and availability of alternative care environments.  The Company’s seniors housing properties also rely on the willingness and ability of seniors to select seniors housing options.  The Company’s property operators may have competitors with greater marketing and financial resources able to offer incentives or reduce fees charged to residents thereby potentially reducing the perceived affordability of the Company’s properties.  Additionally, the high demand for quality caregivers in a given market could increase the costs associated with providing care and services to residents.  These and other factors could cause the amount of the Company’s revenue generated by private payment sources to decline or the Company’s operating expenses to increase.  In periods of weaker demand, as has occurred during the recent general economic recession, profitability may be negatively affected by the relatively high fixed costs of operating a seniors housing property.

Events which adversely affect the ability of seniors to afford the Company’s daily resident fees could cause the occupancy rates, resident fee revenues and results of operations of the Company’s seniors housing properties to decline.

Costs to seniors associated with certain types of the seniors housing properties the Company acquires generally are not reimbursable under government reimbursement programs such as Medicaid and Medicare.  Substantially all of the resident fee revenues generated by the Company’s properties are derived from private payment sources consisting of income or assets of residents or their family members.  Only seniors with income or assets meeting or exceeding certain standards can typically afford to pay the Company’s daily resident and service fees and, in some cases, entrance fees.  Economic downturns such as the one recently experienced in the U.S., reductions or declining growth of government entitlement programs, such as social security benefits, or stock market volatility could adversely affect the ability of seniors to afford the fees for the Company’s seniors housing properties.  If the Company’s tenants or managers are unable to attract and retain seniors with sufficient income, assets or other resources required to pay the fees associated with assisted and independent living services, the occupancy rates, resident fee revenues and results of operations for these properties could decline, which, in turn, could have a material adverse effect on the Company’s business.

Significant legal actions brought against the tenants or managers of the Company’s seniors housing, acute and post-acute care properties could subject them to increased operating costs and substantial uninsured liabilities, which may affect their ability to meet their obligations to the Company.

The tenants or managers of the Company’s seniors housing, acute care and post-acute care properties may be subject to claims that their services have resulted in resident injury or other adverse effects.  The insurance coverage that is maintained by such tenants or managers, whether through commercial insurance or self-insurance, may not cover all claims made against them or continue to be available at a reasonable cost, if at all.  In some states, insurance coverage for the risk of punitive damages arising from professional

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liability and general liability claims and/or litigation may not, in certain cases, be available to the Company’s tenants or managers due to state law prohibitions or limitations of availability.  As a result, the tenants or managers of the Company’s healthcare properties operating in these states may be liable for punitive damage awards that are either not covered or are in excess of their insurance policy limits.  From time to time, there may also be increases in government investigations of long-term care providers, as well as increases in enforcement actions resulting from these investigations.  Insurance is not available to cover such losses.  Any adverse determination in a legal proceeding or government investigation could lead to potential termination from government programs, large penalties and fines and otherwise have a material adverse effect on a facility operator’s financial condition.  If a tenant or manager is unable to obtain or maintain insurance coverage, if judgments are obtained in excess of the insurance coverage, if a tenant or manager is required to pay uninsured punitive damages, or if a tenant or manager is subject to an uninsurable government enforcement action, the tenant or manager could be exposed to substantial additional liabilities, which could result in its bankruptcy or insolvency or have a material adverse effect on a tenant’s or manager’s business and its ability to meet its obligations to the Company.

Moreover, advocacy groups that monitor the quality of care at seniors housing, acute care and post-acute care properties have sued facility operators and demanded that state and federal legislators enhance their oversight of trends in seniors housing property ownership and quality of care.  Patients have also sued operators of seniors housing, acute care and post-acute care properties and have, in certain cases, succeeded in winning very large damage awards for alleged abuses.  This litigation and potential future litigation may materially increase the costs incurred by the tenants and managers of the Company’s properties for monitoring and reporting quality of care compliance.  In addition, the cost of medical malpractice and liability insurance has increased and may continue to increase so long as the present litigation environment affecting the operations of healthcare properties continues.  Increased costs could limit the ability of the tenants and managers of the Company’s properties to meet their obligations to the Company, potentially decreasing the Company’s revenue and increasing its collection and litigation costs.  To the extent the Company is required to remove or replace a manager, the Company’s revenue from the affected facility could be reduced or eliminated for an extended period of time.

Finally, if the Company leases a seniors housing, acute care or post-acute care property to the Company’s TRS rather than leasing the property to a third-party tenant, the Company’s TRS will generally be the license holder and become subject to state licensing requirements and certain operating risks that apply to facility operators, including regulatory violations and third-party actions for negligence or misconduct.  The TRS will have increased liability resulting from events or conditions that occur at the facility, including, for example, injuries to residents and deaths of residents at the facility.  In the event the TRS incurs liability and a successful claim is made that the separate legal status of the TRS should be ignored for equitable or other reasons (i.e. a corporate veil piercing claim), the Company may also become liable for such matters.  Insurance may not cover all such liabilities.  Any negative publicity resulting from lawsuits related to the Company’s TRS status as a licensee could adversely affect the Company’s business reputation and ability to attract and retain residents in the Company’s leased properties, the Company’s ability to obtain or maintain licenses at the affected facility and other facilities, and the Company’s ability to raise additional capital.

Reductions in reimbursement from third-party payors, including Medicare and Medicaid, could adversely affect the profitability of tenants at any acute care and post-acute care healthcare properties that the Company may acquire, and hinder their ability to make rent payments to the Company.

Sources of revenue for tenants and operators at any acute care and post-acute care properties that the Company acquires include the federal Medicare program, state Medicaid programs, private insurance carriers and health maintenance organizations, among others.  Efforts by these payors to reduce healthcare costs will likely continue, which may result in reductions or slower growth in reimbursement for certain services provided by some of these tenants.  In addition, the failure of any of the Company’s tenants to comply with various laws and regulations could jeopardize their ability to continue participating in Medicare, Medicaid and other government-sponsored payment programs.

The healthcare property sector continues to face various challenges, including increased government and private payor pressure on healthcare providers to control or reduce costs.  The Company believes that tenants at acute care and post-acute care properties will continue to experience a shift in payor mix away from fee-for-service payors, resulting in an increase in the percentage of revenues attributable to managed care payors, government payors and general industry trends that include pressures to control healthcare costs.  Pressures to control healthcare costs and a shift away from traditional health insurance reimbursement have resulted in an increase in the number of patients whose healthcare coverage is provided under managed care plans, such as health maintenance organizations and preferred provider organizations.  In addition, due to the aging of the population and the expansion of governmental payor programs, the Company anticipates that there will be a marked increase in the number of patients reliant on healthcare coverage provided by governmental payors.  These changes could have a material adverse effect on the financial condition of tenants at the Company’s acute care and post-acute care properties.

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Changes to Medicare and Medicaid budgets may adversely impact operations of certain acute care and post-acute care properties.

For post‑acute care properties such as skilled nursing facilities, Medicare reimbursement has the greatest impact on performance and the Company believes it will continue to come under scrutiny given looming long‑term budget issues with the aging of the population. The Centers for Medicare and Medicaid Services (“CMS”) implements changes to Medicare budgets for various asset classes (i.e., skilled nursing facilities, inpatient rehabilitation facilities, long‑term acute care hospitals (“LTACHs”) and hospice providers) at the beginning of October for the next fiscal year. Changes to budgets for the different asset classes could significantly impact rent coverage ratios of operators. The latest round of CMS budget pronouncements for 2014 was largely within expectations and provided modest increases that were below inflation levels. CMS continues to evaluate making Medicare payments “site neutral” for the same service delivered in an inpatient versus outpatient setting. Such a change could result in certain providers, particularly LTACHs and inpatient rehabilitation facilities, receiving lower reimbursement rates than those currently in place, which could have a significant impact on the financial condition of our tenants in those asset classes.

The Company is exposed to various operational risks, liabilities and claims with respect to its seniors housing, acute care and post-acute care properties that may adversely affect the Company’s ability to generate revenues and/or increase its costs.

Through the Company’s ownership of seniors housing, acute care and post-acute care properties, the Company is exposed to various operational risks, liabilities and claims with respect to the Company’s properties in addition to those generally applicable to ownership of real property. These risks include fluctuations in occupancy levels, the inability to achieve economic resident fees (including anticipated increases in those fees), rent control regulations, and increases in labor costs (as a result of unionization or otherwise) and services.  Any one or a combination of these factors, together with other market and business conditions beyond the Company’s control, could result in operating deficiencies at the Company’s seniors housing, acute care and post-acute care properties, which could have a material adverse effect on the Company’s facility operators’ results of operations and their ability to meet their obligations to the Company and operate the properties effectively and efficiently, which in turn could adversely affect the Company.

Unanticipated expenses and insufficient demand for healthcare properties could adversely affect the Company’s profitability.

As part of the Company’s investment strategy, the Company may acquire seniors housing, medical office buildings, acute and post-acute care properties in geographic areas where potential customers may not be familiar with the benefits of, and care provided by, that particular property.  As a result, the Company may have to incur costs relating to the opening, operation and promotion of such properties that are substantially greater than those incurred in other areas where the properties are better known by the public.  These properties may attract fewer residents or patients than other properties the Company acquires and may have increased costs, such as for marketing expenses, adversely affecting the results of operations of such properties as compared to those properties that are better known.

The Company’s failure or the failure of the tenants and managers of the Company’s properties to comply with licensing and certification requirements, the requirements of governmental programs, fraud and abuse regulations or new legislative developments may materially adversely affect the operations of the Company’s seniors housing, acute care and post-acute care properties.

The operations of the Company’s seniors housing, acute care and post-acute care properties are subject to numerous federal, state and local laws and regulations that are subject to frequent and substantial changes resulting from legislation, adoption of rules and regulations, and administrative and judicial interpretations of existing laws.  The ultimate timing or effect of any changes in these laws and regulations cannot be predicted.  Failure to obtain licensure or loss or suspension of licensure or certification may prevent a facility from operating or result in a suspension of certain revenue sources until all licensure or certification issues have been resolved.  Properties may also be affected by changes in accreditation standards or procedures of accrediting agencies that are recognized by governments in the certification process.  State laws may require compliance with extensive standards governing operations and agencies administering those laws regularly inspect such properties and investigate complaints.  Failure to comply with all regulatory requirements could result in the loss of the ability to provide or bill and receive payment for healthcare services at the Company’s seniors housing, acute care and/or post-acute care properties.  Additionally, transfers of operations of certain facilities are subject to regulatory approvals not required for transfers of other types of commercial operations and real estate.  The Company has no direct control over the tenant’s or manager’s ability to meet regulatory requirements and failure to comply with these laws, regulations and requirements may materially adversely affect the operations of these properties.

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If the Company’s operators fail to cultivate new or maintain existing relationships with residents, community organizations and healthcare providers in the markets in which they operate, the Company’s occupancy percentage, payor mix and resident rates may deteriorate, which could have a material adverse effect on the Company’s business, financial condition and results of operations and the Company’s ability to make distributions to investors.

The Company continues to build relationships with several key seniors housing and post-acute care operators upon whom the Company must depend to successfully market the Company’s facilities to potential residents and healthcare providers whose referral practices can impact the choices seniors make with respect to their housing.  If the Company’s operators are unable to successfully cultivate and maintain strong relationships with these community organizations and other healthcare providers, occupancy rates at the Company’s facilities could decline, which could materially adversely affect the Company’s business, financial condition and results of operations and its ability to make distributions to investors.

The Company cannot predict what the effect of new Healthcare Reform Laws or other healthcare proposals would have on those of the Company’s properties offering healthcare services and, thus, the Company’s business.

Healthcare, including the seniors housing, medical office facilities, acute care and post-acute care sectors, remains a dynamic, evolving industry.  On March 23, 2010, the Patient Protection and Affordable Care Act of 2010 (“Affordable Care Act”) was enacted and on March 30, 2010, the Health Care and Education Reconciliation Act was enacted, which in part modified the Affordable Care Act (collectively, the “Healthcare Reform Laws”).  Together, the Healthcare Reform Laws serve as the primary vehicle for comprehensive healthcare reform in the U.S.  The Healthcare Reform Laws are intended to reduce the number of individuals in the U.S. without health insurance and effect significant other changes to the ways in which healthcare is organized, delivered and reimbursed.  The legislation became effective in a phased approach, beginning in 2010 and concluding in 2018.  At this time, the effects of the legislation and its impact on the Company’s business are not yet known.  The Company’s business could be materially and adversely affected by the Healthcare Reform Laws and further governmental initiatives undertaken pursuant to the Healthcare Reform Laws.

Government budget deficits could lead to a reduction in Medicare and Medicaid reimbursement.

If the U.S. experiences a weakening of the economy, states may be pressured to decrease reimbursement rates with the goal of decreasing state expenditures under state Medicaid programs.  The need to control Medicaid expenditures may be exacerbated by the potential for increased enrollment in state Medicaid programs due to continued high unemployment, declines in family incomes and eligibility expansions authorized by the Healthcare Reform Laws.  These potential reductions could be compounded by the potential for federal cost-cutting efforts that could lead to reductions in reimbursement rates under the federal Medicare program, state Medicaid programs and other healthcare-related programs.  Potential reductions in reimbursements under these programs could negatively impact the Company’s business, financial condition and results of operations.

Adverse trends in healthcare provider operations may negatively affect the Company’s lease revenues and the Company’s ability to make distributions to the Company’s stockholders.

The healthcare industry currently is experiencing changes in the demand for and methods of delivering healthcare services; changes in third-party reimbursement policies; significant unused capacity in certain areas, which has created substantial competition for patients among healthcare providers in those areas; continuing pressure by private and governmental payors to reduce payments to providers of services; and increased scrutiny of billing, referral and other practices by federal and state authorities. These factors may adversely affect the economic performance of some or all of the Company’s tenants and, in turn, the Company’s lease revenues and its ability to make distributions to the Company’s stockholders.

Termination of resident lease agreements could adversely affect the Company’s revenues and earnings for seniors housing and post-acute care properties providing assisted living services.

Applicable regulations governing assisted living properties generally require written resident lease agreements with each resident.  Most of these regulations also require that each resident have the right to terminate the resident lease agreement for any reason on reasonable notice or upon the death of the resident.  The operators of seniors housing and post-acute care properties cannot contract with residents to stay for longer periods of time, unlike typical apartment leasing arrangements with terms of up to one year or longer.  In addition, the resident turnover rate in the Company’s properties may be difficult to predict.  If a large number of resident lease agreements terminate at or around the same time, and if the Company’s units remained unoccupied, then the Company’s tenant’s ability to make scheduled rent payments to the Company or, with respect to certain of the Company’s seniors housing and other healthcare properties lease to TRS entities, the Company’s operating results, the Company’s revenues and the Company’s earnings could be adversely affected.

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Certain healthcare properties the Company acquires, such as medical office buildings, diagnostic service centers and surgery centers, may be unable to compete successfully.

Certain healthcare properties the Company acquires, such as medical office buildings,diagnostic service centers and surgery centers, often face competition from nearby hospitals and other medical office buildings that provide comparable services.  Some of those competing properties are owned by governmental agencies and supported by tax revenues, and others are owned by nonprofit corporations and may be supported to a large extent by endowments and charitable contributions.  These types of support are not available to the Company’s properties.

Similarly, the Company’s tenants in such properties face competition from other medical practices in nearby hospitals and other medical properties.  The Company’s tenants’ failure to compete successfully with these other practices could adversely affect their ability to make rental payments, which could adversely affect the Company’s rental revenues.  Further, from time to time and for reasons beyond the Company’s control, referral sources, including physicians and managed care organizations, may change their lists of hospitals or physicians to which they refer patients.  This could adversely affect the Company’s tenants’ ability to make rental payments, which could adversely affect its rental revenues.

Any reduction in rental revenues resulting from the inability of the Company’s medical office buildings and healthcare-related properties and the Company’s tenants to compete successfully may have a material adverse effect on the Company’s business, financial condition and results of operations and its ability to make distributions to its stockholders.

Some tenants of medical office buildings, diagnostic service centers, surgery centers, acute care properties and other healthcare properties are subject to fraud and abuse laws, the violation of which by a tenant may jeopardize the tenant’s ability to make rent payments to the Company.

There are various federal and state laws prohibiting fraudulent and abusive business practices by healthcare providers who participate in, receive payments from, or are in a position to make referrals in connection with government-sponsored healthcare programs, including the Medicare and Medicaid programs.  Any lease arrangements the Company enter into with certain tenants could also be subject to these fraud and abuse laws concerning Medicare and Medicaid.  These laws include:

· the Federal Anti-Kickback Statute, which prohibits, among other things, the offer, payment, solicitation or receipt of any form of remuneration in return for, or to induce, the referral of any item or service reimbursed by Medicare or Medicaid;

· the Federal Physician Self-Referral Prohibition, which, subject to specific exceptions, restricts physicians from making referrals for specifically designated health services for which payment may be made under Medicare or Medicaid programs to an entity with which the physician, or an immediate family member, has a financial relationship;

· the False Claims Act, which prohibits any person from knowingly presenting false or fraudulent claims for payment to the federal government, including claims paid by the Medicare and Medicaid programs; and

· the Civil Monetary Penalties Law, which authorizes the U.S. Department of Health and Human Services to impose monetary penalties for certain fraudulent acts.

Each of these laws includes criminal and/or civil penalties for violations that range from punitive sanctions, damage assessments, penalties, imprisonment, denial of Medicare and Medicaid payments and/or exclusion from the Medicare and Medicaid programs.  Certain laws, such as the False Claims Act, allow for individuals to bring whistleblower actions on behalf of the government for violations thereof.  Additionally, states in which the properties are located may have similar fraud and abuse laws.  Investigation by a federal or state governmental body for violation of fraud and abuse laws or imposition of any of these penalties upon one of the Company’s tenants could jeopardize that tenant’s ability to operate or to make rent payments, which may have a material adverse effect on the Company’s business, financial condition and results of operations and the Company’s ability to make cash distributions.

The Company’s tenants may generally be subject to risks associated with the employment of unionized personnel for the Company’s seniors housing, medical office buildings, acute care and post-acute care properties.

From time to time, the operations of any seniors housing, medical office building, acute care and post-acute care properties may be disrupted through strikes, public demonstrations or other labor actions and related publicity.  The Company or the Company’s tenants may also incur increased legal costs and indirect labor costs as a result of such disruptions, or contract disputes or other events.  One or more of the Company’s tenants or the Company’s third-party managers operating some of these types of properties may be targeted by union actions or adversely impacted by the disruption caused by organizing activities.  Significant adverse disruptions caused by union activities and/or increased costs affiliated with such activities could materially and adversely affect the Company’s operations and the financial condition of the seniors housing and healthcare properties the Company own through a TRS and affect the operating income of the Company’s tenants for those properties the Company lease to third parties.

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Construction and development projects are subject to risks that materially increase the costs of completion.

The Company develops and constructs new seniors housing and healthcare properties or redevelops existing properties.  In doing so, the Company is subject to risks and uncertainties associated with construction and development including, risks related to obtaining all necessary zoning, land-use, building occupancy and other governmental permits and authorizations, risks related to the environmental concerns of government entities or community groups, risks related to changes in economic and market conditions between development commencement and stabilization, risks related to construction labor disruptions, adverse weather, acts of God or shortages of materials which could cause construction delays and risks related to increases in the cost of labor and materials which could cause construction costs to be greater than projected.

The Company may not have control over construction on the Company’s properties.

The Company acquires sites on which a property the Company will own will be built, as well as sites that have existing properties (including properties that require renovation).  The Company is subject to risks in connection with a developer’s ability to control construction costs and the timing of completion of construction or a developer’s ability to build in conformity with plans, specifications and timetables.  A developer’s failure to perform may require legal action by the Company to terminate the development agreement or compel performance.  The Company also incurs additional risks as it makes periodic payments or advances to developers prior to completion of construction.  These and other factors can result in increased costs of a development project or loss of the Company’s investment.  In addition, post-construction, the Company is subject to ordinary lease-up risks relating to newly-constructed projects.

Development and value-add properties are expected to initially generate limited cash flows.

The Company has increased the level of its investment in new ground-up development and value-add or stabilizing properties.  During the construction and lease-phase, these types of investments are expected to initially generate limited cash flows, Funds from Operations (“FFO”) and Modified Funds from Operations (“MFFO”) and may result in near term downward pressure on the Company’s NAV.

Seniors housing, acute care and post-acute care properties in which the Company invests may not be readily adaptable to other uses.

Seniors housing, acute care and post-acute care properties in which the Company invests are specific-use properties that have limited alternative uses.  Therefore, if the operations of any of the Company’s properties in these sectors become unprofitable for the Company’s tenant or operator or for the Company due to industry competition, a general deterioration of the applicable industry or otherwise, then the Company may have great difficulty re-leasing the property or developing an alternative use for the property and the liquidation value of the property may be substantially less than would be the case if the property were readily adaptable to other uses.  Should any of these events occur, the Company’s income and cash available for distribution and the value of the Company’s property portfolio could be reduced.

The Company competes with other companies for investments and such competition may reduce the number of suitable acquisition opportunities that are available to the Company and adversely affect the Company’s ability to successfully acquire properties and other assets.

The Company competes with other companies and investors, including other REITs, real estate partnerships, mutual funds, institutional investors, specialty finance companies, opportunity funds, banks and insurance companies, for the acquisition of properties, loans and other real estate-related investments that the Company seeks to acquire or make.  Some of the other entities that the Company competes with for acquisition opportunities will have substantially greater experience acquiring and owning the types of properties, loans or other real estate-related investments which the Company seeks to acquire or make, as well as greater financial resources and a broader geographic knowledge base than the Company has.  As a result, competition may reduce the number of suitable acquisition opportunities available to the Company.

The Company will not control the management of the Company’s properties.

In order to maintain the Company’s status as a REIT for federal income tax purposes, the Company may not operate certain types of properties it acquires or participates in the decisions affecting their daily operations.  The Company’s success, therefore, will depend on its ability to select qualified and creditworthy tenants or managers who can effectively manage and operate the properties.  The Company’s tenants and managers will be responsible for maintenance and other day-to-day management of the properties or will enter into agreements with third-party operators.  The Company’s financial condition will be dependent on the ability of third-party tenants and/or managers to operate the properties successfully.  The Company generally enters into leasing agreements with tenants and

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management agreements with managers having substantial prior experience in the operation of the type of property being rented or managed; however, there can be no assurance that the Company will be able to make such arrangements.  Additionally, if the Company elects to treat property it acquires as a result of a borrower’s default on a loan or a tenant’s default on a lease as “foreclosure property” for federal income tax purposes, the Company will be required to operate that property through an independent manager over whom it will not have control.  If the Company’s tenants or third-party managers are unable to operate the properties successfully or if the Company selects unqualified managers, then such tenants and managers might not have sufficient revenue to be able to pay the Company’s rent, which could adversely affect the Company’s financial condition.

Since the Company’s properties leased to third-party tenants will generally be on a triple net or modified gross basis, the Company depends on its third-party tenants not only for rental income, but also to pay insurance, taxes, utilities and maintenance and repair expenses in connection with the leased properties.  Any failure by the Company’s third-party tenants to effectively conduct their operations could adversely affect their business reputation and ability to attract and retain residents in the Company’s leased properties.  The Company’s leases generally require such tenants to indemnify, defend and hold the Company harmless from and against various claims, litigation and liabilities arising in connection with the Company’s tenants’ respective businesses.  The Company cannot assure investors that its tenants will have sufficient assets, income, access to financing and insurance coverage to enable it to satisfy these indemnification obligations.  Any inability or unwillingness by the Company’s tenants to make rental payments to the Company or to otherwise satisfy their obligations under their lease agreements with the Company could adversely affect the Company.

The Company may not control its joint ventures.

The Company sometimes enters into joint ventures with unaffiliated parties to purchase a property or to make loans or other real estate-related investments, and the joint venture or general partnership agreement relating to that joint venture or partnership generally provides that the Company will share with the unaffiliated party management control of the joint venture.  For example, the Company’s venture partners share approval rights on many major decisions.  Those venture partners may have differing interests from the Company’s and the power to direct the joint venture or partnership on certain matters in a manner with which the Company does not agree.  In the event the joint venture or general partnership agreement provides that the Company will have sole management control of the joint venture, the agreement may be ineffective as to a third-party who has no notice of the agreement, and the Company may therefore be unable to control fully the activities of the joint venture.  Should the Company enter into a joint venture with another program sponsored by an affiliate, the Company does not anticipate that the Company will have sole management control of the joint venture.  In addition, when the Company invests in properties, loans or other real estate-related investments indirectly through the acquisition of interests in entities that own such properties, loans or other real estate-related investments, the Company may not be able to control the management of such assets which may adversely affect the Company’s REIT qualification, returns on investment and, therefore, cash available for distribution to the Company’s stockholders.

Joint venture partners may have different interests than the Company has, which may negatively impact the Company’s control over the Company’s ventures.

Investments in joint ventures involve the risk that the Company’s co-venturer may have economic or business interests or goals which, at a particular time, are inconsistent with the Company’s interests or goals, that the co-venturer may be in a position to take action contrary to the Company’s instructions, requests, policies or objectives, or that the co-venturer may experience financial difficulties.  Among other things, actions by a co-venturer might subject assets owned by the joint venture to liabilities in excess of those contemplated by the terms of the joint venture agreement or to other adverse consequences.  This risk is also present when the Company makes investments in securities of other entities.  If the Company does not have full control over a joint venture, the value of the Company’s investment will be affected to some extent by a third-party that may have different goals and capabilities than the Company’s.  As a result, joint ownership of investments and investments in other entities may adversely affect the Company’s REIT qualification, returns on investments and, therefore, cash available for distributions to the Company’s stockholders may be reduced.

It may be difficult for the Company to exit a joint venture after an impasse.

In the Company’s joint ventures, there is a potential risk of impasse in some business decisions because the Company’s approval and the approval of each co-venturer may be required for some decisions.  In certain of the Company’s joint ventures, the Company has the right to buy the other co-venturer’s interest or to sell the Company’s own interest on specified terms and conditions in the event of an impasse regarding a sale.  In the event of an impasse, it is possible that neither party will have the funds necessary to complete a buy-out.  In addition, the Company may experience difficulty in locating a third-party purchaser for the Company’s joint venture interest and in obtaining a favorable sale price for the interest.  As a result, it is possible that the Company may not be able to exit the relationship if an impasse develops.

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Compliance with the Americans with Disabilities Act may reduce the Company’s expected distributions.

Under the Americans with Disabilities Act of 1992 (the “ADA”) all public accommodations and commercial properties are required to meet certain federal requirements related to access and use by disabled persons.  Failure to comply with the ADA could result in the imposition of fines by the federal government or an award of damages to private litigants.  Although the Company acquires properties that substantially comply with these requirements, the Company may incur additional costs to comply with the ADA.  In addition, a number of federal, state, and local laws may require the Company to modify any properties the Company purchases or may restrict further renovations thereof with respect to access by disabled persons.  Additional legislation could impose financial obligations or restrictions with respect to access by disabled persons.  Although the Company believes that these costs will not have a material adverse effect on the Company, if required changes involve a greater amount of expenditures than the Company currently anticipates, the Company’s ability to make expected distributions could be adversely affected.

The Company’s properties may be subject to environmental liabilities that could significantly impact the Company’s return from the properties and the success of the Company’s ventures.

Operations at certain of the properties the Company acquires, or which are used to collateralize loans the Company may originate, may involve the use, handling, storage, and contracting for recycling or disposal of hazardous or toxic substances or wastes, including environmentally sensitive materials such as herbicides, pesticides, fertilizers, motor oil, waste motor oil and filters, transmission fluid, antifreeze, Freon, waste paint and lacquer thinner, batteries, solvents, lubricants, degreasing agents, gasoline and diesel fuels, and sewage.  Accordingly, the operations of certain properties the Company acquires will be subject to regulation by federal, state, and local authorities establishing health and environmental quality standards.  In addition, certain of the Company’s properties may maintain and operate underground storage tanks (“USTs”) for the storage of various petroleum products.  USTs are generally subject to federal, state, and local laws and regulations that require testing and upgrading of USTs and the remediation of contaminated soils and groundwater resulting from leaking USTs.

As an owner of real estate, various federal and state environmental laws and regulations may require the Company to investigate and clean up certain hazardous or toxic substances, asbestos-containing materials, or petroleum products located on, in or emanating from the Company’s properties.  Such laws often impose liability without regard to whether the owner knew of, or was responsible for, the release of hazardous substances.  The Company may also be held liable to a governmental entity or to third parties for property damage and for investigation and cleanup costs incurred by those parties in connection with the contamination.  In addition, some environmental laws create a lien on the contaminated site in favor of the government for damages and costs it incurs in connection with the contamination.  Other environmental laws impose liability on a previous owner of property to the extent hazardous or toxic substances were present during the prior ownership period.  A transfer of the property may not relieve an owner of such liability; therefore, the Company may have liability with respect to properties that the Company or the Company’s predecessors sold in the past.

The presence of contamination or the failure to remediate contamination at any of the Company’s properties may adversely affect the Company’s ability to sell or lease the properties or to borrow using the properties as collateral.  While the Company’s leases are expected to provide that the tenant is solely responsible for any environmental hazards created during the term of the lease, the Company or an operator of a site may be liable to third parties for damages and injuries resulting from environmental contamination coming from the site.

The Company cannot be sure that all environmental liabilities associated with the properties that the Company acquires will have been identified or that no prior owner, operator or current occupant will have created an environmental condition not known to the Company.  Moreover, the Company cannot be sure that: (i) future laws, ordinances or regulations will not impose any material environmental liability on the Company; or (ii) the environmental condition of the properties that it may acquire from time to time will not be affected by tenants and occupants of the properties, by the condition of land or operations in the vicinity of the properties (such as the presence of USTs), or by third parties unrelated to the Company.  Environmental liabilities that the Company may incur could have an adverse effect on the Company’s financial condition, results of operations and ability to pay distributions.

In addition to the risks associated with potential environmental liabilities discussed above, compliance with environmental laws and regulations that govern the Company’s properties may require expenditures and modifications of development plans and operations that could have a detrimental effect on the operations of the properties and the Company’s financial condition, results of operations and ability to pay distributions to the Company’s stockholders.  There can be no assurance that the application of environmental laws, regulations or policies, or changes in such laws, regulations and policies, will not occur in a manner that could have a detrimental effect on any property the Company may acquire.

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The Company’s properties may contain or develop harmful mold, which could lead to liability for adverse health effects and costs of remediating the problem.

The presence of mold at any of the Company’s properties could require the Company to undertake a costly program to remediate, contain or remove the mold.  Mold growth may occur when moisture accumulates in buildings or on building materials.  Some molds may produce airborne toxins or irritants.  Concern about indoor exposure to mold has been increasing because exposure to mold may cause a variety of adverse health effects and symptoms, including allergic or other reactions.  The presence of mold could expose the Company to liability from the Company’s tenants, their employees and others if property damage or health concerns arise.

Legislation and government regulation may adversely affect the development and operations of properties the Company acquires.

In addition to being subject to environmental laws and regulations, certain of the development plans and operations conducted or to be conducted on properties the Company acquires require permits, licenses and approvals from certain federal, state and local authorities.  Material permits, licenses or approvals may be terminated, not renewed or renewed on terms or interpreted in ways that are materially less favorable to the properties the Company purchases.  Furthermore, laws and regulations that the Company or the Company’s operators are subject to may change in ways that are difficult to predict.  There can be no assurance that the application of laws, regulations or policies, or changes in such laws, regulations and policies, will not occur in a manner that could have a detrimental effect on any property the Company may acquire, the operations of such property and the amount of rent it receives from the tenant of such property.

The Company may be unable to obtain desirable types of insurance coverage at a reasonable cost, if at all, and the Company may be unable to comply with insurance requirements contained in mortgage or other agreements due to high insurance costs.

The Company may not be able either to obtain desirable types of insurance coverage, such as terrorism, earthquake, flood, hurricane and pollution or environmental matter insurance, or to obtain such coverage at a reasonable cost in the future, and this risk may limit the Company’s ability to finance or refinance debt secured by the Company’s prosperities.  Additionally, the Company could default under debt or other agreements if the cost and/or availability of certain types of insurance make it impractical or impossible to comply with covenants relating to the insurance the Company is required to maintain under such agreements.  In such instances, the Company may be required to self-insure against certain losses or seek other forms of financial assurance.  The Company may not be able to obtain insurance coverage at reasonable rates due to high premium and/or deductible amounts.  As a result, the Company’s cash flows could be adversely impacted due to these higher costs, which would adversely affect the Company’s ability to pay distributions to the Company’s stockholders.

Uninsured losses or losses in excess of insured limits could result in the loss or substantial impairment of one or more of the Company’s investments.

The nature of the activities at certain of the Company’s properties will expose the Company, the Company’s tenants and the Company’s operators to potential liability for personal injuries and, with respect to certain types of properties may expose the Company to property damage claims.  The Company maintains, and requires the Company’s tenants and operators, as well as mortgagors to whom the Company has loaned money to maintain, insurance with respect to each of the Company’s properties that tenants lease or operate and each property securing a mortgage that the Company holds, including comprehensive liability, fire, flood and extended coverage insurance.  There are, however, certain types of losses (such as from hurricanes, floods, earthquakes or terrorist attacks) that may be either uninsurable or not economically feasible to insure.  Furthermore, an insurance provider could elect to deny or limit coverage under a claim.  Should an uninsured loss or loss in excess of insured limits occur, the Company could lose all or a portion of the Company’s anticipated revenue stream from the affected property, as well as all or a portion of the Company’s invested capital.  Accordingly, if the Company, as landlord, incurs any liability which is not fully covered by insurance, the Company would be liable for the uninsured amounts, cash available for distributions to stockholders may be reduced and the value of the Company’s assets may decrease significantly.  In the case of an insurance loss, the Company might nevertheless remain obligated for any mortgage debt or other financial obligations related to the property.

The Company’s TRS structure subjects it to the risk of increased operating expenses.

The Company’s TRSs engage independent facility managers pursuant to management agreements and pay these managers a fee for operating the properties and reimburse certain expenses paid by these managers.  However, the TRS receives all the operating profit or losses at the facility, net of corporate income tax, and the Company is subject to the risk of increased operating expenses.

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The Company’s TRS structure subjects the Company to the risk that the leases with the Company’s TRSs do not qualify for tax purposes as arm’s-length, which would expose the Company to potentially significant tax penalties.

The Company’s TRSs generally will incur taxes or accrue tax benefits consistent with a “C” corporation.  If the leases between the Company and the Company’s TRSs were deemed by the Internal Revenue Service to not reflect an arm’s-length transaction as that term is defined by tax law, the Company may be subject to significant tax penalties as the lessor that would adversely impact the Company’s profitability and the Company’s cash flows.

If the Company’s portfolio and risk management systems are ineffective, the Company may be exposed to material unanticipated losses.

The Company continues to refine the Company’s portfolio and risk management strategies and tools.  However, the Company’s portfolio and risk management strategies may not fully mitigate the risk exposure of the Company’s operations in all economic or market environments, or against all types of risk, including risks that the Company might fail to identify or anticipate.  Any failures in the Company’s portfolio and risk management strategies to accurately quantify such risk exposure could limit the Company’s ability to manage risks in the Company’s operations or to seek adequate risk-adjusted returns and could result in losses.

Because not all REITs calculate MFFO the same way, the Company’s use of MFFO may not provide meaningful comparisons with other REITs.

The Company uses MFFO in order to evaluate the Company’s performance against other publicly registered, non-listed REITs, which intend to have limited lives with short and defined acquisition periods and targeted exit strategies shortly thereafter.  Although we calculate our MFFO in compliance with IPA Practice Guideline 2010-01 -- Supplemental Performance Measure for Publicly Registered, Non-Listed REITs: Modified Funds From Operations (“IPA PG 2010-01”) effective November 2, 2010, not all REITs calculate MFFO the same way.  If REITs use different methods of calculating MFFO, it may not be possible for investors to meaningfully compare the performance of the Company to other REITs.

Changes in accounting pronouncements could adversely impact the Company’s or the Company’s tenants’ reported financial performance.

Accounting policies and methods are fundamental to how the Company records and reports its financial condition and results of operations.  From time to time, the Financial Accounting Standards Board (“FASB”) and the Commission, entities that create and interpret appropriate accounting standards, may change the financial accounting and reporting standards or their interpretation and application of these standards that govern the preparation of the Company’s financial statements.  These changes could have a material impact on the Company’s reported financial condition and results of operations.  In some cases, the Company could be required to apply a new or revised standard retroactively, resulting in restating prior period financial statements.

A change in U.S. accounting standards for leases could reduce the overall demand to lease the Company’s properties.

In order to address concerns raised by the Commission regarding the transparency of contractual lease obligations under the existing accounting standards for operating leases, the FASB, and the International Accounting Standards Board (“IASB”), initiated a joint project to develop new guidelines to lease accounting.  Currently, accounting standards for leases require lessees to classify their leases as either capital or operating leases. Under a capital lease, both the leased asset, which represents the tenant’s right to use the property, and the contractual lease obligation are recorded on the tenant’s balance sheet if one of the following criteria are met: (i) the lease transfers ownership of the property to the lessee by the end of the lease term; (ii) the lease contains a bargain purchase option; (iii) the non-cancellable lease term is more than 75.0% of the useful life of the asset; or (iv) if the present value of the minimum lease payments equals 90.0% or more of the leased property’s fair value. If the terms of the lease do not meet these criteria, the lease is considered an operating lease, and no leased asset or contractual lease obligation is recorded by the tenant.

In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 840): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU will also require qualitative and quantitative disclosures designed to give financial statement users information on the amount, timing, and uncertainty of cash flows arising from leases.

The proposed changes could have a material impact on the Company’s tenants’ reported financial condition or results of operations and affect their preferences regarding leasing real estate.  As a result, tenants may reassess their lease-versus-buy strategies.  In such event, tenants may determine not to lease properties from the Company, or, if applicable, exercise their option to renew their leases

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with the Company.  This could result in a greater renewal risk, a delay in investing proceeds from this offering, or shorter lease terms, all of which may negatively impact the Company’s operations and ability to pay distributions.

The Company is highly dependent on information systems and their failure could significantly disrupt the Company’s business.

As a healthcare real estate company, the Company’s business will be highly dependent on communications and information systems, including systems provided by third parties for which the Company has no control. Any failure or interruption of the Company’s systems, whether as a result of human error or otherwise, could cause delays or other problems in the Company’s activities, which could have a material adverse effect on the Company’s financial performance.

Cyber security risks and cyber incidents could adversely affect the Company’s business and disrupt operations.

Cyber incidents can result from deliberate attacks or unintentional events.  These incidents can include, but are not limited to, gaining unauthorized access to digital systems for purposes of misappropriating assets or sensitive information, corrupting data, or causing operational disruption.  The result of these incidents could include, but are not limited to, disrupted operations, misstated financial data liability for stolen assets or information, increased cyber security protection costs, litigation and reputational damage adversely affecting customer or investor confidence.

Proposed changes to FINRA rules and regulations could have a material impact on the Company’s ability to raise capital through the Company’s offerings.

In March 2012, FINRA requested public comment through April 11, 2012 on its proposed amendment to NASD Rule 2340 to require that per share estimated values of non-traded REITs be reported on customer account statements and modify the account statement disclosures that accompany the per share estimated value.  In April 2013, FINRA’s board of governors authorized the submission of the proposed amendment to the Commission.  In February 2014, the Commission began soliciting comments on the proposed rule.  In July 2014, FINRA requested that the Commission allow broker-dealers longer than originally sought in the proposed rule to implement any revised rule.  As our managing dealer and participating brokers selling the Company’s common stock in the Company’s offerings are subject to FINRA rules and regulations, any significant changes to Rule 2340 or their firms’ policies could have a material impact on how the Company’s share price calculations and commissions are disclosed.

Lending Related Risks

Decreases in the value of the property underlying the Company’s mortgage loans and borrower defaults might decrease the value of the Company’s assets.

The mortgage loans in which the Company may invest will be collateralized by underlying real estate.  When the Company makes these loans, the Company is at risk of default on these loans caused by many conditions beyond the Company’s control, including local and other economic conditions affecting real estate values and interest rate levels.  The Company does not know whether the values of the properties collateralizing mortgage loans will remain at the levels existing on the dates of origination of the loans.  If the values of the underlying properties drop or in some instances fail to rise, the Company’s risk will increase and the value of its assets may decrease.

If a borrower defaults under a mortgage, bridge or mezzanine loan the Company has made, the Company will bear the risk of loss of principal to the extent of any deficiency between the value of the collateral and the principal and accrued interest of the loan.  In the event of the bankruptcy of a borrower, the loan to such borrower will be deemed to be collateralized only to the extent of the value of the underlying collateral at the time of bankruptcy (as determined by the bankruptcy court), and the lien securing the loan will be subject to the avoidance powers of the bankruptcy trustee or debtor-in-possession to the extent the lien is unenforceable under state law.  Foreclosure on a loan can be an expensive and lengthy process, which could have a substantial negative effect on the Company’s anticipated return on the foreclosed loan.  If the Company determines that the sale of a foreclosed property is in its best interest, delays in the sale of such property could negatively impact the price the Company receives and the Company may not be receiving any income from the property although the Company will be required to incur expenses, such as for maintenance costs, insurance costs and property taxes.  The longer the Company is required to hold the property, the greater the potential negative impact on the Company’s revenues and results of operations.  In addition, any restructuring, workout, foreclosure or other exercise of remedies with respect to loans that the Company has made or acquired could create income tax costs or make it more difficult for the Company to qualify as a REIT.  Once the Company acquires a property by way of foreclosure or a deed in lieu of foreclosure or through a lease termination as a result of a tenant default, the Company may be subject to a 100% tax on net gain from a subsequent resale of that property under the prohibited transaction rules.  Alternatively, if the Company makes an election to treat such property as “foreclosure property” under applicable income tax laws, the Company may avoid the 100% tax on prohibited transactions, but the net gain from the sale or operation of the property may be subject to corporate income tax at the highest applicable rate.

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The loans the Company originates or invests in will be subject to interest rate fluctuations.

If the Company invests in fixed-rate, long-term loans and interest rates increase, the loans could yield a return that is lower than then-current market rates.  Conversely, if interest rates decline, the Company will be adversely affected to the extent that loans are prepaid, because the Company may not be able to make new loans at the previously higher interest rate.  If the Company invests in variable interest rate loans, if interest rates decrease, the Company’s revenues will likewise decrease.

If the Company sells properties by providing financing to purchasers, the Company will bear the risk of default by the purchaser.

The Company may, from time to time, sell a property or other asset by providing financing to the purchaser.  There are no limits or restrictions on the Company’s ability to accept purchase money obligations secured by a mortgage as payment for the purchase price.  The terms of payment to the Company will be affected by custom in the area where the property being sold is located and then-prevailing economic conditions.  The Company will bear the risk of default by the purchaser and may incur significant litigation costs in enforcing its rights against the purchaser.

Financing Related Risks

Instability in the credit market and real estate market could have a material adverse effect on the Company’s results of operations and financial condition.

The Company may not be able to obtain financing for investments on terms and conditions acceptable to the Company, if at all.  Currently, domestic and international financial markets have experienced unusual volatility and uncertainty.  If this volatility and uncertainty persists, the Company’s ability to borrow monies to finance the purchase of, or other activities related to, real estate assets will be significantly impacted.  If the Company is unable to borrow funds on terms and conditions that it finds acceptable, the Company likely will have to reduce the number of properties it can purchase, and the return on the properties the Company does purchase likely will be lower.  In addition, if the Company pays fees to lock-in a favorable interest rate, falling interest rates or other factors could require it to forfeit these fees.  Additionally, the reduction in equity and debt capital resulting from turmoil in the capital markets has resulted in fewer buyers seeking to acquire commercial properties leading to lower property values and the continuation of these conditions could adversely impact the Company’s timing and ability to sell the Company’s properties.

In addition to volatility in the credit markets, the real estate market is subject to fluctuation and can be impacted by factors such as general economic conditions, supply and demand, availability of financing and interest rates.  To the extent the Company purchases real estate in an unstable market, the Company is subject to the risk that if the real estate market ceases to attract the same level of capital investment in the future that it attracts at the time of the Company’s purchases, or the number of parties seeking to acquire properties decreases, the value of the Company’s investments may not appreciate or may decrease significantly below the amount the Company pay for these investments.

The Company may enter into agreements with lenders which restrict the Company’s ability to pay distributions to investors.

The Company’s revolving credit facility contains limitations on distributions and the extent of allowable distributions.  The Company’s revolving credit facility requires that allowable distributions not exceed 95% of adjusted FFO (as defined in the revolving credit facility agreement), and limits the minimum amount of distributions required to maintain the Company’s REIT status.  These and other similar restrictions in loan agreements the Company may enter into impact the Company’s ability to pay distributions to investors.

Mortgage indebtedness and other borrowings will increase the Company’s business risks.

The Company sometimes acquires real estate properties and other real estate-related investments, including entity acquisitions, by assuming either existing financing collateralized by the asset or by borrowing new funds.  In addition, the Company has incurred and may increase the Company’s mortgage debt by obtaining loans collateralized by some or all of the Company’s assets to obtain funds to acquire additional investments or to pay distributions to the Company’s stockholders.  If necessary, the Company also may borrow funds to satisfy the requirement that the Company distribute at least 90% of the Company’s annual taxable income, or otherwise as is necessary or advisable to assure that the Company maintain the Company’s qualification as a REIT for federal income tax purposes.

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The Company’s charter provides that it may not borrow more than 300% of the value of the Company’s net assets without the approval of a majority of the Company’s independent directors and the borrowing must be disclosed to the Company’s stockholders in the Company’s first quarterly report after such approval.  Borrowing may be risky if the cash flow from the Company’s properties and other real estate-related investments is insufficient to meet the Company’s debt obligations.  In addition, the Company’s lenders may seek to impose restrictions on future borrowings, distributions and operating policies, including with respect to capital expenditures and asset dispositions.  If the Company mortgages assets or pledges equity as collateral and the Company cannot meet the Company’s debt obligations, then the lender could take the collateral, and the Company would lose the asset or equity and the income the Company were deriving from the asset.

The Company uses credit facilities to finance the Company’s investments, which may require the Company to provide additional collateral and significantly impact its liquidity position.

Some of the Company’s credit facilities contain mark-to-market provisions providing that if the market value of the commercial real estate debt or securities pledged by the Company declines in value due to credit quality deterioration, the Company may be required by the Company’s lenders to provide additional collateral or pay down a portion of the Company’s borrowings.  In a weak economic environment, the Company would generally expect credit quality and the value of the commercial real estate debt or securities that serve as collateral for the Company’s credit facilities to decline, and in such a scenario it is likely that the terms of the Company’s credit facilities would require partial repayment from the Company, which could be substantial.  Posting additional collateral to support the Company’s credit facilities could significantly reduce the Company’s liquidity and limit its ability to leverage its assets.  In the event the Company does not have sufficient liquidity to meet such requirements, the Company’s lenders can accelerate the Company’s borrowings, which could have a material adverse effect on its business and operations.

The Company’s revenues are highly dependent on operating results of, and lease payments from, the Company’s properties.  Defaults by the Company’s tenants would reduce the Company’s cash available for the repayment of the Company’s outstanding debt and for distributions.

The Company’s ability to repay any outstanding debt and make distributions to stockholders depends upon the ability of the Company’s tenants and managers to generate sufficient operating income to make payments to the Company, and their ability to make these payments will depend primarily on their ability to generate sufficient revenues in excess of operating expenses from businesses conducted on the Company’s properties.  A tenant’s failure or delay in making scheduled rent payments to the Company may result from the tenant realizing reduced revenues at the properties it operates.

Defaults on the Company’s borrowings may adversely affect the Company’s financial condition and results of operations.

Defaults on loans collateralized by a property the Company owns may result in foreclosure actions and the Company’s loss of the property or properties securing the loan that is in default.  Such legal actions are expensive.  For tax purposes, in general a foreclosure would be treated as a sale of the property for a purchase price equal to the outstanding balance of the debt collateralized by the property.  If the outstanding balance of the debt exceeds the Company’s tax basis in the property, the Company would recognize taxable income on the foreclosure, all or a portion of such taxable income may be subject to tax, and/or required to be distributed to the Company’s stockholders in order for the Company to qualify as a REIT.  In such case, the Company would not receive any cash proceeds to enable it to pay such tax or make such distributions.  If any mortgages contain cross collateralization or cross default provisions, more than one property may be affected by a default.  If any of the Company’s properties are foreclosed upon due to a default, the Company’s financial condition, results of operations and ability to pay distributions to stockholders will be adversely affected.

Financing arrangements involving balloon payment obligations may adversely affect the Company’s ability to make distributions.

The Company sometimes enters into fixed-term financing arrangements which require it to make “balloon” payments at maturity.  The Company’s ability to make a balloon payment at maturity is uncertain and may depend upon the Company’s ability to obtain additional financing or sell a particular property.  At the time the balloon payment is due, the Company may not be able to raise equity or refinance the balloon payment on terms as favorable as the original loan or sell the property at a price sufficient to make the balloon payment.  These refinancing or property sales could negatively impact the rate of return to stockholders and the timing of disposition of the Company’s assets.  In addition, payments of principal and interest may leave the Company with insufficient cash to pay the distributions that the Company is required to pay to maintain its qualification as a REIT.

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Increases in interest rates could increase the amount of the Company’s debt payments and adversely affect its ability to make distributions to its stockholders.

The Company also borrows money that bears interest at a variable rate and, from time to time, it may pay mortgage loans or refinance the Company’s properties in a rising interest rate environment.  Accordingly, increases in interest rates could increase the Company’s interest costs, which could have a material adverse effect on the Company’s operating cash flow and its ability to make distributions to its stockholders.

Lenders may require the Company to enter into restrictive covenants relating to the Company’s operations, which could limit the Company’s ability to make distributions to its stockholders.

When providing financing, lenders may impose restrictions on the Company that affect the Company’s distributions, operating policies and ability to incur additional debt.  Such limitations hamper the Company’s flexibility and may impair the Company’s ability to achieve its operating plans including maintaining the Company’s REIT status.

The Company may acquire various financial instruments for purposes of “hedging” or reducing the Company’s risks which may be costly and/or ineffective and will reduce the Company’s cash available for distribution to its stockholders.

The Company may engage in hedging transactions to manage the risk of changes in interest rates, price changes or currency fluctuations with respect to borrowings made or to be made, or ordinary obligations incurred or to be incurred, by the Company.  The Company may use derivative financial instruments for this purpose, collateralized by the Company’s assets and investments.  Derivative instruments may include interest rate swap contracts, interest rate cap or floor contracts, futures or forward contracts, options or repurchase agreements.  The Company’s actual hedging decisions will be determined in light of the facts and circumstances existing at the time of the hedge and may differ from time to time.  Hedging activities may be costly or become cost-prohibitive and the Company may have difficulty entering into hedging transactions.

To the extent that the Company uses derivative financial instruments to hedge against exchange rate and interest rate fluctuations, the Company will be exposed to credit risk, basis risk and legal enforceability risks.  In this context, credit risk is the failure of the counterparty to perform under the terms of the derivative contract.  If the fair value of a derivative contract is positive, the counterparty owes the Company, which creates credit risk for the Company.  Basis risk occurs when the index upon which the contract is based is more or less variable than the index upon which the hedged asset or liability is based, thereby making the hedge less effective.  Finally, legal enforceability risks encompass general contractual risks, including the risk that the counterparty will breach the terms of, or fail to perform its obligations under, the derivative contract.  The Company may be unable to manage these risks effectively.

Tax Related Risks

Failure to qualify as a REIT would adversely affect the Company’s operations and the Company’s ability to pay distributions to investors.

The Company intends to operate as a REIT under the Code and believes the Company has and will continue to operate as a REIT in such manner.  However, qualification as a REIT involves the application of highly technical and complex Code provisions for which there are only limited judicial and administrative interpretations.  The determination of various factual matters and circumstances not entirely within the Company’s control may also affect the Company’s ability to remain qualified as a REIT.  If the Company fails to qualify as a REIT for any taxable year, (i) the Company will be subject to federal and state income tax, including any applicable alternative minimum tax, on the Company’s taxable income for that year at regular corporate rates, (ii) unless entitled to relief under relevant statutory provisions, the Company would generally be disqualified from taxation as a REIT for the four taxable years following the year of disqualification as a REIT; and (iii) distributions to stockholders would no longer qualify for the dividends paid deduction in computing the Company’s taxable income.  If the Company does not qualify as a REIT, the Company would not be required to make distributions to stockholders as a non-REIT is not required to pay dividends to stockholders in order to maintain REIT status or avoid an excise tax.  The additional income tax liability the Company would incur as a result of failing to qualify as a REIT would reduce the Company’s net earnings available for distributions to stockholders and also reduce the funds available for satisfying the Company’s obligations in general.  If the Company fails to qualify as a REIT, the Company may be required to borrow funds or liquidate some investments in order to pay the applicable tax.  As a result of all these factors, the Company’s failure to qualify as a REIT also could impair the Company’s ability to implement its business strategy and would adversely affect the value of its stock.

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The Company’s leases may be re-characterized as financings which would eliminate depreciation deductions on the Company’s properties.

The Company believes that it would be treated as the owner of properties where the Company would own the underlying real estate, except with respect to leases structured as “financing leases,” which would constitute financings for federal income tax purposes.  If the lease of a property does not constitute a lease for federal income tax purposes and is re-characterized as a secured financing by the Internal Revenue Service, then the Company believes the lease should be treated as a financing arrangement and the income derived from such a financing arrangement should satisfy the 75% and the 95% gross income tests for REIT qualification as it would be considered to be interest on a loan collateralized by real property.  Nevertheless, the re-characterization of a lease in this fashion may have adverse tax consequences for the Company.  In particular, the Company would not be entitled to claim depreciation deductions with respect to the property (although the Company should be entitled to treat part of the payments the Company would receive under the arrangement as the repayment of principal and not rent).  In such event, in some taxable years the Company’s taxable income, and the corresponding obligation to distribute 90% of such income, would be increased.  With respect to leases structured as “financing leases,” the Company will report income received as interest income and will not take depreciation deductions related to the real property.  Any increase in the Company’s distribution requirements may limit the Company’s ability to invest in additional properties and to make additional mortgage loans.  No assurance can be provided that the Internal Revenue Service would re-characterize such transactions as financings that would qualify under the 95% and 75% gross income tests.  

Re-characterization of sale-leaseback transactions may cause the Company to lose the Company’s REIT status.

The Company sometimes purchases properties and leases them back to the sellers of such properties.  While the Company uses the Company’s best efforts to structure any such sale-leaseback transaction so that the lease will be characterized as a “true lease,” thereby allowing the Company to be treated as the owner of the property for federal income tax purposes, the Internal Revenue Service could challenge such characterization.  In the event that any sale-leaseback transaction is challenged and re-characterized as a financing transaction or loan for federal income tax purposes, deductions for depreciation and cost recovery relating to such property would be disallowed.  If a sale-leaseback transaction were so re-characterized, the Company might fail to satisfy the REIT qualification “asset tests” or the “income tests” and, consequently, fail to qualify as a REIT status effective with the year of re-characterization.  Alternatively, the amount of the Company’s taxable income could be recalculated, which might also cause the Company to fail to meet the distribution requirement for a taxable year.

Excessive non-real estate asset values may jeopardize the Company’s REIT status.

In order to qualify as a REIT, among other requirements, at least 75% of the value of the Company’s assets must consist of investments in real estate, investments in other REITs, cash and cash equivalents and government securities.  Accordingly, the value of any other property that is not considered a real estate asset for federal income tax purposes must represent in the aggregate not more than 25% of the Company’s total assets.  In addition, under federal income tax law, the Company may not own securities in, or make loans to, any one company (other than a REIT, a qualified REIT subsidiary or a TRS) which represent in excess of 10% of the voting securities or 10% of the value of all securities of that company (other than certain securities), or which have, in the aggregate, a value in excess of 5% of the Company’s total assets, and the Company may not own securities of one or more TRSs which have, in the aggregate, a value in excess of 25% of the Company’s total assets (20% for taxable years beginning after December 31, 2017).

The 75%, 25%, 10% and 5% REIT qualification tests are determined at the end of each calendar quarter.  If the Company fails to meet any such test at the end of any calendar quarter, and such failure is not remedied within 30 days after the close of such quarter, the Company will cease to qualify as a REIT, unless certain requirements are satisfied.

The Company may have to borrow funds or sell assets to meet the Company’s distribution requirements.

Subject to some adjustments that are unique to REITs, a REIT generally must distribute 90% of its taxable income to its stockholders.  For the purpose of determining taxable income, the Company may be required to accrue interest, rent and other items treated as earned for tax purposes, but that it has not yet received.  In addition, the Company may be required not to accrue as expenses for tax purposes some items which actually have been paid, or some of the Company’s deductions might be subject to certain disallowance rules under the Code.  As a result, the Company could have taxable income in excess of cash available for distribution.  If this occurs, the Company may have to borrow funds or liquidate some of its assets in order to meet the distribution requirements applicable to a REIT.

Even as a REIT, the Company remains subject to various taxes which would reduce operating cash flow if and to the extent certain liabilities are incurred.

Even as a REIT, the Company is or could be subject to some federal, foreign and state and local taxes on the Company’s income and property that could reduce operating cash flow, including but not limited to:  (i) tax on any undistributed taxable income; (ii)

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“alternative minimum tax” on the Company’s items of tax preference; (iii) certain state income taxes (because not all states treat REITs the same as they are treated for federal income tax purposes); (iv) a tax equal to 100% of net gain from “prohibited transactions”; (v) tax on net gains from the sale of certain “foreclosure property”; (vi) tax on gains of sale of certain “built-in gain” properties; and (vii) certain taxes and penalties if the Company fail to comply with one or more REIT qualification requirements, but nevertheless qualify to maintain the Company’s status as a REIT.  Foreclosure property includes property with respect to which the Company acquires ownership by reason of a borrower default on a loan or possession by reason of a tenant’s default on a lease.  The Company may elect to treat certain qualifying property as “foreclosure property,” in which case, the gross revenue and net gain from such property will be treated as qualifying income under the 75% and 95% gross income tests for three years following such acquisition.  To qualify for such treatment, the Company must satisfy additional requirements, including that the Company operate the property through an independent contractor after a short grace period.  The Company will be subject to tax on the Company’s net income from foreclosure property.  Such net income generally means the excess of any gain from the sale or other disposition of foreclosure property and income derived from foreclosure property that otherwise does not qualify for the 75% gross income test, over the allowable deductions that relate to the production of such income.  Any such tax incurred will reduce the amount of cash available for distribution.  

The Company’s investment strategy may cause the Company to incur penalty taxes, fail to maintain the Company’s REIT status or own and sell properties through TRSs, each of which would diminish the return to the Company’s stockholders.

The sale of one or more of the Company’s properties may be considered a prohibited transaction under the Code.  Any “inventory-like” sales would almost certainly be considered such a prohibited transaction.   If the Company is deemed to have engaged in a “prohibited transaction” (i.e., the Company sell a property held by the Company primarily for sale in the ordinary course of the Company’s trade or business), all net gain that the Company derive from such sale would be subject to a 100% penalty tax.  The Code sets forth a safe harbor for REITs that wish to sell property without risking the imposition of the 100% penalty tax.  The principal requirements of the safe harbor are that: (i) the REIT must hold the applicable property for not less than two years for the production of rental income prior to its sale; (ii) the aggregate expenditures made by the REIT, or any partner of the REIT, during the two-year period preceding the date of sale which are includible in the basis of the property do not exceed 30% of the net selling price of the property; and (iii) the REIT does not make more than seven sales of property during the taxable year, the aggregate adjusted bases of property sold during the taxable year does not exceed 10% of the aggregate bases of all of the REIT’s assets as of the beginning of the taxable year or the fair market value of property sold during the taxable year does not exceed 10% of the fair market value of all of the REIT’s assets as of the beginning of the taxable year (this percentage threshold is changed to 20% of the aggregate bases or fair market value of all of the REIT’s assets, as the case may be, effective for taxable years beginning after December 18, 2015, pursuant to the Protecting Americans from Tax Hikes Act of 2015).  Given the Company’s investment strategy, the sale of one or more of its properties may not fall within the prohibited transaction safe harbor.

If the Company desires to sell a property pursuant to a transaction that does not fall within the safe harbor, the Company may be able to avoid the prohibited transaction tax if the Company acquired the property through a TRS, or acquired the property and transferred it to a TRS for a non-tax business purpose prior to the sale (i.e., for a reason other than the avoidance of taxes).  The Company may decide to forego the use of a TRS in a transaction that does not meet the safe harbor based on the Company’s own internal analysis, the opinion of counsel or the opinion of other tax advisors that the disposition will not be subject to the prohibited transaction tax.  In cases where a property disposition is not effected through a TRS, the Internal Revenue Service could successfully assert that the disposition constitutes a prohibited transaction, in which event all of the net gain from the sale of such property will be payable as a tax which will have a negative impact on cash flow and the ability to make cash distributions.

As a REIT, the value of the Company’s ownership interests held in the Company’s TRSs may not exceed 25% of the value of all of the Company’s assets at the end of any calendar quarter (20% for taxable years beginning after December 31, 2017).  If the Internal Revenue Service were to determine that the value of the Company’s interests in all of the Company’s TRSs exceeded 25% of the value of the Company’s total assets at the end of any calendar quarter, then the Company would fail to qualify as a REIT.  If the Company determines it to be in its best interest to own a substantial number of the Company’s properties through one or more TRSs, then it is possible that the Internal Revenue Service may conclude that the value of the Company’s interests in the Company’s TRSs exceeds 25% of the value of the Company’s total assets at the end of any calendar quarter and therefore cause the Company to fail to qualify as a REIT.  Additionally, as a REIT, no more than 25% of the Company’s gross income with respect to any year may be from sources other than real estate.  Distributions paid to the Company from a TRS are considered to be non-real estate income.  Therefore, the Company may fail to qualify as a REIT if distributions from all of the Company’s TRSs, when aggregated with all other non-real estate income with respect to any one year, are more than 25% of the Company’s gross income with respect to such year.

Investors may have current tax liability on distributions investors elect to reinvest in the Company’s common stock.

Investors who participate in the Company’s Reinvestment Plan will be deemed to have received, and for income tax purposes will be taxed on, the amount reinvested in shares of the Company’s common stock to the extent the amount reinvested was not a tax-free

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return of capital.  In addition, investors will be treated for tax purposes as having received an additional distribution to the extent the shares are purchased at a discount to fair market value.  As a result, unless investors are a tax-exempt entity, investors may have to use funds from other sources to pay a tax liability on the value of the shares of common stock received.

If the Company’s operating partnership fails to maintain its status as a partnership, the operating partnership’s income may be subject to taxation, which would reduce the cash available to the Company for distribution to its stockholders.

The Company maintains the status of its operating partnership as either a disregarded entity or an entity taxable as a partnership for federal income tax purposes.  However, if the Internal Revenue Service were to successfully challenge the status of the operating partnership as a disregarded entity or an entity taxable as a partnership, the Company’s operating partnership would be taxable as a corporation.  In such event, this would reduce the amount of distributions that the operating partnership could make to the Company.  Additionally, this could also result in the Company’s failure to qualify as a REIT, and becoming subject to a corporate level tax on the Company’s taxable income.  This would substantially reduce the cash available to the Company to pay distributions and the return on an investment.  In addition, if any of the partnerships or limited liability companies through which the Company’s operating partnership owns its properties, in whole or in part, loses its characterization as a partnership or disregarded entity for federal income tax purposes, it would be subject to taxation as a corporation, thereby reducing distributions to the Company’s operating partnership.  Such a re-characterization of an underlying property owner could also threaten the Company’s ability to maintain REIT status.

Equity participation in mortgage, bridge, mezzanine or other loans may result in taxable income and gains from these properties that could adversely impact the Company’s REIT status.

If the Company participates under a loan in any appreciation of the properties securing the mortgage loan or its cash flow and the Internal Revenue Service characterizes this participation as “equity” or as a “shared appreciation mortgage,” the Company might have to recognize income, gains and other items from the property as if an equity investor for federal income tax purposes.  This could affect the Company’s ability to qualify as a REIT.

Tax related legislative or regulatory action could adversely affect the Company or an investment in the Company.

In recent years, numerous legislative, judicial and administrative changes have been made in the provisions of the federal income tax laws applicable to investments similar to an investment in shares of the Company’s common stock.  Additional changes to the tax laws are likely to continue to occur, and the Company cannot assure investors that any such changes will not adversely affect the taxation of the Company’s stockholders.  Any such changes could have an adverse effect on an investment in the Company’s shares or on the market value or the resale potential of the Company’s assets.  Investors are urged to consult with their own tax advisor with respect to the impact of recent legislation and the status of legislative, regulatory or administrative developments on an investment in the Company’s shares.  Investors also should note that the Company’s counsel’s tax opinion is based upon the Company’s representations and existing law and the regulations promulgated by the U.S. Department of Treasury, applicable as of the date of its opinion, all of which are subject to change, either prospectively or retroactively.

Although REITs continue to receive favorable tax treatment (a deduction for dividends paid), it is possible that future legislation would result in a REIT having fewer tax advantages, and it could become more advantageous for a company that invests in real estate to elect to be taxed for U.S. federal income tax purposes as a corporation.  As a result, the Company’s charter provides its board of directors with the power, under certain circumstances, to revoke or otherwise terminate its REIT election and cause the Company to be taxed as a corporation, without the vote of the Company’s stockholders.  The Company’s board of directors has fiduciary duties to the Company and the Company’s stockholders in accordance with the Maryland General Corporation Law and could only cause such changes in the Company’s tax treatment if it determines in good faith that such changes are in the best interest of its stockholders.

The lease of qualified health care properties to a TRS is subject to special requirements.

The Company leases certain qualified health care properties to TRSs (or limited liability companies of which the TRSs are members), which lessees contract with managers (or related parties) to manage the health care operations at these properties. The rents from this TRS lessee structure are treated as qualifying rents from real property if (1) they are paid pursuant to an arms-length lease of a qualified health care property with a TRS and (2) the manager qualifies as an eligible independent contractor (as defined in the Code). If any of these conditions are not satisfied, then the rents will not be qualifying rents and the Company might fail to meet the 95% and 75% gross income tests.

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Risks Related to Investments by Tax-Exempt Entities and Benefit Plans Subject to the Employee Retirement Income Security Act (“ERISA”)

If the Company’s assets are deemed “plan assets” for the purposes of ERISA, the Company could be subject to excise taxes on certain prohibited transactions.

The Company believes that the Company’s assets will not be deemed to be “plan assets” for purposes of ERISA and/or the Code, but the Company has not requested an opinion of counsel to that effect, and no assurances can be given that the Company’s assets will never constitute “plan assets.” If the Company’s assets were deemed to be “plan assets” for purposes of ERISA and/or the Code, among other things, (a) certain of the Company’s transactions could constitute “prohibited transactions” under ERISA and the Code, and (b) ERISA’s prudence and other fiduciary standards would apply to the Company’s investments (and might not be met).  Among other things, ERISA makes plan fiduciaries personally responsible for any losses resulting to the plan from any breach of fiduciary duty, and the Code imposes nondeductible excise taxes on prohibited transactions.  If such excise taxes were imposed on the Company, the amount of funds available for the Company to make distributions to stockholders would be reduced.  

Risks Related to the Company’s Organizational Structure

The limit on the percentage of shares of the Company’s stock that any person may own may discourage a takeover or business combination that may benefit the Company’s stockholders.

The Company’s charter restricts the direct or indirect ownership by one person or entity to no more than 9.8%, by number or value, of any class or series of the Company’s equity securities (which includes common stock and any preferred stock the Company may issue).  This restriction may deter individuals or entities from making tender offers for shares of the Company’s common stock on terms that might be financially attractive to stockholders or which may cause a change in the Company’s management.  This ownership restriction may also prohibit business combinations that would have otherwise been approved by the Company’s board of directors and stockholders and may also decrease their ability to sell their shares of the Company’s common stock.

The Company’s board of directors can take many actions without stockholder approval which could have a material adverse effect on the distributions investors receive from the Company and/or could reduce the value of the Company’s assets.

The Company’s board of directors has overall authority to conduct the Company’s operations.  This authority includes significant flexibility.  For example, the Company’s board of directors can:  (i) list the Company’s stock on a national securities exchange or include its stock for quotation on the National Market System of the NASDAQ Stock Market without obtaining stockholder approval; (ii) prevent the ownership, transfer and/or accumulation of shares in order to protect the Company’s status as a REIT or for any other reason deemed to be in the best interests of the stockholders; (iii) authorize and issue additional shares of any class or series of stock without obtaining stockholder approval, which could dilute an ownership interest; (iv) change the Company’s Advisor’s compensation, and employ and compensate affiliates; (v) direct the Company’s investments toward those that will not appreciate over time, such as loans and building-only properties, with the land owned by a third-party; and (vi) establish and change minimum creditworthiness standards with respect to tenants.  Any of these actions could reduce the value of the Company’s assets without giving investors, as stockholders, the right to vote.

Investors will be limited in their right to bring claims against the Company’s officers and directors.

The Company’s charter provides generally that a director or officer will be indemnified against liability as a director or officer so long as he or she performs his or her duties in accordance with the applicable standard of conduct and without negligence or misconduct in the case of the Company’s officers and non-independent directors, and without gross negligence or willful misconduct in the case of the Company’s independent directors.  In addition, the Company’s charter provides that, subject to the applicable limitations set forth therein or under Maryland law, no director or officer will be liable to the Company or the Company’s stockholders for monetary or other damages.  The Company’s charter also provides that, with the approval of the Company’s board of directors, the Company may indemnify the Company’s employees and agents for losses they may incur by reason of their service in such capacities so long as they satisfy these requirements.  The Company has entered into separate indemnification agreements with each of the Company’s directors and executive officers.  As a result, the Company and the Company’s stockholders may have more limited rights against these persons than might otherwise exist under common law.  In addition, the Company may be obligated to fund the defense costs incurred by these persons in some cases.

The Company’s use of an operating partnership structure may result in potential conflicts of interest with limited partners other than the Company, if any, whose interests may not be aligned with those of the Company’s stockholders.

Limited partners other than the Company, if any, in the Company’s operating partnership will have the right to vote on certain amendments to the operating partnership agreement, as well as on certain other matters.  Persons holding such voting rights may

60

exercise them in a manner that conflicts with the interests of the Company’s stockholders.  As general partner of the Company’s operating partnership, the Company is obligated to act in a manner that is in the best interest of all partners of the Company’s operating partnership.  Circumstances may arise in the future when the interests of other limited partners in the operating partnership may conflict with the interests of the Company’s stockholders.  These conflicts may be resolved in a manner stockholders do not believe are in their best interest.

Item 1B. Unresolved Staff Comments

None.

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Item 2. Properties 

As of December 31, 2015, we had investments in 144 real estate investment properties.  The following tables set forth details on our consolidated healthcare investment portfolio by asset class:

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/2015 (in millions)		Purchase Price (in millions)
Acute Care
Medical Portfolio I Properties
Doctors Specialty Hospital	Modified Lease	8/16/2013	$	—	$	10.0
Leawood, KS (“Kansas City”)
Memorial Hermann Orthopedic & Spine Hospital (“MHOSH”)	Triple - net Lease	6/2/2014		31.6		49.0
Bellaire, TX (“Houston”)
Medical Portfolio II Properties
Hurst Specialty Hospital	Modified Lease	8/15/2014		18.8		29.5
Hurst, TX (“Dallas/Fort Worth”)
Beaumont Specialty Hospital	Triple-net Lease	8/15/2014		21.4		33.6
Beaumont, TX (“Houston”)
Triangle Orthopaedic
North Carolina Specialty Hospital	Modified Lease	6/29/2015		—		31.8
Durham, NC
Medical Office
LaPorte Cancer Center	Modified Lease	6/14/2013		8.1		13.1
Westville, IN
Knoxville Medical Office Properties
Physicians Plaza A at North Knoxville Medical Center	Modified Lease	7/10/2013		12.0		18.1
Powell, TN (“Knoxville”)
Physicians Plaza B at North Knoxville Medical Center	Modified Lease	7/10/2013		14.5		21.8
Powell, TN (“Knoxville”)
Physicians Regional Medical Center – Central Wing Annex	Modified Lease	7/10/2013		3.8		5.8
Knoxville, TN
Jefferson Medical Commons	Modified Lease	7/10/2013		7.7		11.6
Jefferson City, TN (“Knoxville”)
Medical Portfolio I Properties
John C. Lincoln Medical Office Plaza I	Modified Lease	8/16/2013		—		4.4
Phoenix, AZ
John C. Lincoln Medical Office Plaza II	Modified Lease	8/16/2013		—		3.1
Phoenix, AZ
North Mountain Medical Plaza	Modified Lease	8/16/2013		—		6.2
Phoenix, AZ
Escondido Medical Arts Center	Modified Lease	8/16/2013		—		15.6
Escondido, CA (“San Diego”)
Chestnut Commons MOB	Modified Lease	8/16/2013		—		20.2
Elyria, OH (“Cleveland”)
Calvert Medical Office Properties
Calvert MOBs I, II, & III	Modified Lease	8/30/2013		10.6		16.4
Prince Frederick, MD (“Washington D.C.”)
Calvert Medical Arts Center	Modified Lease	8/30/2013		12.4		19.3
Prince Frederick, MD (“Washington D.C.”)
Dunkirk Medical Center	Modified Lease	8/30/2013		3.0		4.6
Dunkirk, MD (“Washington D.C.”)

62

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/15 (in millions)		Purchase Price (in millions)
Coral Springs MOBs
Coral Springs MOB I	Modified Lease	12/23/2013	$	—	$	14.9
Coral Springs, FL
Coral Springs MOB II	Modified Lease	12/23/2013		—		16.1
Coral Springs, FL
Chula Vista Medical Arts Center - Plaza II	Modified Lease	12/23/2013		—		10.7
Chula Vista, CA (“San Diego”)
Chula Vista Medical Arts Center - Plaza I	Modified Lease	1/21/2014		—		17.9
Chula Vista, CA (“San Diego”)
MHOSH MOB	Modified Lease	6/2/2014		17.3		27.0
Bellaire, TX (“Houston”)
Claremont Medical Office	Modified Lease	8/29/2014		12.8		23.0
Claremont, CA (“Los Angeles”)
Lee Hughes MOB	Modified Lease	9/29/2014		18.6		29.9
Glendale, CA (“Los Angeles”)
Northwest Medical Park Building	Modified Lease	10/31/2014		7.0		10.8
Margate, FL (“Fort Lauderdale”)
Newburyport Medical Center	Modified Lease	10/31/2014		—		18.0
Newburyport, MA (“Boston”)
ProMed Building I (1)	Modified Lease	12/19/2014		7.0		11.0
Yuma, AZ
Southeast Medical Office Properties
Midtown Medical Plaza	Modified Lease	12/22/2014		29.4		54.7
Charlotte, NC
Presbyterian Medical Tower	Modified Lease	12/22/2014		19.5		36.3
Charlotte, NC
Metroview Professional Building	Modified Lease	12/22/2014		9.3		17.3
Charlotte, NC
Physicians Plaza Huntersville	Modified Lease	12/22/2014		16.3		30.0
Huntersville, NC (“Charlotte”)
Matthews Medical Office Building	Modified Lease	12/22/2014		11.4		21.2
Matthews, NC (“Charlotte”)
Outpatient Care Center	Modified Lease	12/22/2014		10.7		15.5
Clyde, NC (“Asheville”)
330 Physicians Center	Modified Lease	12/22/2014		19.9		30.1
Rome, GA
Spivey Station Physicians Center	Modified Lease	12/22/2014		9.7		14.4
Atlanta, GA
Spivey Station ASC Building	Modified Lease	12/22/2014		12.4		18.6
Atlanta, GA
Novi Orthopaedic Center	Modified Lease	2/13/2015		19.8		30.5
Novi, MI
Southeast Medical Office Properties
UT Cancer Institute Building	Modified Lease	2/20/2015		21.5		33.7
Knoxville, TN
Bend Memorial Clinic MOB	Modified Lease	5/11/2015		—		36.0
Bend, OR
Stoneterra Medical Plaza	Modified Lease	5/29/2015		—		15.1
San Antonio, TX

63

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/15 (in millions)		Purchase Price (in millions)
Triangle Orthopaedic
Triangle Orthopaedic Durham	Modified Lease	6/29/2015	$	—	$	21.3
Durham, NC
Triangle Orthopaedic Oxford	Modified Lease	6/29/2015		—		4.7
Oxford, NC
Triangle Orthopaedic Chapel Hill	Modified Lease	6/29/2015		—		3.3
Chapel Hill, NC
Triangle Orthopaedic Roxboro	Modified Lease	6/29/2015		—		2.1
Roxboro, NC
Doctor’s Park
Doctor’s Park Building B	Modified Lease	6/30/2015		—		5.0
Chula Vista, CA (“San Diego”)
Doctor’s Park Building C	Modified Lease	6/30/2015		—		10.0
Chula Vista, CA (“San Diego”)
540 New Waverly Place	Modified Lease	7/20/2015		7.0		15.0
Cary, NC (“Raleigh”)
MedHelp	Modified Lease	7/31/2015		—		15.0
Birmingham, AL
Maryland MOBs
Patriot Professional Center	Modified Lease	7/31/2015		—		16.9
Frederick, MD (“Baltimore”)
Liberty Professional Center	Modified Lease	7/31/2015		—		7.4
Frederick, MD (“Baltimore”)
Columbia MOBs
Broadway Medical Plaza 1	Modified Lease	8/21/2015		—		10.7
Columbia, MO
Broadway Medical Plaza 2	Modified Lease	8/21/2015		—		13.1
Columbia, MO
Broadway Medical Plaza 4	Modified Lease	8/21/2015		—		14.2
Columbia, MO
Center One	Modified Lease	11/30/2015		—		34.4
Jacksonville, FL
Red Bank MOB	Modified Lease	12/14/2015		—		10.6
Cincinnati, OH
Henderson NV MOBs
Siena Pavilion IV	Modified Lease	12/18/2015		—		7.0
Henderson, NV (“Las Vegas”)
Siena Pavilion V	Modified Lease	12/18/2015		—		27.9
Henderson, NV (“Las Vegas”)
Siena Pavilion VI	Modified Lease	12/18/2015		—		19.5
Henderson, NV (“Las Vegas”)

64

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/15 (in millions)		Purchase Price (in millions)
Post-Acute Care
Perennial Communities
Batesville Healthcare Center	Triple-net Lease	5/31/2013	$	—	$	6.2
Batesville, AR
Broadway Healthcare Center	Triple-net Lease	5/31/2013		—		11.8
West Memphis, AR
Jonesboro Healthcare Center	Triple-net Lease	5/31/2013		—		15.2
Jonesboro, AR
Magnolia Healthcare Center	Triple-net Lease	5/31/2013		—		11.8
Magnolia, AR
Mine Creek Healthcare Center	Triple-net Lease	5/31/2013		—		3.4
Nashville, AR
Searcy Healthcare Center	Triple-net Lease	5/31/2013		—		7.9
Searcy, AR
Medical Portfolio II Properties
Oklahoma City Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		16.2		25.5
Oklahoma City, OK
Las Vegas Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		14.2		22.3
Las Vegas, NV
South Bend Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		12.9		20.2
Mishawaka, IN (“South Bend”)
Cobalt Rehabilitation Hospital Surprise	Triple-net Lease	12/30/2015		—		23.7
Surprise, AZ (“Phoenix”)
Seniors Housing
Primrose I Communities
Primrose Retirement Community of Casper	Triple-net Lease	2/16/2012		12.0		18.8
Casper, WY
Sweetwater Retirement Community	Triple-net Lease	2/16/2012		10.4		16.3
Billings, MT
Primrose Retirement Community of Grand Island	Triple-net Lease	2/16/2012		8.5		13.3
Grand Island, NE
Primrose Retirement Community of Mansfield	Triple-net Lease	2/16/2012		11.5		18.0
Mansfield, OH
Primrose Retirement Community of Marion	Triple-net Lease	2/16/2012		9.6		17.7
Marion, OH
HarborChase of Villages Crossing	Managed	8/29/2012		—		19.7
Lady Lake, FL (“The Villages”)
Dogwood Forest of Acworth	Managed	12/18/2012		—		19.7
Acworth, GA
Primrose II Communities
Primrose Retirement Community of Lima	Triple-net Lease	12/19/2012		—		18.6
Lima, OH
Primrose Retirement Community of Zanesville	Triple-net Lease	12/19/2012		11.9		19.1
Zanesville, OH (“Columbus”)
Primrose Retirement Community of Decatur	Triple-net Lease	12/19/2012		10.6		18.1
Decatur, IL
Primrose Retirement Community of Council Bluffs	Triple-net Lease	12/19/2012		—		12.9
Council Bluffs, IA (“Omaha”)
Primrose Retirement Community Cottages	Triple-net Lease	12/19/2012		—		4.3
Aberdeen, SD

65

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/15 (in millions)		Purchase Price (in millions)
Capital Health Communities
Brookridge Heights Assisted Living & Memory Care	Managed	12/21/2012	$	6.2	$	13.5
Marquette, MI
Curry House Assisted Living & Memory Care	Managed	12/21/2012		6.3		13.5
Cadillac, MI
Symphony Manor	Managed	12/21/2012		12.1		24.0
Baltimore, MD
Woodholme Gardens Assisted Living & Memory Care	Managed	12/21/2012		7.3		17.1
Pikesville, MD (“Baltimore”)
Tranquillity at Fredericktowne	Managed	12/21/2012		6.0		17.0
Frederick, MD
HarborChase of Jasper	Managed	8/1/2013		—		7.3
Jasper, AL
South Bay I Communities
Raider Ranch	Managed	8/29/2013		—		55.0
Lubbock, TX
Town Village	Managed	8/29/2013		—		22.5
Oklahoma City, OK
Pacific Northwest I Communities
MorningStar of Billings	Managed	12/2/2013		19.7		48.3
Billings, MT
MorningStar of Boise	Managed	12/2/2013		21.0		40.0
Boise, ID
MorningStar of Idaho Falls	Managed	12/2/2013		18.0		44.4
Idaho Falls, ID
MorningStar of Sparks	Managed	12/2/2013		23.8		55.2
Sparks, NV (“Reno”)
Prestige Senior Living Arbor Place	Managed	12/2/2013		8.2		15.8
Medford, OR
Prestige Senior Living Beaverton Hills	Managed	12/2/2013		9.2		12.9
Beaverton, OR (“Portland”)
Prestige Senior Living Five Rivers	Managed	12/2/2013		7.7		16.7
Tillamook, OR
Prestige Senior Living High Desert	Managed	12/2/2013		8.0		13.6
Bend, OR
Prestige Senior Living Huntington Terrace	Managed	12/2/2013		10.2		15.0
Gresham, OR (“Portland”)
Prestige Senior Living Orchard Heights	Managed	12/2/2013		12.4		17.8
Salem, OR
Prestige Senior Living Riverwood	Managed	12/2/2013		4.5		9.7
Tualatin, OR (“Portland”)
Prestige Senior Living Southern Hills	Managed	12/2/2013		7.5		12.9
Salem, OR
Pacific Northwest II Communities
Prestige Senior Living Auburn Meadows	Managed	2/3/2014		10.5		21.9
Auburn, WA (“Seattle”)
Prestige Senior Living Bridgewood	Managed	2/3/2014		13.2		22.1
Vancouver, WA (“Portland”)
Prestige Senior Living Monticello Park	Managed	2/3/2014		18.4		27.4
Longview, WA
Prestige Senior Living Rosemont	Managed	2/3/2014		9.5		16.9
Yelm, WA
Prestige Senior Living West Hills	Managed	3/3/2014		8.8		15.0
Corvallis, OR

66

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/15 (in millions)		Purchase Price (in millions)
Wellmore of Tega Cay	Managed	2/7/2014	$	23.7	$	32.3
Tega Cay, SC (“Charlotte”)
South Bay II Communities
Isle at Cedar Ridge	Managed	2/28/2014		—		21.6
Cedar Park, TX (“Austin”)
HarborChase of Plainfield	Managed	3/28/2014		—		26.5
Plainfield, IL
Legacy Ranch Alzheimer’s Special Care Center	Managed	3/28/2014		—		12.0
Midland, TX
The Springs Alzheimer’s Special Care Center	Managed	3/28/2014		—		10.9
San Angelo, TX
Isle at Watercrest - Bryan	Managed	4/21/2014		—		22.1
Bryan, TX
Watercrest at Bryan	Managed	4/21/2014		—		28.0
Bryan, TX
Isle at Watercrest - Mansfield	Managed	5/5/2014		—		31.3
Mansfield, TX (“Dallas/Fort Worth”)
Watercrest at Mansfield	Managed	6/30/2014		26.6		49.0
Mansfield, TX (“Dallas/Fort Worth”)
HarborChase of Shorewood	Managed	7/8/2014		12.5		23.8
Shorewood, WI (“Milwaukee”)
Fairfield Village of Layton	Managed	11/20/2014		—		68.0
Layton, UT (“Salt Lake City”)
Fieldstone Memory Care	Managed	3/31/2015		—		12.4
Yakima, WA
Primrose III Communities
Primrose Retirement Community of Anderson	Triple-net Lease	5/29/2015		—		21.1
Anderson, IN (“Muncie”)
Primrose Retirement Community of Lancaster	Triple-net Lease	5/29/2015		—		25.7
Lancaster, OH (“Columbus”)
Primrose Retirement Community of Wausau	Triple-net Lease	5/29/2015		—		20.3
Wausau, WI (“Green Bay”)
Superior Residences of Panama City	Managed	7/15/2015		—		20.0
Panama City Beach, FL
Southeast Seniors Housing Communities
Parc at Duluth	Triple-net Lease	7/31/2015		—		52.8
Duluth, GA (“Atlanta”)
Parc at Piedmont	Triple-net Lease	7/31/2015		—		50.8
Marietta, GA (“Atlanta”)
The Pavilion at Great Hills	Managed	7/31/2015		—		35.0
Austin, TX
The Hampton at Meadows Place	Managed	7/31/2015		—		28.4
Meadows Place, TX (“Houston”)
The Beacon at Gulf Breeze	Managed	7/31/2015		—		28.0
Gulf Breeze, FL (“Pensacola”)
Palmilla Senior Living	Managed	9/30/2015		—		47.6
Albuquerque, NM
Cedar Lake Assisted Living and Memory Care	Managed	9/30/2015		—		30.0
Lake Zurich, IL (“Chicago”)
The Shores of Lake Phalen	Managed	11/10/2015		—		30.0
Maplewood, MN (“St. Paul”)
Park Place Senior Living at WingHaven	Managed	12/17/2015		—		54.0
O’Fallon, MO (“St Louis”)
Hearthside Senior Living of Collierville	Managed	12/29/2015		—		17.0
Collierville, TN (“Memphis”)
			$	822.6	$	2,803.5

67

Name and Location	Structure	Date Acquired	Encumbrance at 12/31/15 (in millions)		Purchase Price (in millions)
Developments (2)
South Bay I Communities
Raider Ranch	Development	8/29/2013	$	7.5	$	9.9
Lubbock, TX
Watercrest at Katy (3)	Development	6/27/2014		10.6		26.6
Lubbock, TX
Welbrook Senior Living Grand Junction	Development	9/4/2015		—		3.2
Grand Junction, CO
Waterstone	Development	8/31/2015		—		7.2
Greenville, SC
Wellmore of Lexington	Development	9/14/2015		—		8.7
Lexington, SC (“Columbia”)
Fieldstone at Pear Orchard (4)	Development	10/15/2015		—		2.6
Yakima WA
Dogwood Forest of Grayson	Development	11/24/2015		—		4.0
Grayson, GA
Expansion Projects (5)
Capital Health Communities
Brookridge Heights Assisted Living and Memory Care	Expansion	12/21/2012		—		0.1
Marquette, MI
Tranquillity at Fredericktowne	Expansion	12/21/2012		—		0.2
Fredrick, MD
			$	840.7	$	2,866.0

FOOTNOTES:

(1) Property owned through a consolidated joint venture in which we hold a 90% controlling interest.

(2) Amounts include land and total capitalized costs for GAAP purposes related to the acquisition, development and construction as of December 31, 2015.  See Item 1. “Business – Real Estate Under Development” for additional information relating to our developments.

(3) Property owned through a consolidated joint venture in which we hold a 95% controlling interest.

(4) Property owned through a consolidated joint venture in which we hold a 75% controlling interest.

(5) Amounts include total capitalized costs for GAAP purposes related to expansion as of December 31, 2015.  See Item 1. “Business – Real Estate Under Development” for additional information relating to our developments.

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As of December 31, 2015, through an unconsolidated joint venture (“JV”), we had investments in five real estate properties.  The following tables set forth details on the property holdings of our JV:

Name	Structure	Date Acquired	Encumbrance at 12/31/2015 (in millions)		Purchase Price (in millions)
Seniors Housing
Windsor Manor I Communities - 75% JV Interest
Windsor Manor of Vinton	Managed	8/31/2012	$	3.2	$	5.8
Vinton, IA
Windsor Manor of Webster City	Managed	8/31/2012		2.9		6.8
Webster City, IA
Windsor Manor of Nevada	Managed	8/31/2012		6.5		6.3
Nevada, IA
Windsor Manor II Communities - 75% JV Interest
Windsor Manor of Indianola	Managed	4/2/2013		6.2		5.7
Indianola, IA
Windsor Manor of Grinnell	Managed	4/2/2013		2.5		6.5
Grinnell, IA
			$	21.3	$	31.1

Item 3. LEGAL PROCEEDINGS

From time to time, we may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, our business, including proceedings to enforce our contractual or statutory rights.  While we cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, we do not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on our results of operations or financial condition.

Item 4. MINE SAFETY DISCLOSURES

None.

69

PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Market Information

There is no established public trading market for our common stock.  Therefore, there is a risk that a stockholder may not be able to sell shares at a time or price acceptable to the stockholder, or at all.  Unless and until our shares are listed on a national securities exchange, it is not expected that a public market for the shares will develop.

In August 2013, we adopted a valuation policy consistent with the IPA Valuation Guideline.  The valuation process used by the Valuation Committee and the board of directors to determine the estimated NAV per share was designed to follow recommendations in the IPA Valuation Guideline and our valuation policy. In accordance with our valuation policy and in order to assist brokers in providing information on customer account statements consistent with the requirements of NASD Notice 01-08 and FINRA Rule 2340, we, based on the recommendation of the Valuation Committee and the approval of the board of directors, engaged CBRE Cap to assist us and the board of directors in determining the estimated NAV per share of our common stock as of December 31, 2015.

Stockholder Information

As of December 31, 2015, we had 47,667 stockholders of record.  The number of stockholders is based on the records of DST Systems, Inc., who serves as our transfer agent.

Stock Valuation

During the year ended December 31, 2015, the Valuation Committee initiated a process to estimate our NAV per share and engaged CBRE Cap to provide a report containing, among other things, a range for the NAV per share of our common stock (“Valuation Report”).  The Valuation Committee, upon its receipt and review of the Valuation Report, concluded that the range of between $9.20 and $10.25 for our estimated NAV per share proposed in CBRE Cap’s Valuation Report was reasonable, and recommended to our board of directors that it adopt $9.75 as the estimated NAV per share of our common stock.  At a special meeting of our board of directors held on February 11, 2016, the board of directors accepted the recommendation of the Valuation Committee and approved $9.75 as the estimated NAV per share of our common stock as of December 31, 2015. This represented an increase from our previously approved $9.52 as the estimated NAV per share of our common stock as of September 30, 2014.

Refer to our Form 8-K filed on February 16, 2016 for additional details on the estimated NAV per share, valuation methodologies, material assumptions, limitations and engagement of CBRE Cap.

Redemption Plan

We have adopted a share redemption plan that allows our stockholders who hold shares for at least one year to request that we redeem between 25% and 100% of their shares.  If we have sufficient funds available to do so and if we choose, at our sole discretion, to redeem shares, the number of shares we may redeem in any calendar year and the price at which they are redeemed are subject to conditions and limitations, including:

· If we elect to redeem shares, some or all of the proceeds from the sale of shares under our Reinvestment Plan attributable to any quarter may be used to redeem shares presented for redemption during such quarter;

· No more than 5% of the weighted average number of shares of our common stock outstanding during such 12-month period may be redeemed during such 12-month period; and

· Redemption pricing shall not exceed an amount equal to the lesser of (i) the then-current price for our shares of common stock (other than the price at which the shares are sold under our Reinvestment Plan); and (ii) the purchase price paid by the stockholder.

Our board of directors has the ability, in their sole discretion, to amend or suspend the redemption plan or to waive any specific conditions if it is deemed to be in our best interest.

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During the year ended December 31, 2015, we received requests for the redemption of common stock totaling approximately $9.3 million, of which $2.7 million was payable as of December 31, 2015 and paid in 2016.  During the year ended December 31, 2014, we received requests for the redemption of common stock totaling approximately $3.0 million, of which approximately $0.9 million was payable as of December 31, 2014 and was paid in 2015. During the year ended December 31, 2013, we received requests for the redemption of common stock totaling approximately $0.8 million, of which approximately $0.1 million was payable as of December 31, 2013 and was paid in 2014.

The following tables present a summary of requests received and shares redeemed pursuant to our stock redemption plan during the quarters and years ended December 31, 2015, 2014 and 2013:

2015 Quarters	First			Second			Third			Fourth			Total
Redemptions requested		204,184			195,873			292,429			286,145			978,631
Shares redeemed		(204,184	)		(195,873	)		(292,429	)		(286,145	)		(978,631	)
Pending redemption requests		—			—			—			—			—
Average price paid per share	$	9.51		$	9.51		$	9.51		$	9.51		$	9.51

2014 Quarters	First			Second			Third			Fourth			Total
Redemptions requested		28,343			75,313			129,022			91,641			324,319
Shares redeemed		(28,343	)		(75,313	)		(129,022	)		(91,641	)		(324,319	)
Pending redemption requests		—			—			—			—			—
Average price paid per share	$	9.13		$	9.13		$	9.13		$	9.51		$	9.24

2013 Quarters	First			Second			Third			Fourth			Total
Redemptions requested		23,565			22,692			29,872			13,281			89,410
Shares redeemed		(23,565	)		(22,692	)		(29,872	)		(13,281	)		(89,410	)
Pending redemption requests		—			—			—			—			—
Average price paid per share	$	9.30		$	9.02		$	9.43		$	9.13		$	9.25

Issuer Purchases of Equity Securities

The following details our repurchases of securities between October 1, 2015 and December 31, 2015:

Period	Totalnumber ofsharespurchased		Average price paid per share		Total number of shares purchased under theplan		Maximum numberofshares thatmayyetbe purchasedunder the plan (1)
October 1, 2015 through October 31, 2015		—		—		—		3,440,028
November 1, 2015 through November 30, 2015		—		—		—		3,477,587
December 1, 2015 through December 31, 2015		286,145	$	9.51		286,145		3,259,699
Total		286,145	$	9.51		286,145

FOOTNOTE:

(1) This represents the maximum number of shares which can be redeemed under the redemption plan and is subject to a five percent limitation in a rolling 12-month period as described above.  However, we are not obligated to redeem such amounts and this does not take into account the amount the board of directors has determined to redeem or whether there are sufficient proceeds under the redemption plan.  Under the redemption plan, we can, at our discretion, use the full amount of the proceeds from the sale of shares under our reinvestment plan attributable to any month to redeem shares presented for redemption during such month.  Any amount of proceeds from our Reinvestment Plan, which is available for redemptions but which is unused, may be carried over to the next succeeding calendar quarter for use in addition to the amount of proceeds from our Reinvestment Plan that would otherwise be available for redemptions.

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Distributions

Distributions to our stockholders are governed by the provisions of our articles of incorporation. We intend to continue paying distributions to our stockholders on a quarterly basis until such provisions are terminated or amended by our board of directors. The amount or basis of distributions declared to our stockholders will be determined by our board of directors and is dependent upon a number of factors, including:

Sources of cash available for distribution such as current year and inception to date cumulative cash flows from operating activities, FFO and MFFO, as well as, expected future long-term stabilized cash flows, FFO and MFFO;

The proportion of distributions paid in cash compared to the amount being reinvested through our Reinvestment Plan;

Limitations and restrictions contained in the terms of our current and future indebtedness concerning the payment of distributions; and

Other factors, including but not limited to, the avoidance of distribution volatility, our objective of continuing to qualify as a REIT, capital requirements, the general economic environment and other factors.

The following table details our historical share prices in our Offerings, including the prices pursuant to the Reinvestment Plan and our monthly cash and stock distributions per share:

Period	Price per Share (1)		Reinvestment Plan Price per Share		Monthly Cash Distributions		Monthly Stock Distributions
June 27, 2011 through December 10, 2013	$	10.00	$	9.50	$	0.0333		0.0025
December 11, 2013 through November 3, 2014	$	10.14	$	9.64	$	0.0338		0.0025
November 4, 2014 through February 11, 2016	$	10.58	$	10.06	$	0.0353		(2	)
February 12, 2016 through the date of this filing	$	9.75	$	9.75	$	0.0353		—

FOOTNOTES:

(1) Price per share represents the then-current primary offering price per share through the close of our Offerings on September 30, 2015.  Effective February 12, 2016, as we are no longer offering shares in a public offering, price per share represents the estimated NAV per share as determined by our board of directors.

(2) We closed our Follow-On Offering on September 30, 2015 and discontinued our stock distributions concurrently.  The monthly stock distributions from November 4, 2014 through September 30, 2015 were 0.0025 per share.

For the years ended December 31, 2015, 2014 and 2013, we declared cash distributions of approximately $63.2 million, $31.9 million and $14.2 million, respectively.  Of these amounts, approximately $26.4 million, $14.2 million and $6.6 million, respectively, were paid in cash to stockholders and approximately $36.8 million, $17.7 million and $7.6 million, respectively, were reinvested pursuant to our Reinvestment Plan.  In addition, for the years ended December 31, 2015, 2014 and 2013, we declared and made stock distributions of approximately 3.2 million, 2.4 million and 1.1 million shares of common stock, respectively.

The tax composition of our distributions declared for years ended December 31, 2015, 2014 and 2013 were as follows:

	December 31,
Distribution Type	2015			2014			2013
Taxable as ordinary income		37.8	%		30.8	%		0.0	%
Taxable as capital gain		0.0	%		0.0	%		63.8	%
Return of capital		62.2	%		69.2	%		36.2	%

Due to a variety of factors, the characterization of distributions declared for the year ended December 31, 2015 may not be indicative of the characterization of distributions that may be expected for the year ending December 31, 2016.  No amounts distributed to stockholders for the years ended December 31, 2015, 2014 and 2013 were required to be or have been treated as return of capital for purposes of calculating the stockholders’ return on their invested capital as described in our advisory agreement.  In determining the apportionment between taxable income and return of capital, the amounts distributed to stockholders (other than amounts designated as capital gains dividends) in excess of current or accumulated E&P are treated as a return of capital to the stockholders.  E&P is a statutory calculation which is derived from net income and determined in accordance with the Code.  It is not intended to be a measure of the REIT’s performance, nor do we consider it to be an absolute measure or indicator of our source or ability to pay distributions to stockholders.

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Approximately 55%, 66% and 87% of total distributions declared for 2015, 2014 and 2013, respectively, exceeded net cash flows provided by operating activities calculated on a quarterly basis in accordance with GAAP and, therefore, were considered funded from other sources for GAAP purposes.  Net cash flows provided by operating activities calculated in accordance with GAAP includes deductions for acquisition fees and expenses, which we consider to be funded from other sources (i.e. Offering proceeds), and, therefore, is only one metric our board of directors considers in determining distributions.

The table in Item 7.  “Management’s Discussion and Analysis of Financial Condition and Results of Operations” presents total cash distributions declared and issued, including distributions reinvested in additional shares through our Reinvestment Plan, and cash flows provided by (used in) operating activities for each quarter in the years ended December 31, 2015, 2014 and 2013.

Unregistered Sales of Equity Securities

During the year ended December 31, 2015, we became aware that the OTC Grey Market issued us a ticker symbol “CHTH” and that trading of approximately $0.02 million in shares of common stock occurred under this ticker symbol.  We did not initiate this action and believe this ticker symbol was issued as a result of the filing of a form with FINRA by a broker-dealer requesting a ticker symbol. We believe this filing allowed that broker-dealer to comply with FINRA reporting requirements concerning a secondary market trade of our shares of common stock that the broker-dealer was effecting or planning to effect.

Securities Authorized for Issuance under Equity Compensation Plans

None.

Secondary Sales of Registered Shares between Investors

During 2015, we became aware of transfers of 2,677 shares by investors at an average sales price of $8.60 per share.  We are not aware of any other transfers of shares by investors for the year ended December 31, 2015 and we are not aware of any other trades of our shares, other than previous purchases made in our public offerings and redemptions of shares by us. 

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Item 6. SELECTED FINANCIAL DATA 

The following selected financial data for CNL Healthcare Properties, Inc. should be read in conjunction with Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and Item 8. “Financial Statements and Supplementary Data” (in thousands, except per share data):

	Years Ended December 31,
	2015			2014			2013			2012			2011(1)
Operating Data:
Total revenues	$	300,525		$	181,084		$	52,605		$	7,385		$	—
Operating loss		(24,308	)		(23,178	)		(13,990	)		(6,043	)		(1,762	)
Net loss attributable to common stockholders		(68,055	)		(52,511	)		(18,100	)		(10,720	)		(1,760	)
Net loss per share		(0.44	)		(0.61	)		(0.42	)		(0.69	)		(0.23	)
Weighted average shares outstanding (basic and diluted) (2)		153,804			85,710			43,450			15,452			7,703
Cash distributions declared and paid (3)		63,201			31,919			14,170			3,197			56
Cash distributions declared and paid per share		0.41			0.37			0.33			0.21			0.01
Cash provided by (used in) operating activities		43,517			19,272			3,046			(6,369	)		(1,085	)
Cash used in investing activities		(950,761	)		(925,658	)		(643,792	)		(315,647	)		(400	)
Cash provided by financing activities		884,811			953,532			666,693			330,276			11,286
Other Data:
FFO (4)		44,059			10,797			(3,054	)		(6,242	)		(1,760	)
FFO per share		0.29			0.13			(0.07	)		(0.40	)		(0.23	)
MFFO (4)		63,484			32,017			12,581			797			(868	)
MFFO per share		0.41			0.37			0.29			0.05			(0.11	)

	As of December 31,
	2015		2014		2013		2012		2011(1)
Balance Sheet Data:
Total real estate assets, net	$	2,532,697	$	1,704,653	$	866,200	$	238,873	$	—
Intangibles, net		172,452		140,264		52,400		7,024		—
Cash		68,922		91,355		44,209		18,262		10,002
Total assets		2,843,495		1,989,015		1,014,073		337,777		10,563
Mortgage and other notes payable, net		840,435		853,561		438,107		193,151		—
Credit facilities		660,000		206,403		98,500		—		—
Total liabilities		1,584,393		1,116,855		562,092		197,126		861
Redeemable noncontrolling interest		551		568		—		—		—
Total equity		1,259,102		872,160		451,981		140,651		9,702

FOOTNOTES:

(1) Significant operations commenced on October 5, 2011 when we received the minimum offering proceeds and approximately $2.3 million was released from escrow. The results of operations for the year ended December 31, 2011 include primarily general and administrative expenses and acquisition expenses.

(2) For purposes of determining the weighted average number of shares of common stock outstanding, stock distributions are treated as if they were outstanding as of the beginning of each period presented.  For the years ended December 31, 2015, 2014, 2013, 2012 and 2011, we declared and made stock distributions of approximately 3.2 million, 2.4 million 1.1 million, $0.2 million and 4,000 shares of common stock, respectively. We closed our Follow-On Offering on September 30, 2015 and discontinued our stock distributions concurrently. The distribution of common shares to the recipients is non-taxable.

(3) For the years ended December 31, 2015, 2014, 2013, 2012 and 2011, our net loss was approximately $68.1 million, $52.5 million, $18.1 million, $10.7 million and $1.8 million, respectively, while cash distributions declared were approximately $63.2 million, $31.9 million, $14.2 million, $3.2 million and $0.06 million, respectively, and total distributions declared were approximately $97.0 million, $56.1 million, $24.8 million, $5.6 million and $0.1 million, respectively.  For the years ended December 31, 2015, 2014, 2013, 2012 and 2011, approximately 69%, 60%, 23%, 0% and 0%, respectively, of cash distributions declared to stockholders were considered to be funded with cash provided by operating activities as calculated on a quarterly basis for GAAP purposes and approximately 31%, 40%, 77%, 100% and 100%, respectively, were considered to be funded with other sources (i.e., proceeds from our Offerings).  For the years ended December 31, 2015, 2014, 2013, 2012 and 2011, approximately 45%, 34%, 13%, 0% and 0%, respectively, of total distributions declared to stockholders were considered to be funded with cash provided by operating activities as calculated on a quarterly basis for GAAP purposes and approximately 55%, 66%, 87%, 100% and 100% respectively, of total distributions declared to stockholders were considered to be funded with other sources (i.e., proceeds from our Offerings).

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The tax composition of our distributions declared for the years ended December 31, 2015, 2014, 2013, 2012 and 2011 were as follows:

	December 31,
Distribution Type	2015			2014			2013			2012			2011
Taxable as ordinary income		37.8	%		30.8	%		0.0	%		0.0	%		1.9	%
Taxable as capital gain		0.0	%		0.0	%		63.8	%		0.0	%		0.0	%
Return of capital		62.2	%		69.2	%		36.2	%		100.0	%		98.1	%

No amounts distributed to stockholders for the years ended December 31, 2015, 2014, 2013 and 2011 were required to be or have been treated as return of capital for purposes of calculating the stockholders’ return on their invested capital as described in our advisory agreement. 

(4) Due to certain unique operating characteristics of real estate companies, as discussed below, National Association of Real Estate Investment Trusts, (“NAREIT”), promulgated a measure known as FFO, which we believe to be an appropriate supplemental measure to reflect the operating performance of a REIT.  The use of FFO is recommended by the REIT industry as a supplemental performance measure but is not equivalent to net income (loss) as determined under GAAP.

We define FFO, a non-GAAP measure, consistent with the standards approved by the Board of Governors of NAREIT.  NAREIT defines FFO as net income or loss computed in accordance with GAAP, excluding gains or losses from sales of property, asset impairment write-downs, plus depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures.  Our FFO calculation complies with NAREIT’s policy described above.

We define MFFO, a non-GAAP measure, consistent with the IPA, an industry trade group, Guideline 2010-01, Supplemental Performance Measure for Publicly Registered, Non-Listed REITs: MFFO, and the Practice Guideline, issued by the IPA in November 2010. The Practice Guideline defines MFFO as FFO further adjusted for the following items, as applicable, included in the determination of GAAP net income (loss): acquisition fees and expenses; amounts relating to deferred rent receivables and amortization of above and below market leases and liabilities (which are adjusted in order to remove the impact of GAAP straight-line adjustments from rental revenues); accretion of discounts and amortization of premiums on debt investments,  mark-to-market adjustments included in net income; gains or losses included in net income from the extinguishment or sale of debt, hedges, foreign exchange, derivatives or securities holdings where trading of such holdings is not a fundamental attribute of the business plan, and unrealized gains or losses resulting from consolidation from, or deconsolidation to, equity accounting and after adjustments for consolidated and unconsolidated partnerships and joint ventures, with such adjustments calculated to reflect MFFO on the same basis.

FFO and MFFO are not necessarily indicative of cash flows available to fund cash needs and should not be considered (i) as an alternative to net income (loss), or net income (loss) from continuing operations, as an indication of our performance, (ii) as an alternative to cash flows from operating activities as an indication of our liquidity, or (iii) as indicative of funds available to fund our cash needs including our ability to make distributions to our stockholders.  FFO and MFFO should not be construed as more relevant or accurate than the current GAAP methodology in calculating net income (loss) and its applicability in evaluating our operating performance.

For additional disclosures relating to FFO and MFFO, including a reconciliation of net loss to FFO and MFFO, for the years ended December 31, 2015, 2014 and 2013 refer to Item 7. “Management Discussion and Analysis of Financial Condition and Results of Operations” and for the years ended December 31, 2012 and 2011 refer to our Form 10-K filed on March 27, 2013.

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Item 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS 

Overview

CNL Healthcare Properties, Inc. is a Maryland corporation incorporated on June 8, 2010 that qualified as a REIT for U.S. federal income tax purposes beginning with the year ended December 31, 2012.

Our Advisor and Property Manager are each wholly owned by affiliates of our Sponsor, which is an affiliate of CNL, a private investment management firm providing global real estate and alternative investments.  Our Advisor is responsible for managing our affairs on a day-to-day basis and for identifying, recommending and executing acquisitions and dispositions on our behalf pursuant to an advisory agreement.  Substantially all of our acquisition, operating and administrative services, as well as certain property management services, are provided by sub-advisors to the Advisor and the Property Manager.  In addition, certain unrelated property managers have been engaged to provide property management services under RIDEA structures.

On June 27, 2011, we commenced our Initial Offering, including shares being offered through our Reinvestment Plan, pursuant to a registration statement on Form S-11 under the Securities Act of 1933 with the SEC. In addition, we filed a follow-on registration statement on Form S-11 under the Securities Act of 1933 with the SEC in connection with our Follow-On Offering, which was declared effective on February 2, 2015. We closed our Follow-On Offering on September 30, 2015 and discontinued our stock distributions concurrently after taking into account such factors as deemed appropriate, including but not limited to, the amount of capital raised, future acquisition opportunities, and economic or market trends.

Our investment focus has been acquiring a diversified portfolio of healthcare real estate and real estate-related assets within the seniors housing, medical office, post-acute care and acute care asset classes.  We believe recent demographic trends and strong supply and demand indicators present a compelling case for an investment focus on healthcare real estate and real estate-related assets.  We believe that our investment focus on the healthcare industry will continue to provide more attractive opportunities as compared to other asset sectors. See Item 1. “Business – Investment Objectives and Strategy” for additional discussion of our investment focus.

For a description of the individual property holdings by asset class included in our healthcare real estate portfolio, including the location, date acquired, and purchase price, as of December 31, 2015, see Item 2.  “Properties.”

Industry Trends

We believe that medical care will continue to grow rapidly and steadily for two basic reasons—it is an essential human service for an aging demographic and it is heavily supported by the government. These factors may result in healthcare-related property investments potentially experiencing less economic volatility than other sectors.

Expanded Healthcare Insurance Coverage. As the U.S. population over the age of 65 increases, more older Americans will be entitled to Medicare to cover their increasing healthcare needs and related costs. In addition, under the Affordable Care Act and other legislation, private healthcare insurance will be expanded to cover more of the non-elderly, lower income populations. In a report entitled “Updated Estimates for the Insurance Coverage Provisions of the Affordable Care Act” dated March 2012, the Congressional Budget Office predicts that as a result of the Affordable Care Act, approximately 93% of non-elderly Americans are projected to have insurance coverage by 2022, compared with 82% in 2012 prior to the effect of the Affordable Care Act, and the number of uninsured Americans will be reduced by about 30 million people. The resulting expansion of U.S. healthcare insurance coverage is expected to create an increase in demand for healthcare services and related properties.

In addition, there are indications that significant opportunities for consolidation exist in the seniors housing and healthcare real estate industry, which we believe will create value as a result of our portfolio growth and scale.  A Bank of America Merrill Lynch Global Research Report entitled “Healthcare REITs: a defensive play on aging demographics” dated September 24, 2013 estimates that the total value of healthcare-related real estate ranges from $700 billion to over $1 trillion, with REIT ownership accounting for only about 14% of the total. This continued ownership fragmentation of the seniors housing and healthcare real estate industry provides adequate opportunity for growth through consolidation opportunities.

The Aging of America. According to a July 2013 report of the U.S. Census Bureau, 10,000 people in the U.S. will turn 65 every day until 2050.  By 2050, 84 million Americans, or 21% of the U.S. population, will be 65 years or older, compared to 14% of the population in 2012, an anticipated increase of 94% in the senior population between 2012 and 2050. A Special Issue Brief by the American Seniors Housing Association and Seniors Housing Analytics entitled “A Projection of Demand for Market Rate U.S. Seniors Housing 2010–2013” issued Winter 2013 projects that the U.S. population over the age of 75 will increase by 84% from 2010 to 2030, almost double the growth rate of the prior twenty years (43% from 1990 to 2010).

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Disability is defined under the ADA as a substantial limitation in a major life activity. Research indicates that age is positively correlated with the presence of a physical disability, and the oldest people have the highest levels of both physical and cognitive disabilities. With the increased age of the U.S. population, the healthcare system faces an increase in the population with age-related physical and cognitive disabilities, which require increased seniors housing options, as well as increased demand for healthcare facilities that provide physician management of such disabilities.

Since the first quarter of 2008, there has been modest growth in the total national inventory of seniors housing units according to National Investment Center for Seniors Housing & Care (“NIC”) data, with a compound annual growth rate of 2.1% as of the fourth quarter of 2015. However, the number of new seniors housing units under construction is increasing, at 5.8% of total inventory as of the fourth quarter of 2015. Muted supply growth over the past few years has helped rental levels recover and occupancy improve despite a modest economic recovery.  According to data from the NIC, overall seniors housing occupancy in the top 100 metropolitan statistical areas (“MSAs”) was 90.2% in the fourth quarter of 2015. As of the fourth quarter of 2015, occupancy was 3.1 percentage points above its cyclical low of 87.1% during the first quarter of 2010. We believe seniors housing supply growth will remain at an acceptable level given the growth in aging demographics.

Rising Healthcare Expenditures. The rise in the aging population, the expansion of U.S. healthcare insurance coverage and medical technology innovations contribute to increasing healthcare expenditures. National healthcare spending is projected to increase from approximately 16 percent of the gross domestic product in 2013 to approximately 25 percent by 2040 according to “The 2015 Long-Term Outlook”, produced by the Congressional Budget Office in June 2015.  In addition, according to the U.S. Census Bureau reported entitled “American Community Survey Report: 90+ in the United States: 2006-2008” dated November 2011, individuals who are 65 years old in 2006 can expect to live on average an additional 18.5 years, up from an average of 12.2 additional years for those aged 65 between 1929 and 1931.

Rise in Alzheimer’s Disease. According to a report entitled “2014 Alzheimer’s Disease Facts and Figures” published by the Alzheimer’s Association, the number of people in the U.S. with Alzheimer’s disease may nearly triple by 2050, straining our healthcare system and taxing the resources of caregivers. Barring the development of medical breakthroughs to prevent or slow the disease, approximately 13.8 million people age 65 and older are expected to have Alzheimer’s disease by 2050. Among the top ten fatal illnesses in America, Alzheimer’s is the only disease that currently has no prevention or cure. Alzheimer’s disease is the sixth leading cause of death in the U.S. overall and the fifth leading cause of death for those aged 65 and older. Deaths from Alzheimer’s disease increased 68% between 2000 and 2010, while deaths from other major diseases, including the number one cause of death (heart disease), decreased.

According to a National Center for Health Statistics Data Brief dated November 2013, in 2010, approximately 42% of individuals living in residential care communities had Alzheimer’s disease or other forms of dementia. We believe that the projected rise in the incidence of Alzheimer’s disease creates a need for seniors housing options that address the specialized needs of Alzheimer’s and other dementia patients and their families.

Stronger U.S. Housing Market. As the broader economy recovers and the U.S. residential real estate market strengthens, it is widely believed that the demand for seniors housing will continue to grow as the “baby boomer” generation reaches retirement and transitions to active adult communities and other seniors housing facilities. Seniors often sell their homes and use the proceeds to pay rent in private-pay retirement communities creating a strong correlation between seniors housing demand and home prices.

Liquidity and Capital Resources

General

Our primary source of capital, through the close of our Follow-on Offering on September 30, 2015, was proceeds we received from our Offerings.  Our principal demand for funds has been for acquisitions, the payment of debt service on our outstanding indebtedness and the payment of distributions.  Generally, we expect to meet short-term working capital needs from our cash flows from operations and proceeds from our Reinvestment Plan.  

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We intend to strategically leverage our real properties and possibly other assets and use debt financing as a means of providing additional funds for the acquisition of properties, ongoing real estate under development and the diversification of our portfolio.  Our ability to increase our diversification through borrowing could be adversely affected by credit market conditions which result in lenders reducing or limiting funds available for loans, including loans collateralized by real estate.  We may also be negatively impacted by rising interest rates on any unhedged variable rate debt or the timing of when we seek to refinance existing debt.  During times when interest rates on mortgage loans are high or financing is otherwise unavailable on a timely basis, we have and may continue to purchase certain properties for cash with the intention of obtaining debt financing for a portion of the purchase price at a later time.  In addition, we will continue to evaluate the need for additional interest rate protection in the form of interest rate swaps or caps on unhedged variable rate debt.

Potential future sources of capital include proceeds from collateralized or uncollateralized financings from banks or other lenders, proceeds from the sale of properties, other assets and undistributed operating cash flows.  If necessary, we may use financings or other sources of capital in the event of unforeseen significant capital expenditures.  As of December 31, 2015, we have approximately $20.0 million of available proceeds remaining under our Revolving Credit Facility, as discussed below.

Sources of Liquidity and Capital Resources

Common Stock Offerings

For the years ended December 31, 2015, 2014 and 2013, we received proceeds from our Offerings of approximately $551.9 million, $554.6 million and $379.8 million respectively.  While the Follow-On Offering closed on September 30, 2015, we accepted subscriptions proceeds for agreements that were received in good order on or before September 30, 2015 and for which subscription proceeds were received by the transfer agent through October 30, 2015.

Reinvestment Plan

For the years ended December 31, 2015, 2014 and 2013, we received proceeds from our Reinvestment Plan of approximately $36.8 million, $17.7 million and $7.6 million respectively.  While the Follow-On Offering closed on September 30, 2015, we continue to provide existing stockholders the opportunity to designate their cash distributions for reinvestment through our Reinvestment Plan.

Borrowings

We have borrowed and intend to continue borrowing money to fund ongoing real estate development and other enhancements to our portfolio, as well as to cover periodic shortfalls between distributions paid and cash flows from operating activities.  During the years ended December 31, 2015, 2014 and 2013, we borrowed proceeds of approximately $549.2 million, $510.3 million and $460.9 million, respectively, net of repayments on the Revolving Credit Facility of $321.4 million and $259.3 million, for the years ended December 31, 2015 and 2014, respectively. There were no repayments made on the Revolving Credit Facility during the year ended December 31, 2013. These amounts were primarily used to fund real estate under development and acquire additional properties.

In December 2014, we entered into a $230 million senior unsecured revolving credit facility (“Revolving Credit Facility”) and a $175 million senior unsecured term loan facility (“Term Loan Facility” and, collectively, “Credit Facilities”). Under the Credit Agreement, as amended and restated, we have the ability to increase our borrowings to $700 million under the accordion features of the Revolving Credit Facility, as additional properties are added to the unencumbered pool of assets.

In May and November 2015, we executed amendments to our credit agreement with KeyBank, as administrative agent, related to the Credit Facilities, which adjusted certain criteria and terms for the unencumbered pool of assets supporting our Revolving Credit Facility.  The amendments allowed us to include additional properties in the unencumbered pool of assets, which increased our availability under the Revolving Credit Facility for future periods.

In November 2015, we entered into a $260 million senior unsecured term loan facility (“Second Term Loan Facility”).  The Second Term Loan Facility has an initial term of 60 months.  The Second Term Loan Facility bears interest based on the London Interbank Offer Rate (“LIBOR”) and a spread that varies with our leverage ratio.  We are required to make interest only payments until the maturity date.

In order to hedge our exposure to variable rate debt in future periods, we entered into several interest rate caps with notional amounts totaling approximately $260 million as of December 31, 2015.  In addition, in March 2016, we entered into additional interest rate caps with 1.5% LIBOR strike prices and notional amounts totaling $150 million related to the Revolving Credit Facility, which reduced our unhedged variable rate debt to 10.0% based on our borrowings as of December 31, 2015.  

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We may borrow money to pay distributions to stockholders, for working capital and for other corporate purposes.  See “Uses of Liquidity and Capital Resources – Distributions” below for additional information related to the payment of distributions with other sources for GAAP purposes.  In many cases, we have pledged our assets in connection with our borrowings and intend to encumber assets in connection with additional borrowings.  The aggregate amount of long-term financing is not expected to exceed 60% of our total assets on an annual basis.  As of December 31, 2015 and December 31, 2014, we had an aggregate debt leverage ratio of approximately 52.8% and 53.3%, respectively, of the aggregate carrying value of our assets.

The following table provides details of our indebtedness as of December 31, 2015 and 2014 (in thousands):

	December 31,
	2015			2014
Mortgages payable and other notes payable:
Fixed rate debt	$	391,639		$	370,854
Variable rate debt (1)		449,017			482,922
Mortgages and other notes payable (2)		840,656			853,776
Premium (discount), net (3)		(221	)		(215	)
Total mortgages and other notes payable, net		840,435			853,561
Credit facilities:
First Term Loan Facility (1)		175,000			175,000
Revolving Credit Facility (4)		225,000			31,403
Second Term Loan Facility (5)		260,000			—
Total borrowings	$	1,500,435		$	1,059,964

FOOTNOTES:

(1) As of December 31, 2015 and December 31, 2014, we had entered into interest rate swaps with notional amounts of approximately $480.7 million and $182.1 million, respectively, which were settling on a monthly basis. In addition, as of December 31, 2015 and December 31, 2014, we had entered into forward-starting interest rate swaps for total notional amounts of approximately $48.4 million and $269.4 million, respectively, in order to hedge our exposure to this variable rate debt in future periods.  The remaining forward-starting interest rate swaps have a range of effective dates beginning in 2016 and continuing through the maturity date of the respective loan (ranging from 2017 through 2019).  Refer to Item 8. “Financial Statements and Supplementary Data” — Note 12. “Derivative Financial Instruments” for additional information.

(2) As of December 31, 2015, our mortgages and other notes payable are secured by 65 properties with total assets of approximately $1.4 billion.

(3) Premium (discount), net is reflective of us recording mortgage note payables assumed at fair value on the respective acquisition date.

(4) As of December 31, 2015 and December 31, 2014, availability under the Revolving Credit Facility was approximately $20.0 million and $14.0 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan.

(5) In order to hedge our exposure to variable rate debt in future periods related to this loan, we entered into an interest rate cap with a notional amount of approximately $260 million as of December 31, 2015. Refer to Item 8. “Financial Statements and Supplementary Data” — Note 12. “Derivative Financial Instruments” for additional information.

Generally, the loan agreements for our mortgage loans contain customary affirmative, negative and financial covenants, representations, warranties and borrowing conditions, as set forth in the loan agreements.  The loan agreements also contain customary events of default and remedies for the lenders.  The borrowers are normally direct or indirect subsidiaries of our Operating Partnership.  As of December 31, 2015, we were in compliance with all of our debt covenants for our mortgage notes payable.

The Credit Facilities contain affirmative, negative, and financial covenants which are customary for loans of this type, including (but not limited to): (i) maximum leverage, (ii) minimum fixed charge coverage ratio, (iii) minimum consolidated net worth, (iv) restrictions on payments of cash distributions except if required by REIT requirements, (v) maximum secured indebtedness, (vi) maximum secured recourse debt, (vii) minimum unsecured interest coverage and (viii) limitations on certain types of investments and with respect to the pool of properties supporting borrowings under the Credit Facilities, minimum debt service coverage ratio, minimum weighted average occupancy, and remaining lease terms, as well as property type, MSA, operator, and asset value concentration limits.  The limitations on distributions include a limitation on the extent of allowable distributions, which are not to exceed the greater of 95% of adjusted FFO (as defined per the Credit Facilities) and the minimum amount of distributions required to maintain our REIT status. We do not expect this limitation to be a limiting factor for our board of directors when determining distribution levels now or in the future.

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See Item 8. “Financial Statements and Supplementary Data” — Note 10. “Indebtedness” for additional information on our borrowings, including a schedule of future principal payments and maturity dates.  In addition, see “Off-Balance Sheet and Other Arrangements” below for a description of the borrowings of our unconsolidated entities.

Tenant Workouts

During the year ended December 31, 2015, the tenant at two of our specialty hospitals experienced financial difficulty and defaulted on its lease agreements at both properties.  We recorded an impairment provision of approximately $4.7 million related to the lease intangibles and a loss on lease termination of approximately $0.9 million related to deferred rent and lease incentives as it was determined that the carrying value of these assets would more than likely not be recoverable.  In September 2015, in connection with consenting to the sale of the operations by our previous tenant to a third-party buyer, we signed an amended and restated lease agreement with the buyer, who became a new tenant at one of the specialty hospitals, which included similar economic terms as the previous lease.  In addition, in connection with consenting to the sale of the operations, we collected approximately $1.0 million in past due rents owed under the original lease and reserved the remaining $0.9 million in past due rents for financial reporting purposes.  In January 2016, we executed a second lease agreement with a new tenant at the other specialty hospital, which included similar economic terms as the previous lease.  As incentive for entering into a long-term lease, the tenant was granted six months of free rent in 2016.  We expect these two new leases to increase our operating cash flows in future periods given the loss of revenues generated by the defaults during the year ended December 31, 2015.

In July 2015, an anchor tenant at two of our medical office buildings filed for chapter 11 bankruptcy.  As of December 31, 2015, the anchor tenant was delinquent on approximately $0.3 million of rent for certain suites it occupies in the two medical office buildings, which relates to the period prior to filing for chapter 11 bankruptcy and is fully reserved for financial reporting purposes.  As of the date of this filing, we are in the process of negotiating new lease agreements with the health system that purchased substantially all of the anchor tenant’s operations.  We do not expect the impact of this workout to have a material impact on our operating cash flows in future periods given that revenues attributable to the anchor tenant represented less than 1.0% of our total revenues for the year ended December 31, 2015.

Contributions from Redeemable Noncontrolling Interests

During the year ended December 31, 2015, no cash capital contributions were made by our co-venture partner.  During the year ended December 31, 2014, our co-venture partner made cash capital contributions of approximately $0.6 million to our consolidated joint venture relating to the Watercrest at Katy development.  In accordance with the joint venture agreement, these amounts have been used to fund part of the land acquisition and initial development costs of the development projects.  During the year ended December 31, 2013, no cash capital contributions were made by our co-venture partner.

Contributions from Noncontrolling Interests

During the year ended December 31, 2015, our co-venture partner made $0.1 million in cash contributions to our consolidated joint venture relating to the Fieldstone at Pear Orchard development.  During the year ended December 31, 2014, our co-venture partner made cash capital contributions of approximately $0.4 million to our consolidated joint venture relating to the acquisition of an MOB in Yuma, Arizona.  During the year ended December 31, 2013, there were no capital contributions made by any co-venture partners.

Distributions from Unconsolidated Entities

As of December 31, 2015, we had an investment in five unconsolidated properties through a joint venture.  Pursuant to the joint venture agreement, we are entitled to receive quarterly preferred cash distributions to the extent there is cash available to distribute.  These distributions are generally received within 45 days after each quarter end.  For the year ended December 31, 2015, we received approximately $0.9 million of operating distributions from our investment in these unconsolidated entities.

For the year ended December 31, 2014, we received approximately $1.9 million of operating distributions from our two investments in unconsolidated entities.  In August 2014, we acquired our co-venture partner’s 10% interest in the Montecito joint venture for approximately $1.6 million.  As a result of this transaction, we own 100% of the Montecito joint venture, and began consolidating all of the assets, liabilities and results of operations in our consolidated financial statements upon acquisition.  Refer to Item 8. “Financial Statements and Supplementary Data” — Note 3. “Acquisitions – Purchase of Controlling Interest in Montecito Joint Venture” for additional information.  In addition, we received capital distributions from the Windsor Manor joint venture during the year ended December 31, 2014 of approximately $2.2 million, which resulted from excess proceeds on refinancing the joint venture’s debt.

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In July 2013, we completed the sale of our interest in the CHTSunIV joint venture for a sales price of approximately $61.8 million, net of transaction costs, which reflects an aggregate gain of approximately $4.5 million.

Net Cash Provided by Operating Activities

We generally expect to meet future cash needs for general and administrative expenses, debt service and distributions from the net operating income from our properties (“Property-level NOI”).  We define Property-level NOI, a non-GAAP measure, as rental income from operating leases, resident fees and services, tenant reimbursement income and interest income less the property operating expenses and property management fees from managed properties.  It does not represent cash flows generated from operating activities in accordance with GAAP and should not be considered to be an alternative to net income or loss (determined in accordance with GAAP) as an indication of our operating performance or to be an alternative to cash flows from operating activities (determined in accordance with GAAP) as a measure of our liquidity.  We believe the presentation of this non-GAAP measure is important to the understanding of our operating results for the periods presented because it is an indicator of the return on property investment and provides a method of comparing property performance over time.  

We experienced positive cash flow from operating activities for the years ended December 31, 2015, 2014 and 2013 of approximately $43.5 million, $19.3 million and $3.0 million, respectively.  The change in cash flows from operating activities for the year ended December 31, 2015 as compared to the year ended December 31, 2014 was primarily the result of the following:

· an increase in total revenues and Property-level NOI for the year ended December 31, 2015, as compared to the year ended December 31, 2014, primarily as the result of having 132 consolidated operating properties in 2015 as compared to 95 consolidated operating properties in 2014; and

· a decrease in acquisition fees and expenses during the year ended December 31, 2015, in which we acquired operating properties totaling $880.9 million, compared with the year ended December 31, 2014, in which we acquired operating properties totaling $905.3 million.  The acquisition fees and expenses were considered to be funded from proceeds of our Offerings or debt but are treated as an operating activity in accordance with GAAP;

· offset by payments in 2015 totaling approximately $13.3 million related to lease incentives (discussed below);

· an increase in interest expenses paid resulting from additional borrowings on properties acquired during 2015 and properties acquired during 2014 being owned for the entire period;

· a net increase in asset management fees resulting from continued growth and increased total assets under management; and

· an increase in general and administrative expenses paid resulting from our continued growth.

We expect that cash flows provided by operating activities will continue to grow as properties acquired during the year ended December 31, 2015 are held for the entire period and additional value-add and completed development properties stabilize. In addition, cash flows provided by operating activities for the year ended December 31, 2015 is net of approximately $21.6 million in acquisition fees and expenses paid during the year, which includes approximately $0.1 million in acquisition fees and expenses payable as of December 31, 2014.  Since we have substantially completed our acquisition phase, we do not expect to incur significant acquisition fees and expenses in future periods and generally expect this to contribute to positive growth in our cash flows from operations in future periods.

Expense Support Agreements

In March 2013, we entered into the advisor expense support and restricted stock agreement (“Advisor Expense Support Agreement”) pursuant to which the Advisor has agreed to accept certain payments in the form of forfeitable restricted common stock (“Restricted Stock”) in lieu of cash for asset management fees and specified expenses owed to the Advisor under the advisory agreement. The Advisor Expense Support Agreement commenced on April 1, 2013 and automatically renews for successive one-year periods each December 31^st, subject to the right of the Advisor to terminate the Advisor Expense Support Agreement upon 30 days’ written notice.

Commencing on April 1, 2013, the Advisor has provided expense support to us through forgoing the payment of fees in cash and acceptance of restricted stock for services rendered and specified expenses incurred in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable quarter, over (b) our aggregate modified funds from operations (as defined in the Advisor Expense Support Agreement). The Advisor expense support amount is determined for each calendar quarter, on a non-cumulative basis, with each such quarter-end date (“Determination Date”).

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In August 2013, we entered into the property manager expense support and restricted stock agreement (“Property Manager Expense Support Agreement”) pursuant to which the Property Manager has agreed to accept certain payments in the form of forfeitable restricted common stock in lieu of cash for property management services owed under the property management and leasing agreement. The term of the Property Manager Expense Support Agreement commenced on July 1, 2013 and automatically renews for successive one-year periods each December 31^st, subject to the right of the Property Manager to terminate the Property Manager Expense Support Agreement upon 30 days’ written notice.

Commencing on July 1, 2013, the Property Manager is required to provide expense support to us through forgoing the payment of fees in cash and acceptance of restricted stock for services in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable quarter, over (b) the Company’s aggregate modified funds from operations (as defined in the Property Manager Expense Support Agreement). The Property Manager expense support amount is determined, on a non-cumulative basis, after the calculation of the Advisor expense support amount pursuant to the Property Manager Expense Support Agreement on each Determination Date.

In exchange for services rendered and in consideration of the expense support provided, the Company will issue, within 45 days following each Determination Date, a number of shares of restricted stock equal to the quotient of the expense support amount provided by to the Advisor and Property Manager for the preceding quarter divided by the then-current public offering price per share of common stock or NAV, on the terms and conditions and subject to the restrictions set forth in the Advisor Expense Support Agreement and the Property Manager Expense Support Agreement (hereinafter collectively referred to as the “Expense Support Agreements”).  Any amounts deferred, and for which restricted stock shares are issued, pursuant to the Expense Support Agreements will be permanently waived and the Company will have no obligation to pay such amounts to the Advisor or the Property Manager.  The Restricted Stock is subordinated and forfeited to the extent that shareholders do not receive their original invested capital back with at least a 6% annualized return of investment upon ultimate liquidity of the company.  Refer to Item 8. “Financial Statements and Supplementary Data” — Note 2. “Summary of Significant Accounting Policies” for treatment of issued Restricted Stock.

In March 2016, our board of directors approved amended and restated expense support agreements (“Amended and Restated Expense Support Agreements”) with the Advisor and Property Manager that change the period for determining and calculating the respective affiliate’s agreement to accept restricted stock in lieu of cash from each calendar quarter, on a non-cumulative basis, to each calendar year.  Refer to Item 9B. “Other Information” for additional information relating to the Amended and Restated Expense Support Agreements.

During the years ended December 31, 2015 and 2014, our cash from operating activities was positively impacted by the Expense Support Agreements.  For the years ended December 31, 2015, 2014 and 2013, our Advisor had settled approximately $4.4 million, $4.9 million and $1.4 million, respectively, in asset management fees under the terms of the Advisor Expense Support Agreement.  The decrease in asset management fees settled in accordance with the Advisor Expense Support Agreement is reflective of our growth in Property-level NOI outpacing growth in our distributions, interest expense and other expense items.  There were no amounts settled under the Property Manager Expense Support Agreement for the years ended December 31, 2015, 2014 and 2013.

Refer to Item 8. “Financial Statements and Supplementary Data” — Note 11. “Related Party Arrangements” for additional information.

Uses of Liquidity and Capital Resources

Acquisitions

During the years ended December 31, 2015, 2014 and 2013, we acquired 39, 35, and 38 consolidated operating properties, respectively, for an aggregate purchase price paid of approximately $866.3  million, $869.5 million, and $655.9 million, respectively, net of liabilities assumed.  The acquired operating properties were spread across our targeted asset classes and located in 20, 14, and 13 different states, respectively, which allowed us to expand both the variety of our asset classes and the geographical diversification of our healthcare investment portfolio.  During the years ended December 31, 2015, 2014 and 2013, our total units increased by approximately 1,786, 1,509, and 2,163, respectively. Furthermore, during the years ended December 31, 2015, 2014 and 2013, our total leasable square footage increased by approximately 2.0 million, 1.6 million, and 0.9 million, respectively.

Development Properties

In connection with our various seniors housing and post-acute care developments, we funded approximately $73.6 million, $47.2 million and $23.2 million in development costs during the years ended December 31, 2015, 2014 and 2013, respectively.  Pursuant to the development agreements for the active properties under development as of December 31, 2015, we expect to fund approximately

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$143.2 million of additional development and other costs.  We expect to fund the remaining development and other costs primarily from construction loans on each development or with the proceeds from our Reinvestment Plan.

As a result of the completed Dogwood Forest of Acworth and HarborChase of Villages Crossing seniors housing developments achieving stabilization during the year-end December 31, 2015, we expect to pay additional amounts in future periods to the respective third-party developers as holders of a promoted interest in these properties.  We continue to monitor the lease-up of these properties to determine whether the established performance metrics have been met.  As of December 31, 2015, neither of these developments had achieved the required performance metrics.

During the year ended December 31, 2014, we made distributions of approximately $2.0 million to a third-party developer, who is a holder of promoted interest related to our HarborChase of Villages Crossing, which has been recorded as a reduction to capital in excess of par value in the accompanying consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  No such payments were made during the years ended December 31, 2015 and 2013.

Debt Repayments

During the year ended December 31, 2015, we paid approximately $437.2 million of total repayments which was comprised of $321.4 million in debt repayments on our Revolving Credit Facility, $93.5 million in repayments on our mortgage loans for the Perennial Communities, Medical Portfolio I Properties, Dogwood Forest of Acworth and HarborChase of Villages Crossing prior to their scheduled maturities, $4.4 million of prepayments on our mortgage loan for the Capital Health Communities related to monies received under a yield guaranty agreement and $17.9  million of scheduled repayments. During the year ended December 31, 2014, we paid approximately $286.3 million of total repayments which was comprised of $259.3 million in repayments on our Revolving Credit Facility, $15.0 million in repayments on our unsecured bridge loan financing, $9.4 million of scheduled repayments and $2.6 million of prepayments on our Capital Health mortgage loan related to monies received under a yield guaranty agreement.  Refer to Item 8. “Financial Statements and Supplementary Data” – Note 9. “Contingent Purchase Price Consideration” for additional information.

Stock Issuance and Offering Costs

Under the terms of the Offerings, certain affiliates and third-party broker dealers were entitled to receive selling commissions of up to 7% of gross offering proceeds on all shares sold, a marketing support fee of up to 3% of gross offering proceeds, and reimbursement of actual expenses incurred in connection with the Offerings.  In accordance with our articles of incorporation and the advisory agreement, the total amount of selling commissions, marketing support fees, due diligence expense reimbursements, and organizational and other offering costs to be paid by us may not exceed 15% of the gross aggregate proceeds of our Offerings.

During the years ended December 31, 2015, 2014 and 2013, we paid approximately $59.0 million, $58.9 million, and $41.8 million, respectively, of stock issuance and offering costs.

Lease Incentives

During the years ended December 31, 2015 and 2014, we paid approximately $3.6 million and $1.0 million of costs on behalf of our tenants as lease incentives in connection with the build-out of space for certain tenants entering into new leases or extending existing leases at our MOBs.  There were no lease incentives paid during the year ended December 31, 2013.  Lease incentives are capitalized as deferred rent and amortized as straight-line rent over the respective lease terms.

In April 2015, we paid approximately $1.7 million of lease incentives in connection with the build-out of approximately 25,000 square feet of space for a new tenant at Physicians Plaza B at North Knoxville Medical Center.  The related lease commenced in April 2015 upon completion of the build-out and includes an initial 10-year lease term that also provides the tenant with two 5-year renewal options.

In addition, in April 2015, we executed a lease modification with the tenant at Memorial Hermann Orthopedic & Spine Hospital (“MHOSH”), which included an extension of the lease term from 2023 to 2038 and provides the tenant with three 10-year renewal options.  In connection therewith, the tenant agreed to extend the lease term of its current space in the MHOSH MOB from 2023 to 2038 and lease approximately 7,000 square feet of additional space that is co-terminus with lease terms through 2038.  We paid the tenant approximately $3.0 million of aggregate lease incentives in connection with the lease modifications and leasing of additional space.

In August 2015, we executed a lease modification with the tenant at Batesville Healthcare Center, Searcy Healthcare Center and Mine Creek Healthcare Center that included the termination of the tenant’s options to purchase the leased properties.  We paid

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approximately $5.0 million of lease incentives in connection with the modification, of which $3.0 million was treated as an adjustment to the lease basis and will increase rental income from these operating leases in future periods.

While we expect the impact of these lease incentives to adversely impact our cash flows from operations in the near term, we anticipate that the new leasing activity will contribute to same-store NOI growth in future periods and that the extension of existing lease terms could increase the value of our properties.

Common Stock Redemptions

During the year ended December 31, 2015, we received 266 redemption requests for 1.0 million shares at an average redemption price of $9.51 per share of which approximately $6.6 million was paid and approximately $2.7 million was payable as of December 31, 2015.  During the year ended December 31, 2014, we received 94 redemption requests for 0.3 million shares at an average redemption price of $9.24 per share of which approximately $2.2 million was paid and approximately $0.9 million was payable as of December 31, 2014. During the year ended December 31, 2013, we received 22 redemption requests for 0.08 million shares at an average redemption price of $9.25 per share of which approximately $0.7 million was paid and approximately $0.1 million was payable as of December 31, 2013.

See Item 5. “Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities – Redemption Plan” for additional information related to the redemption of common stock.

Distributions

In order to qualify as a REIT, we are required to make distributions, other than capital gain distributions, to our stockholders each year in the amount of at least 90% of our taxable income. We may make distributions in the form of cash or other property, including distributions of our own securities.  While we generally expect to pay distributions from cash flows provided by operating activities, we have, and may continue to cover periodic shortfalls between distributions paid and cash flows from operating activities from other sources; such as from cash flows provided by financing activities, a component of which could include borrowings, whether collateralized by our assets or unsecured, or proceeds from our Reinvestment Plan.

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The following table represents total cash distributions declared, distributions reinvested and cash distributions per share for years ended December 31, 2015, 2014 and 2013 (in thousands, except per share data):

			Distributions Paid (1)
Periods	Cash Distributions per Share		Total Cash Distributions Declared		Reinvested via Reinvestment Plan		Cash Distributions net of Reinvestment Proceeds		Stock Distributions Declared (Shares)		Stock Distributions Declared (at then-current offering price)			Total Cash and Stock Distributions Declared (2)		Cash Flows Provided by (Used in) Operating Activities (3)
2015 Quarters
First	$	0.1059	$	13,248	$	7,648	$	5,600	$	943	$	9,977		$	23,225	$	11,317
Second		0.1059		14,895		8,619		6,276		1,060		11,215			26,110		10,757
Third		0.1059		16,748		9,808		6,940		1,193		12,620			29,368		10,319
Fourth		0.1059		18,310		10,753		7,557		—		—			18,310		11,124
Total	$	0.4236	$	63,201	$	36,828	$	26,373	$	3,196	$	33,812		$	97,013	$	43,517
2014 Quarters
First	$	0.1014	$	6,147	$	3,349	$	2,798	$	455	$	4,614		$	10,761	$	6,277
Second		0.1014		7,145		3,916		3,229		529		5,364			12,509		5,035
Third		0.1014		8,385		4,630		3,755		621		6,295			14,680		7,361
Fourth		0.1029		10,242		5,821		4,421		751		7,946	(4)		18,188		599
Total	$	0.4071	$	31,919	$	17,716	$	14,203	$	2,356	$	24,219		$	56,138	$	19,272
2013 Quarters
First	$	0.09999	$	2,099	$	1,112	$	987	$	157	$	1,574		$	3,673	$	212
Second		0.09999		2,878		1,544		1,334		216		2,159			5,037		2,964
Third		0.09999		4,038		2,151		1,887		303		3,029			7,067		106
Fourth		0.09999		5,155		2,784		2,371		387		3,869			9,024		(236	)
Total	$	0.39996	$	14,170	$	7,591	$	6,579	$	1,063	$	10,631		$	24,801	$	3,046

FOOTNOTES:

(1) Represents the amount of cash used to fund distributions and the amount of distributions paid which were reinvested in additional shares through our Reinvestment Plan.

(2) For the years ended December 31, 2015, 2014 and 2013, our net loss was approximately $68.1 million, $52.5 million and $18.1 million, respectively, while cash distributions declared were approximately $63.2 million, $31.9 million and $14.2 million, respectively, and total distributions declared were approximately $97.0 million, $56.1 million and $24.8 million, respectively.  For the years ended December 31, 2015, 2014 and 2013, approximately 69%, 60% and 23%, respectively, of cash distributions declared to stockholders were considered to be funded with cash provided by operating activities as calculated on a quarterly basis for GAAP purposes and approximately 31%, 40% and 77%, respectively, were considered to be funded with other sources (i.e., proceeds from our Offerings).  For the years ended December 31, 2015, 2014 and 2013, approximately 45%, 34% and 13%, respectively, of total distributions declared to stockholders were considered to be funded with cash provided by operating activities as calculated on a quarterly basis for GAAP purposes and approximately 55%, 66% and 87%, respectively, of total distributions declared to stockholders were considered to be funded with other sources (i.e., proceeds from our Offerings).

(3) Cash flows from operating activities calculated in accordance with GAAP are not necessarily indicative of the amount of cash available to pay distributions.  For example, GAAP requires that the payment of acquisition fees and costs related to business combinations be classified as a use of cash in operating activities in the statement of cash flows, which directly reduces the measure of cash flows from operations.  However, we consider acquisition fees and costs to be paid for with proceeds from our Offerings as opposed to operating cash flows.  For the years ended December 31, 2015, 2014 and 2013, we expensed approximately $21.5 million, $23.9 million and $18.8 million, respectively, in acquisition fees and expenses, which were paid from the proceeds of our Offerings.  Additionally, the board of directors also uses other measures such as FFO and MFFO in order to evaluate the level of distributions.

(4) The new offering price for our stock was effective beginning with the December 1, 2014 distributions. As such, the stock distributions for the fourth quarter of 2014 were recalculated using the new offering price of $10.58.

Refer to Item 5. “Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities -  Distributions” for additional information regarding our monthly cash and stock distributions as well as the tax composition of our distributions.

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We are not aware of any material trends or uncertainties, favorable or unfavorable that may be reasonably anticipated to have a material impact on either capital resources or the revenues or income to be derived from the acquisition and operation of properties, loans and other permitted investments, other than those referred to in the risk factors identified in Item 1A. “Risk Factors”.

Results of Operations

The following discussion and analysis should be read in conjunction with the accompanying consolidated financial statements and the notes thereto.

As of December 31, 2015, we owned 132 consolidated real estate investment properties and our portfolio consisted of 5,253 units operated under management agreements with third-party operators and approximately 5.5 million leasable square feet that was 95.7% leased to third-party tenants.

Fiscal year ended December 31, 2015 as compared to the fiscal year ended December 31, 2014

In understanding our operating results in the accompanying consolidated financial statements, it is important to understand how the growth in our assets has impacted our results.  We use Property-level NOI, a non-GAAP measure, as a key performance metric for internal monitoring and planning purposes, including the preparation and annual operating budgets and monthly operating reviews, as well as to facilitate analysis of future investment and business decisions.  In addition, we have aggregated Property-level NOI on a “same-store” basis only for comparable properties that we have owned during the entirety of all periods presented.  Non-same-store NOI represents aggregated Property-level NOI from acquisitions made after January 1, 2014, which are excluded as we did not own those properties during the entirety of all periods presented.  The chart below illustrates our net losses and Property-level NOI for the years ended December 31, 2015 and 2014 (in thousands), and the amount invested in properties as of December 31, 2015 and 2014 (in thousands):

	Years Ended December 31,						Change
	2015			2014			$		%
Net loss	$	(68,093	)	$	(52,511	)
Adjusted to exclude:
General and administrative expenses		10,088			6,877
Acquisition fees and expenses		21,526			23,931
Asset management fees		17,892			8,481
Contingent purchase price consideration adjustment		(589	)		(630	)
Depreciation and amortization		105,945			63,112
Other expenses, net of other income		48,931			28,972
Income tax expense		378			361
Property-level NOI		136,078			78,593
Less: Non-same-store NOI		(75,852	)		(23,300	)
Same-store NOI	$	60,226		$	55,293		$	4,933		8.9	%
Invested in operating properties, end of period (in millions)	$	2,746		$	1,865

Rental Income from Operating Leases. Rental income from operating leases was approximately $101.1 million for the year ended December 31, 2015 as compared to $49.3 million for the year ended December 31, 2014.  The increase in rental income from operating leases resulted from our acquisition of five leased seniors housing communities, 22 MOBs, one post-acute care hospital and one acute care hospital for the year ended December 31, 2015 as well as the 15 MOBs, three post-acute care hospitals and three acute care hospitals during the year ended December 31, 2014 being owned for the entire period.  We expect this revenue stream to increase as these investments are held in future periods.

Resident Fees and Services. Resident fees and services income was approximately $183.4 million for the year ended December 31, 2015 as compared to approximately $123.8 million for the year ended December 31, 2014.  The increase in resident fees and services is a result of the 10 managed seniors housing communities acquired during the year ended December 31, 2015 as well as 14 managed seniors housing communities acquired during the year ended December 31, 2014 being owned for the entire period.  In addition, Dogwood Forest of Acworth and HarborChase of Villages Crossing represent two of our completed developments that have reached stabilization during 2015.  Moreover, HarborChase of Shorewood and Wellmore of Tega Cay were placed into service in November 2015 and June 2015, respectively.  We expect this revenue stream to increase as these investments are held in future periods and additional value-add and completed development properties stabilize.

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Tenant Reimbursement Income. Tenant reimbursement income was approximately $16.0 million for the year ended December 31, 2015 as compared to $7.5 million for the year ended December 31, 2014.  This amount is comprised of common area maintenance (“CAM”) revenue and the increase resulted from our acquisition of 22 MOBs, one post-acute care hospital and one acute care hospital acquired during the year ended December 31, 2015 as well as the 15 MOBs, three post-acute care hospitals and three acute care hospitals acquired during the year ended December 31, 2014 being owned for the entire period.  We expect this revenue stream to increase as these investments are held in future periods and we acquire additional properties with modified operating leases.

Interest Income on Note Receivable from Related Party. Interest income on note receivable from related party was approximately $0.5 million for the year ended December 31, 2014.  This amount is comprised of interest income on the acquisition, development and construction loan (“ADC loan”) made to Crosland Southeast for the HCA Rutland development in June 2013, which was fully repaid in August 2014.  We recorded no interest income on note receivable from related party for the year ended December 31, 2015.

Property Operating Expenses. Property operating expenses were approximately $149.7 million for the year ended December 31, 2015 as compared to approximately $93.5 million for the year ended December 31, 2014.  This increase is a result of our acquisition of 10 managed seniors housing communities, 22 MOBs, one post-acute care hospital and one acute care hospital for the year ended December 31, 2015 as well as 14 managed seniors housing communities, 15 MOBs, three post-acute care hospitals and three acute care hospitals acquired during the year ended December 31, 2014 being owned for the entire period.  In addition, Dogwood Forest of Acworth and HarborChase of Villages Crossing represent two of our completed developments that have reached stabilization during 2015.  Moreover, HarborChase of Shorewood and Wellmore of Tega Cay were placed into service in November 2015 and June 2015, respectively.  We expect property operating expenses to increase as these investments are held in future periods and additional value-add and completed development properties stabilize.

General and Administrative. General and administrative expenses for the year ended December 31, 2015 were approximately $10.1 million as compared to approximately $6.9 million for the year ended December 31, 2014.  General and administrative expenses were comprised primarily of personnel expenses of affiliates of our Advisor, directors’ and officers’ insurance, franchise taxes, accounting and legal fees, and board of director fees and will continue to grow as our asset base increases.  The increase in general and administrative expense was primarily attributed to increased costs as a result of the growth of our portfolio.  Specifically, we incurred increased personnel expenses reimbursable to the Advisor due to increased accounting, legal and administrative activity as a result of the growth of the portfolio and related reporting.  We expect increases in general and administrative expenses in the future as the properties acquired during the year ended December 31, 2015 are operational for a full period.

Acquisition Fees and Expenses. Acquisition fees and expenses for the year ended December 31, 2015 were approximately $25.7 million of which approximately $4.2 million was capitalized as real estate under development.  We incurred approximately $27.5 million for the year ended December 31, 2014 of which approximately $3.6 million was capitalized as real estate under development.  The decrease in acquisition fees and expenses resulted from the acquisition of 39 operating properties totaling approximately $880.9 million in investments during the year ended December 31, 2015 as compared with the acquisition of 35 operating properties totaling approximately $905.3 million in investments during the year ended December 31, 2014.  We expect acquisition fees and expenses to decrease in the future as we expect any additional purchases of real estate or real estate-related assets to be limited.

Asset Management Fees. We incurred approximately $22.9 million in asset management fees payable to our Advisor during the year ended December 31, 2015 as compared to approximately $13.6 million for the year ended December 31, 2014.  For years ended December 31, 2015 and 2014, approximately $4.4 million and $4.9 million, respectively, in asset management fees were settled in accordance with the terms of the Expense Support Agreements and approximately $0.6 million and $0.3 million, respectively, were capitalized as real estate under development.  As described in Item 8. “Financial Statements and Supplementary Data” – Note 11. “Related Party Arrangements” during the year ended December 31, 2015, asset management fees were reduced by $4.4 million because the shares of restricted stock, which will be accepted by the Advisor as payment for asset management services rendered, were valued at zero— the lowest possible value estimated at vesting.   For the year ended December 31, 2014, approximately $4.9 million in asset management fees were settled with issuance of restricted stock in accordance with the Expense Support Agreements.  Monthly asset management fees equal to 0.08334% of invested assets are paid to the Advisor for management of our real estate assets, including our pro rata share of our investments in unconsolidated entities, loans and other permitted investments.  We expect increases in asset management fees in the future as the properties owned as of December 31, 2015 are operational for a full period; however, a portion of such fees may be settled in the form of forfeitable restricted stock under the Expense Support Agreements.

Property Management Fees. We incurred approximately $18.4 million in property management fees for the year ended December 31, 2015 and approximately $10.8 million for the year ended December 31, 2014.   For the years ended December 31, 2015 and 2014, approximately $3.6 million and $1.9 million, respectively, were capitalized as real estate under development.  Property management fees generally range from 2% to 5% of property revenues for leased properties depending on the type of property and are generally paid to third-party managers.  In addition, an oversight fee equal to 1% of property revenues is paid to the Property Manager for those properties managed by a third-party.  Overall property management fees increased as a result of the increases in rental income from

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operating leases and resident fees and services from acquisitions for the year ended December 31, 2015 as well as the properties acquired during the year ended December 31, 2014 being owned for the entire year ended December 31, 2015.  We expect increases in property management fees in the future as the properties owned as of December 31, 2015 are operational for a full period; however, a portion of such fees may be settled in the form of forfeitable restricted stock under the Expense Support Agreements.

Impairment Provision. During the year ended December 31, 2015, we recorded an impairment provision of $4.7 million to write-off the lease intangibles related to two of our specialty hospitals, as it was determined that the carrying value of these assets would not be recoverable; refer to Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Tenant Workouts” for additional information.  There were no impairments during the year ended December 31, 2014.

Loss on Lease Termination. During the year ended December 31, 2015, we recorded a loss on lease termination of $0.9 million related to two of our specialty hospitals, as it was determined that the carrying value of certain deferred rent and lease incentives would not be recoverable; refer to Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Tenant Workouts” for additional information.  There were no losses on lease terminations during the year ended December 31, 2014.

Contingent purchase price consideration adjustment.  During the years ended December 31, 2015 and 2014, the adjustments for contingent purchase price consideration were both approximately $0.6 million.  The adjustment in 2015 relates primarily to two separate acquisitions.  Based on lower than expected occupancy and revised projections of future net operating income, our fair value estimate for our Capital Health yield guaranty receivable was increased by approximately $0.3 million and we recorded a reduction to our operating loss in the accompanying consolidated statements of operations for year ended December 31, 2015.  In addition, as a result of the expiration of the Chestnut Commons Earn-Out agreement, we recorded a fair value adjustment of approximately $0.3 million during 2015.  Based on lower than expected occupancy and revised projections of future net operating income, our fair value estimate for our Capital Health Yield Guaranty receivable was increased by approximately $2.2 million and we recorded a reduction to our operating loss in the accompanying consolidated statements of operations for year ended December 31, 2014. Additionally, based on exceeding certain NOI targets on one of the South Bay II communities, we have recognized $1.8 million of expense during the year ended December 31, 2014.

Depreciation and Amortization. Depreciation and amortization expenses for the year ended December 31, 2015 were approximately $105.9 million and approximately $63.1 million for the year ended December 31, 2014. Depreciation and amortization expenses are comprised of depreciation and amortization of the buildings, equipment, land improvements and in-place leases related to our real estate portfolio.  The increase in depreciation and amortization expense across periods resulted from our acquisition of five leased seniors housing communities, 10 managed seniors housing communities, 22 MOBs, one post-acute care hospital and one acute care hospital for the year ended December 31, 2015 as well as 14 managed seniors housing communities, 15 MOBs, three post-acute care hospitals and three acute care hospitals acquired during the year ended December 31, 2014 being owned for the entire period.  In addition, HarborChase of Shorewood, Wellmore of Tega Cay, Dogwood Forest of Acworth and HarborChase of Villages Crossing were placed into service in November 2015, June 2015, June 2014 and December 2013, respectively.  We expect depreciation and amortization expense to increase as these investments are held in future periods.

Interest Expense and Loan Cost Amortization. Interest expense and loan cost amortization for the year ended December 31, 2015 was approximately $45.3 million of which $2.3 million was capitalized as development costs relating to our real estate under development. Interest expense and loan cost amortization for the year ended December 31, 2014 was approximately $31.5 million of which approximately $1.0 million was capitalized as development costs relating to our real estate under development.  Approximately $9.8 million of the increase for the year ended December 31, 2015 was primarily the result of an increase in our average debt outstanding to approximately $1.3 billion as compared to approximately $0.8 billion for the year ended December 31, 2014.   In addition, during the year ended December 31, 2015, we incurred approximately $0.8 million in additional loan costs amortization relating to debt obtained during the year ended December 31, 2015, as well as approximately $0.9 million relating to debt obtained on properties acquired during the year ended December 31, 2014.  In addition, during the year ended December 31, 2015, we recorded a write-off of approximately $0.7 million in loan costs and paid approximately $0.3 million on the derecognition of cash flow hedges in connection with the early extinguishment of debt on the Perennial Communities, Medical Portfolio I Properties, Dogwood Forest of Acworth and HarborChase of Villages Crossing.

Equity in Loss of Unconsolidated Entities. Our unconsolidated entities generated losses of approximately $0.6 million for the year ended December 31, 2015 relating to our investment in the Windsor Manor joint venture, as compared to earnings of approximately $1.4 million for the year ended December 31, 2014 relating to our investments in the Windsor Manor and Montecito joint ventures.  Equity in loss from unconsolidated entities is determined using the hypothetical liquidation method book value (“HLBV”) method of accounting, which can create significant variability in earnings or loss from the joint venture while the preferred cash distributions that we anticipate to receive from the joint venture may be more consistent as result of our distribution preferences.

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Gain from Purchase of Controlling Interest of Investment in Unconsolidated Entity. During the year ended December 31, 2014, we recognized a gain of approximately $2.8 million related to the purchase of our co-venture partner’s 10% interest in the Montecito Joint Venture which resulted in us controlling the property.  There was no purchase of any controlling interest of unconsolidated entities during the year ended December 31, 2015 nor do we currently expect future changes in control of investments in unconsolidated entities.

Income Tax Expense.  During the year ended December 31, 2015 and 2014, we recognized state and federal income tax expense related to our properties of approximately $0.4 million.

Fiscal year ended December 31, 2014 as compared to the fiscal year ended December 31, 2013

The chart below illustrates our net losses and Property-level NOI for the years ended December 31, 2014 and 2013 (in thousands), and the amount invested in properties as of December 31, 2014 and 2013 (in thousands):

	Years Ended December 31,						Change
	2014			2013			$		%
Net loss	$	(52,511	)	$	(18,100	)
Adjusted to exclude:
General and administrative expenses		6,877			5,618
Acquisition fees and expenses		23,931			18,840
Asset management fees		8,481			3,614
Contingent purchase price consideration adjustment		(630	)		(1,824	)
Depreciation and amortization		63,112			16,765
Other expenses, net of other income		28,972			4,092
Income tax expense		361			18
Property-level NOI		78,593			29,023
Less: Non-same-store NOI		(60,105	)		(10,780	)
Same-store NOI	$	18,488		$	18,243		$	245		1.3	%
Invested in operating properties, end of period (in millions)	$	1,865		$	898

Rental Income from Operating Leases. Rental income from operating leases was approximately $49.3 million for the year ended December 31, 2014 as compared to $23.3 million for the year ended December 31, 2013.  The increase in rental income from operating leases resulted from our acquisition of 15 MOBs, three post-acute care hospitals and three acute care hospitals for the year ended December 31, 2014 as well as the 16 MOBs and one acute care hospital during the year ended December 31, 2013 being owned for the entire period.

Resident Fees and Services. Resident fees and services income was approximately $123.8 million for the year ended December 31, 2014 as compared to approximately $27.6 million for the year ended December 31, 2013.  The increase in resident fees and services is a result of the 14 managed seniors housing communities acquired for the year ended December 31, 2014 as well as 15 managed seniors housing communities acquired during the year ended December 31, 2013 being owned for the entire period and HarborChase of Villages Crossing and Dogwood Forest of Acworth being placed into service in December 2013 and June 2014, respectively.

Tenant Reimbursement Income. Tenant reimbursement income was approximately $7.5 million for the year ended December 31, 2014 as compared to $1.6 million for the year ended December 31, 2013.  This amount is comprised of CAM revenue and the increase resulted from our acquisition of 15 MOBs, three post-acute care hospitals and three acute care hospitals for the year ended December 31, 2014 as well as the 16 MOBs and one acute care hospital during the year ended December 31, 2013 being owned for the entire period.

Interest Income on Note Receivable from Related Party. Interest income on note receivable from related party was approximately $0.5 million for the year ended December 31, 2014 as compared to $0.1 million for the year ended December 31, 2013.  This amount is comprised of interest income on the ADC loan made to Crosland Southeast for the HCA Rutland development in June 2013, which was fully repaid in August 2014.

Property Operating Expenses. Property operating expenses were approximately $93.5 million for the year ended December 31, 2014 as compared to approximately $20.9 million for the year ended December 31, 2013.  This increase is a result of our acquisition of 14 managed seniors housing communities, 15 MOBs, three post-acute care hospitals and three acute care hospitals for the year ended December 31, 2014 as well as 15 managed seniors housing communities, 16 MOBs and one acute care hospital acquired during the

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year ended December 31, 2013 being owned for the entire period and HarborChase of Villages Crossing and Dogwood Forest of Acworth being placed into service in December 2013 and June 2014, respectively.

General and Administrative. General and administrative expenses for the year ended December 31, 2014 were approximately $6.9 million as compared to approximately $5.6 million for the year ended December 31, 2013.  General and administrative expenses were comprised primarily of personnel expenses of affiliates of our Advisor, directors’ and officers’ insurance, franchise taxes, accounting and legal fees, and board of director fees and will continue to grow as our asset base increases.  The increase in general and administrative expense was primarily attributed to increased costs as a result of the growth of our portfolio.  Specifically, we incurred increased personnel expenses reimbursable to the Advisor due to increased accounting, legal and administrative activity as a result of the growth of the portfolio and related reporting.

Acquisition Fees and Expenses. Acquisition fees and expenses for the year ended December 31, 2014 were approximately $27.5 million of which approximately $3.6 million was capitalized as real estate under development in 2014.  We incurred approximately $19.5 million for the year ended December 31, 2013 of which approximately $0.1 million was capitalized as real estate under development, approximately $0.5 million was capitalized as investment in unconsolidated entities, and approximately $0.1 million was capitalized as origination costs related to our note receivable from related party during the year ended December 31, 2013.  The increase in acquisition fees and expenses resulted from the acquisition of 35 operating properties totaling approximately $905.3 million in investments, during the year ended December 31, 2014 as compared with the acquisition of 38 operating properties totaling approximately $655.4 million in investments during the year ended December 31, 2013.

Asset Management Fees. We incurred approximately $13.6 million in asset management fees payable to our Advisor during the year ended December 31, 2014 as compared to approximately $5.1 million for the year ended December 31, 2013.  For years ended December 31, 2014 and 2013, approximately $4.9 million and $1.4 million, respectively, in asset management fees were settled in accordance with the terms of the Expense Support Agreements and approximately $0.3 million and $0.1 million, respectively, were capitalized as real estate under development.  As described in Item 8. “Financial Statements and Supplementary Data – Note 11. Related Party Arrangements” during the year ended December 31, 2014, asset management fees were reduced by $4.9 million because the shares of restricted stock, which will be accepted by the Advisor as payment for asset management services rendered, were valued at zero— the lowest possible value estimated at vesting.  For the year ended December 31, 2013, approximately $1.4 million in asset management fees were settled with issuance of restricted stock in accordance with the Expense Support Agreements.  Monthly asset management fees equal to 0.08334% of invested assets are paid to the Advisor for management of our real estate assets, including our pro rata share of our investments in unconsolidated entities, loans and other permitted investments.

Property Management Fees. We incurred approximately $10.8 million in property management fees for the year ended December 31, 2014 and approximately $2.8 million for the year ended December 31, 2013.   For the years ended December 31, 2014 and 2013, approximately $1.9 million and $0.2 million, respectively, were capitalized as real estate under development.  Property management fees generally range from 2% to 5% of property revenues for leased properties depending on the type of property and are paid to third-party managers.  However, an oversight fee equal to 1% of property revenues is paid to the Property Manager for those properties managed by a third-party.  Overall property management fees increased as a result of the increases in rental income from operating leases and resident fees and services from acquisitions for the year ended December 31, 2014 as well as the properties acquired during the year ended December 31, 2013 being owned for the entire year ended December 31, 2014.

Contingent purchase price consideration adjustment.  During the years ended December 31, 2014 and 2013, the adjustment for contingent purchase price consideration was approximately $0.6 million and $1.8 million, respectively.  The adjustment in 2014 relates primarily to two separate acquisitions.  Based on lower than expected occupancy and revised projections of future net operating income, our fair value estimate for our Capital Health yield guaranty receivable was increased by approximately $2.2 million and we recorded a reduction to our operating loss in the accompanying consolidated statements of operations for year ended December 31, 2014.  Additionally, based on exceeding certain NOI targets on one of the South Bay II communities, we have recognized $1.8 million of expense during the year ended December 31, 2014.  In 2013, our fair value estimate for our Capital Health yield guaranty receivable was increased by approximately $1.8 million and we recorded a reduction to our operating loss in the accompanying consolidated statements of operations for year ended December 31, 2013.

Depreciation and Amortization. Depreciation and amortization expenses for the year ended December 31, 2014 were approximately $63.1 million and approximately $16.8 million for the year ended December 31, 2013. Depreciation and amortization expenses are comprised of depreciation and amortization of the buildings, equipment, land improvements and in-place leases related to our real estate portfolio.  The increase in depreciation and amortization expense across periods resulted from our acquisition of 14 managed seniors housing communities, 15 MOBs, three post-acute care hospitals and three acute care hospitals for the year ended December 31, 2014 as well as 15 managed seniors housing communities, 16 MOBs and one acute care hospital acquired during the year ended December 31, 2013 being owned for the entire period and HarborChase of Villages Crossing and Dogwood Forest of Acworth being placed into service in December 2013 and June 2014, respectively.

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Interest Expense and Loan Cost Amortization. Interest expense and loan cost amortization for the year ended December 31, 2014 was approximately $31.5 million of which $1.0 million was capitalized as development costs relating to our real estate under development. Interest expense and loan cost amortization for the year ended December 31, 2013 was approximately $11.5 million of which approximately $0.7 million was capitalized as development costs relating to our real estate under development.  Approximately $18.8 million of the increase for the year ended December 31, 2014 was primarily the result of an increase in our average debt outstanding to approximately $798.3 million as compared to approximately $364.9 million for the year ended December 31, 2013.   In addition, during the year ended December 31, 2014, we incurred approximately $0.5 million in additional loan costs amortization relating to debt obtained during the year ended December 31, 2014, as well as approximately $1.4 million relating to debt obtained on properties acquired during the year ended December 31, 2013.  The increase between the years was partially offset by a write-off in 2013 of approximately $0.2 million as a loss on the early extinguishment of debt and the payment of an exit fee of approximately $0.8 million upon extinguishment of the CHTSunIV mezzanine loan prior to its maturity date during the year ended December 31, 2013.

Equity in Earnings (Loss) of Unconsolidated Entities. Our unconsolidated entities generated losses of approximately $1.4 million for the year ended December 31, 2014 relating to our investments in the Windsor Manor and Montecito joint ventures, as compared to earnings of approximately $2.1 million for the year ended December 31, 2013 relating to our investments in the CHTSunIV, Windsor Manor and Montecito joint ventures.  Equity in earnings (loss) from unconsolidated entities is determined using the HLBV method of accounting, which can create significant variability in earnings or loss from the joint venture while the preferred cash distributions that we anticipate to receive from the joint venture may be more consistent as result of our distribution preferences. The change in equity in earnings (loss) of unconsolidated entities was impacted by the sale of our interest in CHTSunIV in July 2013 and our purchase of the controlling interest in the Montecito Joint Venture in August 2014, which resulted in the consolidation of this investment.

Gain on Sale of Investment in Unconsolidated Entity. During the year ended December 31, 2013, we recognized a gain of approximately $4.5 million related to the CHTSunIV Disposition.  In July 2013, we completed the sale of our interest in the CHTSunIV joint venture for a sales price of approximately $61.8 million, net of transaction costs, which reflects an aggregate gain of approximately $4.5 million.  There was no sale of unconsolidated entities during the year ended December 31, 2014 nor do we currently expect future sales of investments in unconsolidated entities.

Gain from Purchase of Controlling Interest of Investment in Unconsolidated Entity. During the year ended December 31, 2014, we recognized a gain of approximately $2.8 million related to the purchase of our co-venture partner’s 10% interest in the Montecito Joint Venture for approximately $1.6 million.  As a result of this transaction, we own 100% of the Montecito Joint Venture, and began consolidating all of the assets, liabilities and results of operations in our consolidated financial statements upon acquisition.  Accordingly, we recorded a step up from our carrying value of the investment in the Montecito Joint Venture to the estimated fair value of the net assets acquired and liabilities assumed. Refer to Item 8. “Financial Statements and Supplementary Data – Note 3. Acquisitions – Purchase of Controlling Interest in Montecito Joint Venture” for additional information. There was no purchase of any controlling interest of unconsolidated entities during the year ended December 31, 2013 nor do we currently expect future changes in control of investments in unconsolidated entities.

Income Tax Expense.  During the year ended December 31, 2014, we recognized state and federal income tax expense related to our properties of approximately $0.4 million as compared to approximately $18,000 during the year ended December 31, 2013.

Funds from Operations and Modified Funds from Operations

Due to certain unique operating characteristics of real estate companies, as discussed below, NAREIT promulgated a measure known as FFO, which we believe to be an appropriate supplemental measure to reflect the operating performance of a REIT.  The use of FFO is recommended by the REIT industry as a supplemental performance measure.  FFO is not equivalent to net income or loss as determined under GAAP.

We define FFO, a non-GAAP measure, consistent with the standards approved by the Board of Governors of NAREIT.  NAREIT defines FFO as net income or loss computed in accordance with GAAP, excluding gains or losses from sales of property, real estate asset impairment write-downs, plus depreciation and amortization of real estate related assets, and after adjustments for unconsolidated partnerships and joint ventures.  Our FFO calculation complies with NAREIT’s policy described above.

The historical accounting convention used for real estate assets requires straight-line depreciation of buildings and improvements, which implies that the value of real estate assets diminishes predictably over time, especially if such assets are not adequately maintained or repaired and renovated as required by relevant circumstances and/or is requested or required by lessees for operational purposes in order to maintain the value of the property. We believe that, because real estate values historically rise and fall with market conditions, including inflation, interest rates, the business cycle, unemployment and consumer spending, presentations of operating results for a REIT using historical accounting for depreciation may be less informative.  Historical accounting for real estate involves the use of GAAP.  Any other method of accounting for real estate such as the fair value method cannot be construed to be

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any more accurate or relevant than the comparable methodologies of real estate valuation found in GAAP.  Nevertheless, we believe that the use of FFO, which excludes the impact of real estate related depreciation and amortization, provides a more complete understanding of our performance to investors and to management, and when compared year over year, reflects the impact on our operations from trends in occupancy rates, rental rates, operating costs, general and administrative expenses, and interest costs, which may not be immediately apparent from net income or loss. However, FFO and MFFO, as described below, should not be construed to be more relevant or accurate than the current GAAP methodology in calculating net income or loss in its applicability in evaluating operating performance. The method utilized to evaluate the value and performance of real estate under GAAP should be construed as a more relevant measure of operational performance and considered more prominently than the non-GAAP FFO and MFFO measures and the adjustments to GAAP in calculating FFO and MFFO.

Changes in the accounting and reporting promulgations under GAAP (for acquisition fees and expenses for business combinations from a capitalization/depreciation model) to an expensed-as-incurred model that were put into effect in 2009, and other changes to GAAP accounting for real estate subsequent to the establishment of NAREIT’s definition of FFO, have prompted an increase in cash-settled expenses, specifically acquisition fees and expenses, as items that are expensed under GAAP and accounted for as operating expenses.  Our management believes these fees and expenses do not affect our overall long-term operating performance.  Publicly registered, non-listed REITs typically have a significant amount of acquisition activity and are substantially more dynamic during their initial years of investment and operation.  While other start up entities may also experience significant acquisition activity during their initial years, we believe that non-listed REITs are unique in that they have a limited life with targeted exit strategies within a relatively limited time frame after acquisition activity ceases.  Due to the above factors and other unique features of publicly registered, non-listed REITs, the IPA, an industry trade group, has standardized a measure known as MFFO which the IPA has recommended as a supplemental measure for publicly registered non-listed REITs and which we believe to be another appropriate supplemental measure to reflect the operating performance of a non-listed REIT.  MFFO is not equivalent to our net income or loss as determined under GAAP, and MFFO may not be a useful measure of the impact of long-term operating performance on value if we do not continue to operate with a limited life and targeted exit strategy, as currently intended.  We believe that because MFFO excludes costs that we consider more reflective of investing activities and other non-operating items included in FFO and also excludes acquisition fees and expenses that affect our operations only in periods in which properties are acquired, MFFO can provide, on a going forward basis, an indication of the sustainability (that is, the capacity to continue to be maintained) of our operating performance after the period in which we acquired our properties and once our portfolio is in place.  By providing MFFO, we believe we are presenting useful information that assists investors and analysts to better assess the sustainability of our operating performance after our properties have been acquired.  We also believe that MFFO is a recognized measure of sustainable operating performance by the non-listed REIT industry.

We define MFFO, a non-GAAP measure, consistent with the IPA’s Guideline 2010-01, Supplemental Performance Measure for Publicly Registered, Non-Listed REITs: MFFO, or the Practice Guideline, issued by the IPA in November 2010. The Practice Guideline defines MFFO as FFO further adjusted for the following items, as applicable, included in the determination of GAAP net income or loss: acquisition fees and expenses; amounts relating to deferred rent receivables and amortization of above and below market leases and liabilities (which are adjusted in order to remove the impact of GAAP straight-line adjustments from rental revenues); accretion of discounts and amortization of premiums on debt investments,  mark-to-market adjustments included in net income; gains or losses included in net income from the extinguishment or sale of debt, hedges, foreign exchange, derivatives or securities holdings where trading of such holdings is not a fundamental attribute of the business plan, and unrealized gains or losses resulting from consolidation from, or deconsolidation to, equity accounting and after adjustments for consolidated and unconsolidated partnerships and joint ventures, with such adjustments calculated to reflect MFFO on the same basis. The accretion of discounts and amortization of premiums on debt investments, unrealized gains and losses on hedges, foreign exchange, derivatives or securities holdings, unrealized gains and losses resulting from consolidations, as well as other listed cash flow adjustments are adjustments made to net income in calculating the cash flows provided by operating activities and, in some cases, reflect gains or losses which are unrealized and may not ultimately be realized.

Our MFFO calculation complies with the IPA’s Practice Guideline described above. In calculating MFFO, we exclude acquisition related expenses. Under GAAP, acquisition fees and expenses are characterized as operating expenses in determining operating net income or loss. These expenses are paid in cash by us.  All paid and accrued acquisition fees and expenses will have negative effects on returns to investors, the potential for future distributions, and cash flows generated by us, unless earnings from operations or net sales proceeds from the disposition of other properties are generated to cover the purchase price of the property.

Our management uses MFFO and the adjustments used to calculate it in order to evaluate our performance against other non-listed REITs which have limited lives with short and defined acquisition periods and targeted exit strategies shortly thereafter.  As noted above, MFFO may not be a useful measure of the impact of long-term operating performance on value if we do not continue to operate in this manner.  We believe that our use of MFFO and the adjustments used to calculate it allow us to present our performance in a manner that reflects certain characteristics that are unique to non-listed REITs, such as their limited life, limited and defined acquisition period and targeted exit strategy, and hence that the use of such measures is useful to investors.  For example, acquisition

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costs are funded from our subscription proceeds and other financing sources and not from operations. By excluding expensed acquisition costs, the use of MFFO provides information consistent with management’s analysis of the operating performance of the properties.

Presentation of this information is intended to provide useful information to investors as they compare the operating performance of different non-listed REITs, although it should be noted that not all REITs calculate FFO and MFFO the same way and as such comparisons with other REITs may not be meaningful. Furthermore, FFO and MFFO are not necessarily indicative of cash flows available to fund cash needs and should not be considered as an alternative to net income (loss) or income (loss) from continuing operations as an indication of our performance, as an alternative to cash flows from operations as an indication of our liquidity, or indicative of funds available to fund our cash needs including our ability to make distributions to our stockholders. FFO and MFFO should be reviewed in conjunction with other GAAP measurements as an indication of our performance.  MFFO is useful in assisting management and investors in assessing the sustainability of operating performance in future operating periods, and in particular, after the offering and acquisition stages are complete and net asset value is disclosed.  FFO and MFFO are not useful measures in evaluating net asset value because impairments are taken into account in determining net asset value but not in determining FFO and MFFO.

Neither the SEC, NAREIT nor any other regulatory body has passed judgment on the acceptability of the adjustments we use to calculate FFO or MFFO.  In the future, the SEC, NAREIT or another regulatory body may decide to standardize the allowable adjustments across the non-listed REIT industry and we would have to adjust its calculation and characterization of FFO or MFFO.

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The following table presents a reconciliation of net loss to FFO and MFFO for the years ended December 31, 2015, 2014 and 2013 (in thousands, except per share data):

	Years Ended December 31,
	2015			2014			2013
Net loss attributable to common stockholders	$	(68,055	)	$	(52,511	)	$	(18,100	)
Adjustments:
Depreciation and amortization		105,945			63,112			16,765
Impairment provision		4,661		―			―
FFO adjustments from unconsolidated entities (1)		1,508			2,994			2,767
Gain on sale of investment in unconsolidated entity	―			―				(4,486	)
Gain on purchase of controlling interest of investment    in unconsolidated entity	―				(2,798	)	―
Total funds from operations		44,059			10,797			(3,054	)
Acquisition fees and expenses (2)		21,526			23,931			18,840
Straight-line rent adjustments (3)		(4,309	)		(2,472	)		(2,023	)
Amortization of above and below market intangibles (4)		915			345			68
Unrealized loss from mark-to-market adjustments on swaps (5)		33		―			―
Loss on extinguishment of debt (6)		986		―				244
Loss on lease terminations (7)		863		―			―
Contingent purchase price consideration adjustment (8)		(589	)		(630	)		(1,824	)
MFFO adjustments from unconsolidated entities (1)	―				46			330
Modified funds from operations	$	63,484		$	32,017		$	12,581
Weighted average number of shares of common    stock outstanding (basic and diluted) (9)		153,804			85,710			43,450
Net loss per share (basic and diluted)	$	(0.44	)	$	(0.61	)	$	(0.42	)
FFO per share (basic and diluted)	$	0.29		$	0.13		$	(0.07	)
MFFO per share (basic and diluted)	$	0.41		$	0.37		$	0.29

FOOTNOTES:

(1) This amount represents our share of the FFO or MFFO adjustments allowable under the NAREIT or IPA definitions, respectively, calculated using the HLBV method.

(2) In evaluating investments in real estate, management differentiates the costs to acquire the investment from the operations derived from the investment.  By adding back acquisition expenses, management believes MFFO provides useful supplemental information of its operating performance and will also allow comparability between different real estate entities regardless of their level of acquisition activities. Acquisition expenses include payments to our Advisor or third parties.  Acquisition expenses for business combinations under GAAP are considered operating expenses and as expenses included in the determination of net income (loss) and income (loss) from continuing operations, both of which are performance measures under GAAP.  All paid or accrued acquisition expenses will have negative effects on returns to investors, the potential for future distributions, and cash flows generated by us, unless earnings from operations or net sales proceeds from the disposition of properties are generated to cover the purchase price of the property.

(3) Under GAAP, rental receipts are allocated to periods using various methodologies. This may result in income recognition that is significantly different than underlying contract terms. By adjusting for these items (to reflect such payments from a GAAP accrual basis to a cash basis of disclosing the rent and lease payments), MFFO provides useful supplemental information on the realized economic impact of lease terms and debt investments, providing insight on the contractual cash flows of such lease terms and debt investments, and aligns results with management’s analysis of operating performance.

(4) Under GAAP, certain intangibles are accounted for at cost and reviewed at least annually for impairment, and certain intangibles are assumed to diminish predictably in value over time and are amortized, similar to depreciation and amortization of other real estate-related assets that are excluded from FFO.  However, because real estate values and market lease rates historically rise or fall with market conditions, management believes that by excluding charges relating to amortization of these intangibles, MFFO provides useful supplemental information on the performance of the real estate.

(5) Management believes that adjusting for the unrealized gains from mark-to-market adjustments on swaps is appropriate because the non-cash adjustment that is not reflective of our ongoing operating performance and aligns results with management’s analysis of operating performance.

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(6) Management believes that adjusting for the realized loss on the early extinguishment of debt is appropriate because the write-off of unamortized loan costs is a non-cash adjustment that is not reflective of our ongoing operating performance and aligns results with management’s analysis of operating performance. 

(7) Management believes that adjusting for loss on lease terminations is appropriate because they are non-cash adjustments that are not reflective of our ongoing operating performance and aligns results with management’s analysis of operating performance.  

(8) Management believes that the elimination of the adjustments to contingent purchase price consideration included in operating income (expense) for GAAP purposes is appropriate because the adjustment is not reflective of our ongoing operating performance and aligns results with management’s analysis of operating performance.

(9) For purposes of determining the weighted average number of shares of common stock outstanding, stock distributions are treated as if they were outstanding as of the beginning of the periods presented.

Contractual Obligations

The following table presents our contractual obligations and the related payment periods as of December 31, 2015:

	Payments Due by Period
	2016		2017-2018		2019-2020		Thereafter		Total
Mortgage and other notes payable (principal and interest)	$	66,525	$	379,507	$	407,791	$	99,210	$	953,033
Credit Facilities (principal and interest)		14,646		249,226		446,616	―			710,488
Development contracts on development properties (1)		112,938		30,251	―		―			143,189
Ground and air rights leases (2)		1,957		4,000		4,100		113,559		123,616
	$	196,066	$	662,984	$	858,507	$	212,769	$	1,930,326

FOOTNOTES:

(1) The amounts presented above represent accrued development costs as of December 31, 2015 and development costs not yet incurred of the aggregate budgeted development costs, including start-up costs, in accordance with the development agreements, and the expected timing of such costs.  The amounts include approximately $132.7 million of contractual obligations with third-party developers and approximately $10.5 million of additional expected development costs that have been included in the respective development budgets.

(2) Ground and air rights leases are operating leases with scheduled payments over the life of the respective leases and with expirations ranging from 2045 to 2082.

Off-Balance Sheet Arrangements

In June 2014, our Windsor Manor joint venture refinanced approximately $18.0 million of its then-current outstanding debt related to five senior housing communities in Iowa of which approximately $11.6 million related to a bridge loan maturing on June 30, 2014 and the approximate $6.4 million remaining related to the extinguishment of the joint venture’s other mortgage loans prior to the scheduled expirations.  In connection therewith, the joint venture paid an exit fee of approximately $0.5 million upon extinguishment of the mortgage loans.  The new loan included an initial five year term with monthly principal and interest payments based upon a 25-year amortization and a variable interest rate equal to LIBOR plus 3.5%.  In addition, in connection with the refinancing, our Windsor Manor joint venture received aggregate proceeds of $22.0 million, of which approximately $0.4 million were used to pay loan costs associated with the refinancing and the remaining $3.6 million were available for capital distribution to the members.  Our Windsor Manor joint venture declared capital distributions of $2.2 million and $1.4 million, respectively, to us and our joint venture partner as a return of capital.  These capital distributions were paid to the respective members in the third quarter of 2014.  

During 2015, the Windsor Manor joint venture did not meet its quarterly debt service coverage requirement per the loan agreement as the debt service coverage ratio fell below the 1.35 minimum requirement and, the Windsor Manor joint venture obtained waivers from the lender for each reporting period during 2015.  The Windsor Manor joint venture did not meet this covenant as of December 31, 2015 and obtained a waiver from the lender in February 2016.  As of December 31, 2015, approximately $21.3 million remained outstanding under the loan agreement.  

In August 2014, the Company acquired its co-venture partner’s 10% interest in the Montecito joint venture; refer to Item 8. “Financial Statements and Supplemental Data” – Note 3. “Acquisitions – Purchase of Controlling Interest in Montecito Joint Venture” for additional information.

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Related-Party Transactions

We have entered into agreements with our Advisor and its affiliates, whereby we agree to pay certain fees to, or reimburse certain expenses of, our Advisor or its affiliates for acquisition and advisory services, organization and offering costs, selling commissions, marketing support fees, asset and property management fees and reimbursement of operating costs. See Item 8. “Financial Statements and Supplemental Data” – Note 11. “Related Party Arrangements” in the accompanying consolidated financial statements for additional information.

Critical Accounting Policies and Estimates

Below is a discussion of the accounting policies that management believes are critical. We consider these policies critical because they involve difficult management judgments and assumptions, require estimates about matters that are inherently uncertain and because they are important for understanding and evaluating our reported financial results. These judgments will affect the reported amounts of assets and liabilities and our disclosure of contingent assets and liabilities at the dates of the financial statements and the reported amounts of revenue and expenses during the reporting periods. With different estimates or assumptions, materially different amounts could be reported in our financial statements. Additionally, other companies may utilize different estimates that may impact the comparability of our results of operations to those of companies in similar businesses. Our most sensitive estimates will involve the allocation of the purchase price of acquired properties and evaluating our real estate-related investments for impairment.

Basis of Presentation and Consolidation. Our consolidated financial statements will include our accounts, the accounts of our wholly owned subsidiaries or subsidiaries for which we have a controlling interest, the accounts of variable interest entities (“VIEs”) in which we are the primary beneficiary, and the accounts of other subsidiaries over which we have a controlling financial interest. All material intercompany accounts and transactions will be eliminated in consolidation.

We will analyze our variable interests, including loans, leases, guarantees, and equity investments, to determine if the entity in which we have a variable interest is a variable interest entity. Our analysis includes both quantitative and qualitative reviews. We base our quantitative analysis on the forecasted cash flows of the entity, and our qualitative analysis on a review of the design of the entity, its organizational structure, including decision-making ability and financial agreements. We also use our quantitative and qualitative analyses to determine if we must consolidate a variable interest entity as the primary beneficiary.

Use of Estimates. The preparation of financial statements in conformity with GAAP requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements, the reported amounts of revenues and expenses during the reporting periods and the disclosure of contingent liabilities. For example, significant assumptions are made in the allocation of purchase price, the analysis of real estate impairments, the analysis of residual value and economic lives for leased properties, the valuation of contingent assets and liabilities, and the valuation of restricted stock shares issued to the Advisor or Property Manager.  Accordingly, actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions. Upon acquisition of properties, we estimate the fair value of acquired tangible assets (consisting of land, building and improvements, tenant improvements and equipment), intangible assets (consisting of in-place leases and above- or below-market leases), liabilities assumed and any contingent assets or liabilities in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, we consider information obtained about each property as a result of our due diligence and utilize various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.

The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land, building and tenant improvements based on the relative fair values of these assets.

Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual amounts to be paid and management’s estimate of the fair market lease rates for each in-place lease. The purchase price is further allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease. Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses and may include assumptions for lease renewals of below market leases.

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We may also enter into contingent purchase price consideration arrangements in connection with acquisitions, which could result in either an asset or liability being recognized as part of the purchase price allocation.  In calculating the estimated fair value of contingent purchase price consideration arrangements, we consider information obtained during the due diligence and the budget process as well as discount rates to determine the fair value.  We evaluate the fair value of the arrangements at each reporting period and record any adjustments to the fair value as a component of operating income (expense) in the consolidated statement of operations.

Impairment of Real Estate Assets. Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired. Factors that could trigger an impairment analysis include, among others: (i) significant underperformance relative to historical or projected future operating results; (ii) significant changes in the manner of use of our real estate assets or the strategy of our overall business; (iii) a significant increase in competition; (iv) a significant adverse change in legal factors or an adverse action or assessment by a regulator, which could affect the value of our real estate assets; or (v) significant negative industry or economic trends. When such events or changes in circumstances are present, we will assess potential impairment by comparing estimated future undiscounted operating cash flows expected to be generated over the life of the asset group and from its eventual disposition, to the carrying amount of the asset group.  Generally, an asset group is considered impaired if management’s estimate of current and projected cash flows (undiscounted and unleveraged) of the asset group over its estimated holding period is less than the net carrying value of the asset group. Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors. To the extent impairment has occurred, the carrying value of the asset group is adjusted to an amount to reflect the estimated fair value of the asset group.

For real estate we indirectly own through an investment in a joint venture, tenant-in-common interest or other similar investment structure and account for under the equity method, at each reporting date, we will compare the estimated fair value of our investment to the carrying value. An impairment charge will be recorded to the extent the fair value of our investment is less than the carrying amount and the decline in value is determined to be other than a temporary decline.

Income Taxes. To qualify as a REIT, we are subject to certain organizational and operational requirements, including a requirement to distribute to stockholders at least 90% of our annual REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). As a REIT, we generally will not be subject to U.S. federal income tax on income that we distribute as dividends to our stockholders. If we fail to qualify as a REIT in any taxable year, we will be subject to U.S. federal income tax on our taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the Internal Revenue Service grants us relief under certain statutory provisions. Such an event could materially adversely affect our net income and net cash available for distribution to stockholders. However, we believe that we are organized and will operate in such a manner as to qualify for treatment as a REIT. Notwithstanding our intent to be treated as a REIT, we may be subject to U.S. federal taxes on our TRS entities and will be subject to taxes in other jurisdictions such as state, local or foreign jurisdictions.

Shares Based Payments to Non-Employees. In connection with the Expense Support Agreements, we may issue Restricted Stock to the Advisor or the Property Manager on a quarterly basis in exchange for providing expense support in the event that cash distributions declared exceed modified funds from operations as defined by the Expense Support Agreements.

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event.  Upon issuance of Restricted Stock, we measure the fair value at our then-current lowest aggregate fair value pursuant to the Accounting Standards Codification (“ASC”) 505-50.  On the date in which the Advisor or the Property Manager satisfies the vesting criteria, we remeasure the fair value of the Restricted Stock pursuant to ASC 505-50 and record expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor or the Property Manager and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and we only include the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Pursuant to the Expense Support Agreements, the Advisor or the Property Manager shall be the record owner of the Restricted Stock until the shares of common stock are sold or otherwise disposed of, and shall be entitled to all of the rights of a stockholder including, without limitation, the right to vote such shares (to the extent permitted by the Articles) and receive all dividends and other distributions paid with respect to such shares.  All dividends or other distributions actually paid to the Advisor or the Property Manager in connection with the Restricted Stock shall vest immediately and will not be subject to forfeiture.  We recognize expense related to the dividends on the Restricted Stock shares as declared.

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Revenue Recognition. Rental income from operating leases is recorded on the straight-line basis over the terms of the leases. Our leases require the tenants to pay certain additional contractual amounts that are set aside by us for replacements of fixed assets and other improvements to the properties. These amounts are and will remain our property during and after the term of the lease. The amounts are recorded as capital improvement reserve income at the time that they are earned and are included in rental income from operating leases in the accompanying consolidated statement of operations.  Additional percentage rent that is due contingent upon tenant performance thresholds, such as gross revenues, is deferred until the underlying performance thresholds have been achieved.

Resident fees and services consist of monthly services, which include rent, assistance and other related services.  Agreements with residents are generally for an initial term of three months and are cancelable by the residents with 30 days’ notice.

Tenant reimbursement income represents amounts tenants are required to reimburse us in accordance with the terms of the leases and are recognized in the period in which the related reimbursable expenses are incurred.

Interest income is recognized on an accrual basis when earned.  Any deferred portion of contractual interest is recognized on a straight-line basis over the term of the corresponding note receivable.  Loan origination fees incurred are recognized as a reduction in interest income over the term of the note receivable.

Impact of Accounting Pronouncements

See Item 8. “Financial Statements and Supplemental Data” – Note 2. “Significant Accounting Policies” for additional information about the impact of accounting pronouncements.

Item 7A. Quantitative and Qualitative Disclosures about Market Risks

We may be exposed to interest rate changes primarily as a result of long-term debt used to acquire properties and to make loans and other permitted investments. Our management objectives related to interest rate risk will be to limit the impact of interest rate changes on earnings and cash flows and to lower our overall borrowing costs.  To achieve our objectives, we expect to borrow at fixed rates or variable rates with the lowest margins available, and in some cases, with the ability to convert variable rates to fixed rates.  With regard to variable rate financing, we will assess interest rate cash flow risk by continually identifying and monitoring changes in interest rate exposures that may adversely impact expected future cash flows and by evaluating hedging opportunities.

The following is a schedule as of December 31, 2015, of our fixed and variable rate debt maturities for each of the next five years and thereafter (principal maturities only) (in thousands):

	Expected Maturities
	2016			2017			2018			2019			2020			Thereafter			Total			Fair Value (1)
Fixed rate debt		9,619			10,066			204,277			5,241			73,318			89,280			391,801			399,000
Weighted average interest    rate on fixed rate debt		4.26	%		4.25	%		4.30	%		4.14	%		3.96	%		4.25	%		4.22	%
Variable rate debt		27,139			252,210			82,895			486,390			260,000		―				1,108,634			1,106,000
Average interest rate    on variable rate debt	LIBOR+2.45%			LIBOR+2.47%			LIBOR+2.42%			LIBOR+2.41%			LIBOR+2.31%				—	%	LIBOR+2.40%

FOOTNOTE:

(1) The estimated fair value of our fixed and variable rate debt was determined using discounted cash flows based on market interest rates as of December 31, 2015. We determined market rates through discussions with our existing lenders by pricing our loans with similar terms and current rates and spreads.

Management estimates that a one-percentage point increase or decrease in LIBOR in 2016 compared to LIBOR rates as of December 31, 2015 would result in fluctuation of interest expense on our variable rate debt of approximately $11.1 million for the year ending December 31, 2016.  This sensitivity analysis contains certain simplifying assumptions, and although it gives an indication of our exposure to changes in interest rates, it is not intended to predict future results and actual results will likely vary given that our sensitivity analysis on the effects of changes in LIBOR does not factor in a potential change in variable rate debt levels, any offsetting gains on interest rate swap contracts, or the impact of any LIBOR floors or caps.

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As of December 31, 2015, the Company’s debt is comprised of approximately 26.1% in fixed rate debt, approximately 54.0% in variable rate debt with current or forward-starting interest rate swaps and approximately 19.9% of unhedged variable rate debt. The remaining unhedged variable rate debt primarily relates to our construction loans and the Revolving Credit Facility.  Overall, we believe longer term fixed rate debt could be beneficial in a rising interest rate or rising inflation rate environment and as such we continue to evaluate the need for additional interest rate swaps on unhedged variable rate debt.

In March 2016, we entered into interest rate caps with 1.5% LIBOR strike prices and notional amounts totaling $150 million related to the Revolving Credit Facility, which represents approximately 10.0% of the aforementioned unhedged variable rate debt as of December 31, 2015.

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Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA 

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

	Page
Report of Independent Registered Certified Public Accounting Firm	101
Consolidated Balance Sheets	102
Consolidated Statements of Operations	103
Consolidated Statements of Comprehensive Loss	104
Consolidated Statements of Stockholders’ Equity and Redeemable Noncontrolling Interest	105
Consolidated Statements of Cash Flows	107
Notes to Consolidated Financial Statements	109

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Report of Independent Registered Certified Public Accounting Firm

To the Board of Directors and Stockholders of CNL Healthcare Properties, Inc. and Subsidiaries:

In our opinion, the consolidated financial statements listed in the accompanying index present fairly, in all material respects, the financial position of CNL Healthcare Properties, Inc. and its subsidiaries at December 31, 2014 and 2013, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2014 in conformity with accounting principles generally accepted in the United States of America.  In addition, in our opinion, the financial statement schedules listed in the index appearing under Item 15(a)(2) present fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements.  These financial statements and financial statement schedules are the responsibility of the Company’s management.  Our responsibility is to express an opinion on these financial statements and financial statement schedules based on our audits.  We conducted our audits of these statements in accordance with the standards of the Public Company Accounting Oversight Board (United States).  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, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation.  We believe that our audits provide a reasonable basis for our opinion.

/s/ PricewaterhouseCoopers LLP

Orlando, Florida

March 16, 2016

101

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(in thousands, except per share data)

	December 31,
	2015			2014
ASSETS
Real estate assets:
Real estate investment properties, net (including VIEs $219,971    and $174,449, respectively)	$	2,470,176		$	1,657,500
Real estate under development, including land (including VIEs $58,994 and    $47,153 respectively)		62,521			47,153
Total real estate assets, net		2,532,697			1,704,653
Intangibles, net (including VIEs $23,540 and $25,519 respectively)		172,452			140,264
Cash (including VIEs $4,427 and $6,280 respectively)		68,922			91,355
Deferred rent and lease incentives (including VIEs $6,942 and $2,978 respectively)		23,477			8,240
Other assets (including VIEs $1,506 and $511 respectively)		21,302			19,738
Loan costs, net (including VIEs $2,625 and $2,300 respectively)		14,358			14,012
Restricted cash (including VIEs $1,461 and $5,304 respectively)		10,287			10,753
Total assets	$	2,843,495		$	1,989,015
LIABILITIES AND EQUITY
Liabilities:
Mortgages and other notes payable, net (including VIEs $153,735 and $137,754    respectively)	$	840,435		$	853,561
Credit facilities		660,000			206,403
Other liabilities (including VIEs $3,644 and $4,949 respectively)		41,938			27,448
Accounts payable and accrued liabilities (including VIEs $11,650 and $10,268    respectively)		40,217			26,444
Due to related parties (including VIEs $136 and $219 respectively)		1,803			2,999
Total liabilities		1,584,393			1,116,855
Commitments and contingencies (Note 15)
Redeemable noncontrolling interest		551			568
Stockholders' equity:
Preferred stock, $0.01 par value per share, 200,000 shares authorized;    none issued or outstanding	―			―
Excess shares, $0.01 par value per share, 300,000 shares authorized;    none issued or outstanding	―			―
Common stock, $0.01 par value per share, 1,120,000 shares authorized, 175,824 and    116,672 shares issued, and 174,430 and 116,256 shares outstanding, respectively		1,744			1,163
Capital in excess of par value		1,528,781			1,007,326
Accumulated loss		(151,146	)		(83,091	)
Accumulated distributions		(112,543	)		(49,342	)
Accumulated other comprehensive loss		(9,747	)		(4,864	)
Total stockholders' equity		1,257,089			871,192
Noncontrolling interest		1,462			400
Total equity		1,259,102			872,160
Total liabilities and equity	$	2,843,495		$	1,989,015
The abbreviation VIEs above means variable interest entities.

See accompanying notes to consolidated financial statements.

102

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share data)

	Years Ended December 31,
	2015			2014			2013
Revenues:
Rental income from operating leases	$	101,125		$	49,305		$	23,297
Resident fees and services		183,407			123,777			27,550
Tenant reimbursement income		15,993			7,504			1,640
Interest income on note receivable from related party	―				498			118
Total revenues		300,525			181,084			52,605
Operating expenses:
Property operating expenses		149,688			93,549			20,940
General and administrative		10,088			6,877			5,618
Acquisition fees and expenses		21,526			23,931			18,840
Asset management fees		17,892			8,481			3,614
Property management fees		14,759			8,942			2,642
Contingent purchase price consideration adjustment		(589	)		(630	)		(1,824	)
Impairment provision		4,661		―			―
Loss on lease terminations		863		―			―
Depreciation and amortization		105,945			63,112			16,765
Total operating expenses		324,833			204,262			66,595
Operating loss		(24,308	)		(23,178	)		(13,990	)
Other income (expense):
Interest and other income		158			104			74
Interest expense and loan cost amortization		(42,969	)		(30,487	)		(10,799	)
Equity in earnings (loss) of unconsolidated entities		(596	)		(1,387	)		2,147
Gain on sale of investment in unconsolidated entity	―			―				4,486
Gain on purchase of controlling interest of investment    in unconsolidated entity	―				2,798		―
Total other expense		(43,407	)		(28,972	)		(4,092	)
Loss before income taxes		(67,715	)		(52,150	)		(18,082	)
Income tax expense		(378	)		(361	)		(18	)
Net loss	$	(68,093	)	$	(52,511	)	$	(18,100	)
Less: Net loss attributable to noncontrolling interest		(38	)	―			―
Net loss attributable to common stockholders		(68,055	)		(52,511	)		(18,100	)
Net loss per share of common stock (basic and diluted)	$	(0.44	)	$	(0.61	)	$	(0.42	)
Weighted average number of shares of common stock    outstanding (basic and diluted)		153,804			85,710			43,450

See accompanying notes to consolidated financial statements.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS

(in thousands)

	Years Ended December 31,
	2015			2014			2013
Net loss attributable to common stockholders	$	(68,055	)	$	(52,511	)	$	(18,100	)
Other comprehensive income (loss):
Unrealized loss on derivative financial instruments, net		(5,143	)		(3,915	)		(1,042	)
Reclassification of cash flow hedges upon derecognition		236		―			―
Reclassification of cash flow hedges due to ineffectiveness		33		―			―
Unrealized income (loss) on derivative financial instruments    of equity method investments		(9	)		10			83
Total other comprehensive loss		(4,883	)		(3,905	)		(959	)
Comprehensive loss	$	(72,938	)	$	(56,416	)	$	(19,059	)
Less: Comprehensive loss attributable to noncontrolling interest	―			―			―
Comprehensive loss attributable to common stockholders	$	(72,938	)	$	(56,416	)	$	(19,059	)

See accompanying notes to consolidated financial statements.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY AND REDEEMABLE NONCONTROLLING INTEREST

(in thousands, except per share data)

																		Accumulated
	Redeemable		Common Stock						Capital in									Other			Total			Non-
	Noncontrolling Interest		Number of Shares			Par Value			Excess of Par Value			Accumulated Loss			Accumulated Distributions			Comprehensive Loss			Stockholder’s Equity			controlling Interest		Total Equity
Balance at December 31, 2012	$	—		18,446		$	184		$	156,200		$	(12,480	)	$	(3,253	)	$	—		$	140,651		―		$	140,651
Subscriptions received for common stock    through public offering and reinvestment plan	―			38,798			388			386,975		―			―			―				387,363		―			387,363
Stock distributions	―			1,063			11			(11	)	―			―			―			―			―		―
Redemptions of common stock	―			(89	)		(1	)		(826	)	―			―			―				(827	)	―			(827	)
Stock issuance and offering costs	―		―			―				(41,977	)	―			―			―				(41,977	)	―			(41,977	)
Net loss	―		―			―			―				(18,100	)	―			―				(18,100	)	―			(18,100	)
Other comprehensive loss	―		―			―			―			―			―				(959	)		(959	)	―			(959	)
Cash distributions declared and paid or reinvested    ($0.39996 per share)	―		―			―			―			―				(14,170	)	―				(14,170	)	―			(14,170	)
Balance at December 31, 2013	$	—		58,218		$	582		$	500,361		$	(30,580	)	$	(17,423	)	$	(959	)	$	451,981		―		$	451,981
Subscriptions received for common stock    through public offering and reinvestment plan	―			56,006			560			571,764		―			―			―				572,324		―			572,324
Stock distributions	―			2,356		24				(24	)	―			―			―			―			―		―
Redemptions of common stock	―			(324	)		(3	)		(2,993	)	―			―			―				(2,996	)	―			(2,996	)
Stock issuance and offering costs	―		―			―				(59,782	)	―			―			―				(59,782	)	―			(59,782	)
Net loss	―		―			―			―				(52,511	)	―			―				(52,511	)	―			(52,511	)
Other comprehensive loss	―		―			―			―			―			―				(3,905	)		(3,905	)	―			(3,905	)
Distribution to holder of promoted interest	―		―			―				(2,000	)	―			―			―				(2,000	)	―			(2,000	)
Cash distributions declared and paid or reinvested    ($0.4071 per share)	―		―			―			―			―				(31,919	)	―				(31,919	)	―			(31,919	)
Contribution from noncontrolling interests		568	―			―			―			―			―			―			―				400		968
Balance at December 31, 2014	$	568		116,256		$	1,163		$	1,007,326		$	(83,091	)	$	(49,342	)	$	(4,864	)	$	871,192		$	400	$	872,160

See accompanying notes to consolidated financial statements.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY AND REDEEMABLE NONCONTROLLING INTEREST (CONTINUED)

(in thousands, except per share data)

																			Accumulated
	Redeemable			Common Stock						Capital in									Other			Total			Non-
	Noncontrolling Interest			Number of Shares			Par Value			Excess of Par Value			Accumulated Loss			Accumulated Distributions			Comprehensive Loss			Stockholder’s Equity			controlling Interest			Total Equity
Balance at December 31, 2014		568			116,256		$	1,163		$	1,007,326		$	(83,091	)	$	(49,342	)	$	(4,864	)	$	871,192		$	400		$	872,160
Subscriptions received for common stock    through public offering and reinvestment plan		—			55,956			561			588,143			—			—			—			588,704			—			588,704
Stock distributions		—			3,196			32			(32	)		—			—			—			—			—			—
Redemptions of common stock		—			(978	)		(12	)		(9,297	)		—			—			—			(9,309	)		—			(9,309	)
Stock issuance and offering costs		—			—			—			(57,359	)		—			—			—			(57,359	)		—			(57,359	)
Net loss		(17	)		—			—			—			(68,055	)		—			—			(68,055	)		(21	)		(68,093	)
Other comprehensive loss		—			—			—			—			—			—			(4,883	)		(4,883	)		—			(4,883	)
Distribution to holder of noncontrolling interest		—			—			—			—			—			—			—			—			(23	)		(23	)
Cash distributions declared and paid or reinvested    ($0.4236 per share)		—			—			—			—			—			(63,201	)		—			(63,201	)		—			(63,201	)
Contribution from noncontrolling interests		—			—			—			—			—			—			—			—			1,106			1,106
Balance at December 31, 2015	$	551			174,430		$	1,744		$	1,528,781		$	(151,146	)	$	(112,543	)	$	(9,747	)	$	1,257,089		$	1,462		$	1,259,102

See accompanying notes to consolidated financial statements.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

	Years Ended December 31,
	2015			2014			2013
Operating Activities:
Net loss	$	(68,093	)	$	(52,511	)	$	(18,100	)
Adjustments to reconcile net loss to net cash provided by    (used in) operating activities
Depreciation and amortization		105,945			63,112			16,765
Amortization of loan costs		3,762			2,921			1,433
Accretion of note origination costs	―				60			80
Amortization of above and below market intangibles		915			345			68
Straight-line rent adjustments		(4,309	)		(2,472	)		(2,023	)
Unrealized loss from mark-to-market adjustments on swaps		33		―			―
Deferred tax assets, net	―			―				31
Loss on extinguishment of debt		986		―				244
Contingent purchase price consideration adjustment		(589	)		(630	)		(1,824	)
Equity in earnings of unconsolidated entities, net of distributions		1,486			2,931			1,620
Impairment provision		4,661		―			―
Loss on lease termination		863		―			―
Bad debt expense	1,170				―		―
Gain on sale of unconsolidated entity	―			―				(4,486	)
Gain on purchase of controlling interest in unconsolidated entity		―			(2,798	)		―
Changes in operating assets and liabilities:
Other assets		1,406			(1,791	)		(740	)
Deferred rent and lease incentives		(13,156	)		(1,016	)	―
Due from related parties	―				(155	)		(25	)
Accounts payable and accrued liabilities		6,423			7,235			5,450
Other liabilities		1,586			5,038			2,907
Due to related parties		428			(997	)		1,646
Net cash flows provided by operating activities	$	43,517		$	19,272		$	3,046
Investing activities:
Acquisition of properties		(866,340	)		(869,458	)		(655,924	)
Development of properties		(73,552	)		(47,150	)		(23,246	)
Issuance of note receivable to related party	―				(2,065	)		(3,686	)
Collection of note receivable from related party	―				5,591		―
Distribution from unconsolidated entities	―				2,206			222
Purchase of controlling interest in unconsolidated entity	―				(1,584	)	―
Investment in unconsolidated entities	―				(220	)		(12,912	)
Proceeds from sale of unconsolidated entity	―			―				61,761
Changes in restricted cash		466			(7,914	)		(2,229	)
Capital expenditures		(8,029	)		(4,021	)		(347	)
Payment of leasing costs		(2,806	)		(543	)		(12	)
Deposits on real estate		(500	)		(500	)		(7,419	)
Net cash used in investing activities	$	(950,761	)	$	(925,658	)	$	(643,792	)

107

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)

(in thousands)

	Years Ended December 31,
	2015			2014			2013
Financing activities:
Subscriptions received for common stock through public offering	$	551,876		$	554,608		$	379,772
Payment of stock issuance and offering costs		(58,983	)		(58,880	)		(41,821	)
Distributions to stockholders, net of distribution reinvestments		(26,373	)		(14,203	)		(6,579	)
Redemptions of common stock		(7,441	)		(2,246	)		(706	)
Contribution from redeemable noncontrolling interest	―				568		―
Contribution from noncontrolling interest		71			400		―
Distributions to holder of noncontrolling interest		(23	)	―			―
Distribution to holder of promoted interest	―				(2,000	)	―
Draws under revolving credit facilities		775,000			367,223			98,500
Repayments on revolving credit facilities		(321,403	)		(259,320	)	―
Proceeds from mortgage and other notes payable		95,570			402,438			362,392
Principal payments on mortgage and other notes payable		(115,818	)		(27,012	)		(117,436	)
Lender deposits	―				(150	)		(1,110	)
Purchase of interest rate cap		(2,251	)	―			―
Payment of loan costs		(5,414	)		(7,894	)		(6,319	)
Net cash flows provided by financing activities		884,811			953,532			666,693
Net increase (decrease) in cash		(22,433	)		47,146			25,947
Cash at beginning of period		91,355			44,209			18,262
Cash at end of period	$	68,922		$	91,355		$	44,209
Supplemental disclosure of cash flow information:
Cash paid during the period for interest, net of capitalized    interest of approximately $2.0 million, $0.9 million and $0.5    million, respectively	$	37,621		$	26,724		$	8,720
Cash paid for income taxes	$	702		$	545		$	569
Supplemental disclosure of non-cash investing and financing activities:
Amounts incurred but not paid (including amounts due to    related parties):
Stock issuance and offering costs	$	32		$	1,656		$	752
Loan costs	$	136		$	310		$	241
Accrued development costs	$	11,251		$	7,951		$	7,047
Redemptions payable	$	2,739		$	872		$	121
Noncontrolling interests non-cash contributions	$	1,035		$	—		$	—
Contingent purchase price consideration	$	7,500		$	268		$	507
Loan cost amortization capitalized on development properties	$	382		$	73		$	97
Assumption of liabilities on acquired property	$	6,905		$	1,000		$	—
Assumption of mortgage note payable on acquired property	$	7,128		$	27,657		$	—

See accompanying notes to consolidated financial statements.

108

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

1. Organization

CNL Healthcare Properties, Inc. (“Company”) is a Maryland corporation incorporated on June 8, 2010 that elected to be taxed as a REIT for U.S. federal income tax purposes beginning with the year ended December 31, 2012.  The Company is externally advised by CNL Healthcare Corp. and its property manager is CNL Healthcare Manager Corp., each of which is a Florida corporation and a wholly owned subsidiary of CNL Financial Group, LLC, the Company’s sponsor.  The Sponsor is an affiliate of CNL Financial Group, Inc. and CNL Securities Corp., the managing dealer of the Offerings and a wholly owned subsidiary of CNL. The Advisor is responsible for managing the Company’s affairs on a day-to-day basis and for identifying and making acquisitions and investments on behalf of the Company pursuant to an advisory agreement among the Company, the Operating Partnership and the Advisor.  Substantially all of the Company’s acquisition, operating, administrative and certain property management services have been and continue to be provided by affiliates of the Advisor and the Property Manager.  In addition, third-party sub-property managers have been engaged to provide certain property management services.

The Company had no operations prior to the commencement of its Initial Offering on June 27, 2011.  The net proceeds from the Company’s Offerings were contributed to the Operating Partnership in exchange for partnership interests.  Substantially all of the Company’s assets are held by, and all operations are conducted, either directly or indirectly, through: (1) an operating partnership, CHP Partners, LP, in which the Company is the sole limited partner and its wholly-owned subsidiary, CHP GP, LLC, is the sole general partner; (2) a wholly-owned TRS, CHP TRS Holding, Inc.; (3) property owner subsidiaries and lender subsidiaries, which are single purpose entities; and (4) investments in joint ventures.  The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently.

With the completion of the Offerings, the Company’s focus is on actively managing a diversified portfolio of healthcare real estate or real estate-related assets within the seniors housing, medical office, post-acute care and acute care asset classes.  The types of seniors housing that the Company has acquired include independent and assisted living facilities, continuing care retirement communities, and Alzheimer’s / memory care facilities.  The types of medical offices that the Company has acquired include MOBs, specialty medical and diagnostic service facilities, surgery centers, outpatient rehabilitation facilities, and other facilities designed for clinical services.  The types of post-acute care facilities that the Company has acquired include skilled nursing facilities and inpatient rehabilitative hospitals.  The types of acute care facilities that the Company has acquired include general acute care hospitals and specialty surgical hospitals.  The Company views, manages and evaluates its portfolio homogeneously as one collection of healthcare assets with a common goal of maximizing revenues and property income regardless of the asset class or asset type.

The Company has primarily leased its seniors housing properties to wholly owned TRS entities and engaged independent third-party managers under management agreements to operate the properties under RIDEA structures; however, the Company has also leased its properties to third-party tenants under triple-net or similar lease structures, where the tenant bears all or substantially all of the costs (including cost increases, for real estate taxes, utilities, insurance and ordinary repairs).  Medical office, post-acute care and acute care properties have been leased on a triple-net, net or modified gross basis to third-party tenants.  In addition, most of the Company’s investments have been wholly owned, although, it has invested through partnerships with other entities where it is believed to be appropriate and beneficial.  The Company has and continues to invest in new property developments or properties that have not reached full stabilization.

2. Summary of Significant Accounting Policies

Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the accounts of wholly owned subsidiaries or subsidiaries for which the Company has a controlling interest, the accounts of VIEs in which the Company is the primary beneficiary, and the accounts of other subsidiaries over which the Company has a controlling financial interest.  All material intercompany accounts and transactions have been eliminated in consolidation.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

In accordance with the guidance for the consolidation of VIEs, the Company analyzes its variable interests, including loans, leases, guarantees, and equity investments, to determine if the entity in which it has a variable interest is a variable interest entity (“VIE”). The Company’s analysis includes both quantitative and qualitative reviews. The Company bases its quantitative analysis on the forecasted cash flows of the entity, and its qualitative analysis on its review of the design of the entity, its organizational structure including decision-making ability and financial agreements. The Company also uses its quantitative and qualitative analyses to determine if it is the primary beneficiary of the VIE, and if such determination is made, it includes the accounts of the VIE in its consolidated financial statements.

Use of Estimates — The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements, the reported amounts of revenues and expenses during the reporting periods and the disclosure of contingent liabilities. For example, significant assumptions are made in the allocation of purchase price, the analysis of real estate impairments, the valuation of contingent assets and liabilities, and the valuation of restricted stock shares issued to the Advisor or Property Manager.  Accordingly, actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions— Upon acquisition of properties, the Company estimates the fair value of acquired tangible assets (consisting of land, building and improvements, tenant improvements and equipment), intangible assets (consisting of in-place leases and above- or below-market leases), liabilities assumed and any contingent assets or liabilities in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, the Company considers information obtained about each property as a result of its due diligence and utilizes various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.

The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land and building based on the relative fair values of these assets.

The purchase price is allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease(s).  Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses.  Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual rents to be paid pursuant to the lease and management’s estimate of the fair market lease rates for each in-place lease and may include assumptions for lease renewals of below-market leases.

The Company also enters into contingent purchase price consideration arrangements in connection with acquisitions, which result in either an asset or liability being recognized as part of the purchase price allocation.  In calculating the estimated fair value of contingent purchase price consideration arrangements, the Company considers information obtained during the due diligence and budget process as well as discount rates to determine the fair value.  The Company evaluates the fair value of the arrangements at each reporting period and records any adjustments to the fair value as a component of operating income (expense) in the consolidated statement of operations.  Refer to Note 9. “Contingent Purchase Price Consideration” for additional information on fair value measurements of contingent purchase price consideration arrangements.

Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized. Repair and maintenance costs are charged to expense as incurred and significant replacements and improvements are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets.  Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are the lesser of 39 and 15 years, respectively, or the remaining life of the ground lease.

Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease related costs not deemed to be recoverable.

110

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

Impairment of Real Estate Assets — Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators, including property operating performance and general market conditions, that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired.  To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group.  Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors.  In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value of the asset group.

When impairment indicators are present for real estate indirectly owned, through an investment in a joint venture or other similar investment structure accounted for under the equity method, the Company compares the estimated fair value of its investment to the carrying value.  An impairment charge will be recorded to the extent fair value of the investment is less than the carrying amount and the decline in value is determined to be other than a temporary decline.

Real Estate Under Development — The Company records real estate under development at cost, including acquisition fees and closing costs incurred. The cost of the real estate under development includes direct and indirect costs of development, including interest and miscellaneous costs incurred during the development period until the project is substantially complete and available for occupancy. In addition, during active development, all operating expenses related to the project, including property expenses such as real estate taxes and insurance, are capitalized rather than expensed and incidental revenue is recorded as a reduction of capitalized development costs.  Preleasing costs are expensed as incurred.

Capitalized Interest — Interest and loan cost amortization attributable to funds used to finance real estate under development is capitalized as additional costs of development. The Company capitalizes interest at the weighted average interest rate of the Company’s outstanding indebtedness and based on its weighted average expenditures for the period. Capitalization of interest on a specific project ceases when the project is substantially complete and ready for occupancy.  During the years ended December 31, 2015, 2014 and 2013, the Company incurred interest expense and loan cost amortization of approximately $45.3 million, $31.5 million and $11.5 million, respectively, of which approximately $2.3 million, $1.0 million and $0.7 million, respectively, was capitalized according to this policy.

Cash — Cash consists of demand deposits at commercial banks. The Company also invests in cash equivalents consisting of highly liquid investments in money market funds with original maturities of three months or less during the year.  As of December 31, 2015, certain of the Company’s cash deposits exceeded federally insured amounts.  However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal.  The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.

Restricted Cash — Certain amounts of cash are restricted to fund capital expenditures for the Company’s real estate investment properties or represent certain tenant security deposits.

Loan Costs — Financing costs paid in connection with obtaining debt are deferred and amortized over the estimated life of the debt using the effective interest method.  As of December 31, 2015 and 2014, the accumulated amortization of loan costs was approximately $7.8 million and $4.3 million, respectively.

Leasing Costs — The Company defers costs that it incurs to obtain new tenant leases or extend existing tenant leases and classifies these costs as other assets, net of accumulated amortization. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized deferred lease costs not deemed to be recoverable.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

Investments in Unconsolidated Entities — The Company accounts for its investments in unconsolidated joint ventures under the equity method of accounting as the Company exercises significant influence, but does not maintain a controlling financial interest over these entities. These investments are recorded initially at cost and subsequently adjusted for cash contributions, distributions and equity in earnings (loss) of the unconsolidated entities. Based on the respective venture structures and preferences the Company receives on distributions and liquidation, the Company records its equity in earnings of the unconsolidated entities under the HLBV method of accounting.  Under this method, the Company recognizes income or loss in each period as if the net book value of the assets in the ventures were hypothetically liquidated at the end of each reporting period pursuant to the provisions of the joint venture agreements. In any given period, the Company could be recording more or less income than actual cash distributions received and more or less than what the Company may receive in the event of an actual liquidation.  The Company’s investment in unconsolidated entities is accounted for as an asset acquisition in which acquisition fees and expenses are capitalized as part of the basis in the investment in unconsolidated entities.  The acquisition fees and expenses create an outside basis difference that are allocated to the assets of the investee and, if assigned to depreciable or amortizable assets, the basis differences are then amortized as a component of equity in earnings (loss) of unconsolidated entities.

Revenue Recognition — Rental income from operating leases is recorded on the straight-line basis over the terms of the leases. The Company’s leases require the tenants to pay certain additional contractual amounts that are set aside by the Company for replacements of fixed assets and other improvements to the properties. These amounts are and will remain the property of the Company during and after the term of the lease. The amounts are recorded as capital improvement reserve income at the time that they are earned and are included in rental income from operating leases in the accompanying consolidated statement of operations.  Additional percentage rent that is due contingent upon tenant performance thresholds, such as gross revenues, is deferred until the underlying performance thresholds have been achieved.

Resident fees and services consist of monthly services, which include rent, assistance and other related services.  Agreements with residents are generally for an initial term of three months and are cancelable by the residents with 30-days notice.

Tenant reimbursement income represents amounts tenants are required to reimburse the Company for expenses incurred on behalf of the tenants, in accordance with the terms of the leases and are recognized in the period in which the related reimbursable expenses are incurred.

Interest income is recognized on an accrual basis when earned.  Any deferred portion of contractual interest is recognized on a straight-line basis over the term of the corresponding note receivable.  Loan origination fees incurred are recognized as a reduction to interest income over the term of the note receivable.

Reclassifications — Certain amounts in the prior year’s consolidated balance sheet have been reclassified to conform to the current year’s presentation with no effect on the other previously reported consolidated financial statements.

Derivative Financial Instruments — The Company and certain unconsolidated equity method investments held by the Company use derivative financial instruments to partially offset the effect of fluctuating interest rates on the cash flows associated with its variable-rate debt.  Upon entry into a derivative, the Company or its unconsolidated equity method investment formally designates and documents the financial instrument as a hedge of a specific underlying exposure, as well as the risk management objectives and strategies for undertaking the hedge transaction.  The Company or its unconsolidated equity method investment accounts for derivatives through the use of a fair value concept whereby the derivative positions are stated at fair value in the accompanying consolidated balance sheets.  The fair value of derivatives used to hedge or modify risk fluctuates over time.  As such, the fair value amounts should not be viewed in isolation, but rather in relation to the cash flows or fair value of the underlying hedged transaction and to the overall reduction in the exposure relating to adverse fluctuations in interest rates on the Company’s or its unconsolidated equity method investment’s variable-rate debt.  Realized and unrealized gain (loss) on derivative financial instruments designated by either the Company or its unconsolidated equity method investment as cash flow hedges are reported as a component of other comprehensive income (loss), a component of stockholders’ equity, in the accompanying consolidated statements of comprehensive income (loss) to the extent they are effective; reclassified into earnings on the same line item associated with the hedged transaction and in the same period the hedged transaction affects earnings.  Any ineffective portions of cash flow hedges are reported in the accompanying consolidated statements of operations as derivative gain (loss).

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

Realized and unrealized gain (loss) on derivative financial instruments designated as cash flow hedges that are entered into by the Company’s equity method investments are reported as a component of the Company’s other comprehensive income (loss) in proportion to the Company’s ownership percentage in the investment, with reclassifications and ineffective portions being included in equity in earnings (loss) of unconsolidated entities in the accompanying consolidated statements of operations.

Fair Value Measurements — Fair value assumptions are based on the framework established in the fair value accounting guidance under GAAP.  The framework specifies a hierarchy of valuation inputs which was established to increase consistency, clarity and comparability in fair value measurements and related disclosures.  The guidance describes the following fair value hierarchy based upon three levels of inputs that may be used to measure fair value, two of which are considered observable and one that is considered unobservable:

· Level 1 — Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access.

· Level 2 — Inputs, other than quoted prices included in Level 1, that are observable for the asset or liability either directly or indirectly;  such as, quoted prices for similar assets or liabilities or other inputs that can be corroborated by observable market data.

· Level 3 — Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity.

When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement.

Mortgages and Other Notes Payable — Mortgages and other notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s properties.  Mortgages and other notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.

Redemptions — Under the Company’s stock redemption plan, a stockholder’s shares are deemed to have been redeemed as of the date that the Company accepts the stockholder’s request for redemption.  From and after such date, the stockholder by virtue of such redemption is no longer entitled to any rights as a stockholder in the Company.  Shares redeemed are retired and not available for reissue.

Net Loss per Share — Net loss per share is calculated based upon the weighted average number of shares of common stock outstanding during the period in which the Company was operational. For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions are treated as if they were issued and outstanding for the full periods presented.  Therefore, the weighted average number of shares outstanding for the years ended December 31, 2015, 2014 and 2013 have been revised to include stock distributions declared and issued as if they were outstanding as of the beginning of each period presented.

Shares Based Payments to Non-Employees — In connection with the Expense Support Agreements described in Note 11. “Related Party Arrangements,” the Company may issue Restricted Stock to the Advisor or the Property Manager on a quarterly basis in exchange for providing expense support in the event that cash distributions declared exceed modified funds from operations as defined by the Expense Support Agreements. Refer to Note 18. “Subsequent Events” for additional information.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event of the Company.  Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to ASC 505-50.  On the date in which the Advisor or the Property Manager satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor or the Property Manager and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Pursuant to the Expense Support Agreements, the Advisor or the Property Manager shall be the record owner of the Restricted Stock until the shares of common stock are sold or otherwise disposed of, and shall be entitled to all of the rights of a stockholder of the Company including, without limitation, the right to vote such shares (to the extent permitted by the Articles) and receive all dividends and other distributions paid with respect to such shares.  All dividends or other distributions actually paid to the Advisor or the Property Manager in connection with the Restricted Stock shall vest immediately and will not be subject to forfeiture.  The Company recognizes expense related to the dividends on the Restricted Stock shares as declared.

Segment Information — Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance. The Company has determined that it operates in one operating segment, real estate ownership.  The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis and by tenant or operator.  The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed).  Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.

Redeemable Noncontrolling Interest — The Company classifies redeemable equity securities in accordance with Accounting Standard Update (“ASU”) No. 2009-04, “Liabilities (Topic 480): Accounting for Redeemable Equity Instruments,” which requires that equity securities redeemable at the option of the holder be classified outside of permanent stockholders’ equity.  The Company classifies redeemable equity securities as redeemable noncontrolling interest within the accompanying consolidated balance sheets and consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  The Company evaluates the probability that these equity securities will become redeemable at each reporting period and, if determined probable, the Company measures the redemption value and records an adjustment to the carrying value of the equity securities as a component of redeemable noncontrolling interest.  As of December 31, 2015, the amount payable, if any, relating to these equity securities is not probable and is dependent on the future results of operations from real estate currently under development.

Promoted Interest — The Company accounts for promoted interests with third-party developers in a manner similar to redeemable noncontrolling interests discussed above.  The Company records the initial carrying value of the promoted interest at its issuance date fair value.  Subsequently, as the completed developments stabilize and it becomes probable that the promoted interest thresholds will be met, the Company records a liability equal to the estimated redemption value at the end of each reporting period based on the conditions that exist as of the balance sheet date.   In connection with the measurement of this liability, the Company records, as a reduction to capital in excess of par value, an amount equal to the difference between the promoted interests’ carrying value and the consideration paid or payable.  As of December 31, 2015, the amounts payable, if any, relating to these promoted interests is not probable and is dependent on the future results of operations from either completed developments stabilizing or current real estate under development.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

Acquisition Fees and Expenses — Acquisition fees, including investment services fees and expenses associated with transactions deemed to be business combinations (including investment transactions that are no longer under consideration), are expensed as incurred.  Acquisition fees and expenses associated with making loans and with transactions deemed to be an asset purchase are capitalized.  The following table summarizes the Company’s acquisition fees and expenses for the years ended December 31, 2015, 2014 and 2013 (in millions):

	December 31,
Distribution Type	2015		2014		2013
Capitalized as real estate under development	$	4.2	$	3.4	$	0.1
Capitalized as investment in unconsolidated entities	―		―			0.5
Capitalized as origination costs to the note receivable	―		―			0.1
Acquisition costs expensed		21.5		23.9		18.8
Total acquisition costs incurred	$	25.7	$	27.3	$	19.5

Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2012.  In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends.  If the Company fails to quality as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the Internal Revenue Service grants the Company relief under certain statutory provisions.  Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income. The Company may also be subject to foreign taxes on investments outside of the U.S. based on the jurisdictions in which the Company conducts business.

The Company has and will continue to form subsidiaries which may elect to be taxed as a TRS for U.S. federal income tax purposes. Under the provisions of the Internal Revenue Code and applicable state laws, a TRS will be subject to tax on its taxable income from its operations.  The Company will account for federal and state income taxes with respect to a TRS using the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities, the respective tax bases, operating losses and/or tax-credit carryforwards.

Prior to the Company’s REIT election, it was subject to corporate federal and state income taxes.  Prior to and including the year ended December 31, 2011, the Company did not have earnings.  The tax years from 2011 to 2015 remain subject to examination by taxing authorities throughout the U.S.  The Company analyzed its material tax positions and determined that it has not taken any uncertain tax positions.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

Adopted Accounting Pronouncements — In April 2014, the FASB issued ASU No. 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity.”  The ASU changes the criteria for reporting discontinued operations where only disposals representing a strategic shift that has (or will have) a major effect on an entity’s operations and financial results, such as a major line of business or geographical area, should be presented as a discontinued operation. The ASU is effective prospectively for all disposals (or classifications as held for sale) of components of an entity that occur within annual periods beginning on or after December 15, 2014 with early adoption permitted.   Effective January 1, 2015, the Company adopted this ASU and determined that the amendments will impact the Company’s determinations of which future property disposals qualify as discontinued operations and will require additional disclosure about discontinued operations for future property disposals.

Recent Accounting Pronouncements — In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” as a new ASC topic (Topic 606).  The core principle of this ASU is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  The ASU further provides guidance for any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets, unless those contracts are within the scope of other standards (for example, lease contracts).  The FASB subsequently issued ASU 2015-14 to defer the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with earlier adoption permitted.  ASU 2014-09 can be adopted using one of two retrospective transition methods: 1) retrospectively to each prior reporting period presented or 2) as a cumulative-effect adjustment as of the date of adoption.  The Company has not yet selected a transition method and is currently evaluating the impact of ASU 2014-09; however, its adoption could potentially have a significant effect on the Company’s consolidated financial position, results of operations or cash flows.

In February 2015, the FASB issued ASU 2015-02, “Amendments to the Consolidation Analysis,” which requires amendments to both the variable interest entity and voting models. The amendments (i) modify the identification of variable interests (fees paid to a decision maker or service provider), the VIE characteristics for a limited partnership or similar entity and primary beneficiary determination under the VIE model, and (ii) eliminate the presumption within the current voting model that a general partner controls a limited partnership or similar entity. The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The amendments may be applied using either a modified retrospective or full retrospective approach.  The Company adopted ASU 2015-02 on January 1, 2016; the adoption of which did not have a material impact to its consolidated financial position, results of operations or cash flows.

In April 2015, the FASB issued ASU 2015-03, “Interest-Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs,” which requires that loan costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts or premiums. The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The ASU is to be applied retrospectively for each period presented.  Upon adoption, an entity is required to comply with the applicable disclosures for a change in an accounting principle.  The FASB subsequently issued ASU 2015-15, “Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements,” which clarifies that, given the absence of authoritative guidance in ASU 2015-03 regarding presentation and subsequent measurement of loan costs related to line-of-credit arrangements, the SEC Staff would not object to an entity deferring and presenting loan costs as an asset and subsequently amortizing the loan costs ratably over the term of the line-of-credit arrangement, regardless of whether there are any outstanding borrowings on the line-of-credit arrangement.  The Company has determined that it will not early adopt this ASU and that the amendments will materially impact the presentation of the Company’s consolidated financial position but will not have a material impact on the Company’s consolidated results of operations or cash flows.

116

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

2. Summary of Significant Accounting Policies (continued) 

In September 2015, the FASB issued ASU 2015-16, “Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments,” which requires an acquirer to recognize provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined.  The amendments require that the acquirer record, in the same period’s financial statements, the effect on earnings of changes in depreciation, amortization, or other income effects, if any, as a result of the change to the provisional amounts, calculated as if the accounting had been completed at the acquisition date.  The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The Company adopted ASU 2015-16 on January 1, 2016; the adoption of which did not have a material impact to its consolidated financial position, results of operations or cash flows.

In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU will also require qualitative and quantitative disclosures designed to give financial statement users additional information on the amount, timing, and uncertainty of cash flows arising from leases.  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018 with early adoption permitted.  The ASU is to be applied using a modified retrospective approach.  The Company is currently evaluating the impact this ASU will have on the Company’s consolidated financial position, results of operations and cash flows.

117

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions 

Real Estate Investment Properties — During the year ended December 31, 2015, the Company acquired the following 39 properties, which were comprised of 15 seniors housing communities, 22 MOBs, one post-acute care hospital, and one acute care hospital as follows:

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Acute care
Triangle Orthopaedic
North Carolina Specialty Hospital	Modified Lease	6/29/2015	$	31,830
Durham, NC
Medical Office
Novi Orthopaedic Center	Modified Lease	2/13/2015		30,500	(1)
Novi, MI
Southeast Medical Office Properties
UT Cancer Institute Building	Modified Lease	2/20/2015		33,660
Knoxville, TN
Bend Memorial Clinic MOB	Modified Lease	5/11/2015		36,000	(1)
Bend, OR
Stoneterra Medical Plaza	Modified Lease	5/29/2015		15,050	(1)
San Antonio, TX
Triangle Orthopaedic
Triangle Orthopaedic Durham	Modified Lease	6/29/2015		21,275
Durham, NC
Triangle Orthopaedic Oxford	Modified Lease	6/29/2015		4,728
Oxford, NC
Triangle Orthopaedic Chapel Hill	Modified Lease	6/29/2015		3,258
Chapel Hill, NC
Triangle Orthopaedic Roxboro	Modified Lease	6/29/2015		2,067
Roxboro, NC
Doctor's Park
Doctor's Park Building B	Modified Lease	6/30/2015		5,000	(1)
Chula Vista, CA ("San Diego")
Doctor's Park Building C	Modified Lease	6/30/2015		10,000	(1)
Chula Vista, CA ("San Diego")
540 New Waverly Place	Modified Lease	7/20/2015		15,000	(1)
Cary, NC ("Raleigh")
MedHelp	Modified Lease	7/31/2015		15,000	(1)
Birmingham, AL
Maryland MOBs
Patriot Professional Center	Modified Lease	7/31/2015		16,950	(1)
Frederick, MD ("Baltimore")
Liberty Professional Center	Modified Lease	7/31/2015		7,300	(1)
Frederick, MD ("Baltimore")
Columbia MOBs
Broadway Medical Plaza 1	Modified Lease	8/21/2015		10,700	(1)
Columbia, MO
Broadway Medical Plaza 2	Modified Lease	8/21/2015		13,100	(1)
Columbia, MO
Broadway Medical Plaza 4	Modified Lease	8/21/2015		14,200	(1)
Columbia, MO
Center One	Modified Lease	11/30/2015		34,362	(1)
Jacksonville, FL
Red Bank MOB	Modified Lease	12/14/2015		10,610	(1)
Cincinnati, OH

118

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Henderson NV MOBs
Siena Pavilion IV	Modified Lease	12/18/2015		6,990
Henderson, NV ("Las Vegas")
Siena Pavilion V	Modified Lease	12/18/2015		27,859
Henderson, NV ("Las Vegas")
Siena Pavilion VI	Modified Lease	12/18/2015		19,474
Henderson, NV ("Las Vegas")
Post-Acute Care
Cobalt Rehabilitation Hospital Surprise	Triple-net Lease	12/30/2015		23,660	(1)
Surprise, AZ ("Phoenix")
Seniors Housing
Fieldstone Memory Care	Managed	3/31/2015		12,400	(1)
Yakima, WA
Primrose III Communities
Primrose Retirement Community of Anderson	Triple-net Lease	5/29/2015		21,086
Anderson, IN ("Muncie")
Primrose Retirement Community of Lancaster	Triple-net Lease	5/29/2015		25,657
Lancaster, OH ("Columbus")
Primrose Retirement Community of Wausau	Triple-net Lease	5/29/2015		20,307
Wausau, WI ("Green Bay")
Superior Residences of Panama City	Managed	7/15/2015		20,000	(1)
Panama City Beach, FL
Southeast Seniors Housing Communities
Parc at Duluth	Triple-net Lease	7/31/2015		52,800
Duluth, GA ("Atlanta")
Parc at Piedmont	Triple-net Lease	7/31/2015		50,800
Marietta, GA ("Atlanta")
The Pavilion at Great Hills	Managed	7/31/2015		35,000
Austin, TX
The Hampton at Meadows Place	Managed	7/31/2015		28,400
Meadows Place, TX ("Houston")
The Beacon at Gulf Breeze	Managed	7/31/2015		28,000
Gulf Breeze, FL ("Pensacola")
Palmilla Senior Living	Managed	9/30/2015		47,600
Albuquerque, NM
Cedar Lake Assisted Living and Memory Care	Managed	9/30/2015		30,000
Lake Zurich, IL ("Chicago")
The Shores of Lake Phalen	Managed	11/10/2015		29,250	(1)
Maplewood, MN ("St. Paul")
Park Place Senior Living at WingHaven	Managed	12/17/2015		54,000
O'Fallon, MO ("St. Louis")
Hearthside Senior Living of Collierville	Managed	12/29/2015		17,000	(1)
Collierville, TN ("Memphis")
			$	880,873

FOOTNOTE:

(1) This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

119

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

During the year ended December 31, 2014, the Company acquired the following 35 properties, which were comprised of 15 MOBs, 14 seniors housing communities, three post-acute care facilities, and three acute care hospital as follows:

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Acute Care
Memorial Hermann Orthopedic & Spine Hospital ("MHOSH")	Triple-net Lease	6/2/2014	$	49,000
Bellaire, TX ("Houston")
Medical Portfolio II Properties
Hurst Specialty Hospital	Modified Lease	8/15/2014		29,465
Hurst, TX ("Dallas/Fort Worth")
Beaumont Specialty Hospital	Modified Lease	8/15/2014		33,600
Beaumont, TX ("Houston")
Medical Office
Chula Vista Medical Arts Center - Plaza I	Modified Lease	1/21/2014		17,863	(1)
Chula Vista, CA ("San Diego")
MHOSH MOB	Modified Lease	6/2/2014		27,000
Bellaire, TX ("Houston")
Lee Hughes MOB	Modified Lease	9/29/2014		29,870	(1)
Glendale, CA ("Los Angeles")
Northwest Medical Park Building	Modified Lease	10/31/2014		10,804	(1)
Margate, FL ("Fort Lauderdale")
Newburyport Medical Center	Modified Lease	10/31/2014		18,000	(1)
Newburyport, MA ("Boston")
ProMed Building I	Modified Lease	12/19/2014		11,000	(1)
Yuma, AZ
Southeast Medical Office Properties
Midtown Medical Plaza	Modified Lease	12/22/2014		54,695
Charlotte, NC
Presbyterian Medical Tower	Modified Lease	12/22/2014		36,333
Charlotte, NC
Metroview Professional Building	Modified Lease	12/22/2014		17,262
Charlotte, NC
Physicians Plaza Huntersville	Modified Lease	12/22/2014		29,964
Huntersville, NC ("Charlotte")
Matthews Medical Office Building	Modified Lease	12/22/2014		21,227
Matthews, NC ("Charlotte")
Outpatient Care Center	Modified Lease	12/22/2014		15,450
Clyde, NC ("Asheville")
330 Physicians Center	Modified Lease	12/22/2014		30,099
Rome, GA
Spivey Station Physicians Center	Modified Lease	12/22/2014		14,379
Atlanta, GA
Spivey Station ASC Building	Modified Lease	12/22/2014		18,591
Atlanta, GA

120

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Post-Acute Care
Medical Portfolio II Properties
Oklahoma City Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014	$	25,504
Oklahoma City, OK
Las Vegas Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		22,292
Las Vegas, NV
South Bend Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		20,240
Mishawaka, IN ("South Bend")
Seniors Housing
Pacific Northwest II Communities
Prestige Senior Living Auburn Meadows	Managed	2/3/2014		21,930
Auburn, WA ("Seattle")
Prestige Senior Living Bridgewood	Managed	2/3/2014		22,096
Vancouver, WA ("Portland")
Prestige Senior Living Monticello Park	Managed	2/3/2014		27,360
Longview, WA
Prestige Senior Living Rosemont	Managed	2/3/2014		16,877
Yelm, WA
Prestige Senior Living West Hills	Managed	3/3/2014		14,986
Corvallis, OR
South Bay II Communities
Isle at Cedar Ridge	Managed	2/28/2014		21,630
Cedar Park, TX ("Austin")
HarborChase of Plainfield	Managed	3/28/2014		26,500
Plainfield, IL
Legacy Ranch Alzheimer’s Special Care Center	Managed	3/28/2014		11,960
Midland, TX
The Springs Alzheimer’s Special Care Center	Managed	3/28/2014		10,920
San Angelo, TX
Isle at Watercrest – Bryan	Managed	4/21/2014		22,050
Bryan, TX
Watercrest at Bryan	Managed	4/21/2014		28,035
Bryan, TX
Isle at Watercrest – Mansfield	Managed	5/5/2014		31,300
Mansfield, TX ("Dallas/Fort Worth")
Watercrest  at Mansfield	Managed	6/30/2014		49,000
Mansfield, TX ("Dallas/Fort Worth")
Fairfield Village of Layton	Managed	11/20/2014		68,000
Layton, UT ("Salt Lake City")
			$	905,282

FOOTNOTE:

(1) This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

121

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

The following summarizes the purchase price allocation for the above properties, and the estimated fair values of the assets acquired and liabilities assumed (in thousands):

	December 31,
	2015			2014
Land and land improvements	$	91,419		$	60,565
Buildings and building improvements		702,611			732,740
Furniture, fixtures and equipment		11,746			12,260
Intangibles (1)		86,601			110,325
Other liabilities		(5,175	)		(12,037	)
Liabilities assumed		(6,905	)		(1,000	)
Assumed mortgage note payable (2)		(6,976	)		(27,657	)
Net assets acquired		873,321			875,196
Contingent purchase price consideration		(6,481	)		(12,395	)
Total purchase price consideration	$	866,840		$	862,801

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the years ended December 31, 2015 and 2014 were approximately 7.7 years for both periods, respectively.  The acquired lease intangibles during the year ended December 31, 2015 were comprised of approximately $81.8 million and $4.8 million of in-place lease intangibles and other lease intangibles, respectively, and the acquired lease intangibles during the year ended December 31, 2014 were comprised of approximately $97.3 million and $13.0 million of in-place lease intangibles and other lease intangibles, respectively.

(2) During the year ended December 31, 2015, the Company assumed a discount on a below-market mortgage note payable assumed of approximately $0.2 million at the acquisition date.  During the year ended December 31, 2014, the Company assumed a premium on an above-market mortgage note payable of approximately $0.4 million at the acquisition date.

The revenues and net loss (including deductions for acquisition fees and expenses and depreciation and amortization expense) attributable to the Company’s material acquisitions were approximately $18.0 million and $8.8 million, respectively, for the year ended December 31, 2015; and approximately $55.0 million and $24.3 million, respectively, for the year ended December 31, 2014.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

The following table presents the unaudited pro forma results of operations for the Company as if each of the 2015 material acquisitions noted above were acquired as of January 1, 2014 and the unaudited pro forma results of operations for the Company as if each of the 2014 material acquisitions noted above were acquired as of January 1, 2013 (in thousands except per share data):

	Years ended December 31,
	2015 (Unaudited)			2014 (Unaudited)			2013 (Unaudited)
Revenues	$	346,071		$	307,552		$	242,415
Net loss (1)	$	(66,613	)	$	(62,071	)	$	(59,527	)
Loss per share of common stock (basic and diluted)	$	(0.39	)	$	(0.42	)	$	(0.57	)
Weighted average number of shares of common stock    outstanding (basic and diluted) (2)		170,735			148,443			104,079

FOOTNOTES:

(1) The unaudited pro forma results for the years ended December 31, 2015 and 2014 were adjusted to exclude approximately $11.3 million and $20.5 million, respectively, of acquisition related expenses directly attributable to the properties acquired during the years ended December 31, 2015 and 2014. The unaudited pro forma results for the years ended December 31, 2014 and 2013 were adjusted to include these charges as if the properties were acquired on January 1, 2014 and 2013, respectively.

(2) As a result of the acquired properties being treated as operational since January 1, 2014 and 2013, the Company assumed approximately 31.6 million and 40.8 million additional shares were issued as of January 1, 2014 and 2013, respectively.  Consequently, the weighted average number of shares outstanding was adjusted to reflect this amount of shares being issued as of January 1, 2014 and 2013, instead of actual dates on which the shares were issued, and such shares were treated as outstanding as of the beginning of the period presented.

Real Estate Under Development — In August 2015, the Company acquired a tract of land in Greenville, South Carolina for $2.3 million (“Waterstone”).  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of an assisted living and memory care community with a maximum development budget of approximately $27.0 million, including the allocated purchase price of the land.  The Company determined that Waterstone is a VIE because it believes there is insufficient equity at risk due to the development nature of the property. The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

In September 2015, the Company acquired a tract of land in Grand Junction, Colorado for $1.1 million (“Welbrook Senior Living Grand Junction”).  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of a transitional rehabilitation facility with a maximum development budget of approximately $13.1 million, including the allocated purchase price of the land.  The Company determined that Welbrook Senior Living Grand Junction is not a VIE because the Company’s equity investment is sufficient to finance the activities of the entity without a construction loan and the Company will receive substantially all expected residual returns.

In September 2015, the Company acquired a tract of land in Lexington, South Carolina for $2.3 million (“Wellmore of Lexington”), which is a suburb of Columbia, South Carolina.  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of a continuing care retirement facility with a maximum development budget of approximately $53.9 million, including the allocated purchase price of the land.  The Company determined that Wellmore of Lexington is a VIE because it believes there is insufficient equity at risk due to the development nature of the property. The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

In October 2015, the Company entered into a joint venture agreement with a third-party and acquired a 75% membership interest a tract of land in Yakima, Washington for $1.0 million (“Fieldstone at Pear Orchard”).  The joint venture plans to construct and develop an independent and assisted living facility with a maximum development budget of approximately $15.3 million, including the allocated purchase price of the land.  The Company determined that Fieldstone at Pear Orchard is a VIE because it believes there is insufficient equity at risk due to the development nature of the joint venture. The Company is the primary beneficiary and managing member while the joint venture partner or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight. The Company’s joint venture partner acquired a 25% noncontrolling interest. Pursuant to the joint venture agreement, distributions of operating cash flow will be distributed pro rata based on each member’s ownership interest.

In November 2015, the Company acquired a tract of land in Grayson, Georgia for $1.8 million (“Dogwood Forest of Grayson”), which is approximately 35 miles from downtown Atlanta, Georgia.  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of an assisted living and memory care facility with a maximum development budget of approximately $26.0 million, including the allocated purchase price of the land.

The Company determined that Dogwood Forest of Grayson is a VIE because it believes there is insufficient equity at risk due to the development nature of the property. The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

In February 2014, the Company acquired a tract of land in Tega Cay, South Carolina for $2.8 million (“Wellmore of Tega Cay”), which is a suburb of Charlotte, North Carolina.  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of a continuing care retirement community with a maximum development budget of approximately $35.6 million, including the allocated purchase price of the land.  The Company determined that Wellmore of Tega Cay is a VIE because it believes there is insufficient equity at risk due to the development nature of the property.  The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

In June 2014, the Company entered into a joint venture agreement with a third-party and acquired a 95% membership interest in a tract of land in Katy, Texas for $4.0 million (“Watercrest at Katy”), which is a suburb of Houston, Texas. The joint venture plans to construct and develop an independent living community with a maximum development budget of approximately $38.2 million, including the allocated purchase price of the land.  The Company determined that Watercrest at Katy is a VIE because it believes there is insufficient equity at risk due to the development nature of the joint venture.  The Company is the primary beneficiary and managing member while the joint venture partner or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  The Company’s joint venture partner acquired a 5% noncontrolling interest that includes a put option of its membership to the Company upon the occurrence of certain events that are not solely within the control of the Company and at a price that is determinable upon exercising the option; refer to Note 13. “Equity – Redeemable Noncontrolling Interest” for additional information.  Pursuant to the joint venture agreement, distributions of operating cash flow will be distributed pro rata based on each member’s ownership interest until the members of the joint venture receive a specified minimum return on their invested capital, and thereafter, the joint venture partner will receive a disproportionately higher share of any remaining proceeds at varying levels based on the Company having received certain minimum threshold returns.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

3. Acquisitions (continued) 

In July 2014, the Company acquired a tract of land in Shorewood, Wisconsin for $2.2 million (“HarborChase of Shorewood”), which is a suburb of Milwaukee, Wisconsin. In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of an assisted living and memory care community with a maximum development budget of approximately $25.6 million, including the allocated purchase price of the land.  The Company determined that HarborChase of Shorewood is a VIE because it believes there is insufficient equity at risk due to the development nature of the property.  The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

Purchase of Controlling Interest in Montecito Joint Venture — In January 2013, the Company acquired a 90% membership interest in a two-story MOB in Claremont, California for approximately $7.0 million in equity through a joint venture (“Montecito Joint Venture”) formed by the Company and its co-venture partner, an unrelated party, that initially held the remaining 10% interest.  The Montecito Joint Venture was previously recorded under the equity method of accounting because the decisions that significantly impacted the entity were shared between the Company and its co-venture partner, but it was not determined to be a VIE.

In August 2014, the Company acquired its co-venture partner’s 10% interest in the Montecito Joint Venture for approximately $1.6 million.  As a result of this transaction, the Company owns 100% of the Montecito Joint Venture, and began consolidating all of the assets, liabilities and results of operations in the Company’s consolidated financial statements upon acquisition.  Accordingly, the Company recorded a step up from its carrying value of the investment in the Montecito Joint Venture to the estimated fair value of the net assets acquired and liabilities assumed.   The following summarizes the allocation of the purchase price, and the estimated fair values of the assets acquired and liabilities assumed as of the acquisition date (in thousands):

Land and land improvements	$	6,324
Buildings and building improvements		13,533
Intangibles (1)		2,691
Working capital, net		87
Other liabilities		(175	)
Mortgage note payable assumed (2)		(12,331	)
Net assets acquired	$	10,129

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles was approximately 5.1 years and was comprised of approximately $1.9 million and $0.8 million of in-place lease intangibles and other lease intangibles, respectively.

(2) At the acquisition date, the fair value of the mortgage note payable assumed reflects an approximate $0.6 million discount on the below-market mortgage note payable assumed.

The fair value of the Company’s equity interest in the Montecito Joint Venture immediately before the acquisition date was approximately $5.7 million. The Company recorded a gain of approximately $2.8 million based on the acquisition date fair value of its equity interest in the Montecito Joint Venture.  The following summarizes the gain that resulted from the change of control in the equity method investment for the year ended December 31, 2015 (in thousands):

Fair value of net assets acquired	$	10,129
Less: Previous investment in Montecito Joint Venture		(5,747	)
Less: Cash paid to acquire co-venture partner's interest		(1,584	)
Gain on purchase of controlling interest of    investment in unconsolidated entity	$	2,798

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

4. Real Estate Assets, net 

The gross carrying amount and accumulated depreciation of the Company’s real estate assets as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015			2014
Land and land improvements	$	229,046		$	128,662
Building and building improvements		2,297,336			1,545,614
Furniture, fixtures and equipment		60,601			36,319
Less: accumulated depreciation		(116,807	)		(53,095	)
Real estate investment properties, net		2,470,176			1,657,500
Real estate under development, including land		62,521			47,153
Total real estate assets, net	$	2,532,697		$	1,704,653

Depreciation expense on the Company’s real estate investment properties, net was approximately $63.6 million, $39.1 million and $12.0 million for the years ended December 31, 2015, 2014 and 2013, respectively.

In June 2015, the Company completed the construction and development of a seniors housing community in Tega Cay, South Carolina (“Wellmore of Tega Cay”), which is a suburb of Charlotte, North Carolina.  Wellmore of Tega Cay opened to residents beginning in July 2015 and was considered placed into service as of June 30, 2015.

In November 2015, the Company completed the construction and development of a seniors housing community in Shorewood, Wisconsin (“Harborchase of Shorewood”), which is north of Milwaukee. Harborchase of Shorewood opened to residents beginning in December 2015 and was considered placed into service as of November 30, 2015.

During the quarter ended December 31, 2015, the Company completed the construction of the independent living villas on the Raider Ranch community in Lubbock, Texas.  Certain villas opened to residents beginning in September 2015 and each villa was placed into service throughout the quarter upon completion.  The Company continues the construction and development of an independent living apartment building at this community.

In June 2014, the Company completed the construction and development of a seniors housing community in Acworth, Georgia (“Dogwood Forest of Acworth”).  Dogwood Forest of Acworth opened to residents in July 2014 and was considered placed into service as of June 30, 2014.

As such, the asset values related to Wellmore of Tega Cay, Harborchase of Shorewood, portions of the Raider Ranch development and Dogwood Forest of Acworth are included in real estate investment properties, net in the accompanying consolidated balance sheet as of December 31, 2015.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

4. Real Estate Assets, net (continued) 

As of December 31, 2015, eight of the Company’s seniors housing communities and one post-acute care facility have real estate under development or expansion projects with third-party developers as follows (in thousands):

Property Name (and Location)	Developer	Real Estate Development Costs  Incurred (1)		(Unaudited) Remaining Development Budget (2)
Development Properties
Raider Ranch
(Lubbock, TX)	South Bay Partners, Ltd	$	9,942	$	2,274
Watercrest at Katy
(Katy, TX) (3)	South Bay Partners, Ltd		26,565		16,245
Welbrook Senior Living
Grand Junction
(Grand Junction, CO)	Embree Asset Group, Inc.		3,198		10,636
Waterstone
(Greenville, SC)	T&D Greenville, LLC		7,185		21,287
Wellmore of Lexington
(Lexington, SC)	Maxwell Group, Inc.		8,723		46,282
Dogwood Forest of Grayson
(Grayson, GA)	Solomon Development Services, LLC		3,973		23,024
Fieldstone at Pear Orchard
(Yakima, WA) (4)	Cascadia Development, LLC		2,606		13,067
Expansion Projects
Tranquillity at Fredericktowne
(Frederick, MD)	Capital Health Partners		235		5,649
Brookridge Heights Assisted Living & Memory Care
(Marquette, MI)	Capital Health Partners		94		4,725
		$	62,521	$	143,189

FOOTNOTES:

(1) This amount represents land and total capitalized costs for GAAP purposes for the acquisition, development and construction of the seniors housing community or post-acute care facility as of December 31, 2015.  Amounts include investment services fees, asset management fees, interest expense and other costs capitalized during the development period.

(2) This amount includes preleasing and marketing costs which will be expensed as incurred.

(3) This property is owned through a joint venture in which the Company’s initial ownership interest is 95%.

(4) This property is owned through a joint venture in which the Company’s initial ownership interest is 75%.

The development budgets include the cost of the land, construction costs, development fees, financing costs, start-up costs and initial operating deficits of the respective properties.  An affiliate of the developer of the respective community coordinates and supervises the management and administration of the development and construction.  Each developer is responsible for any cost overruns beyond the approved development budget for the applicable project pursuant to a cost overrun guarantee.  Some of these developments were deemed to be VIEs; refer to Note 7. “Variable Interest Entities” for additional information.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

5. Intangibles, net 

The gross carrying amount and accumulated amortization of the Company’s intangible assets and liabilities as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015			2014
In-place lease intangibles	$	220,917		$	148,880
Above-market lease intangibles		13,960			11,320
Below-market ground lease intangibles		12,470			10,314
Less: accumulated amortization		(74,895	)		(30,250	)
Intangible assets, net	$	172,452		$	140,264
Below-market lease intangibles	$	(12,095	)	$	(13,243	)
Above-market ground lease intangibles		(3,488	)		(2,273	)
Less: accumulated amortization		2,581			1,014
Intangible liabilities, net (1)	$	(13,002	)	$	(14,502	)

FOOTNOTE:

(1) Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

Amortization on the Company’s intangible assets was approximately $44.6 million for the year ended December 31, 2015, of which approximately $2.0 million was treated as a reduction of rental income from operating leases, approximately $0.3 million was treated as an increase of property operating expenses and approximately $42.3 million was included in depreciation and amortization.  Amortization on the Company’s intangible assets was approximately $25.1 million for the year ended December 31, 2014, of which approximately $1.0 million was treated as a reduction of rental income from operating leases, approximately $0.1 million was treated as an increase of property operating expenses and $24.0 million was included in depreciation and amortization. Amortization expense on the Company’s intangible assets was approximately $5.0 million for the year ended December 31, 2013, of which approximately $0.2 million was treated as a reduction of rental income from operating leases, approximately $0.1 million was treated as an increase of property operating expenses and approximately $4.7 million was included in depreciation and amortization.

Amortization on the Company’s intangible liabilities was approximately $1.6 million for the year ended December 31, 2015, of which approximately $1.5 million was treated as an increase of rental income from operating leases and approximately $0.08 million was treated as a reduction of property operating expenses.  For the year ended December 31, 2014, amortization on the Company’s intangible liabilities was approximately $0.8 million, which was treated as an increase of rental income from operating leases and approximately eight thousand dollars was treated as a reduction of property operating expenses. Amortization expense on the Company’s intangible liabilities was approximately $0.2 million for the year ended December 31, 2013, of which approximately $0.2 million was treated as an increase of rental income from operating leases and approximately three thousand dollars was treated as a reduction of property operating expenses.

During the year ended December 31, 2015, as a result of tenant default at two of the Company’s specialty hospitals, the Company recorded an impairment provision of approximately $4.7 million related to the lease intangibles as it was determined that the carrying value of these assets would more than likely not be recoverable.  

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

5. Intangibles, net (continued) 

The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2015 is as follows (in thousands):

	In-place Lease Intangibles		Above- market Leases		Below- market Ground Leases		Total Assets		Below- market Leases		Above- market Ground Leases		Total Liabilities
2016	$	42,932		1,899		320	$	45,151	$	1,577		89	$	1,666
2017		29,041		1,703		320		31,064		1,414		89		1,503
2018		17,414		1,517		320		19,251		1,257		89		1,346
2019		12,128		1,215		320		13,663		1,094		89		1,183
2020		10,124		1,005		320		11,449		866		89		955
Thereafter		38,070		3,402		10,402		51,874		3,395		2,954		6,349
	$	149,709		10,741		12,002	$	172,452	$	9,603		3,399	$	13,002

Weighted average remaining useful life as of December 31, 2015 (in years):

In-place Lease Intangibles		Above-market Leases		Below-market Ground Leases		Below-market Leases		Above-market Ground Leases
	4.7		5.9		37.6		5.5		38.1

6 Operating Leases

As of December 31, 2015, the Company owned 84 properties that were leased to tenants on a triple-net, net or modified gross basis, and accounted for as operating leases; of which, 39 are single-tenant properties that are 100% leased under operating leases and the remaining 45 are multi-tenant properties that are leased under operating leases. The Company’s leases had a weighted average remaining lease term of 7.4 years based on annualized base rents expiring between 2016 and 2038, subject to the tenants’ options to extend the lease periods ranging from two to ten years.  In addition, certain tenants hold options to extend their leases for multiple periods.

Under the terms of the Company’s triple-net lease agreements, each tenant is responsible for the payment of property taxes, general liability insurance, utilities, repairs and maintenance, including structural and roof maintenance expenses.  Each tenant is expected to pay real estate taxes directly to taxing authorities.  However, if the tenant does not pay, the Company will be liable.  The total annualized property tax assessed on these properties is approximately $2.9 million.

Under the terms of the multi-tenant lease agreements that have third-party property managers, each tenant is responsible for the payment of their proportionate share of property taxes, general liability insurance, utilities, repairs and common area maintenance. These amounts are billed monthly and recorded as tenant reimbursement income in the accompanying consolidated statements of operations.

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, as of December 31, 2015 (in thousands):

2016	$	112,660
2017		106,582
2018		99,076
2019		90,885
2020		84,552
Thereafter		437,055
	$	930,810

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

6 Operating Leases (continued) 

The above future minimum lease payments to be received excludes tenant reimbursements, straight-line rent adjustments, amortization of above- and below-market lease intangibles and base rent attributable to any renewal options exercised by the tenants in the future.  In addition, future minimum lease payments related to one of the two specialty hospitals discussed in Note 5. “Intangibles, net” have been excluded since the tenant had vacated the building as of December 31, 2015.  Refer to Note 18. “Subsequent Events” for additional information.

7. Variable Interest Entities

Consolidated VIEs — As of December 31, 2015, the Company has 17 wholly-owned subsidiaries, which are VIEs due to the following factors and circumstances:

(1) Two of these subsidiaries are single property entities, designed to own and lease their respective properties to single tenants, for which buy-out options are held by the respective tenants that are formula based.

(2) Four of these subsidiaries are single property entities, designed to own and lease their respective properties to multiple tenants, which are subject to either a ground lease or an air rights lease that include buy-out and put options held by either the tenant or landlord under the applicable lease.

(3) Eight of these subsidiaries are entities with real estate under development or completed developments in which there is either insufficient equity at risk due to the development nature of each entity or the third-party developers have an opportunity to earn promoted interest payments after certain net operating income targets and internal rate of return targets have been met.

(4) Two of these subsidiaries are joint ventures with real estate under development in which there is insufficient equity at risk due to the development nature of each joint venture.  In addition, one of the third-party developer has an opportunity to earn promoted interest payments after certain net operating income targets and internal rate of return targets have been met.

(5) One of these subsidiaries is a joint venture with equity interest that consists of non-substantive voting rights.

The Company determined it is the primary beneficiary and holds a controlling financial interest in each of the aforementioned property and development entities due to its power to direct the activities that most significantly impact the economic performance of the entities, as well as its obligation to absorb the losses and its right to receive benefits from these entities that could potentially be significant to these entities. As such, the transactions and accounts of these VIEs are included in the accompanying consolidated financial statements.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

7. Variable Interest Entities (continued) 

The aggregate carrying amount and major classifications of the consolidated assets that can be used to settle obligations of the VIEs and liabilities of the consolidated VIEs that are non-recourse to the Company as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015		2014
Assets:
Real estate investment properties, net	$	219,971	$	174,449
Real estate under development, including land	$	58,994	$	47,153
Intangibles, net	$	23,540	$	25,519
Cash	$	4,427	$	6,280
Deferred rent and lease incentives	$	6,942	$	2,978
Other assets	$	1,506	$	511
Loan costs, net	$	2,625	$	2,300
Restricted cash	$	1,461	$	5,304
Liabilities:
Mortgages and other notes payable, net	$	153,735	$	137,754
Accounts payable and accrued liabilities	$	981	$	2,317
Accrued development costs	$	10,669	$	7,951
Other liabilities	$	3,644	$	4,949
Due to related parties	$	136	$	219

The Company’s maximum exposure to loss as a result of its involvement with these VIEs is limited to its net investment in these entities which totaled approximately $148.1 million as of December 31, 2015. The Company’s exposure is limited because of the non-recourse nature of the borrowings of the VIEs.

8. Ground and Air Rights Leases

Under the terms of its ground and air rights lease agreements, the Company is responsible for the monthly rental payments. These amounts are billed monthly and recorded as property operating expenses in the accompanying consolidated statements of operations.  In some cases, the Company is able to pass this expense through to its tenants as tenant reimbursement income. The Company incurred approximately $1.7 million, $0.5 million and $0.1 million in ground and air rights lease expense for the years ended December 31, 2015, 2014 and 2013, respectively, excluding straight-line rent adjustments and amortization of above- or below-market lease intangibles.

The following is a schedule of future minimum lease payments to be paid under the ground and air rights leases for each of the next five years and thereafter, in the aggregate, as of December 31, 2015 (in thousands):

2016	$	1,957
2017		1,984
2018		2,016
2019		2,039
2020		2,061
Thereafter		113,559
	$	123,616

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

9. Contingent Purchase Price Consideration 

Capital Health Communities — In connection with the acquisition of the Capital Health Communities in 2012, the Company required that approximately $7.0 million of the purchase price be placed in an escrow account as the seller guaranteed the Company an annual return of at least $6.9 million, $7.0 million, and $7.1 million of net operating income on the acquired properties during 2013, 2014 and 2015, respectively (“Capital Health Yield Guaranty”).  As of December 31, 2015, the Company had received the maximum amount of $7.0 million available under the Capital Health Yield Guaranty.  The following table provides a roll-forward of the fair value of the contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015			2014			2013
Beginning balance	$	4,078		$	4,488		$	2,664
Contingent consideration in connection with acquisition		—			—			—
Change in fair value		321			2,191			1,824
Yield Guaranty payment received from seller		(4,399	)		(2,601	)		—
Ending balance	$	—		$	4,078		$	4,488

Medical Portfolio I — During 2013, in conjunction with the acquisition of Medical Portfolio I, the Company entered into an earn-out agreement with the seller related to Cleveland Clinic, the tenant at Chestnut Commons, whereby the tenant maintains an exercisable right to expand the leased space by an additional 10,000 square feet within 24 months of the property acquisition closing (“Chestnut Commons Earn-Out”).  The Chestnut Commons Earn-Out fee was equal to (a) the base rent due for the first full year of the lease applicable to the expansion space divided by 8% minus (b) the costs incurred by the Company in connection with the exercise by Cleveland Clinic of its option for the expansion space, including tenant improvement costs, multiplied by 50%.  The Chestnut Commons Earn-Out expired in August 2015. The following table provides a roll-forward of the fair value of the contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015			2014			2013
Beginning balance	$	(268	)	$	(507	)	$	—
Contingent consideration in connection with acquisition		—			—			(507	)
Change in fair value		268			239			—
Ending balance	$	—		$	(268	)	$	(507	)

South Bay II Communities — In conjunction with the acquisition of the South Bay II Communities, the Company entered into an agreement with the sellers whereby the purchase price is adjusted in the event that certain net operating income targets are met.  The additional consideration was determined within three months of the acquisition date and is equal to (a) the baseline net operating income divided by the baseline capitalization rates (as defined in the purchase and sale agreement) less (b) the purchase price paid at closing.  The following table provides a roll-forward of the fair value of the estimated contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015		2014			2013
Beginning balance	$	—	$	—		$	—
Contingent consideration in connection with acquisition		—		(12,395	)		—
Change in fair value		—		(1,800	)		—
Contingent consideration payment		—		14,195			—
Ending balance	$	—	$	—		$	—

Superior Residences of Panama City — In connection with the purchase of Superior Residences of Panama City, the Company entered into an earn-out agreement with the seller whereby up to $4 million in additional consideration is owed in the event that certain performance targets are met (“Panama City Earn-Out”) during the immediate 36 months post-closing.  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Panama City Earn-Out to be $3.0 million.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

9. Contingent Purchase Price Consideration (Continued) 

The Shores of Lake Phalen — In connection with the purchase of Shores of Lake Phalen, the Company entered into an earn-out agreement with the seller whereby up to $0.8 million in additional consideration is owed in the event that certain net operating income targets are met (“Shores of Lake Phalen Earn-Out”) during the immediate 12 months post-closing.  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Shores of Lake Phalen Earn-Out to be $0.8 million.

Siena Pavilion VI — In conjunction with the acquisition of Siena Pavilion VI, the Company entered into an earn-out agreement with the seller whereby up to $3.3 million in additional consideration and $0.5 million of additional tenant improvements are owed in the event that the seller is able to lease-up additional space at the property during the immediate 6 months post-closing (“Siena Pavilion VI Earn-Out”).  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Siena Pavilion VI Earn-Out to be $3.8 million.

Center One — In connection with the purchase of Center One, the Company required that approximately $2.8 million of the purchase price be placed in an escrow account as the seller provided a rent guarantee to the Company in connection with two seller leased spaces at the property for a term equal to the earlier of five years or at such time as a suitable replacement tenant can be found (“Center One Rent Guarantee”).  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Center One Rent Guarantee to be $1.0 million.

Fair Value Measurements

The fair value of the contingent purchase price consideration was based on a then-current income approach that is primarily determined based on the present value and probability of future cash flows using internal underwriting models.  The income approach further includes estimates of risk-adjusted rate of return and capitalization rates for each property.  Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurements of the estimated fair value related to the Company’s contingent purchase price consideration are categorized as Level 3 on the three-level fair value hierarchy.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

10. Indebtedness 

The following table provides details of the Company’s indebtedness as of December 31, 2015 and December 31, 2014 (in thousands):

	December 31,
	2015			2014
Mortgages payable and other notes payable:
Fixed rate debt	$	391,639		$	370,854
Variable rate debt  (1)		449,017			482,922
Mortgages and other notes payable (2)		840,656			853,776
Premium (discount), net (3)		(221	)		(215	)
Total mortgages and other notes payable, net		840,435			853,561
Credit facilities:
First Term Loan Facility (1)		175,000			175,000
Revolving Credit Facility (4)		225,000			31,403
Second Term Loan Facility (5)		260,000		―
Total borrowings	$	1,500,435		$	1,059,964

FOOTNOTES:

(1) As of December 31, 2015 and December 31, 2014, the Company had entered into interest rate swaps with notional amounts of approximately $480.7 million and $182.1 million, respectively, which were settling on a monthly basis. In addition, as of December 31, 2015 and December 31, 2014, the Company had entered into forward-starting interest rate swaps for total notional amounts of approximately $48.4 million and $269.4 million, respectively, in order to hedge the Company’s exposure to this variable rate debt in future periods.  Refer to Note 12. “Derivative Financial Instruments” for additional information.

(2) As of December 31, 2015, the Company’s mortgages and other notes payable are collateralized by 65 properties with total carrying value of approximately $1.4 billion.

(3) Premium (discount), net is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates.

(4) As of December 31, 2015 and December 31, 2014, availability under the Revolving Credit Facility was approximately $20.0 million and $14.0 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan.

(5) As of December 31, 2015, the Company had entered into an interest rate cap with a notional amount of approximately $260 million.  Refer to Note 12. “Derivative Financial Instruments” for additional information.

The following is a schedule of future principal payments and maturity for the Company’s total borrowings as of December 31, 2015 (in thousands):

2016	$	36,758
2017		262,276
2018		287,172
2019		491,631
2020		333,318
Thereafter		89,280
	$	1,500,435

As a result of the tenant default discussed in Note 5. “Intangibles, net,” the lender on the mortgage loan secured by the two specialty hospitals elected to accelerate the required debt service payments related to these properties from a 25-year to a 15-year amortization period given that the tenant did not meet the required lease coverage thresholds.  In September 2015, the Company signed an amended and restated lease agreement with a new tenant at one of the specialty hospitals and the lender re-adjusted the required debt service payments for the property back to a 25-year amortization period. The above maturities of indebtedness have been updated to reflect the amortization adjustments made by the lender for this property.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

10. Indebtedness (continued) 

The fair market value and carrying value of the mortgage and other notes payable was approximately $844.6 million and $840.4 million, respectively, and both the fair market value and carrying value of the Credit Facilities was $660.0 million as of December 31, 2015.  The fair market value and carrying value of the mortgage and other notes payable was approximately $868.5 million and $853.6 million, respectively, and both the fair market value and carrying value of the Revolving Credit Facility was $206.4 million as of December 31, 2014.  These fair market values are based on current rates and spreads the Company would expect to obtain for similar borrowings.  Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurement of the estimated fair values related to the Company’s mortgage notes payable is categorized as Level 3 on the three-level valuation hierarchy.  The estimated fair value of accounts payable and accrued liabilities approximates the carrying value as of December 31, 2015 and December 31, 2014 because of the relatively short maturities of the obligations.

In December 2014, the Company amended and restated the terms of the credit agreement with KeyBank, as administrative agent, by entering into a $230 million Revolving Credit Facility and a $175 million Term Loan Facility.  Pursuant to the Amended Credit Agreement, the Company has the ability to increase the collective borrowings under the Credit Facilities to $700 million under the accordion features of the Revolving Credit Facility, as additional properties are added to the unencumbered pool of assets.  Moreover, the Revolving Credit Facility has an initial term of 36 months plus two 12-month extension options; whereas, the Term Loan Facility has an initial term of 50 months plus one 12-month extension option.  The Credit Facilities bear interest based on 30-day LIBOR and a spread that varies with the Company’s leverage ratio.  In addition, the Company is required to make interest only payments until the respective maturity dates of the Credit Facilities as well as to pay fees ranging from 0.15% to 0.25% for unused commitments on the Revolving Credit Facility.

In May and November 2015, the Company executed amendments to the credit agreement with KeyBank, as administrative agent, related to the Credit Facilities, which adjusts certain criteria and terms for the unencumbered pool of assets supporting the Company’s Revolving Credit Facility.  The amendments allowed the Company to include additional properties in the unencumbered pool of assets, which increased the availability under the Revolving Credit Facility.

In November 2015, the company entered into a $260 million Second Term Loan Facility.  The Second Term Loan Facility has an initial term of 60 months.  The Second Term Loan Facility bears interest based on the 30-day LIBOR and a spread that varies with the Company’s leverage ratio.  In addition, the Company is required to make interest only payments until the maturity date.

All of the Company’s mortgage and construction loans contain customary financial covenants and ratios; including (but not limited to) the following: debt service coverage ratio, minimum occupancy levels, limitations on incurrence of additional indebtedness, etc.  As of December 31, 2015, the Company was in compliance with all financial covenants and ratios.

The Credit Facilities contain affirmative, negative, and financial covenants which are customary for loans of this type, including (but not limited to): (i) maximum leverage, (ii) minimum fixed charge coverage ratio, (iii) minimum consolidated net worth, (iv) restrictions on payments of cash distributions except if required by REIT requirements, (v) maximum secured indebtedness, (vi) maximum secured recourse debt, (vii) minimum unsecured interest coverage and (viii) limitations on certain types of investments and with respect to the pool of properties supporting borrowings under the Credit Facilities, minimum debt service coverage ratio, minimum weighted average occupancy, and remaining lease terms, as well as property type, MSA, operator, and asset value concentration limits.  The limitations on distributions include a limitation on the extent of allowable distributions, which are not to exceed the greater of 95% of adjusted FFO (as defined per the Credit Facilities) and the minimum amount of distributions required to maintain the Company’s REIT status.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

10. Indebtedness (continued) 

The following table provides additional details of the Company’s mortgages and other notes payable as of December 31, 2015 and 2014 (in thousands):

	Interest Rate at
	December 31,						December 31,
Property and Loan Type	2015 (1)		Payment Terms		Maturity Date (2)		2015		2014
Pacific Northwest Communities; Mortgage Loan (3)	4.30% per annum		Monthly principal and interest payments based on a 25-year amortization schedule		12/5/18		$	210,665	$	215,904
Capital Health Communities; Mortgage Loan	4.25% per annum		Monthly principal and interest payments based on a 25-year amortization schedule		1/5/20			37,889		43,684
Primrose II Communities; Mortgage Loan	3.81% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		6/1/20			22,473		22,913
Novi Orthopaedic Center; Mortgage Loan	3.61% per annum		Monthly interest only payments through June 2018; principal and interest payments thereafter based on a 25-year amortization schedule		6/15/20			19,825		—
ProMed Medical Building I; Mortgage Loan	3.64% per annum (4)		Monthly principal and interest payments based upon a 25-year amortization schedule		1/15/22			7,050		—
Primrose I Communities; Mortgage Loan  (5)	4.11% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		9/1/22			52,048		53,060
Watercrest at Mansfield; Mortgage Loan  (6)	4.68% per annum		Monthly principal and interest payments based on a total payment of $143,330		6/1/23			26,628		27,073
540 New Waverly Place; Mortgage Loan (7)	4.08% per annum		Monthly principal and interest payments based upon a 25-year amortization schedule		5/31/28			7,048		—
LaPorte Cancer Center; Mortgage Loan	4.25% per annum (through 2020)		Monthly principal and interest payments based on a 25-year amortization schedule		6/14/28			8,013		8,220
			Total fixed rate debt					391,639		370,854
Perennial Communities; Mortgage Loan		(8)		(8)		(8)		—		30,000
Medical Portfolio I Properties; Mortgage Loan		(9)		(9)		(9)		—		34,720
Lee Hughes Medical Building; Mortgage Loan	30-day LIBOR plus 1.85% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		9/5/16			18,632		19,162

136

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

10. Indebtedness (continued) 

	Interest Rate at
	December 31,			December 31,
Property and Loan Type	2015 (1)	Payment Terms	Maturity Date (2)	2015		2014
Harborchase of Villages Crossing; Construction Loan	(10)	(10)	(10)		—		16,589
Raider Ranch Development Construction Loan	30-day LIBOR plus 3.50% at 0.5% LIBOR floor	Monthly interest only payments through October 2017; principal and interest payments thereafter based on a 25-year amortization schedule	10/27/17		7,528		1
Northwest Medical Park; Mortgage Loan (11)	30-day LIBOR plus 2.30% per annum	Monthly principal and interest payments based upon a 30-year amortization schedule	10/31/17		7,008		7,129
Watercrest at Katy Construction Loan	30-day LIBOR plus 2.75% per annum	Monthly interest only payments through December 2017; principal payments thereafter based on a 30-year amortization schedule	12/27/17		10,632		—
Dogwood Forest of Acworth; Construction Loan	(12)	(12)	(12)		—		12,038
Claremont Medical Office; Mortgage Loan (13)	30-day LIBOR plus 2.60% per annum	Monthly principal and interest payments based on a 30-year amortization schedule	1/15/18		12,683		12,958
Knoxville Medical Office Properties; Mortgage Loan (14)	30-day LIBOR plus 2.50% per annum	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule	7/10/18		38,087		38,609
Calvert Medical Office Properties; Mortgage Loan (15)	30-day LIBOR plus 2.50% per annum	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule	8/29/18		25,950		26,274
Wellmore of Tega Cay; Construction Loan	30-day LIBOR plus 5.4% at 0.5% LIBOR floor	Monthly interest only payments through February 2019; principal and interest payments thereafter based on a 25-year amortization schedule	2/5/19		23,695		8,007
Memorial Hermann Orthopedic & Spine Hospital Medical Office Building; Mortgage Loan (16)	90-day LIBOR plus 2.85% at 0.4% LIBOR floor	Monthly principal and interest payments based on a 20-year amortization schedule	6/2/19		48,832		49,624
Medical Portfolio II Properties; Mortgage Loan   (17)	90-day LIBOR plus 2.35% at 0.25% LIBOR  floor	Monthly principal and interest payments based on a 25-year amortization schedule	7/14/19		83,295		85,127
HarborChase of Shorewood; Construction Loan	30-day LIBOR plus 3% at 2% LIBOR floor	Monthly interest only payments through June 2017; principal and interest payments thereafter based on a 25-year amortization schedule	7/15/19		12,469		—
Wellmore of Lexington; Construction Loan	30-day LIBOR plus 2.5% per annum	Monthly interest only payments through September 2019; principal payments thereafter based on a 30-year amortization schedule	9/13/19		—		—

137

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

10. Indebtedness (continued) 

	Interest Rate at
	December 31,			December 31,
Property and Loan Type	2015 (1)	Payment Terms	Maturity Date (2)	2015		2014
Southeast Medical Office Properties; Mortgage Loan (18)	30-day LIBOR plus 2.0% per annum	Monthly principal and interest payments based on a 25-year amortization schedule	12/22/19		160,206		142,684
Waterstone; Construction Loan	30-day LIBOR plus 3.0% per annum	Monthly interest only payments through September 2018; principal payments thereafter based on a 30-year amortization schedule	9/1/20		—		—
Fieldstone at Pear Orchard; Construction Loan	30-day LIBOR plus 2.9% per annum	Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule	10/15/20		—		—
Dogwood Forest of Grayson; Construction Loan	30-day LIBOR plus 3.0% per annum	Monthly interest only payments through December 2018; principal payments thereafter based on a 30-year amortization schedule	12/1/20		—		—
		Total variable rate debt			449,017		482,922
		Total debt		$	840,656	$	853,776

FOOTNOTES:

(1) The 30-day and 90-day LIBOR was approximately 0.43% and 0.61%, respectively, as of December 31, 2015 and approximately 0.17% and 0.25%, respectively, as of December 31, 2014.

(2) Represents the initial maturity date (or, as applicable, the maturity date as extended).  The maturity date may be extended beyond the date shown subject to certain lender conditions.

(3) The Pacific Northwest Loan may be prepaid, in whole or in part, with a prepayment premium equal to the greater of: (i) one percent (1%) of the principal amount being prepaid, multiplied by the quotient of the number of full months remaining until the maturity date of the loan (calculated as of the prepayment date) divided by the number of full months comprising the term of the loan; or (b) a “make-whole” payment equal to the present value of the loan less the amount of principal and accrued interest being prepaid calculated as of the prepayment date for the period between that date and the maturity date.

(4) Beginning January 2020, the interest rate transitions to variable rate based on 30-day LIBOR plus 2.20% per annum.

(5) If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and May 31, 2022, the prepayment penalty will be 1% of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between June 1, 2022 and maturity.  Partial prepayment of a loan is not permitted.  The loan is transferable upon sale of the assets subject to lender approval.

(6) The balance for this loan excludes a remaining premium of $0.3 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

(7) The balance for this loan excludes a remaining premium of $0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

(8) In March 2015, the Company repaid its $30.0 million outstanding mortgage loan on the Perennial Communities prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.  In addition, the corresponding interest rate swap was terminated and approximately $0.1 million related to the derecognition of the cash flow hedge was reclassified from other comprehensive loss to interest expense and loan cost amortization in the accompanying consolidated financial statements.

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CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

10. Indebtedness (continued) 

(9) In April 2015, the Company repaid its $34.5 million outstanding mortgage loan on the Medical Portfolio I Properties prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.  In addition, the corresponding interest rate swap was terminated and approximately $0.2 million related to the derecognition of the cash flow hedge was reclassified from other comprehensive loss to interest expense and loan cost amortization in the accompanying consolidated financial statements.

(10) In December 2015, the Company repaid its $16.5 million outstanding construction loan on the HarborChase of Villages Crossing property prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

(11) The Company entered into an interest rate swap with a remaining notional amount of $7.0 million; see Note 12. “Derivative Financial Instruments” for additional information.

(12) In December 2015, the Company repaid its $12.4 million outstanding construction loan on the Dogwood Forest of Acworth property prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

(13) The balance for this loan excludes a remaining discount of $0.4 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.  In addition, the Company entered into a three-year forward interest rate swap with a remaining notional amount of $12.2 million; see Note 12. “Derivative Financial Instruments” for additional information

(14) The Company entered into an interest rate swap with a remaining notional amount of $38.1 million; see Note 12. “Derivative Financial Instruments” for additional information.

(15) The Company entered into an interest rate swap with a remaining notional amount of $25.9 million; see Note 12. “Derivative Financial Instruments” for additional information.

(16) The Company entered into a three-year forward interest rate swap with a remaining notional amount of $48.4 million; see Note 12. “Derivative Financial Instruments” for additional information.

(17) The Company entered into an interest rate swap with a remaining notional amount of $83.8 million; see Note 12. “Derivative Financial Instruments” for additional information.

(18) The Company entered into an interest rate swap with a remaining notional amount of $138.7 million; see Note 12. “Derivative Financial Instruments” for additional information.

139

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

11. Related Party Arrangements 

The Company is externally advised and has no direct employees. Certain of the Company’s executive officers are executive officers of, or are on the board of managers of the Advisor.  In addition, certain directors and officers hold similar positions with CNL Securities Corp., the managing dealer of the Offerings and a wholly owned subsidiary of CNL (“Managing Dealer”).

In connection with services provided to the Company, affiliates are entitled to the following fees:

Managing Dealer — The Managing Dealer received selling commissions and marketing support fees of up to 7% and 3%, respectively, of gross offering proceeds for shares sold, excluding shares sold pursuant to the Company’s Reinvestment Plan, all or a portion of which may be paid to participating broker dealers by the Managing Dealer.

Advisor — The Advisor and certain affiliates are entitled to receive fees and compensation in connection with the acquisition, management and sale of the Company’s assets, as well as the refinancing of debt obligations of the Company or its subsidiaries. In addition, the Advisor and its affiliates are entitled to reimbursement of actual costs incurred on behalf of the Company in connection with the Company’s organizational, offering, acquisition and operating activities. Pursuant to the advisory agreement, as amended in 2013, the Advisor receives investment services fees equal to 1.85% of the purchase price of properties (including its proportionate share of properties acquired through joint ventures) for services rendered in connection with the selection, evaluation, structure and purchase of assets. In addition, the Advisor is entitled to receive a monthly asset management fee of 0.08334% of the average real estate asset value (as defined in the advisory agreement) of the Company’s properties, including its proportionate share of properties owned through joint ventures. The Advisor will also receive a financing coordination fee for services rendered with respect to refinancing of any debt obligations of the Company or its subsidiaries equal to 1.0% of the gross amount of the refinancing.

The Company will pay the Advisor a disposition fee in an amount equal to (i) in the case of the sale of real property, the lesser of (A) one-half of a competitive real estate commission, or (B) 1% of the sales price of such property, and (ii) in the case of the sale of any asset other than real property or securities, 1% of the sales price of such asset, if the Advisor, its affiliates or related parties provide a substantial amount of services, as determined by the Company’s independent directors, in connection with the sale of one or more assets (including a sale of all of its assets or the sale of it or a portion thereof). The Company will not pay its Advisor a disposition fee in connection with the sale of investments that are securities; however, a disposition fee in the form of a usual and customary brokerage fee may be paid to an affiliate or related party of the Advisor, if such affiliate is properly licensed.

Under the advisory agreement and the Company’s articles of incorporation, the Advisor will be entitled to receive certain subordinated incentive fees upon (a) sales of assets and/or (b) a listing (which would also include the receipt by the Company’s stockholders of securities that are approved for trading on a national securities exchange in exchange for shares of the Company’s common stock as a result of a merger, share acquisition or similar transaction). However, once a listing occurs, the Advisor will not be entitled to receive an incentive fee on subsequent sales of assets. The incentive fees are calculated pursuant to formulas set forth in both the advisory agreement and the Company’s articles of incorporation. All incentive fees payable to the Advisor are subordinated to the return to investors of their invested capital plus a 6% cumulative, noncompounded annual return on their invested capital. Upon termination or non-renewal of the advisory agreement by the Advisor for good reason (as defined in the advisory agreement) or by the Company other than for cause (as defined in the advisory agreement), a listing or sale of assets after such termination or non-renewal will entitle the Advisor to receive a pro-rated portion of the applicable subordinated incentive fee.

In addition, the Advisor or its affiliates may be entitled to receive fees that are usual and customary for comparable services in connection with the financing, development, construction or renovation of a property, subject to approval of the Company’s board of directors, including a majority of its independent directors.

In March 2013, the Company entered into the Advisor Expense Support Agreement pursuant to which the Advisor agreed to accept certain payments in the form of forfeitable restricted common stock of the Company in lieu of cash for asset management fees and specified expenses owed by the Company to the Advisor under the advisory agreement. The term of the Advisor Expense Support Agreement automatically renews for consecutive one year periods, subject to the right of the Advisor to terminate the Advisor Expense Support Agreement upon 30 days’ written notice to the Company.

140

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

11. Related Party Arrangements (continued) 

Commencing on April 1, 2013, the Advisor has provided expense support to the Company through forgoing the payment of fees in cash and acceptance of restricted stock for services rendered and specified expenses incurred in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable quarter, over (b) the Company’s aggregate modified funds from operations (as defined in the Advisor Expense Support Agreement). The Advisor expense support amount shall be determined for each calendar quarter, on a non-cumulative basis, on each Determination Date.

Property Manager — Pursuant to a property management agreement, as amended in 2012, the Property Manager receives property management fees of (a) 2% of annual gross rental revenues from single tenant properties, and (b) 4% of annual gross rental revenues from multi-tenant properties. In the event that the Company contracts directly with a third-party property manager, the Company may pay the Property Manager an oversight fee of up to 1% of annual gross revenues of the property managed; however, in no event will the Company pay both a property management fee and an oversight fee with respect to the same property. The Company will pay to the Property Manager a construction management fee equal to 5% of hard and soft costs associated with the initial construction or renovation of a property, or with the management and oversight of expansion projects and other capital improvements, in those cases in which the value of the construction, renovation, expansion or improvements exceeds (i) 10% of the initial purchase price of the property, and (ii) $1.0 million, which fee will be due and payable upon completion of such projects.

In August 2013, the Company entered into the Property Manager Expense Support Agreement pursuant to which the Property Manager has agreed to accept certain payments in the form of forfeitable restricted common stock of the Company in lieu of cash for property management services owed by the Company to the Property Manager under the property management and leasing agreement.

Commencing on July 1, 2013, the Property Manager is required to provide expense support to the Company through forgoing the payment of fees in cash and acceptance of restricted stock for services in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable quarter, over (b) the Company’s aggregate modified funds from operations (as defined in the Property Manager Expense Support Agreement). The Property Manager expense support amount shall be determined, on a non-cumulative basis, after the calculation of the Advisor expense support amount pursuant to the Property Manager Expense Support Agreement on each Determination Date.

Expense Support Agreements — In exchange for services rendered and in consideration of the expense support provided, the Company shall issue, within 45 days following each Determination Date, a number of shares of restricted stock equal to the quotient of the expense support amount provided by to the Advisor and Property Manager for the preceding quarter divided by the then-current public offering price per share of common stock, on the terms and conditions and subject to the restrictions set forth in the Expense Support Agreements. Any amounts deferred, and for which restricted stock shares are issued, pursuant to the Expense Support Agreements will be permanently waived and the Company will have no obligation to pay such amounts to the Advisor or the Property Manager. The Restricted Stock is subordinated and forfeited to the extent that shareholders do not receive their original invested capital back with at least a 6% annualized return of investment upon ultimate liquidity of the Company. Refer to Note 2. “Summary of Significant Accounting Policies” for treatment of issued Restricted Stock.

The Company amended the Expense Support Agreements in March 2016; refer to Note 18. “Subsequent Events” for additional information.

CNL Capital Markets Corp — CNL Capital Markets Corp., an affiliate of CNL, receives a sliding flat annual rate (payable monthly) based on the average number of investor accounts that will be open over the term of the agreement. For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $0.6 million, $0.4 million and $0.3 million in such fees, respectively. These amounts are included in general and administrative expenses in the accompanying consolidated statements of operations.

Co-venture partners — The Company paid certain amounts on behalf of its co-venture partner, Windsor Manor, of approximately $2,000 and $30,000 during the years ended December 31, 2015 and 2014.  The Company has recorded a receivable balance as of December 31, 2015 and 2014, which is included in other assets in the accompanying consolidated balance sheet.

141

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

11. Related Party Arrangements (continued) 

The Company incurs operating expenses which, in general, relate to administration of the Company on an ongoing basis.  Pursuant to the advisory agreement, the Advisor shall reimburse the Company the amount by which the total operating expenses paid or incurred by the Company exceed, in any four consecutive fiscal quarters commencing with the Expense Year ending June 30, 2013, the greater of 2% of average invested assets or 25% of net income (as defined in the advisory agreement) (“Limitation”), unless a majority of the Company’s independent directors determines that such excess expenses are justified based on unusual and non-recurring factors (“Expense Cap Test”).  In performing the Expense Cap Test, the Company uses operating expenses on a GAAP basis after making adjustments for the benefit of expense support under the Expense Support Agreements.  For the Expense Year ended December 31, 2015, the Company did not incur operating expenses in excess of the Limitation.

The Company maintains accounts totaling approximately $0.1 million as of December 31, 2015 and 2014, at a bank in which the Company’s chairman served as a director through December 2015.

In March 2015, the Company acquired Fieldstone Memory Care, a 40-unit memory care community located in Yakima, Washington for a purchase price of $12.4 million from a related party of the Company’s Sponsor.  The board of directors, including all of the independent directors, concluded that substantial justification existed to consummate the Fieldstone Memory Care acquisition.  In determining whether to approve the Fieldstone Transaction, the board of directors reviewed and took into account, among other factors it deemed appropriate, the following information, facts and circumstances:  an affiliate of CNL is the majority interest holder and managing member of the seller; the purchase price exceeds the seller’s acquisition and development costs; a March 2015 independent appraisal; and a prospective value upon reaching stabilization.

In June 2013, the Company originated an ADC Loan in the amount of $6.2 million to C4 Development, LLC (“Crosland Southeast”), a related party by virtue of a family relationship between a principal of the borrower and the Company’s vice chairman who recused himself from review and approval of the investment, for the development of an MOB in Rutland, Virginia that will function as an out-patient emergency and imaging center and was leased to Hospital Corporation of America (“HCA”). As of December 31, 2014, the Company’s ADC Loan had been fully repaid.  The Company recorded interest income for the years ended December 31, 2014 and 2013, which is included in interest income on note receivable from related party in the accompanying consolidated statements of operations.

The fees incurred by and reimbursable to the Managing Dealer in connection with the Company’s Offerings for the years ended December 31, 2015, 2014 and 2013, and related amounts unpaid as of December 31, 2015 and 2014 are as follows (in thousands):

	Years Ended December 31,						Unpaid amounts (1) as of December 31,
	2015		2014		2013		2015		2014
Selling commissions (2)	$	12,507	$	18,387	$	10,262	$	—	$	388
Marketing support fees (2)		16,242		16,429		11,310		—	555
	$	28,749	$	34,816	$	21,572	$	—	$	943

142

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

11. Related Party Arrangements (continued) 

The expenses and fees incurred by and reimbursable to the Company’s related parties for the years ended December 31, 2015, 2014 and 2013, and related amounts unpaid as of December 31, 2015 and 2014 are as follows (in thousands):

	Years Ended December 31,						Unpaid amounts (1) as of December 31,
	2015		2014		2013		2015		2014
Reimbursable expenses:
Offering costs (2)	$	3,446	$	5,151	$	4,373	$	32	$	713
Operating expenses (3)		4,192		3,206		2,576		935		479
Acquisition fees and expenses		613		614		254		12		80
		8,251		8,971		7,203		979		1,272
Investment services fees (4)		18,561		18,553		12,892		182		—
Disposition fee (5)		—		—		608		—		—
Financing coordination fees (6)		—		220		—		—		—
Property management fees (7)		3,894		2,982		1,244		418		429
Asset management fees (8)		22,837		13,612		5,089		224		355
	$	53,543	$	44,338	$	27,036	$	1,803	$	2,056

FOOTNOTES:

(1) Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

(2) Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  Amounts include approximately $25,000, $30,000 and $0.1 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively.  The reimbursement payments include components of salaries, benefits and other overhead charges.

(3) Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations.  Amounts include approximately $0.1 million, $0.2 million and $0.2 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively.  The reimbursement payments include components of salaries, benefits and other overhead charges.

(4) For the year ended December 31, 2015, the Company incurred approximately $18.6 million in investment services fees of which approximately $2.3 million, was capitalized and included in real estate under development in the accompanying consolidated balance sheets.  For the year ended December 31, 2014, the Company incurred approximately $18.6 million in investment service fees of which approximately $1.8 million was capitalized and included in real estate under development.  For the year ended December 31, 2013, the Company incurred approximately $12.9 million in investment service fees of which approximately $0.5 million and $0.1 million, respectively, were capitalized and included in investments in unconsolidated entities and real estate under development. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.

(5) Amounts are recorded as a reduction to gain on sale of investment in unconsolidated entity in the accompanying consolidated statements of operations.

(6) For the year ended December 31, 2014, the Company incurred approximately $0.2 million in financing coordination fees, which was capitalized and included in its investment in the Windsor Manor Joint Venture.  There were no financing coordination fees for the years ended December 31, 2015 and 2013.

(7) For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $3.9 million, $2.9 million and $1.2 million, respectively, in property and construction management fees payable to the Property Manager of which approximately $0.7 million, $0.9 million and $0.2 million, respectively, in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

(8) For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $22.9 million, $13.6 million and $5.1 million, respectively, in asset management fees payable to the Advisor of which approximately $4.4 million, $4.9 million and $1.4 million, respectively, were settled in accordance with the terms of the Advisor Expense Support Agreement and approximately $0.6 million , $0.3 million and $0.1 million, respectively, were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

143

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

11. Related Party Arrangements (continued) 

The following fees were settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015 (in thousands, except offering price):

	Years Ended December 31,							As of December 31,
	2015		2014		2013			2015
Asset management fees (1)	$	4,379	$	4,867	$	1,402		$	10,648
Then-current offering price or NAV (2)	$	10.19	$	10.24	$	10.00		$	9.75
Restricted stock shares (3)		423		478		140			1,041
Cash distributions on Restricted Stock (4)	$	281	$	98	$	5		$	384
Stock distributions on Restricted Stock (5)		14		7		—	(6)		21

FOOTNOTES:

(1) No other amounts have been settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015.

(2) The number of restricted stock shares granted to the Advisor in lieu of payment in cash is determined by dividing the expense support amount for the respective quarter by the then-current public offering price as of the Determination Date or by NAV, once the board of directors has made such determination after the close of the Company’s public offering.

(3) Restricted stock shares are comprised of approximately 0.8 million issued to the Advisor and approximately 0.2 million issuable to the Advisor as of December 31, 2015.  No fair value was assigned to the restricted stock shares as the shares were valued at zero, which represents the lowest possible value estimated at vesting.  In addition, the restricted stock shares were treated as unissued for financial reporting purposes because the vesting criteria had not been met as of December 31, 2015. 

(4) The cash distributions have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

(5) This represents the number of shares issued to the Advisor as stock distributions on its restricted stock shares.  The par value of the stock distributions has been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

(6) During the year ended December 31, 2013, the Advisor received 356 shares in the form of stock distributions under the terms of the Advisor Expense Support Agreement.

144

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

12. Derivative Financial Instruments 

The following summarizes the terms of the Company’s, or its equity method investments’, derivative financial instruments and the corresponding asset (liability) as of December 31, 2015 and 2014 (in thousands):

														Fair value asset (liability) as of
Notional Amount				Strike (1)			Credit Spread (1)			Trade date	Forward date	Maturity date		December 31, 2015			December 31, 2014
$	12,248	(2	)		1.3	%		2.6	%	1/17/2013	1/15/2015	1/16/2018		$	(85	)	$	(71	)
$	38,052	(2	)		2.7	%		2.5	%	9/6/2013	8/17/2015	7/10/2018		$	(1,472	)	$	(1,228	)
$	25,929	(2	)		2.8	%		2.5	%	9/6/2013	8/17/2015	8/29/2018		$	(1,086	)	$	(906	)
$	30,000	(3	)		1.1	%		2.7	%	10/22/2013	8/5/2015		(3)	$	—		$	(82	)
$	29,952	(3	)		0.9	%		4.3	%	11/13/2013	5/11/2015		(3)	$	—		$	(74	)
$	10,699	(4	)		3.0	%		—	%	6/27/2014	6/30/2014	6/30/2017		$	1		$	10
$	48,415	(2	)		2.4	%		2.9	%	8/15/2014	6/1/2016	6/2/2019		$	(1,066	)	$	(270	)
$	83,797	(2	)		2.3	%		2.4	%	9/12/2014	8/1/2015	7/15/2019		$	(2,283	)	$	(1,326	)
$	6,998	(2	)		1.2	%		2.3	%	11/12/2014	11/15/2014	10/15/2017		$	(37	)	$	(35	)
$	175,000	(2	)		1.6	%		2.0	%	12/23/2014	12/19/2014	2/19/2019		$	(1,694	)	$	(881	)
$	138,698	(2	)		1.7	%		2.0	%	1/9/2015	12/10/2015	12/22/2019		$	(1,795	)	$	—
$	260,000	(4	)		1.5	%		—	%	11/19/2015	11/19/2015	11/30/2018		$	1,988		$	—

The following summarizes the gross and net presentation of amounts related to the Company’s, or its equity method investments’, derivative financial instruments as of December 31, 2015 (in thousands):

			Gross and net amounts of asset (liability) as of December 31, 2015								Gross amounts as of December 31, 2015
Notional amount			Gross amount			Offset amount		Net amount			Financial Instruments				Cash Collateral		Net Amount
$	12,248	(2)	$	(85	)	$	—	$	(85	)	$	(85		)	$	—	$	(85	)
$	38,052	(2)	$	(1,472	)	$	—	$	(1,472	)	$	(1,472		)	$	—	$	(1,472	)
$	25,929	(2)	$	(1,086	)	$	—	$	(1,086	)	$	(1,086		)	$	—	$	(1,086	)
$	30,000	(3)	$	—		$	—	$	―		$		―		$	—	$	—
$	29,952	(3)	$	—		$	—	$	―		$		―		$	—	$	—
$	10,699	(4)	$	1		$	—	$	1		$	1			$	—	$	1
$	48,415	(2)	$	(1,066	)	$	—	$	(1,066	)	$	(1,066		)	$	—	$	(1,066	)
$	83,797	(2)	$	(2,283	)	$	—	$	(2,283	)	$	(2,283		)	$	—	$	(2,283	)
$	6,998	(2)	$	(37	)	$	—	$	(37	)	$	(37		)	$	—	$	(37	)
$	175,000	(2)	$	(1,694	)	$	—	$	(1,694	)	$	(1,694		)	$	—	$	(1,694	)
$	138,698	(2)	$	(1,795	)	$	—	$	(1,795	)	$	(1,795		)	$	—	$	(1,795	)
$	260,000	(4)	$	1,988		$	—	$	1,988		$	1,988			$	—	$	1,988

145

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

12. Derivative Financial Instruments (continued) 

The following summarizes the gross and net presentation of amounts related to the Company’s, or its equity method investments’, derivative financial instruments as of December 31, 2014 (in thousands):

			Gross and net amounts of asset (liability) as of December 31, 2014								Gross amounts as of December 31, 2014
Notional amount			Gross amount			Offset amount		Net amount			Financial Instruments			Cash Collateral		Net Amount
$	12,421	(2)	$	(71	)	$	—	$	(71	)	$	(71	)	$	—	$	(71	)
$	38,255	(2)	$	(1,228	)	$	—	$	(1,228	)	$	(1,228	)	$	—	$	(1,228	)
$	26,067	(2)	$	(906	)	$	—	$	(906	)	$	(906	)	$	—	$	(906	)
$	30,000	(3)	$	(82	)	$	—	$	(82	)	$	(82	)	$	—	$	(82	)
$	29,952	(3)	$	(74	)	$	—	$	(74	)	$	(74	)	$	—	$	(74	)
$	10,904	(4)	$	10		$	—	$	10		$	10		$	—	$	10
$	48,415	(2)	$	(270	)	$	—	$	(270	)	$	(270	)	$	—	$	(270	)
$	84,251	(2)	$	(1,326	)	$	—	$	(1,326	)	$	(1,326	)	$	—	$	(1,326	)
$	7,119	(2)	$	(35	)	$	—	$	(35	)	$	(35	)	$	—	$	(35	)
$	175,000	(2)	$	(881	)	$	—	$	(881	)	$	(881	)	$	—	$	(881	)

FOOTNOTES:

(1) The all-in rates are equal to the sum of the Strike and Credit Spread detailed above.

(2) Amounts related to interest rate swaps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

(3) The loans associated with these derivatives were repaid during the year ended December 31, 2015. Refer to Note 10. “Indebtedness” for additional information.

(4) Amounts related to the interest rate caps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

Although the Company has determined that the majority of the inputs used to value its derivative financial instruments fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with its derivatives utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by the Company and its counterparties.  The Company has assessed the significance of the impact of the credit valuation adjustments on the overall valuation of its derivative financial instruments and has determined that the credit valuation adjustments on the overall valuation adjustments are not significant to the overall valuation of its derivative financial instruments. As a result, the Company determined that its derivative financial instruments valuation in its entirety is classified in Level 2 of the fair value hierarchy. Determining fair value requires management to make certain estimates and judgments.  Changes in assumptions could have a positive or negative impact on the estimated fair values of such instruments which could, in turn, impact the Company’s or its joint venture’s results of operations.

146

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

13. Equity 

Redeemable Noncontrolling Interest:

In connection with the Watercrest at Katy joint venture described in Note 3. “Acquisitions – Real Estate Under Development,” the Company’s joint venture partner acquired a 5% noncontrolling interest that includes a put option of its membership to the Company at any time commencing on the date on which Watercrest at Katy development opens to residents and concluding on the fifth anniversary thereof, when NOI is: (a) equal to or greater than the NOI threshold established in the joint venture agreement, and (b) has been equal to or greater than the NOI threshold established in the joint venture agreement for the three calendar months immediately preceding the calendar month during which the  joint venture partner exercises the put option.  The put option is redeemable for cash at a price equal to the appraised market value (less certain transaction-related costs) at the time the put option is exercised (“Put Price”).  The Company’s maximum exposure, as a result of these redeemable equity securities, is limited to the Put Price multiplied by the joint venture partner’s 5% membership interest.

Stockholders’ Equity:

Public Offerings —

The following table details the Company’s aggregate proceeds from its Offerings as of December 31, 2015 and December 31, 2014 (in millions):

	December 31, 2015								December 31, 2014
	Subscriptions				Reinvestment Plan				Subscriptions				Reinvestment Plan
	Proceeds		Shares		Proceeds		Shares		Proceeds		Shares		Proceeds		Shares
Initial Offering	$	1,271.4		125.1	$	27.1		2.8	$	1,114.2		110.2	$	27.1		2.8
Follow-on Offering		394.6		37.4		36.8		3.7	―		―		―		―
	$	1,666.0		162.5	$	63.9		6.5	$	1,114.2		110.2	$	27.1		2.8

Stock Issuance and Offering Costs – The Company incurred costs in connection with the offering and issuance of shares, including selling commissions, marketing support fees, filing fees, legal, accounting, printing and due diligence expense reimbursements, which are recorded as stock issuance and offering costs and deducted from stockholders’ equity. In accordance with the Company’s articles of incorporation, the total amount of selling commissions, marketing support fees, and other organizational and offering costs to be paid by the Company may not exceed 15% of the aggregate gross offering proceeds.  Offering costs are generally funded by the Managing Dealer and subsequently reimbursed by the Company subject to this limitation.  For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $57.4 million, $59.8 million and $42.0 million, respectively, in stock issuance and other offering costs, as described in the discussion of selling commissions and marketing support fees and offering expenses in Note 11. “Related Party Arrangements.”

Distributions — The following table details the Company’s historical share prices in its Offerings from inception through December 31, 2015, including the prices pursuant to the Reinvestment Plan and the Company’s monthly cash and stock distributions per share:

Period	Price per Share		Reinvestment Plan Price per Share		Monthly Cash Distributions		Monthly Stock Distributions
June 27, 2011 through December 10, 2013	$	10.00	$	9.50	$	0.0333		0.0025
December 11, 2013 through November 3, 2014	$	10.14	$	9.64	$	0.0338		0.0025
November 4, 2014 through December 31, 2015 (1)	$	10.58	$	10.06	$	0.0353		(2	)

FOOTNOTES:

(1) The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

(2) The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015.

147

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

13. Equity (continued) 

For the years ended December 31, 2015, 2014 and 2013, the Company declared cash distributions of $63.2 million, $31.9 million and $14.2 million, respectively, of which $26.4 million, $14.2 million and $6.6 million, respectively, were paid in cash to stockholders and $36.8 million, $17.7 million and $7.6 million, respectively, were reinvested pursuant to the Reinvestment Plan.  In addition, for the years ended December 31, 2015, 2014 and 2013, the Company declared and made stock distributions of approximately 3.2 million, 2.4 million and 1.1 million shares of common stock, respectively.

The tax composition of the Company’s distributions declared for the years ended December 31, 2015, 2014 and 2013 were as follows:

	December 31,
Distribution Type	2015			2014			2013
Taxable as ordinary income		37.8	%		30.8	%		0.0	%
Taxable as capital gain		0.0	%		0.0	%		63.8	%
Return of capital		62.2	%		69.2	%		36.2	%

Redemptions — During the years ended December 31, 2015, 2014 and 2013, the Company received requests for the redemption of common stock of approximately 1.0 million, 0.3 million and 0.08 million shares, respectively, all of which were approved for redemption at an average price of $9.51, $9.24 and $9.25, respectively, and for a total of approximately $9.3 million, $3.0 million and $0.8, respectively.

Other comprehensive loss — The following table reflects the effect of derivative financial instruments held by Company, or its equity method investments, and included in the consolidated statements of comprehensive loss for the years ended December 31, 2015 and 2014 (in thousands):

	Gain (loss) recognized in other comprehensive loss on derivative financial instrument						Location of gain (loss) reclassified into earnings	Loss reclassified from AOCI into earnings
	Years Ended December 31,							Years Ended December 31,
Derivative Financial Instrument	2015			2014				2015			2014
Interest rate swaps	$	(4,881	)	$	(3,915	)	Interest expense and loan cost amortization	$	(4,110	)	$	(98	)
Interest rate caps		(262	)	―			Not applicable	―			―
Reclassification of interest rate swaps upon derecognition		236		―			Interest expense and loan cost amortization		(236	)	―
Reclassification of interest rate swaps due to    ineffectiveness		33		―			Interest expense and loan cost amortization		(33	)	―
Interest rate cap held by unconsolidated joint venture		(9	)		10		Not applicable	―			―
Total	$	(4,883	)	$	(3,905	)		$	(4,379	)	$	(98	)

148

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

14. Income Taxes 

For the years ended December 31, 2015, 2014 and 2013, the Company recorded net current tax expense and current deferred tax assets related to deferred income at its TRSs. The components of the income tax benefit (expense) for the years ended December 31, 2015, 2014 and 2013 were as follows (in thousands):

	Years Ended December 31,
	2015			2014			2013
Current:
Federal	$	—		$	—		$	13
State		(378	)		(361	)		—
Total current benefit (expense)		(378	)		(361	)		13
Deferred:
Federal		—			—			(25	)
State		—			—			(6	)
Total deferred expense		—			—			(31	)
Income tax expense	$	(378	)	$	(361	)	$	(18	)

Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the Company’s deferred tax assets as of years ended December 31, 2015 and 2014 are as follows:

	2015			2014
Carryforwards of net operating loss	$	5,220		$	2,361
Prepaid rent		619			437
Valuation allowance		(5,839	)		(2,798	)
Net deferred tax assets	$	—		$	—

A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows (in thousands):

	Years Ended December 31,
	2015					2014					2013
Tax benefit computed at federal statutory rate	$	23,701		35.00	%	$	18,253		35.00	%	$	6,329		35.00	%
Impact of REIT election		(23,701	)	(35.00	)%		(18,253	)	(35.00	)%		(6,344	)	(35.08	)%
State income tax expense		(378	)	(0.56	)%		(361	)	(0.69	)%		(3	)	(0.02	)%
Income tax expense	$	(378	)	(0.56	)%	$	(361	)	(0.69	)%	$	(18	)	(0.10	)%

The Company’s TRS entities had net operating loss carry-forwards for federal and state purposes of approximately $28.1 million as of year ended December 31, 2015 to offset future taxable income with approximately $0.8 million, $11.5 million and $15.7 million of the estimated net operating loss carry-forwards set to expire in 2033, 2034 and 2035, respectively.

149

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

15. Commitments and Contingencies 

From time to time, the Company may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, its business, including proceedings to enforce its contractual or statutory rights.  While the Company cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, the Company does not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on its results of operations or financial condition.

Refer to Note 4. “Real Estate Assets, net” for additional information on the remaining development budgets for the Company’s real estate under development.

Refer to Note 8. “Ground and Air Rights Leases” for information on commitments under its ground and air rights lease agreements.

Refer to Note 9. “Contingent Purchase Price Consideration” for information on potential contingent purchase price considerations related to property acquisitions.

Refer to Note 11. “Related Party Arrangements” for information on contingent restricted stock shares due to the Company’s Advisor and Property Manager in connection with the Expense Support Agreements.

16. Concentration of Credit Risk

For the years ended December 31, 2015, 2014 and 2013 the Company had the following tenant and geographical concentrations that individually accounted for 10% or more of total revenues:

	Type of	December 31,
	Concentration	2015			2014			2013
TSMM Management, LLC (1)	Tenant		5.7	%		7.7	%		26.5	%
State of Texas (2)	Geographical		16.5	%		22.1	%		5.4	%

FOOTNOTES:

(1) Includes contractual rental income from operating leases, capital reserve income, straight-line rent adjustments, and amortization of lease intangibles.  Failure of this tenant to pay contractual lease payments could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

(2) Includes rental income from operating leases, resident fees and services, and tenant reimbursement income.  Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

150

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

YEAR ENDED DECEMBER 31, 2015

17. Selected Quarterly Financial Data (Unaudited) 

The following table presents selected unaudited quarterly financial data for the years ended December 31, 2015 and 2014 (in thousands, except per share data):

2015 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	65,033		$	67,476		$	79,904		$	88,112		$	300,525
Operating loss		(7,909	)		(3,650	)		(7,925	)		(4,824	)		(24,308	)
Net loss attributable to common stockholders		(18,000	)		(13,410	)		(19,225	)		(17,420	)		(68,055	)
Weighted average number of shares outstanding     (basic and diluted) (1)		131,880			146,257			162,730			173,766			153,804
Loss per share of common stock     (basic and diluted)	$	(0.14	)	$	(0.09	)	$	(0.12	)	$	(0.10	)	$	(0.44	)
2014 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	33,275		$	42,464		$	49,660		$	55,685		$	181,084
Operating loss		(7,375	)		(3,381	)		(6,243	)		(6,179	)		(23,178	)
Net loss attributable to common stockholders		(12,523	)		(12,303	)		(12,204	)		(15,481	)		(52,511	)
Weighted average number of shares outstanding     (basic and diluted) (1)		67,526			77,426			89,597			107,705			85,710
Loss per share of common stock     (basic and diluted)	$	(0.19	)	$	(0.16	)	$	(0.14	)	$	(0.14	)	$	(0.61	)

FOOTNOTE:

(1) For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions issued are treated as if they were outstanding for all periods presented.

18. Subsequent Events

In March 2016, the Company’s board of directors approved Amended and Restated Expense Support Agreements with the Advisor and Property Manager that are effective January 1, 2016 and change the period for determining and calculating the respective affiliate’s agreement to accept restricted stock in lieu of cash from each calendar quarter, on a non-cumulative basis, to each calendar year.  In addition, the Company’s board of directors changed the declaration of cash distributions from monthly to quarterly beginning in the second quarter of 2016.

151

Item 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE 

There were no changes in or disagreements with our independent registered certified public accountants during the period ended December 31, 2015.

Item 9A. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Pursuant to Rule 13a-15(b) under the Exchange Act, under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, we conducted an evaluation of the effectiveness of our disclosure controls and procedures (as defined under Rule 13a-15(e) under the Exchange Act) as of the end of the period covered by this report. Based upon that evaluation, our management, including our principal executive officer and principal financial officer, concluded that our disclosure controls and procedures are effective as of the end of the period covered by this report.

Management’s Report on Internal Control Over Financial Reporting

Management is responsible for establishing and maintaining adequate internal control over financial reporting (as defined in Rule 13a-15(f) under the Securities Exchange Act of 1934, as amended). The Company’s internal control over financial reporting is designed to provide reasonable assurance to the Company’s management and board of directors regarding the preparation and fair presentation of published financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Based on management’s assessment, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2015 using the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in “Internal Control Integrated Framework (2013)

Pursuant to rules established by the Securities and Exchange Commission, this annual report does not include an attestation report of the Company’s independent registered public accounting firm regarding internal control over financial reporting.

Changes in Internal Control over Financial Reporting

During the most recent fiscal quarter, there was no change in our internal controls over financial reporting (as defined under Rule 13a-15(f) under the Exchange Act) that has materially affected, or is reasonably likely to materially affect, our internal controls over financial reporting.

Item 9B. OTHER INFORMATION

Effective January 1, 2016, CNL Healthcare Properties, Inc. (the “Company”) entered into a third amendment to its Expense Support and Restricted Stock Agreement with CNL Healthcare Corp., its advisor (the “Advisor Expense Support Agreement”), and a third amendment to its Expense Support and Restricted Stock Agreement with CNL Healthcare Manager Corp., its property manager (the “Property Manager Expense Support Agreement”).  The amendments to the Advisor Expense Support Agreement and the Property Manager Expense Support Agreement modify the calculation and determination from a quarterly to annual determination date and allow for expense support in a given year to be calculated based on a cumulative year-to-date basis in the event the Advisor Expense Support Agreement or the Property Manager Expense Support Agreement is terminated on a date other than a determination date, and are filed as exhibits hereto.

152

PART III

Item 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The information required by this Item is incorporated by reference to our Definitive Proxy Statement to be filed with the Commission no later than April 30, 2016.

Item 11. EXECUTIVE COMPENSATION

The information required by this Item is incorporated by reference to our Definitive Proxy Statement to be filed with the Commission no later than April 30, 2016.

Item 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

The information required by this Item is incorporated by reference to our Definitive Proxy Statement to be filed with the Commission no later than April 30, 2016.

Item 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

The information required by this Item is incorporated by reference to our Definitive Proxy Statement to be filed with the Commission no later than April 30, 2016.

Item 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The information required by this Item is incorporated by reference to our Definitive Proxy Statement to be filed with the Commission no later than April 30, 2016.

153

Item 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULE 

(a) List of Documents Filed as a Part of This Report:

(1) Index to Consolidated Financial Statements:

CNL Healthcare Properties, Inc.

Report of PricewaterhouseCoopers LLP, Independent Registered Certified Public Accounting Firm

Consolidated Balance Sheets as of December 31, 2015 and 2014

Consolidated Statements of Operations for the years ended December 31, 2015, 2014 and 2013

Consolidated Statements of Stockholders’ Equity and Redeemable Noncontrolling Interest for the years ended December 31, 2015, 2014 and 2013

Consolidated Statements of Cash Flows for the years ended December 31, 2015, 2014 and 2013

Notes to Consolidated Financial Statements

(2) Index to Financial Statement Schedules:

Schedule II – Valuation and Qualifying Accounts for the years ended December 31, 2015, 2014 and 2013

Schedule III – Real Estate and Accumulated Depreciation as of December 31, 2015

Schedule IV – Mortgage Loans on Real Estate for the years ended December 31, 2015, 2014, and 2013

(3) Index to Exhibits:

154

EXHIBIT INDEX

CNL Healthcare Properties, Inc. was formerly known as CNL Healthcare Trust, Inc., CNL Properties

Trust, Inc., and CNL Diversified Lifestyle Properties, Inc.

Exhibits:

1.1	Form of Managing Dealer Agreement (Previously filed as Exhibit 1.1 to the Pre-effective Amendment No. 2 to the Registration Statement on Form S-11 (File No. 333-196108) filed January 21, 2015 and incorporated herein by reference.)
1.2	Form of Participating Broker Agreement (Previously filed as Exhibit 1.2 to the Pre-effective Amendment No. 2 to the Registration Statement on Form S-11 (File No. 333-196108) filed January 21, 2015 and incorporated herein by reference.)
1.3	Form of Selected Dealer Agreement dated February 25, 2015, among CNL Healthcare Properties, Inc., CNL Securities Corp., CNL Healthcare Corp., CNL Financial Group, LLC and Ameriprise Financial Services, Inc. (Previously filed as Exhibit 1.3 to the Post-effective Amendment No. 2 to the Registration Statement on Form S-11 (File No. 333-196108) filed June 2, 2015 and incorporated herein by reference.)
3.1	Second Articles of Amendment and Restatement of CNL Healthcare Properties, Inc. (Previously filed as Exhibit 3.1 to the Current Report on Form 8-K filed July 2, 2013 and incorporated herein by reference.)
3.2	Third Amended and Restated Bylaws of CNL Healthcare Properties, Inc., effective June 27, 2013 (Previously filed as Exhibit 3.2 to the Current Report on Form 8-K filed July 2, 2013 and incorporated herein by reference.)
4.1	Form of Subscription Agreement (Previously filed as Appendix A to Pre-effective Amendment Two to the Registration Statement on Form S-11 (File No. 333-196108) filed January 21, 2015 and incorporated herein by reference.)
4.2	Form of Amended and Restated Distribution Reinvestment Plan (Previously filed as Exhibit 4.1 to Post-effective Amendment Number Four to the Registration Statement on Form S-11 (File No. 333-196108) filed October 2, 2015 and incorporated herein by reference.)
4.3	Form of Amended and Restated Redemption Plan (Previously filed as Appendix C to Pre-effective Amendment Two to the Registration Statement on Form S-11 (File No. 333-196108) filed January 21, 2015 and incorporated herein by reference.)
4.4	Statement regarding restrictions on transferability of shares of common stock (to appear on stock certificate or to be sent upon request and without charge to stockholders issued shares without certificates) (Previously filed as Exhibit 4.5 to the Pre-effective Amendment One to the Registration Statement on Form S-11 (File No. 333-168129) filed October 20, 2010 and incorporated herein by reference.)
10.1	Amended and Restated Limited Partnership Agreement of CNL Properties Trust, LP dated June 8, 2011 (Previously filed as Exhibit 10.1 to Pre-effective Amendment Three to the Registration Statement on Form S-11 (File No. 333-168129) filed June 10, 2011 and incorporated herein by reference.)
10.2	Advisory Agreement dated June 8, 2011, between CNL Properties Trust, Inc., CNL Properties Trust LP, and CNL Properties Corp. (Previously filed as Exhibit 10.3 to Pre-effective Amendment Three to the Registration Statement on Form S-11 (File No. 333-168129) filed June 10, 2011 and incorporated herein by reference.)
10.2.1	First Amendment to Advisory Agreement dated October 5, 2011, by and between CNL Properties Trust, Inc., CNL Properties Corp., and CNL Properties Trust, LP (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed October 5, 2011 and incorporated herein by reference.)
10.2.2	Second Amendment to Advisory Agreement dated March 20, 2013, by and among CNL Healthcare Properties, Inc., CHP Partners, LP and CNL Healthcare Corp. (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed March 26, 2013 and incorporated herein by reference.)
10.3	First Amended and Restated Property Management and Leasing Agreement dated June 28, 2012, by and between CNL Healthcare Trust, Inc., CHT Partners, LP, its various subsidiaries and CNL Healthcare Manager Corp. (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed July 2, 2012 and incorporated herein by reference.)

155

10.3.1	First Amendment to First Amended and Restated Property Management and Leasing Agreement dated April 1, 2013, by and between CNL Healthcare Properties, Inc. and CHP Partners, LP, and CNL Healthcare Manager Corp. (Previously filed as Exhibit 10.3.1 to Pre-effective Amendment Two to Form S-11 (File No. 333-196108) filed January 21, 2015 and incorporated herein by reference.)
10.4	Service Agreement dated as of June 8, 2011, by and between CNL Capital Markets Corp. and CNL Properties Trust, Inc. (Previously filed as Exhibit 10.5 to Pre-effective Amendment Three to the Registration Statement on Form S-11 (File No. 333-168129) filed June 10, 2011 and incorporated herein by reference.)
10.4.1	Second Addendum to Service Agreement dated March 20, 2013, by and between CNL Capital Markets Corp. and CNL Healthcare Properties, Inc. (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed March 26, 2013 and incorporated herein by reference.)
10.5	Expense Support and Restricted Stock Agreement effective April 1, 2013, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Corp. (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed March 26, 2013 and incorporated herein by reference.)
10.5.1	First Amendment to Expense Support and Restricted Stock Agreement dated November 7, 2013, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Corp. (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed November 26, 2013 and incorporated herein by reference.)
10.5.2	Second Amendment to Expense Support and Restricted Stock Agreement effective as of April 3, 2014, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Corp. (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed April 3, 2014 and incorporated herein by reference.)
10.5.3	Third Amendment to Expense Support and Restricted Stock Agreement effective as of January 1, 2016, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Corp. (Filed herewith.)
10.6	Expense Support and Restricted Stock Agreement effective July 1, 2013, by and among CNL Healthcare Properties, Inc. and CNL Healthcare Manager Corp. (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed August 27, 2013 and incorporated herein by reference.)
10.6.1	First Amendment to Expense Support and Restricted Stock Agreement dated November 7, 2013, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Manager Corp. (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed November 26, 2013 and incorporated herein by reference.)
10.6.2	Second Amendment to Expense Support and Restricted Stock Agreement effective as of April 3, 2014, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Manager Corp. (Previously filed as Exhibit 10.5 to the Current Report on Form 8-K filed April 3, 2014 and incorporated herein by reference.)
10.6.3	Third Amendment to Expense Support and Restricted Stock Agreement effective as of January 1, 2016, by and between CNL Healthcare Properties, Inc. and CNL Healthcare Manager Corp. (Filed herewith.)
10.7	Form of Indemnification Agreement dated April 13, 2012, between CNL Healthcare Trust, Inc. and each of James M. Seneff, Jr., Thomas K. Sittema, Bruce Douglas, Michael P. Haggerty, J. Douglas Holladay, Stephen H. Mauldin, Joseph T. Johnson, Ixchell C. Duarte and Holly J. Greer, and for J. Chandler Martin dated July 27, 2012 (Previously filed as Exhibit 99.1 to the Current Report on Form 8-K filed April 19, 2012 and incorporated herein by reference.)
10.8	Amended and Restated Revolving Credit Agreement among CHP Partners, LP as Borrower, KeyBank National Association as Administrative Agent and certain other Lenders dated December 19, 2014 (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed December 29, 2014 and incorporated herein by reference.)
10.8.1	Revolving Promissory Note made by CHP Partners, LP in the principal amount of $45,592,593 in favor of KeyBank National Association, dated December 19, 2014 (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed December 29, 2014 and incorporated herein by reference.)

156

10.8.2	Term Note made by CHP Partners, LP in the principal amount of $32,407.407 in favor of KeyBank National Association, dated December 19, 2014 (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed December 29, 2014 and incorporated herein by reference.)
10.8.3	Guaranty Agreement among the Guarantors and the Lenders referred to in the Credit Agreement, dated December 19, 2014 (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed December 29, 2014 and incorporated herein by reference.)
10.9	Purchase and Sale Agreement dated as of August 21, 2013 by and between Vancouver Bridgewood, LLC, as Seller, and CHP Partners, LP, as Purchaser (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed August 27, 2013 and incorporated herein by reference.)
10.10	Promissory Note dated February 3, 2014, made by CHP Auburn Owner, LLC and CHP Auburn WA Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $11,018,192.00 (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.11	Deed of Trust, Security Agreement and Fixture filing (Auburn – First) dated February 3, 2014, by CHP Auburn Owner, LLC and CHP Auburn WA Tenant Corp. to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America (Previously filed as Exhibit 10.5 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.12	Deed of Trust, Security Agreement and Fixture filing (Auburn – Second) dated February 3, 2014, by CHP Auburn Owner, LLC and CHP Auburn WA Tenant Corp. to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America (Previously filed as Exhibit 10.6 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.13	Recourse Liabilities Guaranty executed February 3, 2014, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Auburn Owner, LLC and CHP Auburn WA Tenant Corp. (Previously filed as Exhibit 10.7 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.14	Supplemental Guaranty executed February 3, 2014, by CHP Auburn Owner, LLC and CHP Auburn WA Tenant Corp. to The Prudential Insurance Company of America (Previously filed as Exhibit 10.8 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.15	Purchase and Sale Agreement dated October 7, 2013 among Midland Care Group, LP, Cedar Park AL Group, LP, Bryan AL Investors, LP, Bryan Senior Investors, LP, Mansfield AL Group, LP, Waterview at Mansfield Investors, L.P., Plainfield Care Group, LLC, San Angelo Care Group, LP and CHP Partners, LP (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed October 11, 2013 and incorporated herein by reference.)
10.16	First Amendment to Purchase and Sale Agreement dated November 11, 2013 among Midland Care Group LP, Cedar Park AL Group, LP, Bryan AL Investors, LP, Bryan Senior Investors, LP, Mansfield AL Group, LP, Waterview at Mansfield Investors, L.P., Plainfield Care Group, LLC, San Angelo Care Group, LP and CHP Partners, LP (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed March 6, 2014 and incorporated herein by reference.)
10.17	Second Amendment to Purchase and Sale Agreement dated as of November 21, 2013, made by and between Midland Care Group, LP, Cedar Park AL Group, LP, Bryan AL Investors, LP, Bryan Senior Investors, LP, Mansfield AL Group, LP, Waterview at Mansfield Investors, L.P., Plainfield Care Group, LLC, San Angelo Care Group, LP and CHP Partners, LP (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed March 6, 2014 and incorporated herein by reference.)
10.18	Assignment and Assumption of Purchase and Sale Agreement Bonaventure of Billings dated December 2, 2013, by and between CHP Partners, LP and CHP Billings MT Owner, LLC (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.19	Management Agreement dated December 2, 2013, between MorningStar Senior Management, LLC and CHP Billings MT Tenant Corp. (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)

157

10.20	Management Services Agreement dated December 1, 2013, by and between CHP Beaverton OR Tenant Corp. and Prestige Senior Living, LLC (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.21	Promissory Note dated December 2, 2013, made by CHP Gresham-Huntington Terrace OR Owner, LLC and CHP Gresham-Huntington Terrace OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $10,728,555.00 (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.22	Deed of Trust, Security Agreement and Fixture filing (Huntington Terrace – First) dated December 2, 2013, by CHP Gresham-Huntington Terrace OR Owner, LLC and CHP Gresham-Huntington Terrace OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America (Previously filed as Exhibit 10.6 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.23	Deed of Trust, Security Agreement and Fixture filing (Huntington Terrace – Second) dated December 2, 2013, by CHP Gresham-Huntington Terrace OR Owner, LLC and CHP Gresham-Huntington Terrace OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America (Previously filed as Exhibit 10.7 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.24	Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Gresham-Huntington Terrace OR Owner, LLC and CHP Gresham-Huntington Terrace OR Tenant Corp. (Previously filed as Exhibit 10.8 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.25	Supplemental Guaranty executed December 2, 2013, by CHP Gresham-Huntington Terrace OR Owner, LLC and CHP Gresham-Huntington Terrace OR Tenant Corp. to The Prudential Insurance Company of America (Previously filed as Exhibit 10.9 to the Current Report on Form 8-K filed December 6, 2013 and incorporated herein by reference.)
10.26	Assignment and Assumption of Purchase and Sale Agreement Auburn dated February 1, 2014, by and between CHP Partners, LP and CHP Auburn Owner, LLC (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.27	Management Services Agreement dated February 1, 2014, between Prestige Senior Living, L.L.C. and CHP Auburn WA Tenant Corp. (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed January 7, 2014 and incorporated herein by reference.)
10.28	Assignment of Purchase Agreement (Cedar Ridge) made as of February 27, 2014, by and among CHP Partners, LP, CHP Isle at Cedar Ridge TX Owner, LLC and CHP Isle at Cedar Ridge TX Tenant Corp. (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed March 6, 2014 and incorporated herein by reference.)
10.29	Deed of Trust, Assignment of Rents, Security Agreement and Fixture filing dated as of February 28, 2014, made by CHP Isle at Cedar Ridge TX Owner, LLC to Deborah Newman for the benefit of KeyBank National Association (Previously filed as Exhibit 10.6 to the Current Report on Form 8-K filed March 6, 2014 and incorporated herein by reference.)
10.30	Guaranty Agreement dated as of February 28, 2014, made by CHP Isle at Cedar Ridge TX Owner, LLC in favor of the lenders referenced in the Credit Agreement. (Previously filed as Exhibit 10.5 to the Current Report on Form 8-K filed March 6, 2014 and incorporated herein by reference.)
10.31	Assignment and Assumption of Purchase and Sale Agreement dated January 14, 2014, by and between CHP Partners, LP and CHP West Hills OR Owner, LLC (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.32	Management Services Agreement dated February 28, 2014, by and between Jerry Erwin Associates, Inc. (d/b/a JEA Senior Living) and CHP Isle at Cedar Ridge TX Tenant Corp. (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed March 6, 2014 and incorporated herein by reference.)
10.33	Management Services Agreement dated March 1, 2014, by and between Prestige Senior Living, L.L.C. and CHP Corvallis-West Hills OR Tenant Corp. (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)

158

10.34	Second Amended and Restated Loan Agreement dated as of March 3, 2014, among CHP Gresham-Huntington Terrace OR Owner, LLC, CHP Gresham-Huntington Terrace OR Tenant Corp., CHP Tualatin-Riverwood OR Owner, LLC, CHP Tualatin-Riverwood OR Tenant Corp., CHP Beaverton OR Owner, LLC, CHP Beaverton OR Tenant Corp, CHP Salem-Orchard Heights OR Owner, LLC, CHP Salem-Orchard Heights OR Tenant Corp., CHP Salem-Southern Hills OR Owner, LLC, CHP Salem-Southern Hills OR Tenant Corp, CHP Medford-Arbor Place OR Owner, LLC, CHP Medford-Arbor Place OR Tenant Corp., CHP Bend-High Desert OR Owner, LLC, CHP Bend-High Desert OR Tenant Corp., CHP Tillamook-Five Rivers OR Owner, LLC, CHP Tillamook-Five Rivers OR Tenant Corp., CHP Billings MT Owner, LLC, CHP Billings MT Tenant Corp., CHP Idaho Falls ID Owner, LLC, CHP Idaho Falls ID Tenant Corp., CHP Boise ID Owner, LLC, CHP Boise ID Tenant Corp., CHP Sparks NV Owner, LLC, CHP Sparks NV Tenant Corp., CHP Vancouver-Bridgewood WA Owner, LLC, CHP Vancouver-Bridgewood WA Tenant Corp., CHP Auburn WA Owner, LLC, CHP Auburn WA Tenant Corp., CHP Yel-Rosemont WA Owner, LLC, and CHP Yelm-Rosemont WA Tenant Corp., CHP Longview-Monticello Park WA Owner, LLC, CHP Longview-Monticello Park WA Tenant Corp., CHP Corvallis-West Hills OR Owner, LLC, CHP Corvallis-West Hills OR Tenant Corp. and The Prudential Insurance Company of America (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.35	Promissory Note dated March 3, 2014, made by CHP Corvallis-West Hills OR Owner, LLC and CHP Corvallis-West Hills OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $9,187,000.00 (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.36	Deed of Trust, Security Agreement and Fixture filing (West Hills – First) dated March 3, 2014, by CHP Corvallis-West Hills OR Owner, LLC and CHP Corvallis-West Hills OR Tenant Corp. to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America (Previously filed as Exhibit 10.5 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.37	Deed of Trust, Security Agreement and Fixture filing (West Hills – Second) dated March 3, 2014, by CHP Corvallis-West Hills OR, LLC and CHP Corvallis-West Hills OR Tenant Corp. to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America (Previously filed as Exhibit 10.6 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.38	Recourse Liabilities Guaranty executed March 3, 2014, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Corvallis-West Hills OR Owner, LLC and CHP Corvallis-West Hills OR Tenant Corp. (Previously filed as Exhibit 10.7 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.39	Supplemental Guaranty executed March 3, 2014, by CHP Corvallis-West Hills OR Owner, LLC and CHP Corvallis-West Hills OR Tenant Corp. to The Prudential Insurance Company of America (Previously filed as Exhibit 10.8 to the Current Report on Form 8-K filed March 7, 2014 and incorporated herein by reference.)
10.40	Management Services Agreement dated as of March 28, 2014, by and between CHP Legacy Ranch TX Tenant Corp. and Jerry Erwin Associates, Inc. (d/b/a JEA Senior Living) (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed April 3, 2014 and incorporated herein by reference.)
10.41	Guaranty Agreement dated as of March 28, 2014, made by CHP Legacy Ranch TX Owner, LLC, CHP Springs TX Owner, LLC and CHP Park at Plainfield IL Owner, LLC in favor of the lenders referred to in the Credit Agreement (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed April 3, 2014 and incorporated herein by reference.)
10.42	Deed of Trust, Assignment of Rents, Security Agreement and Fixture filing dated as of March 28, 2014, made by CHP Legacy Ranch TX Owner, LLC to Deborah Newman for the benefit of KeyBank National Association (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed April 3, 2014 and incorporated herein by reference.)
10.43	Management Services Agreement dated April 21, 2014, by and between CHP Watercrest at Bryan TX Tenant Corp. and RES ICD Management L.P. (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed April 22, 2014 and incorporated herein by reference.)
10.44	Management Services Agreement dated April 21, 2014, by and between CHP Isle at Watercrest-Bryan TX Tenant Corp. and Jerry Erwin Associates, Inc. (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed April 22, 2014 and incorporated herein by reference.)

159

10.45	Guaranty Agreement dated as of April 21, 2014, made by CHP Watercrest at Bryan TX Owner, LLC and CHP Isle at Watercrest-Bryan Owner, LLC in favor of Lenders (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed April 22, 2014 and incorporated herein by reference.)
10.46	Deed of Trust, Assignment of Rents, Security Agreement and Fixture Filing dated as of April 21, 2014, made by CHP Watercrest at Bryan TX Owner, LLC in favor of Deborah Newman, for the benefit of KeyBank National Association (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed April 22, 2014 and incorporated herein by reference.)
10.47	Deed of Trust, Assignment of Rents, Security Agreement and Fixture Filing dated as of April 21, 2014, made by CHP Isle at Watercrest-Bryan TX Owner, LLC in favor of Deborah Newman, for the benefit of KeyBank National Association (Previously filed as Exhibit 10.5 to the Current Report on Form 8-K filed April 22, 2014 and incorporated herein by reference.)
10.48	Management Services Agreement made as of May 5, 2014, by and between CHP Isle at Watercrest-Mansfield TX Tenant Corp. and Integrated Senior Living, LLC (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed May 8, 2014 and incorporated herein by reference.)
10.49	Guaranty Agreement dated as of May 5, 2014, made by CHP Isle at Watercrest-Mansfield TX Owner, LLC in favor of the Lenders (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed May 8, 2014 and incorporated herein by reference.)
10.50	Deed of Trust, Assignment of Rents, Security Agreement and Fixture Filing dated as of May 5, 2014, by CHP Isle at Watercrest-Mansfield TX Owner, LLC in favor of Debora Newman, for the benefit of KeyBank National Association (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed May 8, 2014 and incorporated herein by reference.)
10.51	Management Services Agreement dated as of June 30 2014, by and between CHP Watercrest at Mansfield TX Tenant Corp. and RES ICD Management, L.P. (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed July 7, 2014 and incorporated herein by reference.)
10.52	Guaranty effective as of June 30, 2014, made by CNL Healthcare Properties, Inc. for the benefit of U.S. Bank National Association, as Trustee (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed July 7, 2014 and incorporated herein by reference.)
10.53	Assumption Agreement effective as of June 30, 2014 by and among Waterview at Mansfield Investors, L.P., CHP Watercrest at Mansfield TX Owner, LLC and U.S. Bank National Association, as Trustee (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed July 7, 2014 and incorporated herein by reference.)
10.54	Amendment to Multifamily Loan and Security Agreement dated as of June 30, 2014 by and between CHP Watercrest at Mansfield TX Owner, LLC and U.S. Bank National Association, as Trustee (Previously filed as Exhibit 10.4 to the Current Report on Form 8-K filed July 7, 2014 and incorporated herein by reference.)
10.55	Amendment to Multifamily Note dated as of June 30, 2014 by and between CHP Watercrest at Mansfield TX Owner, LLC and U.S. Bank National Association, as Trustee (Previously filed as Exhibit 10.5 to the Current Report on Form 8-K filed July 7, 2014 and incorporated herein by reference.)
10.56	Purchase and Sale Agreement made and entered into as of September 18, 2014 by and among 330 Physicians Center LP, CHP Partners, LP and First American Title Insurance Company (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed September 24, 2014 and incorporated herein by reference.)
10.57	Purchase and Sale Agreement made and entered into as of September 18, 2014 by and among MedWest Outpatient Center LP, CHP Partners, LP and First American Title Insurance Company (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed September 24, 2014 and incorporated herein by reference.)
10.58	Purchase and Sale Agreement dated as of January 9, 2015 by and among UT Cancer Institute Building L.P., CHP Partners, LP and First American Title Insurance Company (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed January 15, 2015 and incorporated herein by reference.)

160

10.59	Third Amendment to Credit Agreement dated as of November 19, 2015 by and between CHP Partners, LP, as borrower, and KeyBank National Association, as agent for itself and the other lenders (Previously filed as Exhibit 10.1 to the Current Report on Form 8-K filed November 19, 2015 and incorporated herein by reference.)
10.60	Term Loan Agreement dated as of November 19, 2015 by and among CHP Partners, LP, as borrower, KeyBank National Association, as administrative agent, and certain lenders (Previously filed as Exhibit 10.2 to the Current Report on Form 8-K filed November 19, 2015 and incorporated herein by reference.)
10.61	Guaranty Agreement dated as of November 19, 2015 by CNL Healthcare Properties, Inc. and certain of its subsidiaries (Previously filed as Exhibit 10.3 to the Current Report on Form 8-K filed November 19, 2015 and incorporated herein by reference.)
10.62	Schedule of Omitted Documents (Filed herewith.)
21.1	Subsidiaries of the Registrant (Filed herewith.)
23.1	Consent of Independent Registered Certified Public Accounting Firm - PricewaterhouseCoopers LLP. (Filed herewith.)
31.1	Certification of Chief Executive Officer of CNL Healthcare Properties, Inc., Pursuant to Rule 13a-14(a), as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. (Filed herewith.)
31.2	Certification of Chief Financial Officer of CNL Healthcare Properties, Inc., Pursuant to Rule 13a-14(a), as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. (Filed herewith.)
32.1	Certification of Chief Executive Officer and Chief Financial Officer of CNL Healthcare Properties, Inc., Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. (Filed herewith.)
101	The following materials from CNL  Healthcare Properties, Inc., Annual Report on Form 10-K for the year ended December 31, 2015, formatted in XBRL (Extensible Business Reporting Language); (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Comprehensive Loss, (iv) Consolidated Statements of Stockholders’ Equity and Redeemable Noncontrolling Interest, (v) Consolidated Statements of Cash Flows and (vi) Notes  to the Consolidated Financial Statements.

161

SIGNATURES

Pursuant to the requirements 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 the 16th day of March 2016.

CNL HEALTHCARE PROPERTIES, INC.
By:	/s/ Stephen H. Mauldin
	STEPHEN H. MAULDIN
	Chief Executive Officer and President

By:	/s/ Kevin R. Maddron
	KEVIN R. MADDRON
	Chief Financial Officer, Treasurer and Chief Operating Officer

162

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 and on the dates indicated.

Signature	Title	Date
/s/    James M. Seneff, Jr.	Chairman of the Board	March 16, 2016
JAMES M. SENEFF, JR.
/s/    Thomas K. Sittema	Vice Chairman of the Board	March 16, 2016
THOMAS K. SITTEMA
/s/   Michael P. Haggerty	Independent Director	March 16, 2016
MICHAEL P. HAGGERTY
/s/   J. Douglas Holladay	Independent Director	March 16, 2016
J. DOUGLAS HOLLADAY
/s/   J. Chandler Martin	Independent Director	March 16, 2016
J. CHANDLER MARTIN
/s/    Stephen H. Mauldin	Chief Executive Officer (Principal Executive Officer)	March 16, 2016
STEPHEN H. MAULDIN
/s/   Kevin R. Maddron	Chief Financial Officer, Treasurer and Chief Operating Officer (Principal Financial Officer)	March 16, 2016
KEVIN R. MADDRON
/s/   Ixchell C. Duarte	Senior Vice President and Chief Accounting Officer (Principal Accounting Officer)	March 16, 2016
IXCHELL C. DUARTE

Supplemental Information to be Furnished With Reports Filed Pursuant to Section 15(d) of the Act by Registrants Which Have Not Registered Securities Pursuant to Section 12 of the Act

As of the date of this report, we have not sent any annual reports or proxy materials to our stockholders. We intend to deliver (i) our annual report to stockholders, prepared pursuant to Rule 14a-3 for the fiscal year ended December 31, 2015 (the “Annual Report”) and (ii) our Definitive Proxy Statement and related proxy materials for our 2016 Annual Meeting (collectively the “Proxy Materials”) to our stockholders subsequent to the filing of this report.  We will furnish copies of the Annual Report and the Proxy Materials to the SEC when we deliver such materials to our stockholders.

163

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE II – VALUATION AND QUALIFYING ACCOUNTS

YEARS ENDED DECEMBER 31, 2015, 2014 AND 2013 (in thousands)

Year	Description	Balance at Beginning of Year		Charged to Costs and Expenses		Charged to Other Accounts		Balance at End of Year
2013	Deferred tax asset valuation allowance	$	—	$	(597)	$	—	$	(597)
		$	—	$	(597)	$	—	$	(597)
2014	Deferred tax asset valuation allowance	$	(597)	$	(2,201)	$	—	$	(2,798)
		$	(597)	$	(2,201)	$	—	$	(2,798)
2015	Deferred tax asset valuation allowance	$	(2,798)	$	(3,041)	$	—	$	(5,839)
	Allowance for doubtful accounts		—		(1,170)		—		(1,170)
		$	(2,798)	$	(4,211)	$	—	$	(7,009)

164

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

AS OF DECEMBER 31, 2015 (in thousands)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building  and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Primrose Retirement Community of Casper
Casper, Wyoming	$	12,031	$	1,910	$	16,310	$	—	$	9	$	—	$	1,910	$	16,319	$	—	$	18,229	$	(1,653	)	2004	2/16/2012		(1	)
Primrose Retirement Community of Grand Island
Grand Island, Nebraska	$	8,487	$	719	$	12,140	$	25	$	—	$	—	$	744	$	12,140	$	—	$	12,884	$	(1,284	)	2005	2/16/2012		(1	)
Primrose Retirement Community of Mansfield
Mansfield, Ohio	$	11,548	$	650	$	16,720	$	228	$	6	$	—	$	878	$	16,726	$	—	$	17,604	$	(1,756	)	2007	2/16/2012		(1	)
Primrose Retirement Community of Marion
Marion, Ohio	$	9,579	$	889	$	16,305	$	—	$	—	$	—	$	889	$	16,305	$	—	$	17,194	$	(1,705	)	2006	2/16/2012		(1	)
Sweetwater Retirement Community
Billings, Montana		10,403	$	1,578	$	14,205	$	20	$	—	$	—	$	1,598	$	14,205	$	—	$	15,803	$	(1,449	)	2006	2/16/2012		(1	)
HarborChase of Villages Crossing
Lady Lake, Florida ("The Villages")	$	—	$	2,165	$	—	$	986	$	15,424	$	—	$	3,151	$	15,424	$	—	$	18,575	$	(843	)	2013	8/29/2012		(1	)
Dogwood Forest of Acworth
Acworth, Georgia	$	—	$	1,750	$	—	$	277	$	15,994	$	—	$	2,027	$	15,994	$	—	$	18,021	$	(617	)	(3)	12/18/2012		(1	)
Primrose Retirement Community Cottages
Aberdeen, South Dakota	$	—	$	311	$	3,794	$	—	$	—	$	—	$	311	$	3,794	$	—	$	4,105	$	(316	)	2005	12/19/2012		(1	)
Primrose Retirement Community of Council Bluffs
Council Bluffs, Iowa ("Omaha")	$	—	$	1,144	$	11,117	$	—	$	—	$	—	$	1,144	$	11,117	$	—	$	12,261	$	(951	)	2008	12/19/2012		(1	)
Primrose Retirement Community of Decatur
Decatur, Illinois	$	10,558	$	513	$	16,706	$	—	$	—	$	—	$	513	$	16,706	$	—	$	17,219	$	(1,358	)	2009	12/19/2012		(1	)
Primrose Retirement Community of Lima
Lima, Ohio	$	—	$	944	$	17,115	$	8	$	4	$	—	$	952	$	17,119	$	—	$	18,071	$	(1,396	)	2006	12/19/2012		(1	)
Primrose Retirement Community of Zanesville
Zanesville, Ohio	$	11,915	$	1,184	$	17,292	$	—	$	—	$	—	$	1,184	$	17,292	$	—	$	18,476	$	(1,411	)	2008	12/19/2012		(1	)
Symphony Manor
Baltimore, Maryland	$	12,131	$	2,319	$	19,444	$	—	$	78	$	—	$	2,319	$	19,522	$	—	$	21,841	$	(1,564	)	2011	12/21/2012		(1	)
Curry House Assisted Living & Memory Care
Cadillac, Michigan	$	6,253	$	995	$	11,072	$	—	$	—	$	—	$	995	$	11,072	$	—	$	12,067	$	(901	)	1966	12/21/2012		(1	)
Tranquillity at Fredericktowne
Frederick, Maryland	$	6,032	$	808	$	14,291	$	—	$	97	$	235	$	808	$	14,388	$	235	$	15,431	$	(1,149	)	2000	12/21/2012		(1	)
Brookridge Heights Assisted Living & Memory Care
Marquette, Michigan	$	6,189	$	595	$	11,339	$	—	$	31	$	94	$	595	$	11,370	$	94	$	12,059	$	(909	)	1998	12/21/2012		(1	)
Woodholme Gardens Assisted Living & Memory Care
Pikesville, Maryland ("Baltimore")	$	7,285	$	1,603	$	13,472	$	—	$	—	$	—	$	1,603	$	13,472	$	—	$	15,075	$	(1,092	)	2010	12/21/2012		(1	)
Batesville Healthcare Center
Batesville, Arkansas	$	—	$	397	$	5,382	$	—	$	—	$	—	$	397	$	5,382	$	—	$	5,779	$	(362	)	1975	5/31/2013		(1	)
Broadway Healthcare Center
West Memphis, Arkansas	$	—	$	438	$	10,560	$	—	$	77	$	—	$	438	$	10,637	$	—	$	11,075	$	(721	)	1994	5/31/2013		(1	)

165

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Jonesboro Healthcare Center
Jonesboro, Arkansas	$	—	$	527	$	13,493	$	—	$	5	$	—	$	527	$	13,498	$	—	$	14,025	$	(908	)	2012	5/31/2013		(1	)
Magnolia Healthcare Center
Magnolia, Arkansas	$	—	$	421	$	10,454	$	—	$	—	$	—	$	421	$	10,454	$	—	$	10,875	$	(716	)	2009	5/31/2013		(1	)
Mine Creek Healthcare Center
Nashville, Arkansas	$	—	$	135	$	2,942	$	11	$	10	$	—	$	146	$	2,952	$	—	$	3,098	$	(209	)	1978	5/31/2013		(1	)
Searcy Healthcare Center
Searcy, Arkansas	$	—	$	648	$	6,017	$	—	$	50	$	—	$	648	$	6,067	$	—	$	6,715	$	(420	)	1973	5/31/2013		(1	)
LaPorte Cancer Center
Westville, Indiana	$	8,013	$	433	$	10,846	$	—	$	—	$	—	$	433	$	10,846	$	—	$	11,279	$	(750	)	2010	6/14/2013		(1	)
Jefferson Medical Commons
Jefferson City, Tennessee ("Knoxville")	$	7,719	$	151	$	10,236	$	—	$	162	$	—	$	151	$	10,398	$	—	$	10,549	$	(681	)	2001	7/10/2013		(1	)
Physicians Plaza A at North Knoxville Medical Center
Powell, Tennessee ("Knoxville")	$	12,044	$	262	$	16,976	$	—	$	—	$	—	$	262	$	16,976	$	—	$	17,238	$	(1,132	)	2005	7/10/2013		(1	)
Physicians Plaza B at North Knoxville Medical Center
Powell, Tennessee ("Knoxville")	$	14,487	$	303	$	18,754	$	—	$	318	$	—	$	303	$	19,072	$	—	$	19,375	$	(1,255	)	2008	7/10/2013		(1	)
Physicians Regional Medical Center - Central Wing Annex
Knoxville, Tennessee	$	3,838	$	73	$	5,285	$	—	$	—	$	—	$	73	$	5,285	$	—	$	5,358	$	(351	)	2004	7/10/2013		(1	)
HarborChase of Jasper
Jasper, Alabama	$	—	$	355	$	6,358	$	—	$	1	$	—	$	355	$	6,359	$	—	$	6,714	$	(408	)	1998	7/31/2013		(1	)
Chestnut Commons MOB
Elyria, Ohio ("Cleveland")	$	—	$	2,053	$	15,650	$	—	$	—	$	—	$	2,053	$	15,650	$	—	$	17,703	$	(1,077	)	2008	8/16/2013		(1	)
Doctors Specialty Hospital
Leawood, Kansas ("Kansas City")	$	—	$	924	$	5,771	$	16	$	—	$	—	$	940	$	5,771	$	—	$	6,711	$	(385	)	2001	8/16/2013		(1	)
Escondido Medical Arts Center
Escondido, California ("San Diego")	$	—	$	1,863	$	12,199	$	—	$	23	$	—	$	1,863	$	12,222	$	—	$	14,085	$	(754	)	1994	8/16/2013		(1	)
John C. Lincoln Medical Office Plaza I
Phoenix, Arizona	$	—	$	233	$	2,779	$	—	$	34	$	—	$	233	$	2,813	$	—	$	3,046	$	(200	)	1980	8/16/2013		(1	)
John C. Lincoln Medical Office Plaza II
Phoenix, Arizona	$	—	$	138	$	1,908	$	—	$	—	$	—	$	138	$	1,908	$	—	$	2,046	$	(138	)	1984	8/16/2013		(1	)
North Mountain Medical Plaza
Phoenix, Arizona	$	—	$	297	$	4,079	$	—	$	—	$	—	$	297	$	4,079	$	—	$	4,376	$	(290	)	1994	8/16/2013		(1	)
Raider Ranch
Lubbock, Texas	$	—	$	1,992	$	48,818	$	—	$	—	$	—	$	1,992	$	48,818	$	—	$	50,810	$	(2,999	)	2009	8/29/2013		(1	)
The Club at Raider Ranch Development
Lubbock, Texas	$	7,528	$	3,000	$	—	$	170	$	4,905	$	7,824	$	3,170	$	4,905	$	7,824	$	15,899	$	—		(3)	8/29/2013		(1	)

166

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Town Village
Oklahoma City, Oklahoma	$	—	$	1,020	$	19,847	$	—	$	45	$	—	$	1,020	$	19,892	$	—	$	20,912	$	(1,205	)	2004	8/29/2013	(1)
Calvert Medical Arts Center
Prince Frederick, Maryland ("Washington D.C.")	$	12,427	$	20	$	17,838	$	1	$	72	$	—	$	21	$	17,910	$	—	$	17,931	$	(1,077	)	2009	8/30/2013	(1)
Calvert MOBs I, II & III
Prince Frederick, Maryland ("Washington D.C.")	$	10,554	$	51	$	14,334	$	—	$	319	$	—	$	51	$	14,653	$	—	$	14,704	$	(890	)	1991/1999/2000	8/30/2013	(1)
Dunkirk Medical Center
Dunkirk, Maryland ("Washington D.C.")	$	2,970	$	351	$	2,991	$	—	$	10	$	—	$	351	$	3,001	$	—	$	3,352	$	(235	)	1997	8/30/2013	(1)
Prestige Senior Living Beaverton Hills
Beaverton, Oregon ("Portland")	$	9,235	$	1,387	$	10,324	$	—	$	—	$	—	$	1,387	$	10,324	$	—	$	11,711	$	(579	)	2000	12/2/2013	(1)
Prestige Senior Living High Desert
Bend, Oregon	$	7,988	$	835	$	11,252	$	—	$	—	$	—	$	835	$	11,252	$	—	$	12,087	$	(656	)	2003	12/2/2013	(1)
MorningStar of Billings
Billings, Montana	$	19,673	$	4,067	$	41,373	$	5	$	2	$	—	$	4,072	$	41,375	$	—	$	45,447	$	(2,441	)	2009	12/2/2013	(1)
MorningStar of Boise
Boise, Idaho	$	21,000	$	1,663	$	35,752	$	12	$	—	$	—	$	1,675	$	35,752	$	—	$	37,427	$	(1,991	)	2007	12/2/2013	(1)
Prestige Senior Living Huntington Terrace
Gresham, Oregon ("Portland")	$	10,229	$	1,236	$	12,083	$	—	$	6	$	—	$	1,236	$	12,089	$	—	$	13,325	$	(688	)	2000	12/2/2013	(1)
MorningStar of Idaho Falls
Idaho Falls, Idaho	$	17,966	$	2,006	$	40,397	$	5	$	—	$	—	$	2,011	$	40,397	$	—	$	42,408	$	(2,294	)	2009	12/2/2013	(1)
Prestige Senior Living Arbor Place
Medford, Oregon	$	8,224	$	355	$	14,083	$	—	$	—	$	—	$	355	$	14,083	$	—	$	14,438	$	(782	)	2003	12/2/2013	(1)
Prestige Senior Living Orchard Heights
Salem, Oregon	$	12,351	$	545	$	15,544	$	—	$	18	$	—	$	545	$	15,562	$	—	$	16,107	$	(856	)	2002	12/2/2013	(1)
Prestige Senior Living Southern Hills
Salem, Oregon	$	7,506	$	653	$	10,753	$	—	$	—	$	—	$	653	$	10,753	$	—	$	11,406	$	(605	)	2001	12/2/2013	(1)
MorningStar of Sparks
Sparks, Nevada ("Reno")	$	23,811	$	3,986	$	47,968	$	—	$	3	$	—	$	3,986	$	47,971	$	—	$	51,957	$	(2,750	)	2009	12/2/2013	(1)
Prestige Senior Living Five Rivers
Tillamook, Oregon	$	7,738	$	1,298	$	14,064	$	—	$	48	$	—	$	1,298	$	14,112	$	—	$	15,410	$	(837	)	2002	12/2/2013	(1)
Prestige Senior Living Riverwood
Tualatin, Oregon ("Portland")	$	4,489	$	1,028	$	7,429	$	—	$	37	$	—	$	1,028	$	7,466	$	—	$	8,494	$	(434	)	1999	12/2/2013	(1)
Chula Vista Medical Arts Center - Plaza II
Chula Vista, California ("San Diego")	$	—	$	2,462	$	7,453	$	—	$	331	$	—	$	2,462	$	7,784	$	—	$	10,246	$	(418	)	1985	12/23/2013	(1)
Coral Springs MOB I
Coral Springs, Florida	$	—	$	2,614	$	11,220	$	—	$	—	$	—	$	2,614	$	11,220	$	—	$	13,834	$	(664	)	2005	12/23/2013	(1)
Coral Springs MOB II
Coral Springs, Florida	$	—	$	2,614	$	12,130	$	1	$	—	$	—	$	2,615	$	12,130	$	—	$	14,745	$	(663	)	2008	12/23/2013	(1)

167

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Chula Vista Medical Arts Center - Plaza I
Chula Vista, California ("San Diego")	$	—	$	6,130	$	10,293	$	3	$	200	$	—	$	6,133	$	10,493	$	—	$	16,626	$	(543	)	1975	1/21/2014	(1)
Prestige Senior Living Auburn Meadows
Auburn, Washington ("Seattle")	$	10,549	$	2,537	$	17,261	$	—	$	—	$	—	$	2,537	$	17,261	$	—	$	19,798	$	(905	)	2003/2010	2/3/2014	(1)
Prestige Senior Living Bridgewood
Vancouver, Washington ("Portland")	$	13,188	$	1,603	$	18,172	$	—	$	—	$	—	$	1,603	$	18,172	$	—	$	19,775	$	(945	)	2001	2/3/2014	(1)
Prestige Senior Living Monticello Park
Longview, Washington	$	18,401	$	1,981	$	23,056	$	—	$	—	$	—	$	1,981	$	23,056	$	—	$	25,037	$	(1,183	)	2001/2010	2/3/2014	(1)
Prestige Senior Living Rosemont
Yelm, Washington	$	9,503	$	668	$	14,564	$	—	$	—	$	—	$	668	$	14,564	$	—	$	15,232	$	(739	)	2004	2/3/2014	(1)
Wellmore of Tega Cay
Tega Cay, South Carolina ("Charlotte")	$	23,695	$	2,445	$	—	$	2,733	$	23,380	$	—	$	5,178	$	23,380	$	—	$	28,558	$	(391	)	(3)	2/7/2014	(1)
Isle at Cedar Ridge
Cedar Park, Texas ("Austin")	$	—	$	1,525	$	16,277	$	—	$	10	$	—	$	1,525	$	16,287	$	—	$	17,812	$	(834	)	2011	2/28/2014	(1)
Prestige Senior Living West Hills
Corvallis, Oregon	$	8,815	$	842	$	12,603	$	—	$	—	$	—	$	842	$	12,603	$	—	$	13,445	$	(644	)	2002	3/3/2014	(1)
HarborChase of Plainfield
Plainfield, Illinois	$	—	$	1,596	$	21,832	$	—	$	—	$	—	$	1,596	$	21,832	$	—	$	23,428	$	(1,036	)	2010	3/28/2014	(1)
Legacy Ranch Alzheimer's Special Care Center
Midland, Texas	$	—	$	917	$	9,982	$	—	$	—	$	—	$	917	$	9,982	$	—	$	10,899	$	(483	)	2012	3/28/2014	(1)
The Springs Alzheimer's Special Care Center
San Angelo, Texas	$	—	$	595	$	9,658	$	—	$	—	$	—	$	595	$	9,658	$	—	$	10,253	$	(467	)	2012	3/28/2014	(1)
Isle at Watercrest - Bryan
Bryan, Texas	$	—	$	714	$	18,140	$	4	$	6	$	—	$	718	$	18,146	$	—	$	18,864	$	(809	)	2011	4/21/2014	(1)
Watercrest at Bryan
Bryan, Texas	$	—	$	2,509	$	22,441	$	4	$	14	$	—	$	2,513	$	22,455	$	—	$	24,968	$	(1,084	)	2009	4/21/2014	(1)
Isle at Watercrest - Mansfield
Mansfield, Texas ("Dallas/Fort Worth")	$	—	$	997	$	24,635	$	—	$	—	$	—	$	997	$	24,635	$	—	$	25,632	$	(1,090	)	2011	5/5/2014	(1)
Memorial Hermann Orthopedic & Spine Hospital
Bellaire, Texas ("Houston")	$	31,480	$	3,867	$	32,761	$	—	$	—	$	—	$	3,867	$	32,761	$	—	$	36,628	$	(1,353	)	2007	6/2/2014	(1)
MHOSH MOB
Bellaire, Texas ("Houston")	$	17,348	$	3,738	$	20,525	$	—	$	170	$	—	$	3,738	$	20,695	$	—	$	24,433	$	(859	)	2007	6/2/2014	(1)
Watercrest at Katy
Katy, Texas ("Houston")	$	10,632	$	4,000	$	—	$	—	$	—	$	22,565	$	4,000	$	—	$	22,565	$	26,565	$	—		(3)	6/27/2014	(1)
Watercrest at Mansfield
Mansfield, Texas ("Dallas/Fort Worth")	$	26,628	$	2,191	$	42,740	$	—	$	56	$	—	$	2,191	$	42,796	$	—	$	44,987	$	(1,718	)	2010	6/30/2014	(1)

168

			Initial Costs				Costs Capitalized Subsequent to Acquisition							Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement
	Encum-		Land & Land Improve-		Building and Building Improve-		Land & Land Improve-		Building and Building Improve-			Construc- tion in		Land & Land Improve-		Building and Building Improve-		Construc- tion in				Accumu- lated Depreci-			Date of	Date
Property/Location	brances		ments		ments		ments		ments			Process		ments		ments		Process		Total		ation			Construction	Acquired	is computed
HarborChase of Shorewood
Shorewood, Wisconsin ("Milwaukee")	$	12,469	$	2,200	$	—	$	294	$	19,805		$	—	$	2,494	$	19,805	$	—	$	22,299	$	(44	)	(3)	7/8/2014	(1)
Oklahoma City Inpatient Rehabilitation Hospital
Oklahoma City, Oklahoma	$	16,203	$	3,341	$	19,249	$	—	$	—		$	—	$	3,341	$	19,249	$	—	$	22,590	$	(814	)	2012	7/15/2014	(1)
Las Vegas Inpatient Rehabilitation Hospital
Las Vegas, Nevada	$	14,163	$	2,650	$	16,979	$	—	$	—		$	—	$	2,650	$	16,979	$	—	$	19,629	$	(726	)	2007	7/15/2014	(1)
South Bend Inpatient Rehabilitation Hospital
Mishawaka, Indiana ("South Bend")	$	12,860	$	2,339	$	16,239	$	—	$	—		$	—	$	2,339	$	16,239	$	—	$	18,578	$	(703	)	2009	7/15/2014	(1)
Beaumont Specialty Hospital
Beaumont, Texas ("Houston")	$	21,347	$	2,749	$	28,863	$	—	$	—		$	—	$	2,749	$	28,863	$	—	$	31,612	$	(1,102	)	2013	8/15/2014	(1)
Hurst Specialty Hospital
Hurst, Texas ("Dallas/Fort Worth")	$	18,722	$	2,510	$	24,091	$	—	$	—		$	—	$	2,510	$	24,091	$	—	$	26,601	$	(921	)	2004/2012	8/15/2014	(1)
Claremont Medical Office
Claremont, CA ("Los Angeles")	$	12,683	$	6,324	$	13,533	$	—	$	—		$	—	$	6,324	$	13,533	$	—	$	19,857	$	(532	)	2008	8/29/2014	(1)
Lee Hughes MOB
Glendale, California ("Los Angeles")	$	18,632	$	69	$	22,967	$	—	$	17		$	—	$	69	$	22,984	$	—	$	23,053	$	(743	)	2008	9/29/2014	(1)
Newburyport Medical Center
Newburyport, Massachusetts ("Boston")	$	—	$	2,614	$	12,135	$	—	$	—		$	—	$	2,614	$	12,135	$	—	$	14,749	$	(432	)	2008	10/31/2014	(1)
Northwest Medical Park Building
Margate, Florida ("Fort Lauderdale")	$	7,008	$	610	$	6,170	$	—	$	—		$	—	$	610	$	6,170	$	—	$	6,780	$	(232	)	2004	10/31/2014	(1)
Fairfield Village of Layton
Layton, Utah ("Salt Lake City")	$	—	$	5,217	$	54,167	$	—	$		5	$	—	$	5,217	$	54,172	$	—	$	59,389	$	(1,667	)	2010	11/20/2014	(1)
ProMed Building I
Yuma, Arizona	$	7,050	$	2,486	$	6,728	$	—	$	—		$	—	$	2,486	$	6,728	$	—	$	9,214	$	(201	)	2006	12/19/2014	(1)
Midtown Medical Plaza
Charlotte, North Carolina	$	29,378	$	10	$	51,237	$	—	$		3	$	—	$	10	$	51,240	$	—	$	51,250	$	(1,314	)	1994	12/22/2014	(1)
Presbyterian Medical Tower
Charlotte, North Carolina	$	19,528	$	40	$	32,345	$	—	$	—		$	—	$	40	$	32,345	$	—	$	32,385	$	(832	)	1989	12/22/2014	(1)
Metroview Professional Building
Charlotte, North Carolina	$	9,276	$	11	$	15,910	$	—	$	—		$	—	$	11	$	15,910	$	—	$	15,921	$	(409	)	1971	12/22/2014	(1)
Physicians Plaza Huntersville
Huntersville, North Carolina ("Charlotte")	$	16,306	$	520	$	26,134	$	—	$	—		$	—	$	520	$	26,134	$	—	$	26,654	$	(705	)	2004	12/22/2014	(1)
Matthews Medical Office Building
Matthews, North Carolina ("Charlotte")	$	11,441	$	350	$	19,624	$	—	$	—		$	—	$	350	$	19,624	$	—	$	19,974	$	(527	)	1994	12/22/2014	(1)
Outpatient Care Center
Clyde, North Carolina ("Asheville")	$	10,690	$	1,169	$	12,079	$	—	$	—		$	—	$	1,169	$	12,079	$	—	$	13,248	$	(317	)	2012	12/22/2014	(1)

169

			Initial Costs				Costs Capitalized Subsequent to Acquisition							Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement
	Encum-		Land & Land Improve-		Building and Building Improve-		Land & Land Improve-		Building and Building Improve-			Construc- tion in		Land & Land Improve-		Building and Building Improve-		Construc- tion in				Accumu- lated Depreci-			Date of	Date
Property/Location	brances		ments		ments		ments		ments			Process		ments		ments		Process		Total		ation			Construction	Acquired	is computed
330 Physicians Center
Rome, Georgia	$	19,901	$	12	$	26,868	$	—	$	—		$	—	$	12	$	26,868	$	—	$	26,880	$	(690	)	1987/2005	12/22/2014	(1)
Spivey Station Physicians Center
Atlanta, Georgia	$	9,735	$	1,026	$	12,246	$	—	$	—		$	—	$	1,026	$	12,246	$	—	$	13,272	$	(345	)	2007	12/22/2014	(1)
Spivey Station ASC Building
Atlanta, Georgia	$	12,448	$	929	$	13,769	$	—	$	—		$	—	$	929	$	13,769	$	—	$	14,698	$	(381	)	2009	12/22/2014	(1)
Novi Orthopaedic Center
Novi, Michigan	$	19,825	$	1,314	$	26,239	$	—	$	—		$	—	$	1,314	$	26,239	$	—	$	27,553	$	(697	)	2008	2/13/2015	(1)
UT Cancer Institute Building
Knoxville, Tennessee	$	21,503	$	421	$	27,621	$	—	$	3		$	—	$	421	$	27,624	$	—	$	28,045	$	(614	)	2012	2/20/2015	(1)
Fieldstone Memory Care
Yakima, Washington	$	—	$	1,297	$	9,965	$	—	$	—		$	—	$	1,297	$	9,965	$	—	$	11,262	$	(212	)	2014	3/31/2015	(1)
Bend Memorial Clinic MOB
Bend, Oregon	$	—	$	9,069	$	19,867	$	—	$	—		$	—	$	9,069	$	19,867	$	—	$	28,936	$	(410	)	1976	5/11/2015	(1)
Stoneterra Medical Plaza
San Antonio, Texas	$	—	$	2,864	$	10,412	$	—	$	—		$	—	$	2,864	$	10,412	$	—	$	13,276	$	(175	)	2006	5/29/2015	(1)
Primrose Retirement Center of Anderson
Anderson, Indiana ("Muncie")	$	—	$	1,342	$	19,083	$	—	$	—		$	—	$	1,342	$	19,083	$	—	$	20,425	$	(314	)	2008	5/29/2015	(1)
Primrose Retirement Center of Lancaster
Lancaster, Ohio ("Columbus")	$	—	$	2,840	$	21,884	$	—	$	—		$	—	$	2,840	$	21,884	$	—	$	24,724	$	(397	)	2007	5/29/2015	(1)
Primrose Retirement Center of Wausau
Wausau, Wisconsin ("Green Bay")	$	—	$	1,089	$	18,653	$	—	$		—	$	—	$	1,089	$	18,653	$	—	$	19,742	$	(295	)	2008	5/29/2015	(1)
Triangle Orthopaedic Durham
Durham, North Carolina	$	—	$	3,191	$	14,523	$	—	$	—		$	—	$	3,191	$	14,523	$	—	$	17,714	$	(210	)	2000	6/29/2015	(1)
Triangle Orthopaedic Roxboro
Roxboro, North Carolina	$	—	$	287	$	1,406	$	—	$		—	$	—	$	287	$	1,406	$	—	$	1,693	$	(22	)	2000	6/29/2015	(1)
Triangle Orthopaedic Chapel Hill
Chapel Hill, North Carolina	$	—	$	360	$	2,306	$	—	$	—		$	—	$	360	$	2,306	$	—	$	2,666	$	(33	)	2011	6/29/2015	(1)
Triangle Orthopaedic Oxford
Oxford, North Carolina	$	—	$	658	$	3,074	$	—	$	—		$	—	$	658	$	3,074	$	—	$	3,732	$	(48	)	2011	6/29/2015	(1)
North Carolina Specialty Hospital
Durham, North Carolina	$	—	$	3,173	$	22,762	$	—	$	—		$	—	$	3,173	$	22,762	$	—	$	25,935	$	(315	)	2004	6/29/2015	(1)
Doctor's Park Building B
Chula Vista, California ("San Diego")	$	—	$	1,161	$	2,919	$	—	$	—		$	—	$	1,161	$	2,919	$	—	$	4,080	$	(43	)	2008	6/30/2015	(1)
Doctor's Park Building C
Chula Vista, California ("San Diego")	$	—	$	2,323	$	6,351	$	—	$	—		$	—	$	2,323	$	6,351	$	—	$	8,674	$	(92	)	2006	6/30/2015	(1)
Superior Residences of Panama City
Panama City Beach, Florida	$	—	$	2,099	$	19,367	$	—	$	—		$	—	$	2,099	$	19,367	$	—	$	21,466	$	(273	)	2015	7/15/2015	(1)
540 New Waverly Place
Cary, North Carolina ("Raleigh")	$	7,048	$	2,476	$	11,009	$	—	$	—		$	—	$	2,476	$	11,009	$	—	$	13,485	$	(136	)	2007	7/20/2015	(1)
MedHelp
Birmingham, Alabama	$	—	$	2,270	$	10,359	$	—	$	—		$	—	$	2,270	$	10,359	$	—	$	12,629	$	(119	)	2015	7/31/2015	(1)
Patriot Professional Center
Frederick, Maryland ("Baltimore")	$	—	$	3,912	$	11,781	$	—	$	—		$	—	$	3,912	$	11,781	$	—	$	15,693	$	(146	)	2006/2014	7/31/2015	(1)
Liberty Professional Center
Frederick, Maryland ("Baltimore")	$	—	$	1,977	$	4,462	$	—	$	—		$	—	$	1,977	$	4,462	$	—	$	6,439	$	(54	)	1979/2013	7/31/2015	(1)

170

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement
	Encum-		Land & Land Improve-		Building and Building Improve-		Land & Land Improve-		Building and Building Improve-		Construc- tion in		Land & Land Improve-		Building and Building Improve-		Construc- tion in				Accumu- lated Depreci-			Date of	Date
Property/Location	brances		ments		ments		ments		ments		Process		ments		ments		Process		Total		ation			Construction	Acquired	is computed
The Hampton at Meadows Place
Meadows Place, Texas ("Houston")	$	—	$	715	$	24,281	$	—	$	—	$	—	$	715	$	24,281	$	—	$	24,996	$	(263	)	2007/2013/2014	7/31/2015	(1)
The Pavilion at Great Hills
Austin, Texas	$	—	$	1,783	$	29,318	$	—	$	—	$	—	$	1,783	$	29,318	$	—	$	31,101	$	(321	)	2010	7/31/2015	(1)
The Beacon at Gulf Breeze
Gulf Breeze, Florida ("Pensacola")	$	—	$	824	$	24,106	$	—	$	—	$	—	$	824	$	24,106	$	—	$	24,930	$	(273	)	2008	7/31/2015	(1)
Parc at Piedmont
Marietta, Georgia ("Atlanta")	$	—	$	3,529	$	43,080	$	—	$	—	$	—	$	3,529	$	43,080	$	—	$	46,609	$	(489	)	2001/2011	7/31/2015	(1)
Parc at Duluth
Duluth, Georgia ("Atlanta")	$	—	$	5,951	$	42,458	$	—	$	—	$	—	$	5,951	$	42,458	$	—	$	48,409	$	(481	)	2003/2012	7/31/2015	(1)
Broadway Medical Plaza 1
Columbia, Missouri	$	—	$	437	$	9,281	$	—	$	—	$	—	$	437	$	9,281	$	—	$	9,718	$	(89	)	1994	8/21/2015	(1)
Broadway Medical Plaza 2
Columbia, Missouri	$	—	$	386	$	12,460	$	—	$	—	$	—	$	386	$	12,460	$	—	$	12,846	$	(115	)	1999	8/21/2015	(1)
Broadway Medical Plaza 4
Columbia, Missouri	$	—	$	170	$	12,118	$	—	$	—	$	—	$	170	$	12,118	$	—	$	12,288	$	(107	)	2007	8/21/2015	(1)
Waterstone
Greenville, South Carolina	$	—	$	2,253	$	—	$	—	$	—	$	4,932	$	2,253	$	—	$	4,932	$	7,185	$	—		(3)	8/31/2015	(1)
Welbrook Senior Living Grand Junction
Grand Junction, Colorado	$	—	$	1,050	$	—	$	—	$	—	$	2,148	$	1,050	$	—	$	2,148	$	3,198	$	—		(3)	9/4/2015	(1)
Wellmore of Lexington
Lexington, South Carolina ("Columbia")	$	—	$	2,300	$	—	$	—	$	—	$	6,423	$	2,300	$	—	$	6,423	$	8,723	$	—		(3)	9/14/2015	(1)
Palmilla Senior Living
Albuquerque, New Mexico	$	—	$	4,701	$	38,321	$	—	$	—	$	—	$	4,701	$	38,321	$	—	$	43,022	$	(261	)	2013	9/30/2015	(1)
Cedar Lake Assisted Living and Memory Care
Lake Zurich, Illinois ("Chicago")	$	—	$	2,412	$	25,126	$	—	$	—	$	—	$	2,412	$	25,126	$	—	$	27,538	$	(171	)	2014	9/30/2015	(1)
Fieldstone at Pear Orchard
Yakima Washington	$	—	$	1,035	$	—	$	—	$	—	$	1,571	$	1,035	$	—	$	1,571	$	2,606	$	—		(3)	10/12/2015	(1)
The Shores at Lake Phalen
Maplewood, Minnesota ("St. Paul")	$	—	$	2,724	$	25,093	$	—	$	—	$	—	$	2,724	$	25,093	$	—	$	27,817	$	(113	)	2012	11/10/2015	(1)
Dogwood Forest of Grayson
Grayson, Georgia	$	—	$	1,788	$	—	$	—	$	—	$	2,185	$	1,788	$	—	$	2,185	$	3,973	$	—		(3)	11/24/2015	(1)
Center One
Jacksonville, Florida	$	—	$	8,294	$	21,756	$	—	$	—	$	—	$	8,294	$	21,756	$	—	$	30,050	$	—		2006	11/30/2015	(1)
Red Bank Professional Office Building
Cincinnati, Ohio	$	—	$	1,721	$	7,721	$	—	$	—	$	—	$	1,721	$	7,721	$	—	$	9,442	$	(18	)	2001	12/14/2015	(1)
Park Place Senior Living at WingHaven
O'Fallon, Missouri ("St. Louis")	$	—	$	1,283	$	48,221	$	—	$	—	$	—	$	1,283	$	48,221	$	—	$	49,504	$	—		2006/2014	12/17/2015	(1)
Siena Pavilion IV
Henderson, Nevada ("Las Vegas")	$	—	$	1,454	$	4,786	$	—	$	—	$	—	$	1,454	$	4,786	$	—	$	6,240	$	—		2002	12/18/2015	(1)
Siena Pavilion V
Henderson, Nevada ("Las Vegas")	$	—	$	3,944	$	20,355	$	—	$	—	$	—	$	3,944	$	20,355	$	—	$	24,299	$	—		2003	12/18/2015	(1)
Siena Pavilion VI
Henderson, Nevada ("Las Vegas")	$	—	$	2,599	$	18,725	$	—	$	—	$	—	$	2,599	$	18,725	$	—	$	21,324	$	—		2005	12/18/2015	(1)
Hearthside Senior Living of Collierville
Collierville, Tennessee ("Memphis")	$	—	$	1,905	$	13,379	$	—	$	—	$	—	$	1,905	$	13,379	$	—	$	15,284	$	—		2014	12/29/2015	(1)
Cobalt Rehabilitation Hospital Surprise
Surprise, Arizona ("Phoenix")	$	—	$	2,464	$	17,983	$	—	$	—	$	—	$	2,464	$	17,983	$	—	$	20,447	$	—		2015	12/30/2015	(1)
	$	840,656	$	238,787	$	2,215,548	$	4,803	$	81,788	$	47,977	$	243,590	$	2,297,336	$	47,977	$	2,588,903	$	(90,201	)

171

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

AS OF DECEMBER 31, 2014 (in thousands)

Transactions in real estate and accumulated depreciation as of December 31, 2015 are as follows:

Balance December 31, 2011	$	—	Balance December 31, 2011	$	—
2012 Acquisitions		231,398	2012 Depreciation		(1,702)
2012 Improvements		4,547	Balance December 31, 2012		(1,702)
Balance December 31, 2012		235,945	2013 Depreciation		(9,309)
2013 Acquisitions		598,176	Balance December 31, 2013		(11,011)
2013 Improvements		25,756	2014 Depreciation		(29,456)
Balance December 31, 2013		859,877	Balance December 31, 2014		(40,467)
2014 Acquisitions		822,305	2015 Depreciation		(49,734)
2014 Improvements		39,247	Balance December 31, 2015	$	(90,201)
Balance December 31, 2014		1,721,429
2015 Acquisitions		802,456
2015 Improvements		65,018
Balance December 31, 2015	$	2,588,903

FOOTNOTES:

(1) Buildings and building improvements are depreciated over 39 and 15 years, respectively. Tenant improvements are depreciated over the terms of their respective leases.

(2) The aggregate cost for federal income tax purposes is approximately $2.9 billion.

(3) Land and land improvements, initial cost, include the purchase price of land under development which is included as a component of construction in process in the consolidated balance sheets. As of December 31, 2015 these properties were under development; therefore, depreciation is not applicable.

172

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE IV – MORTGAGE LOANS ON REAL ESTATE

YEARS ENDED DECEMBER 31, 2015, 2014 AND 2013 (in thousands)

The following is a reconciliation of mortgages and other notes receivable on real estate for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	2015		2014		2013
Balance at beginning of year	$	—	$	3,949	$	—
Additions during period:
New mortgage loans and additional advances		—		2,065		3,741
Accrued and deferred interest		—		288		124
Loan origination costs, net		—		—		84
Deductions during period:
Collection of principal		—		(6,302)		—
Balance at end of year	$	—	$	—	$	3,949

173

EX-10.5.3

Exhibit 10.5.3

THIRD AMENDMENT TO EXPENSE SUPPORT

AND RESTRICTED STOCK AGREEMENT

THISTHIRD AMENDMENT TO EXPENSE SUPPORT AND RESTRICTED STOCK AGREEMENT (this “Third Amendment”), is effective as of January 1, 2016 (the “Effective Date”), by and between CNL Healthcare Properties, Inc. (the “Company”) and CNL Healthcare Corp. (the “Advisor”).  The Company and the Advisor are each sometimes individually referred to as, a “Party” and collectively as, the “Parties.”

R E C I T A L S:

WHEREAS, the Parties entered into that certain Advisory Agreement dated as of June 8, 2011, as amended by a First Amendment to Advisory Agreement dated as of October 5, 2011, and as further amended by a Second Amendment to Advisory Agreement dated as of March 20, 2013 (collectively, the “Advisory Agreement”); and

WHEREAS, the Parties entered into that certain Expense Support and Restricted Stock Agreement dated effective as of April 1, 2013, as amended by a First Amendment to Expense Support and Restricted Stock Agreement dated effective as of November 7, 2013, and as further amended by that certain Second Amendment to Expense Support and Restricted Stock Agreement dated effective as of April 3, 2014 (collectively, the “Expense Support Agreement”); and

WHEREAS, pursuant to paragraph 13 of the Expense Support Agreement the Parties may amend the Expense Support Agreement by a writing executed by all of the Parties; and

WHEREAS, the Parties desire to amend the Expense Support Agreement on mutually agreed upon terms more particularly set forth herein.

NOW THEREFORE, in consideration of the foregoing recitals, the mutual covenants and agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledge, the Parties, intending to be legally bound, do hereby agree as follows:

1.Recitals; Certain Definitions.  The foregoing recitals are true and correct in all material respects, and are by this reference incorporated herein and made a part hereof.  Capitalized terms used herein and not defined shall have the meaning set forth in the Expense Support Agreement.  

2.Amendment to Section 1 of the Expense Support Agreement.  The Parties hereby amend and restate Section 1 of the Expense Support Agreement in its entirety; and Section 1 as amended and restated shall henceforth read as follows:

“1)Expense Support.  Beginning on the Effective Date and continuing until terminated as provided herein, the Advisor shall provide expense support to the Company through forgoing the payment of fees in cash and acceptance of restricted stock for services as provided herein, in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable year, over (b) the Company’s aggregate modified funds from operations, as defined below, for the same period (the “Expense Support Amount”).  The Expense Support Amount shall be determined for each calendar year of the Company, on a cumulative year-to-date basis,

1

with each such year-end date, a “Determination Date”.  The Expense Support Amount will be credited by the Advisor to the Company in satisfaction of Asset Management Fees and other fees and expenses owed to the Advisor under the Advisory Agreement, at the Advisor’s discretion.  For purposes of this Agreement, modified funds from operation (“MFFO”) shall have the same meaning as such term is defined and presented in the Company’s Form 10-Q and Form 10-K as filed pursuant to the Securities Exchange Act of 1934, as amended.”

3.Amendment to Section 2 of the Expense Support Agreement.  The Parties hereby amend and restate Section 2 of the Expense Support Agreement in its entirety; and Section 2 as amended and restated shall henceforth read as follows:

“2)Grant of Restricted Stock.  In exchange for services rendered under the Advisory Agreement and in consideration of the expense support provided by the Advisor as set forth in Section 1, the Company shall issue to the Advisor, within ninety (90) days following each Determination Date, a number of shares of Common Stock (the “Restricted Stock”) equal to the quotient of the Expense Support Amount for the preceding year divided by the then-current NAV (as defined below) per share of Common Stock, on the terms and conditions and subject to the restrictions set forth in this Agreement.”

4.Amendment to Section 3 of the Expense Support Agreement.  The Parties hereby amend Section 3 of the Expense Support Agreement by adding the following two (2) additional sentences to the end of Section 3(a):

“In the event this Agreement is terminated on a date other than a Determination Date, for purposes of calculating the Expense Support Amount for the then current year, the Parties shall refer to the immediately preceding calendar quarter and calculate, on a cumulative year-to-date basis as of such calendar quarter, the positive excess, if any, of (a) aggregate cumulative stockholder cash distributions declared for the then current year through the immediately preceding calendar quarter; over (b) the Company’s MFFO for the same period.  In the event any Expense Support Amount is calculated pursuant to the immediately preceding sentence, the Advisor shall credit the Expense Support Amount to the Company in exchange for Restricted Stock pursuant to the applicable terms of this Agreement.”    

5.Terms.  All other terms and conditions as contained in the Expense Support Agreement shall remain unchanged and will continue to bind the Parties with respect to the transaction as contemplated therein.

Signature Page Follows.

2

IN WITNESS WHEREOF, the Parties have caused this Third Amendment to be signed by their respective officers thereunto duly authorized, as of the day and year first above written.

CNL HEALTHCARE PROPERTIES, INC.
By:	_/s/ Stephen H. Mauldin______________________
Name: Stephen H. Mauldin
Title: Chief Executive Officer
CNL HEALTHCARE CORP.
By:	_/s/ Holly J. Greer__________________________
Name: Holly J. Greer
Title: Senior Vice President

3

EX-10.6.3

Exhibit 10.6.3

THIRD AMENDMENT TO EXPENSE SUPPORT

AND RESTRICTED STOCK AGREEMENT

THISTHIRD AMENDMENT TO EXPENSE SUPPORT AND RESTRICTED STOCK AGREEMENT (this “Third Amendment”), is effective as of January 1, 2016 (the “Effective Date”), by and between CNL Healthcare Properties, Inc. (the “Company”) and CNL Healthcare Manager Corp. (the “Property Manager”).  The Company and the Property Manager are each sometimes individually referred to as, a “Party” and collectively as, the “Parties.”

R E C I T A L S:

WHEREAS, the Parties entered into that certain First Amended and Restated Property Management and Leasing Agreement dated as of June 28, 2012, as amended by a First Amendment to First Amended and Restated Property Management and Leasing Agreement between the Parties dated as of April 1, 2013 (collectively, the “Property Management Agreement”); and

WHEREAS, the Company and CNL Healthcare Corp, the Company’s advisor (“the Advisor”) and an affiliate of the Property Manager, entered into that certain Expense Support and Restricted Stock Agreement dated effective as of April 1, 2013, as amended by a First Amendment to Expense Support and Restricted Stock Agreement dated effective as of November 7, 2013, and as further amended by that certain Second Amendment to Expense Support and Restricted Stock Agreement dated effective as of April 3, 2014 (collectively, the “Advisor Expense Support Agreement”); and

WHEREAS, the Parties entered into that certain Expense Support and Restricted Stock Agreement dated effective as of July 1, 2013, as amended by a First Amendment to Expense Support and Restricted Stock Agreement dated effective as of November 7, 2013, and as further amended by that certain Second Amendment to Expense Support and Restricted Stock Agreement dated effective as of April 3, 2014 (collectively, the “Expense Support Agreement”); and

WHEREAS, pursuant to paragraph 13 of the Expense Support Agreement the Parties may amend the Expense Support Agreement by a writing executed by all of the Parties; and

WHEREAS, the Parties desire to amend the Expense Support Agreement on mutually agreed upon terms more particularly set forth herein.

NOW THEREFORE, in consideration of the foregoing recitals, the mutual covenants and agreements contained herein, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledge, the Parties, intending to be legally bound, do hereby agree as follows:

1.Recitals; Certain Definitions.  The foregoing recitals are true and correct in all material respects, and are by this reference incorporated herein and made a part hereof.  Capitalized terms used herein and not defined shall have the meaning set forth in the Expense Support Agreement.  

1

2.Amendment to Section1 of the Expense Support Agreement.  The Parties hereby amend and restate Section1 of the Expense Support Agreement in its entirety; and Section1as amended and restated shall henceforth read as follows:

“1)Expense Support.  Beginning on the Effective Date and continuing until terminated as provided herein, in the event the Expense Support Amount (as defined in the Advisor Expense Support Agreement) calculated pursuant to the Advisor Expense Support Agreement is less than (a) aggregate stockholder cash distributions declared for the applicable year, over (b) the Company’s aggregate MFFO, as defined below, for the same period, then the Property Manager shall provide expense support to the Company through forgoing the payment of fees including expense reimbursements in cash and accepting restricted common stock for services as provided herein, in an amount equal to such shortfall for the same period (the “Property Manager Expense Support Amount”).  The Property Manager Expense Support Amount shall be determined for each calendar year of the Company, on a cumulative year-to-date basis, after calculation of the Expense Support Amount pursuant to the Advisor Expense Support Agreement with each such year-end date, a “Determination Date”.  The Property Manager Expense Support Amount will be credited by the Property Manager to the Company in satisfaction of property management and other fees and expenses owed to the Property Manager under the Property Management Agreement, at the Property Manager’s discretion.  For purposes of this Agreement, modified funds from operation (“MFFO”) shall have the same meaning as such term is defined and presented in the Company’s Form 10-Q and Form 10-K as filed pursuant to the Securities Exchange Act of 1934, as amended.”

3.Amendment to Section 2 of the Expense Support Agreement.  The Parties hereby amend and restate Section 2 of the Expense Support Agreement in its entirety; and Section 2 as amended and restated shall henceforth read as follows:

“2)Grant of Restricted Stock.  In exchange for services rendered under the Property Management Agreement and in consideration of the expense support provided by the Property Manager as set forth in Section 1, the Company shall issue to the Property Manager, within one hundred twenty (120) days following each Determination Date, a number of shares of Common Stock (the “Restricted Stock”) equal to the quotient of the Property Manager Expense Support Amount for the preceding year divided by the then-current NAV (as defined below) per share of Common Stock, on the terms and conditions and subject to the restrictions set forth in this Agreement.”

4.Amendment to Section 3 of the Expense Support Agreement.  The Parties hereby amend Section 3 of the Expense Support Agreement by adding the following two (2) additional sentences to the end of Section 3(a):

“In the event this Agreement is terminated on a date other than a Determination Date, for purposes of calculating the Property Manager Expense Support Amount for the then current year, the Parties shall refer to the Expense Support Amount calculated pursuant to the Advisor Expense Support Agreement for the immediately preceding calendar quarter and determine whether, on a cumulative year-to-date basis as of such calendar quarter, the Expense Support Amount is less than (a) aggregate stockholder cash distributions declared for the then current year through the immediately preceding calendar quarter, over (b) the Company’s aggregate MFFO for the same period.  In the event any Property Manager Expense Support Amount is calculated pursuant to the immediately preceding sentence, the Property Manager shall credit the Property Manager

2

Expense Support Amount to the Company in exchange for Restricted Stock pursuant to the applicable terms of this Agreement.”  

5.Terms.  All other terms and conditions as contained in the Expense Support Agreement shall remain unchanged and will continue to bind the Parties with respect to the transaction as contemplated therein.

Signature Page Follows.

3

IN WITNESS WHEREOF, the Parties have caused this Third Amendment to be signed by their respective officers thereunto duly authorized, as of the day and year first above written.

CNL HEALTHCARE PROPERTIES, INC.
By:	_/s/ Stephen H. Mauldin_____________________
Name: Stephen H. Mauldin
Title: Chief Executive Officer
CNL HEALTHCARE MANAGER CORP.
By:	_/s/ Holly J. Greer_________________________
Name: Holly J. Greer
Title:   Senior Vice President

4

EX-10.62

EXHIBIT 10.62

Schedule of Omitted Documents

of CNL Healthcare Properties, Inc.

The following purchase and sale agreements were not filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Medford LLC and CHP Partners, LP

2. Purchase and Sale Agreement dated as of August 21, 2013 by and between Auburn Assisted Living LLC and CHP Partners, LP

3. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Beaverton LLC and CHP Partners, LP

4. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Billings LLC and CHP Partners, LP

5. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Boise LLC and CHP Partners, LP

6. Purchase and Sale Agreement dated as of August 21, 2013 by and between Albany Assisted Living, LLC (DBA Cambridge Terrace) and CHP Partners, LP

7. Purchase and Sale Agreement dated as of August 21, 2013 by and between Sandy Assisted Living LLC (DBA Cascadia Village) and CHP Partners, LP

8. Purchase and Sale Agreement dated as of August 21, 2013 by and between Five Rivers Assisted Living & Retirement Community, LLC and CHP Partners, LP

9. Purchase and Sale Agreement dated as of August 21, 2013 by and between JILAR Cottages L.L.C. and CHP Partners, LP

10. Purchase and Sale Agreement dated as of August 21, 2013 by and between JILAR Enterprises L.L.C. and CHP Partners, LP

11. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Bend LLC and CHP Partners, LP

12. Purchase and Sale Agreement dated as of August 21, 2013 by and between Gresham Assisted Living LLC and CHP Partners, LP

13. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Idaho Falls LLC and CHP Partners, LP

14. Purchase and Sale Agreement dated as of August 21, 2013 by and between Longview Monticello, LLC and CHP Partners, LP

15. Purchase and Sale Agreement dated as of August 21, 2013 by and between Roseburg Assisted Living LLC (DBA Oak Park Assisted Living Community) and CHP Partners, LP

16. Purchase and Sale Agreement dated as of August 21, 2013 by and between Orchard Heights Senior Community, LLC and CHP Partners, LP

17. Purchase and Sale Agreement dated as of August 21, 2013 by and between Tualatin Assisted Living LLC (DBA Riverwood Assisted Living Residence) and CHP Partners, LP

18. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Yelm LLC and CHP Partners, LP

19. Purchase and Sale Agreement dated as of August 21, 2013 by and between Southern Hills Assisted Living Community, LLC and CHP Partners, LP

20. Purchase and Sale Agreement dated as of August 21, 2013 by and between MWSH Sparks LLC and CHP Partners, LP

21. Purchase and Sale Agreement dated as of August 21, 2013 by and between West Hills Assisted Living Community LLC and CHP Partners, LP

22. Purchase and Sale Agreement dated as of September 18, 2014 by and among 1718 East Fourth Street, L.P., CHP Partners, LP and First Title Insurance Company.

23. Purchase and Sale Agreement dated as of September 18, 2014 by and among 1900 Randolph Road, L.P., CHP Partners, LP and First Title Insurance Company.

24. Purchase and Sale Agreement dated as of September 18, 2014 by and among 1918 Randolph Road, L.P., CHP Partners, LP and First Title Insurance Company.

25. Purchase and Sale Agreement dated as of September 18, 2014 by and among 1450 Matthews Township Parkway L.P., CHP Partners, LP and First Title Insurance Company. 

26. Purchase and Sale Agreement dated as of September 18, 2014 by and among 10030 Gilead Road, L.P., CHP Partners, LP and First Title Insurance Company.

27. Purchase and Sale Agreement dated as of September 18, 2014 by and among Spivey Station Physicians Center I, L.P., CHP Partners, LP and First Title Insurance Company.

28. Purchase and Sale Agreement dated as of September 18, 2014 by and among Spivey Station ASC Building, L.P. and CHP Partners, LP and First Title Insurance Company.

The following assignment and assumption of purchase and sale agreements were not filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Medford-Arbor Place OR Owner, LLC

2. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Beaverton OR Owner, LLC.

3. Assignment and Assumption of Purchase and Sale Agreement dated December 2, 2013, by and between CHP Partners, LP and CHP Boise ID Owner, LLC.

4. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Tillamook-Five Rivers OR Owner, LLC.

5. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Bend-High Desert OR Owner, LLC.

6. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Gresham-Huntington Terrace OR Owner, LLC.

7. Assignment and Assumption of Purchase and Sale Agreement dated December 2, 2013, by and between CHP Partners, LP and CHP Idaho Falls ID Owner, LLC.

8. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Salem-Orchard Heights OR Owner, LLC.

9. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Tualatin-Riverwood OR Owner, LLC.

10. Assignment and Assumption of Purchase and Sale Agreement dated December 1, 2013, by and between CHP Partners, LP and CHP Salem-Southern Hills OR Owner, LLC.

11. Assignment and Assumption of Purchase and Sale Agreement dated December 2, 2013, by and between CHP Partners, LP and CHP Sparks NV Owner, LLC.

12. Assignment and Assumption of Purchase and Sale Agreement dated January 10, 2014, by and between CHP Partners, LP and CHP Vancouver-Bridgewood WA Owner, LLC.

13. Assignment and Assumption of Purchase and Sale Agreement dated January 10, 2014, by and between CHP Partners, LP and CHP Longview-Monticello Park WA Owner, LLC.

14. Assignment and Assumption of Purchase and Sale Agreement dated January 10, 2014, by and between CHP Partners, LP and CHP Yelm-Rosemont WA Owner, LLC.

The following management agreements were not filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Management Agreement dated December 2, 2013, by and between Morningstar Senior Management, LLC and CHP Boise ID Tenant Corp.

2. Management Agreement dated December 2, 2013, by and between Morningstar Senior Management, LLC and CHP Idaho Falls ID Tenant Corp.

3. Management Agreement dated December 2, 2013, by and between Morningstar Senior Management, LLC and CHP Sparks NV Tenant Corp.

4. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Beaverton OR Tenant Corp. 

5. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Bend-High Desert OR Tenant Corp.

6. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Tillamook-Five Rivers OR Tenant Corp.

7. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Tualatin-Riverwood OR Tenant Corp.

8. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Salem-Southern Hills OR Tenant Corp.

9. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Salem-Orchard Heights OR Tenant Corp.

10. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Gresham-Huntington Terrace OR Tenant Corp.

11. Management Services Agreement dated December 1, 2013, by and between Prestige Senior Living, L.L.C. and CHP Medford-Arbor Place OR Tenant Corp.

12. Management Agreement dated February 1, 2014, by and between Prestige Senior Living, L.L.C. and CHP Vancouver-Bridgewood WA Tenant Corp.

13. Management Agreement dated February 1, 2014, by and between Prestige Senior Living, L.L.C. and CHP Longview-Monticello Park WA Tenant Corp.

14. Management Agreement dated February 1, 2014, by and between Prestige Senior Living, L.L.C. and CHP Yelm-Rosemont WA Tenant Corp.

15. Management Agreement dated as of March 28, 2014, by and between CHP Springs TX Tenant Corp. and Jerry Erwin Associates, Inc. (d/b/a JEA Senior Living)

16. Management Agreement dated March 28, 2014, by and between CHP Park at Plainfield IL Tenant Corp. and Harbor Plainfield Management, LLC.

The following promissory notes were not filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Promissory Note dated December 2, 2013, made by CHP Medford-Arbor Place OR Owner, LLC and CHP Medford-Arbor Place OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $8,625,282.00.

2. Promissory Note dated December 2, 2013, made by CHP Beaverton OR Owner, LLC and CHP Beaverton OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $9,686,032.00.

3. Promissory Note dated December 2, 2013, made by CHP Billings MT Owner, LLC and CHP Billings MT Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $20,634,027.00.

4. Promissory Note dated December 2, 2013, made by CHP Boise ID Owner, LLC and CHP Boise ID Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $22,026,026.00.

5. Promissory Note dated December 2, 2013, made by CHP Tillamook-Five Rivers OR Owner, LLC and CHP Tillamook-Five Rivers OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $8,115,731.00.

6. Promissory Note dated December 2, 2013, made by CHP Bend-High Desert OR Owner, LLC and CHP Bend-High Desert OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $8,378,715.00.

7. Promissory Note dated December 2, 2013, made by CHP Idaho Falls ID Owner, LLC and CHP Idaho Falls ID Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $18,843,689.00.

8. Promissory Note dated December 2, 2013, made by CHP Salem-Orchard Heights OR Owner, LLC and CHP Salem-Orchard Heights OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $12,954,716.00.

9. Promissory Note dated December 2, 2013, made by CHP Tualatin-Riverwood OR Owner, LLC and CHP Tualatin-Riverwood OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $4,707,856.00.

10. Promissory Note dated December 2, 2013, made by CHP Salem-Southern Hills OR Owner, LLC and CHP Salem-Southern Hills OR Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $7,873,017.00. 

11. Promissory Note dated December 2, 2013, made by CHP Sparks NV Owner, LLC and CHP Sparks NV Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $24,974,323.00.

12. Promissory Note dated February 3, 2014, made by CHP Vancouver-Bridgewood WA Owner, LLC and CHP Vancouver-Bridgewood WA Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $13,774,226.00.

13. Promissory Note dated February 3, 2014, made by CHP Longview-Monticello Park WA Owner, LLC and CHP Longview-Monticello Park WA Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $19,218,858.00.

14. Promissory Note dated February 3, 2014, made by CHP Yelm-Rosemont WA Owner, LLC and CHP Yelm-Rosemont WA Tenant Corp. to The Prudential Insurance Company of America in the principal amount of $9,924,763.00.

The following loan agreements/mortgages were not filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Deed of Trust, Security Agreement and Fixture filing (Arbor Place – First) dated December 2, 2013, by CHP Medford-Arbor Place OR Owner, LLC and CHP Medford-Arbor Place OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

2. Deed of Trust, Security Agreement and Fixture filing (Beaverton Hills – First) dated December 2, 2013, by CHP Beaverton OR Owner, LLC and CHP Beaverton OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

3. Deed of Trust and Security Agreement (Billings – First) dated December 2, 2013, by CHP Billings MT Owner, LLC and CHP Billings MT Tenant Corp., to American Title & Escrow for the benefit of The Prudential Insurance Company of America.

4. Deed of Trust, Security Agreement and Fixture filing (Boise – First) dated December 2, 2013, by CHP Boise ID Owner, LLC and CHP Boise ID Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

5. Deed of Trust, Security Agreement and Fixture filing (Five Rivers – First) dated December 2, 2013, by CHP Tillamook-Five Rivers OR Owner, LLC and CHP Tillamook-Five Rivers OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

6. Deed of Trust, Security Agreement and Fixture filing (Idaho Falls – First) dated December 2, 2013, by CHP Idaho Falls ID Owner, LLC and CHP Idaho Falls ID Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

7. Deed of Trust, Security Agreement and Fixture filing (Riverwood – First) dated December 2, 2013, by CHP Tualatin-Riverwood OR Owner, LLC and CHP Tualatin-Riverwood OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

8. Deed of Trust, Security Agreement and Fixture filing (Southern Hills – First) dated December 2, 2013, by CHP Salem-Southern Hills OR Owner, LLC and CHP Salem-Southern Hills OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

9. Deed of Trust and Security Agreement (Sparks – First) dated December 2, 2013, by CHP Sparks NV Owner, LLC and CHP Sparks NV Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

10. Deed of Trust, Security Agreement and Fixture filing (High Desert – First) dated December 2, 2013, by CHP Bend-High Desert OR Owner, LLC and CHP Bend-High Desert OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

11. Deed of Trust, Security Agreement and Fixture filing (Orchard Heights - First) dated December 2, 2013, by CHP Salem-Orchard Heights OR Owner, LLC and CHP Salem-Orchard Heights OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

12. Deed of Trust, Security Agreement and Fixture filing (Arbor Place – Second) dated December 2, 2013, by CHP Medford-Arbor Place OR Owner, LLC and CHP Medford-Arbor Place OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

13. Deed of Trust, Security Agreement and Fixture filing (Beaverton Hills – Second) dated December 2, 2013, by CHP Beaverton OR Owner, LLC and CHP Beaverton OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America. 

14. Deed of Trust and Security Agreement (Billings – Second) dated December 2, 2013, by CHP Billings MT Owner, LLC and CHP Billings MT Tenant Corp., to American Title & Escrow for the benefit of The Prudential Insurance Company of America.

15. Deed of Trust, Security Agreement and Fixture filing (Boise – Second) dated December 2, 2013, by CHP Boise ID Owner, LLC and CHP Boise ID Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

16. Deed of Trust, Security Agreement and Fixture filing (Five Rivers – Second) dated December 2, 2013, by CHP Tillamook-Five Rivers OR Owner, LLC and CHP Tillamook-Five Rivers OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

17. Deed of Trust, Security Agreement and Fixture filing (Idaho Falls – Second) dated December 2, 2013, by CHP Idaho Falls ID Owner, LLC and CHP Idaho Falls ID Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

18. Deed of Trust, Security Agreement and Fixture filing (Riverwood – Second) dated December 2, 2013, by CHP Tualatin-Riverwood OR Owner, LLC and CHP Tualatin-Riverwood OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

19. Deed of Trust, Security Agreement and Fixture filing (Southern Hills – Second) dated December 2, 2013, by CHP Salem-Southern Hills OR Owner, LLC and CHP Salem-Southern Hills OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

20. Deed of Trust and Security Agreement (Sparks – Second) dated December 2, 2013, by CHP Sparks NV Owner, LLC and CHP Sparks NV Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

21. Deed of Trust, Security Agreement and Fixture filing (High Desert - Second) dated December 2, 2013, by CHP Bend-High Desert OR Owner, LLC and CHP Bend-High Desert OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

22. Deed of Trust, Security Agreement and Fixture filing (Orchard Heights - Second) dated December 2, 2013, by CHP Salem-Orchard Heights OR Owner, LLC and CHP Salem-Orchard Heights OR Tenant Corp., to First American Title Insurance Company for the benefit of The Prudential Insurance Company of America.

23. Deed of Trust and Security Agreement With Fixture Filing (Bridgewood – First) dated February 3, 2014, by CHP Vancouver-Bridgewood WA Owner, LLC and CHP Vancouver-Bridgewood WA Tenant Corp., to First American Title Insurance Company of America for the benefit of The Prudential Insurance Company of America.

24. Deed of Trust and Security Agreement With Fixture Filing (Monticello Park – First) dated February 3, 2014, by CHP Longview-Monticello Park WA Owner, LLC and CHP Longview-Monticello Park WA Tenant Corp., to First American Title Insurance Company of America for the benefit of The Prudential Insurance Company of America.

25. Deed of Trust and Security Agreement With Fixture Filing (Rosemont – First) dated February 3, 2014, by CHP Yelm-Rosemont WA Owner, LLC and CHP Yelm-Rosemont WA Tenant Corp., to First American Title Insurance Company of America for the benefit of The Prudential Insurance Company of America.

26. Deed of Trust and Security Agreement With Fixture Filing (Bridgewood – Second) dated February 3, 2014, by CHP Vancouver-Bridgewood WA Owner, LLC and CHP Vancouver-Bridgewood WA Tenant Corp., to First American Title Insurance Company of America for the benefit of The Prudential Insurance Company of America.

27. Deed of Trust and Security Agreement With Fixture Filing (Monticello Park – Second) dated February 3, 2014, by CHP Longview-Monticello Park WA Owner, LLC and CHP Longview-Monticello Park WA Tenant Corp., to First American Title Insurance Company of America for the benefit of The Prudential Insurance Company of America.

28. Deed of Trust and Security Agreement With Fixture Filing (Rosemont – Second) dated February 3, 2014, by CHP Yelm-Rosemont WA Owner, LLC and CHP Yelm-Rosemont WA Tenant Corp., to First American Title Insurance Company of America for the benefit of The Prudential Insurance Company of America.

29. Deed of Trust, Assignment of Rents, Security Agreement and Fixture Filing dated as of March 28, 2014, by CHP Springs TX Owner, LLC to Deborah Newman for the benefit of KeyBank National Association.

30. Mortgage, Assignment of Rents, Security Agreement and Fixture Filing (Park at Plainfield) dated as of March 28, 2014, made by CHP Park at Plainfield IL Owner, LLC for the benefit of KeyBank National Association.

The following recourse liabilities guaranties were not filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Medford-Arbor Place OR Owner, LLC and CHP Medford-Arbor Place OR Tenant Corp.

2. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Beaverton OR Owner, LLC and CHP Beaverton OR Tenant Corp.

3. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Billings MT Owner, LLC and CHP Billings MT Tenant Corp.

4. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Boise ID Owner, LLC and CHP Boise ID Tenant Corp.

5. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Tillamook-Five Rivers OR Owner, LLC and CHP Tillamook-Five Rivers OR Tenant Corp.

6. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Bend-High Desert OR Owner, LLC and CHP Bend-High Desert OR Tenant Corp.

7. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Idaho Falls ID Owner, LLC and CHP Idaho Falls ID Tenant Corp.

8. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Salem-Orchard Heights OR Owner, LLC and CHP Salem-Orchard Heights OR Tenant Corp.

9. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Tualatin-Riverwood OR Owner, LLC and CHP Tualatin-Riverwood OR Tenant Corp.

10. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Salem-Southern Hills OR Owner, LLC and CHP Salem-Southern Hills OR Tenant Corp.

11. Recourse Liabilities Guaranty executed December 2, 2013, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Sparks NV Owner, LLC and CHP Sparks NV Tenant Corp.

12. Recourse Liabilities Guaranty executed February 3, 2014, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Vancouver-Bridgewood WA Owner, LLC and CHP Vancouver-Bridgewood WA Tenant Corp.

13. Recourse Liabilities Guaranty executed February 3, 2014, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Longview-Monticello Park WA Owner, LLC and CHP Longview-Monticello Park WA Tenant Corp.

14. Recourse Liabilities Guaranty executed February 3, 2014, by CNL Healthcare Properties, Inc. to The Prudential Insurance Company of America relating to the indebtedness of CHP Yelm-Rosemont WA Owner, LLC and CHP Yelm-Rosemont WA Tenant Corp.

The following supplemental guaranty agreements have not been filed as exhibits to this annual report on Form 10-K pursuant to Instruction 2 of Item 601 of Regulation S-K.

1. Supplemental Guaranty executed December 2, 2013, by CHP Medford-Arbor Place OR Owner, LLC and CHP Medford-Arbor Place OR Tenant Corp. to The Prudential Insurance Company of America.

2. Supplemental Guaranty executed December 2, 2013, by CHP Beaverton OR Owner, LLC and CHP Beaverton OR Tenant Corp. to The Prudential Insurance Company of America.

3. Supplemental Guaranty executed December 2, 2013, by CHP Tualatin-Riverwood OR Owner, LLC and CHP Tualatin-Riverwood OR Tenant Corp. to The Prudential Insurance Company of America. 

4. Supplemental Guaranty executed December 2, 2013, by CHP Billings MT Owner, LLC and CHP Billings MT Tenant Corp. to The Prudential Insurance Company of America.

5. Supplemental Guaranty executed December 2, 2013, by CHP Boise ID Owner, LLC and CHP Boise ID Tenant Corp. to The Prudential Insurance Company of America.

6. Supplemental Guaranty executed December 2, 2013, by CHP Tillamook-Five Rivers OR Owner, LLC and CHP Tillamook-Five Rivers OR Tenant Corp. to The Prudential Insurance Company of America.

7. Supplemental Guaranty executed December 2, 2013, by CHP Bend-High Desert OR Owner, LLC and CHP Bend-High Desert OR Tenant Corp. to The Prudential Insurance Company of America.

8. Supplemental Guaranty executed December 2, 2013, by CHP Idaho Falls ID Owner, LLC and CHP Idaho Falls ID Tenant Corp. to The Prudential Insurance Company of America.

9. Supplemental Guaranty executed December 2, 2013, by CHP Salem-Orchard Heights OR Owner, LLC and CHP Salem-Orchard Heights OR Tenant Corp. to The Prudential Insurance Company of America.

10. Supplemental Guaranty executed December 2, 2013, by CHP Salem-Southern Hills OR Owner, LLC and CHP Salem-Southern Hills OR Tenant Corp. to The Prudential Insurance Company of America.

11. Supplemental Guaranty executed December 2, 2013, by CHP Sparks NV Owner, LLC and CHP Sparks NV Tenant Corp. to The Prudential Insurance Company of America.

12. Supplemental Guaranty executed February 3, 2014, by CHP Vancouver-Bridgewood WA Owner, LLC and CHP Vancouver-Bridgewood WA Tenant Corp. to The Prudential Insurance Company of America.

13. Supplemental Guaranty executed February 3, 2014, by CHP Longview-Monticello Park WA Owner, LLC and CHP Longview-Monticello Park WA Tenant Corp. to The Prudential Insurance Company of America.

14. Supplemental Guaranty executed February 3, 2014, by CHP Yelm-Rosemont WA Owner, LLC and CHP Yelm-Rosemont WA Tenant Corp. to The Prudential Insurance Company of America.

EX-21.1

EXHIBIT 21.1

CNL Healthcare Properties, Inc.

Subsidiaries of the Registrant

All entities were formed in Delaware, unless otherwise noted, and all entities do business under the name listed, unless otherwise noted.

1.CHP 959 Lane CA MOB Owner, LLC

2.CHP 971 Lane CA MOB Owner, LLC

3.CHP Abilene TX Holding GP, LLC

4.CHP Abilene TX Holding, LP

5.CHP Abilene TX MOB GP, LLC

6.CHP Abilene TX MOB Owner, LP

7.CHP Albuquerque NM Owner, LLC

8.CHP Albuquerque NM Tenant Corp. (d/b/a Palmilla Senior Living) in New Mexico

9.CHP Anderson IN Senior Living Owner, LLC

10.CHP Auburn WA Owner, LLC

11.CHP Auburn WA Tenant Corp. (d/b/a Prestige Senior Living Auburn Meadows) in Washington

12.CHP Austin TX Holding GP, LLC

13.CHP Austin TX Holding, LP

14.CHP Austin TX Owner GP, LLC

15.CHP Austin TX Senior Living Owner, LP

16.CHP Austin TX Tenant Corp. (d/b/a The Pavilion at Great Hills) in Texas

17.CHP Batesville Healthcare Owner, LLC

18.CHP Bay Medical CA MOB Owner, LLC

19.CHP Beaumont Lending, LLC

20.CHP Beaumont TX Surgical Owner, LLC

21.CHP Beaverton OR Owner, LLC

22.CHP Beaverton OR Tenant Corp. (d/b/a Prestige Senior Living Beaverton Hills) in Oregon

23.CHP Bend OR MOB Owner, LLC

24.CHP Bend-High Desert OR Owner, LLC

25.CHP Bend-High Desert OR Tenant Corp. (d/b/a Prestige Senior Living High Desert) in Oregon

26.CHP Billings MT Owner, LLC

27.CHP Billings MT Tenant Corp. (d/b/a MorningStar of Billings) in Montana

28.CHP Birmingham AL MOB Owner, LLC

29.CHP Boise ID Owner, LLC

30.CHP Boise ID Tenant Corp. (d/b/a MorningStar of Boise) in Idaho

31.CHP Broadway Healthcare Owner, LLC

32.CHP Calvert MOB Owner, LLC

33.CHP Cary NC MOB Owner, LLC

34.CHP Cascadia Partners I, LLC

35.CHP Central Wing Annex MOB Owner, LLC

36.CHP Chapel Hill NC MOB Owner, LLC

37.CHP Chestnut Commons OH MOB Owner, LLC

38.CHP Chula Vista CA MOB Owner, LLC

39.CHP Cincinnati OH MOB Owner, LLC

40.CHP Claremont CA Owner, LLC

41.CHP Claremont Holding, LLC

42.CHP Clyde NC MOB Owner, LLC

43.CHP Collierville TN Owner, LLC

44.CHP Collierville TN Tenant Corp. (d/b/a Hearthside Senior Living of Collierville) in Tennessee

45.CHP Columbia MO Plaza 1 MOB Owner, LLC

46.CHP Columbia MO Plaza 2 MOB Owner, LLC

47.CHP Columbia MO Plaza 4 MOB Owner, LLC

48.CHP Columbia SC Owner, LLC

49.CHP Columbia SC Tenant Corp.

50.CHP Coral Springs FL MOB Owner, LLC

51.CHP Corvallis-West Hills OR Owner, LLC

52.CHP Corvallis-West Hills OR Tenant Corp. (d/b/a Prestige Senior Living West Hills) in Oregon

53.CHP Cypress Partners I, LLC

54.CHP Duluth GA Senior Living Owner, LLC

55.CHP Dunkirk MOB Owner, LLC

56.CHP Durham NC MOB Owner, LLC

57.CHP Escondido CA MOB Owner, LLC

58.CHP Frederick MD - Liberty MOB Owner, LLC

59.CHP Frederick MD - Patriot MOB Owner, LLC

60.CHP Glendale CA MOB Owner, LLC

61.CHP GP, LLC

62.CHP Grand Junction CO Senior Living, LLC

63.CHP Grayson GA Owner, LLC

64.CHP Grayson GA Tenant Corp.

65.CHP Greenville SC Owner, LLC

66.CHP Greenville SC Tenant Corp.

67.CHP Gresham-Huntington Terrace OR Owner, LLC

68.CHP Gresham-Huntington Terrace OR Tenant Corp. (d/b/a Prestige Senior Living Huntington Terrace)

69.CHP Gulf Breeze FL Senior Living Owner, LLC

70.CHP Gulf Breeze FL Tenant Corp. (d/b/a The Beacon at Gulf Breeze) in Florida

71.CHP Henderson NV Pavilion IV MOB Owner, LLC

72.CHP Henderson NV Pavilion V MOB Owner, LLC

73.CHP Henderson NV Pavilion VI MOB Owner, LLC

74.CHP Hospital Holding, LLC

75.CHP Houston TX Hospital Land Owner, LLC

76.CHP Houston TX Hospital Owner, LLC

77.CHP Houston TX MOB Owner, LLC

78.CHP Huntersville MOB Parent, LLC

79.CHP Huntersville NC MOB Owner, LLC

80.CHP Hurst TX Surgical Owner, LLC

81.CHP Idaho Falls ID Owner, LLC

82.CHP Idaho Falls ID Tenant Corp. (d/b/a MorningStar of Idaho Falls) in Idaho

83.CHP Isle at Cedar Ridge TX Owner, LLC

84.CHP Isle at Cedar Ridge TX Tenant Corp. (d/b/a Isle at Cedar Ridge) in Texas

85.CHP Isle at Watercrest-Bryan TX Owner, LLC

86.CHP Isle at Watercrest-Bryan TX Tenant Corp. (d/b/a Isle at Watercrest-Bryan) in Texas

87.CHP Isle at Watercrest-Mansfield TX Owner, LLC

88.CHP Isle at Watercrest-Mansfield TX Tenant Corp. (d/b/a Isle at Watercrest-Mansfield) in Texas

89.CHP Jacksonville FL MOB Owner, LLC

90.CHP Jasper AL Owner, LLC

91.CHP Jasper AL Tenant Corp. (d/b/a Harborchase of Jasper)

92.CHP Jefferson Commons Condo MOB Owner, LLC

93.CHP Jonesboro Healthcare Owner, LLC

94.CHP JV SL Development Holding, LLC

95.CHP Katy TX Member, LLC

96.CHP Knoxville Plaza A MOB Owner, LLC

97.CHP Knoxville Plaza B MOB Owner, LLC

98.CHP Knoxville TN MOB Owner, LLC

99.CHP Knoxville TN MOB Parent, LLC

100.CHP Lake Zurich IL Owner, LLC

101.CHP Lake Zurich IL Tenant Corp. (d/b/a Cedar Lake Assisted Living & Memory Care) in Illinois

102.CHP Lancaster OH Senior Living Owner, LLC

103.CHP Las Vegas NV Rehab Owner, LLC

104.CHP Layton UT Owner, LLC

105.CHP Layton UT Tenant Corp. (d/b/a Fairfield Village of Layton and Fairfield Village Rehabilitation) in Utah

106.CHP Leawood KS MOB Owner, LLC

107.CHP Legacy Ranch TX Owner, LLC

108.CHP Legacy Ranch TX Tenant Corp. (d/b/a Legacy Ranch) in Texas

109.CHP Lincoln Plaza AZ MOB Owner, LLC

110.CHP Longview-Monticello Park WA Owner, LLC

111.CHP Longview-Monticello Park WA Tenant Corp.

112.CHP Magnolia Healthcare Owner, LLC

113.CHP Maplewood MN Owner, LLC

114.CHP Maplewood MN Tenant Corp. (d/b/a The Shores of Lake Phalen) in Minnesota and Florida

115.CHP Margate FL Medical Arts Owner, LLC

116.CHP Margate FL Medical Park Owner, LLC

117.CHP Marietta GA Senior Living Owner, LLC

118.CHP Matthews MOB Parent, LLC

119.CHP Matthews NC MOB Owner, LLC

120.CHP Meadows Place TX Holding GP, LLC

121.CHP Meadows Place TX Holding, LP

122.CHP Meadows Place TX Owner GP, LLC

123.CHP Meadows Place TX Senior Living Owner, LP

124.CHP Meadows Place TX Tenant Corp. (d/b/a The Hampton at Meadows Place) in Texas

125.CHP Medford-Arbor Place OR Owner, LLC

126.CHP Medford-Arbor Place OR Tenant Corp. (d/b/a Prestige Senior Living Arbor Place Memory Care and Prestige Senior Living Arbor Place) in Oregon

127.CHP Medical Arts MOB Owner, LLC

128.CHP MetroView-Charlotte MOB Parent, LLC

129.CHP MetroView-Charlotte NC MOB Owner, LLC

130.CHP Midtown-Charlotte MOB Parent, LLC

131.CHP Midtown-Charlotte NC MOB Owner, LLC

132.CHP Mine Creek Healthcare Owner, LLC

133.CHP Mishawaka IN Rehab Owner, LLC

134.CHP MOB Holding, LLC

135.CHP NC Specialty Hospital Owner, LLC

136.CHP NC-GA MOB Parent, LLC

137.CHP Newburyport MA MOB Owner, LLC

138.CHP NNN Development Holding, LLC

139.CHP North Mountain AZ MOB Owner, LLC

140.CHP Novi MI MOB Owner, LLC

141.CHP O'Fallon MO Owner, LLC

142.CHP O'Fallon MO Tenant Corp.

143.CHP Oklahoma City OK Rehab Owner, LLC

144.CHP Oxford NC MOB Owner, LLC

145.CHP Panama City FL Owner, LLC

146.CHP Panama City FL Tenant Corp.

147.CHP Park at Plainfield IL Owner, LLC

148.CHP Park at Plainfield IL Tenant Corp. (d/b/a HarborChase of Plainfield) in Illinois

149.CHP Partners, LP

150.CHP Presbyterian-Charlotte MOB Parent, LLC

151.CHP Presbyterian-Charlotte NC MOB Owner, LLC

152.CHP Raider Ranch TX Owner, LLC

153.CHP Raider Ranch TX Senior Housing Owner, LLC

154.CHP Raider Ranch TX Tenant Corp. (d/b/a The Isle at Raider Ranch) in Texas

155.CHP Rome GA MOB Owner, LLC

156.CHP Roxboro NC MOB Owner, LLC

157.CHP Salem-Orchard Heights OR Owner, LLC

158.CHP Salem-Orchard Heights OR Tenant Corp.  (d/b/a Prestige Senior Living Orchard Heights Memory Care and Prestige Senior Living Orchard Heights) in Oregon

159.CHP Salem-Southern Hills OR Owner, LLC

160.CHP Salem-Southern Hills OR Tenant Corp. (d/b/a Prestige Senior Living Southern Hills) in Oregon

161.CHP San Antonio TX Holding GP, LLC

162.CHP San Antonio TX Holding, LP

163.CHP San Antonio TX MOB GP, LLC

164.CHP San Antonio TX MOB Owner, LP

165.CHP Santa Monica CA MOB Owner, LLC

166.CHP Searcy Healthcare Owner, LLC

167.CHP Senior Living Net Lease Holding, LLC

168.CHP Shorewood WI Owner, LLC

169.CHP Shorewood WI Tenant Corp.

170.CHP SL Development Holding, LLC

171.CHP SL Owner Holding I, LLC

172.CHP SL Owner Holding II, LLC

173.CHP South Bay Partners I, LLC

174.CHP Sparks NV Owner, LLC

175.CHP Sparks NV Tenant Corp.

176.CHP Spivey I-Jonesboro GA MOB Owner, LLC

177.CHP Spivey II-Jonesboro GA MOB Owner, LLC

178.CHP Springs TX Owner, LLC

179.CHP Springs TX Tenant Corp. (d/b/a The Springs) in Texas

180.CHP Surprise AZ Rehab Owner, LLC

181.CHP Tega Cay SC Owner, LLC

182.CHP Tega Cay SC Tenant Corp.

183.CHP Tillamook-Five Rivers OR Owner, LLC

184.CHP Tillamook-Five Rivers OR Tenant Corp. (d/b/a Prestige Senior Living Five Rivers) in Oregon

185.CHP Town Village OK Owner, LLC

186.CHP Town Village OK Tenant Corp.

187.CHP TRS Development Holding, LLC

188.CHP TRS Holding, Inc.

189.CHP Tualatin-Riverwood OR Owner, LLC

190.CHP Tualatin-Riverwood OR Tenant Corp. (d/b/a Prestige Senior Living Riverwood) in Oregon

191.CHP Vancouver-Bridgewood WA Owner, LLC

192.CHP Vancouver-Bridgewood WA Tenant Corp. (d/b/a Prestige Senior Living Bridgewood) in Washington

193.CHP Watercrest at Bryan TX Owner, LLC (d/b/a Watercrest at Bryan) in Texas

194.CHP Watercrest at Bryan TX TRS Corp. (d/b/a Watercrest at Bryan) in Texas

195.CHP Watercrest at Katy TX Owner, LLC

196.CHP Watercrest at Katy TX TRS Corp.

197.CHP Watercrest at Mansfield Holding, LLC

198.CHP Watercrest at Mansfield TX Owner, LLC  (d/b/a Watercrest at Mansfield) in Texas

199.CHP Watercrest at Mansfield TX TRS Corp. (d/b/a Watercrest at Mansfield) in Texas

200.CHP Wausau WI Senior Living Owner, LLC

201.CHP Westville IN MOB Owner, LLC

202.CHP Yakima WA II JV Member, LLC

203.CHP Yakima WA II Owner, LLC

204.CHP Yakima WA II Tenant Corp. (d/b/a Fieldstone at Pear Orchard) in Washington

205.CHP Yakima WA Owner, LLC

206.CHP Yakima WA Tenant Corp. (d/b/a Fieldstone Memory Care) in Washington

207.CHP Yelm-Rosemont WA Owner, LLC

208.CHP Yelm-Rosemont WA Tenant Corp. (d/b/a Prestige Senior Living Rosemont) in Washington

209.CHP Yuma AZ MOB Member, LLC

210.CHP Yuma AZ MOB Owner, LLC

211.CHT Aberdeen SD Senior Living, LLC

212.CHT Acworth GA Owner, LLC

213.CHT Acworth GA Tenant Corp.  (d/b/a Dogwood Forest of Acworth) in Georgia

214.CHT Billings MT Senior Living, LLC

215.CHT Brookridge Heights MI Owner, LLC

216.CHT Brookridge Heights MI Tenant Corp.

217.CHT Casper WY Senior Living, LLC

218.CHT Council Bluffs IA Senior Living, LLC

219.CHT Curry House MI Owner, LLC

220.CHT Curry House MI Tenant Corp.

221.CHT Decatur IL Senior Living, LLC

222.CHT GCI Partners I, LLC

223.CHT Grand Island NE Senior Living, LLC

224.CHT Harborchase Assisted Living Owner, LLC

225.CHT Harborchase TRS Tenant Corp. (d/b/a Harborchase of Villages Crossing) in Florida

226.CHT Lima OH Senior Living, LLC

227.CHT Mansfield OH Senior Living, LLC

228.CHT Marion OH Senior Living, LLC

229.CHT SL IV Holding, LLC

230.CHT Symphony Manor MD Owner, LLC

231.CHT Symphony Manor MD Tenant Corp.

232.CHT Tranquility at Fredericktowne MD Owner, LLC

233.CHT Tranquility at Fredericktowne MD Tenant Corp.

234.CHT Windsor Manor AL Holding, LLC

235.CHT Windsor Manor TRS Corp.

236.CHT Woodholme Gardens MD Owner, LLC

237.CHT Woodholme Gardens MD Tenant Corp.

238.CHT Zanesville OH Senior Living, LLC

239.CNL Healthcare Properties, Inc.

240.Grinnell IA Assisted Living Owner, LLC

241.Grinnell IA Assisted Living Tenant, LLC

242.Indianola IA Assisted Living Owner, LLC

243.Indianola IA Assisted Living Tenant, LLC

244.Nevada IA Assisted Living Owner, LLC

245.Nevada IA Assisted Living Tenant, LLC

246.Vinton IA Assisted Living Owner, LLC

247.Vinton IA Assisted Living Tenant, LLC

248.Webster City IA Assisted Living Owner, LLC

249.Webster City IA Assisted Living Tenant, LLC

EX-23.1

EXHIBIT 23.1

CONSENT OF INDEPENDENT REGISTERED CERTIFIED PUBLIC ACCOUNTING FIRM

We hereby consent to the incorporation by reference in the Post-effective Amendment No. 4 to the Form S-11 Registration Statement on Form S-3 of CNL Healthcare Properties, Inc.of our reportdated March 16, 2016 relating to the financial statements and financial statement schedules, which appears in this Form 10‑K.

/s/ PricewaterhouseCoopers LLP
Orlando, Florida

March 16, 2016

EX-31.1

EXHIBIT 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER

OF CNL HEALTHCARE PROPERTIES, INC.

PURSUANT TO RULE 13a-14(a), AS ADOPTED PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Stephen H. Mauldin, certify that:

1. I have reviewed this annual report on Form 10-K of CNL Healthcare Properties, Inc. (the “Registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this report;

4. The Registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

(a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) disclosed in this report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5. The Registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of the Registrant’s board of directors (or persons performing the equivalent functions):

(a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

(b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.

Date:  March 16, 2016	By:	/s/ Stephen H. Mauldin
		STEPHEN H. MAULDIN
		Chief Executive Officer
		(Principal Executive Officer)

EX-31.2

EXHIBIT 31.2

CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER

OF CNL HEALTHCARE PROPERTIES, INC.

PURSUANT TO RULE 13a-14(a), AS ADOPTED PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Kevin R. Maddron, certify that:

1. I have reviewed this annual report on Form 10-K of CNL Healthcare Properties, Inc. (the “Registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this report;

4. The Registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

(a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) disclosed in this report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5. The Registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant’s auditors and the audit committee of the Registrant’s board of directors (or persons performing the equivalent functions):

(a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

(b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.

Date:  March 16, 2016	By:	/s/ Kevin R. Maddron
		KEVIN R. MADDRON
		Chief Financial Officer, Treasurer and Chief Operating Officer
		(Principal Financial Officer)

EX-32.1

EXHIBIT 32.1

CERTIFICATION

PURSUANT TO 18 U.S.C. SECTION 1350 AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the annual report of CNL Healthcare Properties, Inc. (the “Company”) on Form 10-K for the year ended December 31, 2015, as filed with the United States Securities and Exchange Commission on the date hereof (the “Report”), I, Stephen H. Mauldin, Chief Executive Officer and Kevin R. Maddron, Chief Financial Officer of the Company, each certify, pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date:  March 16, 2016	By:	/s/ Stephen H. Mauldin
		Stephen H. Mauldin
		Chief Executive Officer
Date:  March 16, 2016	By:	/s/ Kevin R. Maddron
		Kevin R. Maddron
		Chief Financial Officer, Treasurer and Chief Operating Officer

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Document and Entity Information - USD ($) $ in Billions	12 Months Ended
	Dec. 31, 2015	Mar. 03, 2016	Jun. 30, 2015
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2015
Document Fiscal Year Focus	2015
Document Fiscal Period Focus	FY
Entity Registrant Name	CNL Healthcare Properties, Inc.
Entity Central Index Key	0001496454
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Non-accelerated Filer
Entity Common Stock, Shares Outstanding		174,430,100
Entity Public Float			$ 1.6

XML

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Real estate assets:
Real estate investment properties, net (including VIEs $219,971 and $174,449, respectively)	$ 2,470,176	$ 1,657,500
Real estate under development, including land (including VIEs $58,994 and $47,153 respectively)	62,521	47,153
Total real estate assets, net	2,532,697	1,704,653
Intangibles, net (including VIEs $23,540 and $25,519 respectively)	172,452	140,264
Cash (including VIEs $4,427 and $6,280 respectively)	68,922	91,355
Deferred rent and lease incentives (including VIEs $6,942 and $2,978 respectively)	23,477	8,240
Other assets (including VIEs $1,506 and $511 respectively)	21,302	19,738
Loan costs, net (including VIEs $2,625 and $2,300 respectively)	14,358	14,012
Restricted cash (including VIEs $1,461 and $5,304 respectively)	10,287	10,753
Total assets	2,843,495	1,989,015
Liabilities:
Mortgages and other notes payable, net (including VIEs $153,735 and $137,754 respectively)	840,435	853,561
Credit facilities	660,000	206,403
Other liabilities (including VIEs $3,644 and $4,949 respectively)	41,938	27,448
Accounts payable and accrued liabilities (including VIEs $11,650 and $10,268 respectively)	40,217	26,444
Due to related parties (including VIEs $136 and $219 respectively)	1,803	2,999
Total liabilities	$ 1,584,393	$ 1,116,855
Commitments and contingencies (Note 15)
Redeemable noncontrolling interest	$ 551	$ 568
Stockholders' equity:
Preferred stock, $0.01 par value per share, 200,000 shares authorized; none issued or outstanding
Excess shares, $0.01 par value per share, 300,000 shares authorized; none issued or outstanding
Common stock, $0.01 par value per share, 1,120,000 shares authorized, 175,824 and 116,672 shares issued, and 174,430 and 116,256 shares outstanding, respectively	$ 1,744	$ 1,163
Capital in excess of par value	1,528,781	1,007,326
Accumulated loss	(151,146)	(83,091)
Accumulated distributions	(112,543)	(49,342)
Accumulated other comprehensive loss	(9,747)	(4,864)
Total stockholders' equity	1,257,089	871,192
Noncontrolling interest	1,462	400
Total equity	1,259,102	872,160
Total liabilities and equity	$ 2,843,495	$ 1,989,015

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CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Real estate investment properties, net	$ 2,470,176	$ 1,657,500
Real estate under development, including land	62,521	47,153
Intangibles, net	172,452	140,264
Cash	68,922	91,355
Deferred rent and lease incentives	23,477	8,240
Other assets	21,302	19,738
Loan costs, net	14,358	14,012
Restricted cash	10,287	10,753
Mortgages and other notes payable, net (including VIEs $153,735 and $137,754 respectively)	840,435	853,561
Other liabilities	41,938	27,448
Accounts payable and accrued liabilities	40,217	26,444
Due to related parties	$ 1,803	$ 2,999
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	200,000,000	200,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Excess shares, par value	$ 0.01	$ 0.01
Excess shares, shares authorized	300,000,000	300,000,000
Excess shares, shares issued	0	0
Excess shares, shares outstanding	0	0
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	1,120,000,000	1,120,000,000
Common stock, shares issued	175,824,000	116,672,000
Common stock, shares outstanding	174,430,000	116,256,000
VIEs
Real estate investment properties, net	$ 219,971	$ 174,449
Real estate under development, including land	58,994	47,153
Intangibles, net	23,540	25,519
Cash	4,427	6,280
Deferred rent and lease incentives	6,942	2,978
Other assets	1,506	511
Loan costs, net	2,625	2,300
Restricted cash	1,461	5,304
Mortgages and other notes payable, net (including VIEs $153,735 and $137,754 respectively)	153,735	137,754
Other liabilities	3,644	4,949
Accounts payable and accrued liabilities	11,650	10,268
Due to related parties	$ 136	$ 219

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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2015		Dec. 31, 2014		Dec. 31, 2013
Revenues:
Rental income from operating leases	$ 101,125		$ 49,305		$ 23,297
Resident fees and services	183,407		123,777		27,550
Tenant reimbursement income	15,993		7,504		1,640
Interest income on note receivable from related party			498		118
Total revenues	300,525		181,084		52,605
Operating expenses:
Property operating expenses	149,688		93,549		20,940
General and administrative	10,088		6,877		5,618
Acquisition fees and expenses	21,526		23,931		18,840
Asset management fees	17,892		8,481		3,614
Property management fees	14,759		8,942		2,642
Contingent purchase price consideration adjustment	(589)		(630)		(1,824)
Impairment provision	4,661
Loss on lease terminations	863
Depreciation and amortization	105,945		63,112		16,765
Total operating expenses	324,833		204,262		66,595
Operating loss	(24,308)		(23,178)		(13,990)
Other income (expense):
Interest and other income	158		104		74
Interest expense and loan cost amortization	(42,969)		(30,487)		(10,799)
Equity in earnings (loss) of unconsolidated entities	(596)		(1,387)		2,147
Gain on sale of investment in unconsolidated entity					4,486
Gain on purchase of controlling interest of investment in unconsolidated entity			2,798
Total other expense	(43,407)		(28,972)		(4,092)
Loss before income taxes	(67,715)		(52,150)		(18,082)
Income tax expense	(378)		(361)		(18)
Net loss	(68,093)		(52,511)		(18,100)
Less: Net loss attributable to noncontrolling interest	(38)
Net loss attributable to common stockholders	$ (68,055)		$ (52,511)		$ (18,100)
Net loss per share of common stock (basic and diluted)	$ (0.44)		$ (0.61)		$ (0.42)
Weighted average number of shares of common stock outstanding (basic and diluted)	153,804	[1]	85,710	[1]	43,450

[1] For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions issued are treated as if they were outstanding for all periods presented.

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statement Of Income And Comprehensive Income [Abstract]
Net loss attributable to common stockholders	$ (68,055)	$ (52,511)	$ (18,100)
Other comprehensive income (loss):
Unrealized loss on derivative financial instruments, net	(5,143)	(3,915)	(1,042)
Reclassification of cash flow hedges upon derecognition	236
Reclassification of cash flow hedges due to ineffectiveness	33
Unrealized income (loss) on derivative financial instruments of equity method investments	(9)	10	83
Total other comprehensive loss	(4,883)	(3,905)	(959)
Comprehensive loss	(72,938)	(56,416)	(19,059)
Comprehensive loss attributable to common stockholders	$ (72,938)	$ (56,416)	$ (19,059)

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND REDEEMABLE NONCONTROLLING INTEREST - USD ($) shares in Thousands, $ in Thousands	Total	Redeemable Noncontrolling Interests	Common Stock	Capital in Excess of Par Value	Accumulated Loss	Accumulated Distributions	Accumulated Other Comprehensive Loss	Total Stockholders' Equity	Non- controlling Interest
Beginning Balance at Dec. 31, 2012	$ 140,651		$ 184	$ 156,200	$ (12,480)	$ (3,253)		$ 140,651
Beginning Balance (in shares) at Dec. 31, 2012			18,446
Subscriptions received for common stock through public offering and reinvestment plan (in shares)			38,798
Subscriptions received for common stock through public offering and reinvestment plan			$ 388	386,975				387,363
Stock distributions			$ 11	(11)
Stock distributions, shares	1,100		1,063
Redemptions of common stock	$ (827)		$ (1)	(826)				(827)
Redemption of common stock, shares			(89)
Stock issuance and offering costs	(41,977)			(41,977)				(41,977)
Net loss	(18,100)				(18,100)			(18,100)
Other comprehensive loss	(959)						$ (959)	(959)
Cash distributions declared and paid or reinvested ($0.39996 per share in 2013, $0.4071 per share in 2014 and $0.4236 per share in 2015)	(14,170)					(14,170)		(14,170)
Ending Balance at Dec. 31, 2013	451,981		$ 582	500,361	(30,580)	(17,423)	(959)	451,981
Ending Balance (in shares) at Dec. 31, 2013			58,218
Subscriptions received for common stock through public offering and reinvestment plan (in shares)			56,006
Subscriptions received for common stock through public offering and reinvestment plan	$ 572,324		$ 560	571,764				572,324
Stock distributions			$ 24	(24)
Stock distributions, shares	2,400		2,356
Redemptions of common stock	$ (2,996)		$ (3)	(2,993)				(2,996)
Redemption of common stock, shares			(324)
Stock issuance and offering costs	(59,782)			(59,782)				(59,782)
Net loss	(52,511)				(52,511)			(52,511)
Other comprehensive loss	(3,905)						(3,905)	(3,905)
Distribution to holder of promoted interest	(2,000)			(2,000)				(2,000)
Cash distributions declared and paid or reinvested ($0.39996 per share in 2013, $0.4071 per share in 2014 and $0.4236 per share in 2015)	(31,919)					(31,919)		(31,919)
Ending Balance at Dec. 31, 2014	$ 872,160	$ 568	$ 1,163	1,007,326	(83,091)	(49,342)	(4,864)	871,192	$ 400
Ending Balance (in shares) at Dec. 31, 2014	116,256		116,256
Contribution from noncontrolling interests	$ 968	568							400
Subscriptions received for common stock through public offering and reinvestment plan (in shares)			55,956
Subscriptions received for common stock through public offering and reinvestment plan	$ 588,704		$ 561	588,143				588,704
Stock distributions			$ 32	(32)
Stock distributions, shares	3,200		3,196
Redemptions of common stock	$ (9,309)		$ (12)	(9,297)				(9,309)
Redemption of common stock, shares			(978)
Stock issuance and offering costs	(57,359)			(57,359)				(57,359)
Net loss	(68,093)	(17)			(68,055)			(68,055)	(21)
Other comprehensive loss	(4,883)						(4,883)	(4,883)
Distribution to holder of noncontrolling interest	(23)								(23)
Cash distributions declared and paid or reinvested ($0.39996 per share in 2013, $0.4071 per share in 2014 and $0.4236 per share in 2015)	(63,201)					(63,201)		(63,201)
Ending Balance at Dec. 31, 2015	$ 1,259,102	$ 551	$ 1,744	$ 1,528,781	$ (151,146)	$ (112,543)	$ (9,747)	$ 1,257,089	1,462
Ending Balance (in shares) at Dec. 31, 2015	174,430		174,430
Contribution from noncontrolling interests	$ 1,106								$ 1,106

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CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND REDEEMABLE NONCONTROLLING INTEREST (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Statement Of Stockholders Equity [Abstract]
Cash distributions, declared and paid per share	$ 0.4236	$ 0.4071	$ 0.39996

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Operating Activities:
Net loss	$ (68,093)	$ (52,511)	$ (18,100)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities
Depreciation and amortization	105,945	63,112	16,765
Amortization of loan costs	3,762	2,921	1,433
Accretion of note origination costs		60	80
Amortization of above and below market intangibles	915	345	68
Straight-line rent adjustments	(4,309)	(2,472)	(2,023)
Unrealized loss from mark-to-market adjustments on swaps	33
Deferred tax assets, net			31
Loss on extinguishment of debt	986		244
Contingent purchase price consideration adjustment	(589)	(630)	(1,824)
Equity in earnings of unconsolidated entities, net of distributions	1,486	2,931	1,620
Impairment provision	4,661
Loss on lease terminations	863
Bad debt expense	1,170
Gain on sale of unconsolidated entity			(4,486)
Gain on purchase of controlling interest in unconsolidated entity		(2,798)
Changes in operating assets and liabilities:
Other assets	1,406	(1,791)	(740)
Deferred rent and lease incentives	(13,156)	(1,016)
Due from related parties		(155)	(25)
Accounts payable and accrued liabilities	6,423	7,235	5,450
Other liabilities	1,586	5,038	2,907
Due to related parties	428	(997)	1,646
Net cash flows provided by operating activities	43,517	19,272	3,046
Investing activities:
Acquisition of properties	(866,340)	(869,458)	(655,924)
Development of properties	(73,552)	(47,150)	(23,246)
Issuance of note receivable to related party		(2,065)	(3,686)
Collection of note receivable from related party		5,591
Distribution from unconsolidated entities		2,206	222
Purchase of controlling interest in unconsolidated entity		(1,584)
Investment in unconsolidated entities		(220)	(12,912)
Proceeds from sale of unconsolidated entity			61,761
Changes in restricted cash	466	(7,914)	(2,229)
Capital expenditures	(8,029)	(4,021)	(347)
Payment of leasing costs	(2,806)	(543)	(12)
Deposits on real estate	(500)	(500)	(7,419)
Net cash used in investing activities	(950,761)	(925,658)	(643,792)
Net cash used in investing activities	(950,761)	(925,658)	(643,792)
Financing activities:
Subscriptions received for common stock through public offering	551,876	554,608	379,772
Payment of stock issuance and offering costs	(58,983)	(58,880)	(41,821)
Distributions to stockholders, net of distribution reinvestments	(26,373)	(14,203)	(6,579)
Redemptions of common stock	(7,441)	(2,246)	(706)
Contribution from redeemable noncontrolling interest		568
Contribution from noncontrolling interest	71	400
Distributions to holder of noncontrolling interest	(23)
Distribution to holder of promoted interest		(2,000)
Draws under revolving credit facilities	775,000	367,223	98,500
Repayments on revolving credit facilities	(321,403)	(259,320)
Proceeds from mortgage and other notes payable	95,570	402,438	362,392
Principal payments on mortgage and other notes payable	(115,818)	(27,012)	(117,436)
Lender deposits		(150)	(1,110)
Purchase of interest rate cap	(2,251)
Payment of loan costs	(5,414)	(7,894)	(6,319)
Net cash flows provided by financing activities	884,811	953,532	666,693
Net increase (decrease) in cash	(22,433)	47,146	25,947
Cash at beginning of period	91,355	44,209	18,262
Cash at end of period	68,922	91,355	44,209
Supplemental disclosure of cash flow information:
Cash paid during the period for interest, net of capitalized interest of approximately $2.0 million, $0.9 million and $0.5 million, respectively	37,621	26,724	8,720
Cash paid for income taxes	702	545	569
Amounts incurred but not paid (including amounts due to related parties):
Stock issuance and offering costs	32	1,656	752
Loan costs	136	310	241
Accrued development costs	11,251	7,951	7,047
Redemptions payable	2,739	872	121
Noncontrolling interests non-cash contributions	1,035
Contingent purchase price consideration	7,500	268	507
Loan cost amortization capitalized on development properties	382	73	$ 97
Assumption of liabilities on acquired property	6,905	1,000
Assumption of mortgage note payable on acquired property	$ 7,128	$ 27,657

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Organization

12 Months Ended

Dec. 31, 2015

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Organization

1. Organization

CNL Healthcare Properties, Inc. (“Company”) is a Maryland corporation incorporated on June 8, 2010 that elected to be taxed as a REIT for U.S. federal income tax purposes beginning with the year ended December 31, 2012.  The Company is externally advised by CNL Healthcare Corp. and its property manager is CNL Healthcare Manager Corp., each of which is a Florida corporation and a wholly owned subsidiary of CNL Financial Group, LLC, the Company’s sponsor.  The Sponsor is an affiliate of CNL Financial Group, Inc. and CNL Securities Corp., the managing dealer of the Offerings and a wholly owned subsidiary of CNL. The Advisor is responsible for managing the Company’s affairs on a day-to-day basis and for identifying and making acquisitions and investments on behalf of the Company pursuant to an advisory agreement among the Company, the Operating Partnership and the Advisor.  Substantially all of the Company’s acquisition, operating, administrative and certain property management services have been and continue to be provided by affiliates of the Advisor and the Property Manager.  In addition, third-party sub-property managers have been engaged to provide certain property management services.

The Company had no operations prior to the commencement of its Initial Offering on June 27, 2011.  The net proceeds from the Company’s Offerings were contributed to the Operating Partnership in exchange for partnership interests.  Substantially all of the Company’s assets are held by, and all operations are conducted, either directly or indirectly, through: (1) an operating partnership, CHP Partners, LP, in which the Company is the sole limited partner and its wholly-owned subsidiary, CHP GP, LLC, is the sole general partner; (2) a wholly-owned TRS, CHP TRS Holding, Inc.; (3) property owner subsidiaries and lender subsidiaries, which are single purpose entities; and (4) investments in joint ventures.  The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently.

With the completion of the Offerings, the Company’s focus is on actively managing a diversified portfolio of healthcare real estate or real estate-related assets within the seniors housing, medical office, post-acute care and acute care asset classes.  The types of seniors housing that the Company has acquired include independent and assisted living facilities, continuing care retirement communities, and Alzheimer’s / memory care facilities.  The types of medical offices that the Company has acquired include MOBs, specialty medical and diagnostic service facilities, surgery centers, outpatient rehabilitation facilities, and other facilities designed for clinical services.  The types of post-acute care facilities that the Company has acquired include skilled nursing facilities and inpatient rehabilitative hospitals.  The types of acute care facilities that the Company has acquired include general acute care hospitals and specialty surgical hospitals.  The Company views, manages and evaluates its portfolio homogeneously as one collection of healthcare assets with a common goal of maximizing revenues and property income regardless of the asset class or asset type.

The Company has primarily leased its seniors housing properties to wholly owned TRS entities and engaged independent third-party managers under management agreements to operate the properties under RIDEA structures; however, the Company has also leased its properties to third-party tenants under triple-net or similar lease structures, where the tenant bears all or substantially all of the costs (including cost increases, for real estate taxes, utilities, insurance and ordinary repairs).  Medical office, post-acute care and acute care properties have been leased on a triple-net, net or modified gross basis to third-party tenants.  In addition, most of the Company’s investments have been wholly owned, although, it has invested through partnerships with other entities where it is believed to be appropriate and beneficial.  The Company has and continues to invest in new property developments or properties that have not reached full stabilization.

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Summary of Significant Accounting Policies

12 Months Ended

Dec. 31, 2015

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the accounts of wholly owned subsidiaries or subsidiaries for which the Company has a controlling interest, the accounts of VIEs in which the Company is the primary beneficiary, and the accounts of other subsidiaries over which the Company has a controlling financial interest.  All material intercompany accounts and transactions have been eliminated in consolidation.

2. Summary of Significant Accounting Policies (continued)

In accordance with the guidance for the consolidation of VIEs, the Company analyzes its variable interests, including loans, leases, guarantees, and equity investments, to determine if the entity in which it has a variable interest is a variable interest entity (“VIE”). The Company’s analysis includes both quantitative and qualitative reviews. The Company bases its quantitative analysis on the forecasted cash flows of the entity, and its qualitative analysis on its review of the design of the entity, its organizational structure including decision-making ability and financial agreements. The Company also uses its quantitative and qualitative analyses to determine if it is the primary beneficiary of the VIE, and if such determination is made, it includes the accounts of the VIE in its consolidated financial statements.

Use of Estimates — The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements, the reported amounts of revenues and expenses during the reporting periods and the disclosure of contingent liabilities. For example, significant assumptions are made in the allocation of purchase price, the analysis of real estate impairments, the valuation of contingent assets and liabilities, and the valuation of restricted stock shares issued to the Advisor or Property Manager.  Accordingly, actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions— Upon acquisition of properties, the Company estimates the fair value of acquired tangible assets (consisting of land, building and improvements, tenant improvements and equipment), intangible assets (consisting of in-place leases and above- or below-market leases), liabilities assumed and any contingent assets or liabilities in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, the Company considers information obtained about each property as a result of its due diligence and utilizes various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.

The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land and building based on the relative fair values of these assets.

The purchase price is allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease(s).  Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses.  Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual rents to be paid pursuant to the lease and management’s estimate of the fair market lease rates for each in-place lease and may include assumptions for lease renewals of below-market leases.

The Company also enters into contingent purchase price consideration arrangements in connection with acquisitions, which result in either an asset or liability being recognized as part of the purchase price allocation.  In calculating the estimated fair value of contingent purchase price consideration arrangements, the Company considers information obtained during the due diligence and budget process as well as discount rates to determine the fair value.  The Company evaluates the fair value of the arrangements at each reporting period and records any adjustments to the fair value as a component of operating income (expense) in the consolidated statement of operations.  Refer to Note 9. “Contingent Purchase Price Consideration” for additional information on fair value measurements of contingent purchase price consideration arrangements.

Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized. Repair and maintenance costs are charged to expense as incurred and significant replacements and improvements are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets.  Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are the lesser of 39 and 15 years, respectively, or the remaining life of the ground lease.

Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease related costs not deemed to be recoverable.

2. Summary of Significant Accounting Policies (continued)

Impairment of Real Estate Assets — Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators, including property operating performance and general market conditions, that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired.  To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group.  Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors.  In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value of the asset group.

When impairment indicators are present for real estate indirectly owned, through an investment in a joint venture or other similar investment structure accounted for under the equity method, the Company compares the estimated fair value of its investment to the carrying value.  An impairment charge will be recorded to the extent fair value of the investment is less than the carrying amount and the decline in value is determined to be other than a temporary decline.

Real Estate Under Development — The Company records real estate under development at cost, including acquisition fees and closing costs incurred. The cost of the real estate under development includes direct and indirect costs of development, including interest and miscellaneous costs incurred during the development period until the project is substantially complete and available for occupancy. In addition, during active development, all operating expenses related to the project, including property expenses such as real estate taxes and insurance, are capitalized rather than expensed and incidental revenue is recorded as a reduction of capitalized development costs.  Preleasing costs are expensed as incurred.

Capitalized Interest — Interest and loan cost amortization attributable to funds used to finance real estate under development is capitalized as additional costs of development. The Company capitalizes interest at the weighted average interest rate of the Company’s outstanding indebtedness and based on its weighted average expenditures for the period. Capitalization of interest on a specific project ceases when the project is substantially complete and ready for occupancy.  During the years ended December 31, 2015, 2014 and 2013, the Company incurred interest expense and loan cost amortization of approximately $45.3 million, $31.5 million and $11.5 million, respectively, of which approximately $2.3 million, $1.0 million and $0.7 million, respectively, was capitalized according to this policy.

Cash — Cash consists of demand deposits at commercial banks. The Company also invests in cash equivalents consisting of highly liquid investments in money market funds with original maturities of three months or less during the year.  As of December 31, 2015, certain of the Company’s cash deposits exceeded federally insured amounts.  However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal.  The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.

Restricted Cash — Certain amounts of cash are restricted to fund capital expenditures for the Company’s real estate investment properties or represent certain tenant security deposits.

Loan Costs — Financing costs paid in connection with obtaining debt are deferred and amortized over the estimated life of the debt using the effective interest method.  As of December 31, 2015 and 2014, the accumulated amortization of loan costs was approximately $7.8 million and $4.3 million, respectively.

Leasing Costs — The Company defers costs that it incurs to obtain new tenant leases or extend existing tenant leases and classifies these costs as other assets, net of accumulated amortization. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized deferred lease costs not deemed to be recoverable.

2. Summary of Significant Accounting Policies (continued)

Investments in Unconsolidated Entities — The Company accounts for its investments in unconsolidated joint ventures under the equity method of accounting as the Company exercises significant influence, but does not maintain a controlling financial interest over these entities. These investments are recorded initially at cost and subsequently adjusted for cash contributions, distributions and equity in earnings (loss) of the unconsolidated entities. Based on the respective venture structures and preferences the Company receives on distributions and liquidation, the Company records its equity in earnings of the unconsolidated entities under the HLBV method of accounting.  Under this method, the Company recognizes income or loss in each period as if the net book value of the assets in the ventures were hypothetically liquidated at the end of each reporting period pursuant to the provisions of the joint venture agreements. In any given period, the Company could be recording more or less income than actual cash distributions received and more or less than what the Company may receive in the event of an actual liquidation.  The Company’s investment in unconsolidated entities is accounted for as an asset acquisition in which acquisition fees and expenses are capitalized as part of the basis in the investment in unconsolidated entities.  The acquisition fees and expenses create an outside basis difference that are allocated to the assets of the investee and, if assigned to depreciable or amortizable assets, the basis differences are then amortized as a component of equity in earnings (loss) of unconsolidated entities.

Revenue Recognition — Rental income from operating leases is recorded on the straight-line basis over the terms of the leases. The Company’s leases require the tenants to pay certain additional contractual amounts that are set aside by the Company for replacements of fixed assets and other improvements to the properties. These amounts are and will remain the property of the Company during and after the term of the lease. The amounts are recorded as capital improvement reserve income at the time that they are earned and are included in rental income from operating leases in the accompanying consolidated statement of operations.  Additional percentage rent that is due contingent upon tenant performance thresholds, such as gross revenues, is deferred until the underlying performance thresholds have been achieved.

Resident fees and services consist of monthly services, which include rent, assistance and other related services.  Agreements with residents are generally for an initial term of three months and are cancelable by the residents with 30-days notice.

Tenant reimbursement income represents amounts tenants are required to reimburse the Company for expenses incurred on behalf of the tenants, in accordance with the terms of the leases and are recognized in the period in which the related reimbursable expenses are incurred.

Interest income is recognized on an accrual basis when earned.  Any deferred portion of contractual interest is recognized on a straight-line basis over the term of the corresponding note receivable.  Loan origination fees incurred are recognized as a reduction to interest income over the term of the note receivable.

Reclassifications — Certain amounts in the prior year’s consolidated balance sheet have been reclassified to conform to the current year’s presentation with no effect on the other previously reported consolidated financial statements.

Derivative Financial Instruments — The Company and certain unconsolidated equity method investments held by the Company use derivative financial instruments to partially offset the effect of fluctuating interest rates on the cash flows associated with its variable-rate debt.  Upon entry into a derivative, the Company or its unconsolidated equity method investment formally designates and documents the financial instrument as a hedge of a specific underlying exposure, as well as the risk management objectives and strategies for undertaking the hedge transaction.  The Company or its unconsolidated equity method investment accounts for derivatives through the use of a fair value concept whereby the derivative positions are stated at fair value in the accompanying consolidated balance sheets.  The fair value of derivatives used to hedge or modify risk fluctuates over time.  As such, the fair value amounts should not be viewed in isolation, but rather in relation to the cash flows or fair value of the underlying hedged transaction and to the overall reduction in the exposure relating to adverse fluctuations in interest rates on the Company’s or its unconsolidated equity method investment’s variable-rate debt.  Realized and unrealized gain (loss) on derivative financial instruments designated by either the Company or its unconsolidated equity method investment as cash flow hedges are reported as a component of other comprehensive income (loss), a component of stockholders’ equity, in the accompanying consolidated statements of comprehensive income (loss) to the extent they are effective; reclassified into earnings on the same line item associated with the hedged transaction and in the same period the hedged transaction affects earnings.  Any ineffective portions of cash flow hedges are reported in the accompanying consolidated statements of operations as derivative gain (loss).

2. Summary of Significant Accounting Policies (continued)

Realized and unrealized gain (loss) on derivative financial instruments designated as cash flow hedges that are entered into by the Company’s equity method investments are reported as a component of the Company’s other comprehensive income (loss) in proportion to the Company’s ownership percentage in the investment, with reclassifications and ineffective portions being included in equity in earnings (loss) of unconsolidated entities in the accompanying consolidated statements of operations.

Fair Value Measurements — Fair value assumptions are based on the framework established in the fair value accounting guidance under GAAP.  The framework specifies a hierarchy of valuation inputs which was established to increase consistency, clarity and comparability in fair value measurements and related disclosures.  The guidance describes the following fair value hierarchy based upon three levels of inputs that may be used to measure fair value, two of which are considered observable and one that is considered unobservable:

· Level 1 — Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access.

· Level 2 — Inputs, other than quoted prices included in Level 1, that are observable for the asset or liability either directly or indirectly;  such as, quoted prices for similar assets or liabilities or other inputs that can be corroborated by observable market data.

· Level 3 — Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity.

When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement.

Mortgages and Other Notes Payable — Mortgages and other notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s properties.  Mortgages and other notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.

Redemptions — Under the Company’s stock redemption plan, a stockholder’s shares are deemed to have been redeemed as of the date that the Company accepts the stockholder’s request for redemption.  From and after such date, the stockholder by virtue of such redemption is no longer entitled to any rights as a stockholder in the Company.  Shares redeemed are retired and not available for reissue.

Net Loss per Share — Net loss per share is calculated based upon the weighted average number of shares of common stock outstanding during the period in which the Company was operational. For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions are treated as if they were issued and outstanding for the full periods presented.  Therefore, the weighted average number of shares outstanding for the years ended December 31, 2015, 2014 and 2013 have been revised to include stock distributions declared and issued as if they were outstanding as of the beginning of each period presented.

Shares Based Payments to Non-Employees — In connection with the Expense Support Agreements described in Note 11. “Related Party Arrangements,” the Company may issue Restricted Stock to the Advisor or the Property Manager on a quarterly basis in exchange for providing expense support in the event that cash distributions declared exceed modified funds from operations as defined by the Expense Support Agreements. Refer to Note 18. “Subsequent Events” for additional information.

2. Summary of Significant Accounting Policies (continued)

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event of the Company.  Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to ASC 505-50.  On the date in which the Advisor or the Property Manager satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor or the Property Manager and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Pursuant to the Expense Support Agreements, the Advisor or the Property Manager shall be the record owner of the Restricted Stock until the shares of common stock are sold or otherwise disposed of, and shall be entitled to all of the rights of a stockholder of the Company including, without limitation, the right to vote such shares (to the extent permitted by the Articles) and receive all dividends and other distributions paid with respect to such shares.  All dividends or other distributions actually paid to the Advisor or the Property Manager in connection with the Restricted Stock shall vest immediately and will not be subject to forfeiture.  The Company recognizes expense related to the dividends on the Restricted Stock shares as declared.

Segment Information — Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance. The Company has determined that it operates in one operating segment, real estate ownership.  The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis and by tenant or operator.  The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed).  Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.

Redeemable Noncontrolling Interest — The Company classifies redeemable equity securities in accordance with Accounting Standard Update (“ASU”) No. 2009-04, “Liabilities (Topic 480): Accounting for Redeemable Equity Instruments,” which requires that equity securities redeemable at the option of the holder be classified outside of permanent stockholders’ equity.  The Company classifies redeemable equity securities as redeemable noncontrolling interest within the accompanying consolidated balance sheets and consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  The Company evaluates the probability that these equity securities will become redeemable at each reporting period and, if determined probable, the Company measures the redemption value and records an adjustment to the carrying value of the equity securities as a component of redeemable noncontrolling interest.  As of December 31, 2015, the amount payable, if any, relating to these equity securities is not probable and is dependent on the future results of operations from real estate currently under development.

Promoted Interest — The Company accounts for promoted interests with third-party developers in a manner similar to redeemable noncontrolling interests discussed above.  The Company records the initial carrying value of the promoted interest at its issuance date fair value.  Subsequently, as the completed developments stabilize and it becomes probable that the promoted interest thresholds will be met, the Company records a liability equal to the estimated redemption value at the end of each reporting period based on the conditions that exist as of the balance sheet date.   In connection with the measurement of this liability, the Company records, as a reduction to capital in excess of par value, an amount equal to the difference between the promoted interests’ carrying value and the consideration paid or payable.  As of December 31, 2015, the amounts payable, if any, relating to these promoted interests is not probable and is dependent on the future results of operations from either completed developments stabilizing or current real estate under development.

2. Summary of Significant Accounting Policies (continued)

Acquisition Fees and Expenses — Acquisition fees, including investment services fees and expenses associated with transactions deemed to be business combinations (including investment transactions that are no longer under consideration), are expensed as incurred.  Acquisition fees and expenses associated with making loans and with transactions deemed to be an asset purchase are capitalized.  The following table summarizes the Company’s acquisition fees and expenses for the years ended December 31, 2015, 2014 and 2013 (in millions):

	December 31,
Distribution Type	2015		2014		2013
Capitalized as real estate under development	$	4.2	$	3.4	$	0.1
Capitalized as investment in unconsolidated entities	―		―			0.5
Capitalized as origination costs to the note receivable	―		―			0.1
Acquisition costs expensed		21.5		23.9		18.8
Total acquisition costs incurred	$	25.7	$	27.3	$	19.5

Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2012.  In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends.  If the Company fails to quality as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the Internal Revenue Service grants the Company relief under certain statutory provisions.  Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income. The Company may also be subject to foreign taxes on investments outside of the U.S. based on the jurisdictions in which the Company conducts business.

The Company has and will continue to form subsidiaries which may elect to be taxed as a TRS for U.S. federal income tax purposes. Under the provisions of the Internal Revenue Code and applicable state laws, a TRS will be subject to tax on its taxable income from its operations.  The Company will account for federal and state income taxes with respect to a TRS using the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities, the respective tax bases, operating losses and/or tax-credit carryforwards.

Prior to the Company’s REIT election, it was subject to corporate federal and state income taxes.  Prior to and including the year ended December 31, 2011, the Company did not have earnings.  The tax years from 2011 to 2015 remain subject to examination by taxing authorities throughout the U.S.  The Company analyzed its material tax positions and determined that it has not taken any uncertain tax positions.

2. Summary of Significant Accounting Policies (continued)

Adopted Accounting Pronouncements — In April 2014, the FASB issued ASU No. 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity.”  The ASU changes the criteria for reporting discontinued operations where only disposals representing a strategic shift that has (or will have) a major effect on an entity’s operations and financial results, such as a major line of business or geographical area, should be presented as a discontinued operation. The ASU is effective prospectively for all disposals (or classifications as held for sale) of components of an entity that occur within annual periods beginning on or after December 15, 2014 with early adoption permitted.   Effective January 1, 2015, the Company adopted this ASU and determined that the amendments will impact the Company’s determinations of which future property disposals qualify as discontinued operations and will require additional disclosure about discontinued operations for future property disposals.

Recent Accounting Pronouncements — In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” as a new ASC topic (Topic 606).  The core principle of this ASU is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  The ASU further provides guidance for any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets, unless those contracts are within the scope of other standards (for example, lease contracts).  The FASB subsequently issued ASU 2015-14 to defer the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with earlier adoption permitted.  ASU 2014-09 can be adopted using one of two retrospective transition methods: 1) retrospectively to each prior reporting period presented or 2) as a cumulative-effect adjustment as of the date of adoption.  The Company has not yet selected a transition method and is currently evaluating the impact of ASU 2014-09; however, its adoption could potentially have a significant effect on the Company’s consolidated financial position, results of operations or cash flows.

In February 2015, the FASB issued ASU 2015-02, “Amendments to the Consolidation Analysis,” which requires amendments to both the variable interest entity and voting models. The amendments (i) modify the identification of variable interests (fees paid to a decision maker or service provider), the VIE characteristics for a limited partnership or similar entity and primary beneficiary determination under the VIE model, and (ii) eliminate the presumption within the current voting model that a general partner controls a limited partnership or similar entity. The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The amendments may be applied using either a modified retrospective or full retrospective approach.  The Company adopted ASU 2015-02 on January 1, 2016; the adoption of which did not have a material impact to its consolidated financial position, results of operations or cash flows.

In April 2015, the FASB issued ASU 2015-03, “Interest-Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs,” which requires that loan costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts or premiums. The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The ASU is to be applied retrospectively for each period presented.  Upon adoption, an entity is required to comply with the applicable disclosures for a change in an accounting principle.  The FASB subsequently issued ASU 2015-15, “Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements,” which clarifies that, given the absence of authoritative guidance in ASU 2015-03 regarding presentation and subsequent measurement of loan costs related to line-of-credit arrangements, the SEC Staff would not object to an entity deferring and presenting loan costs as an asset and subsequently amortizing the loan costs ratably over the term of the line-of-credit arrangement, regardless of whether there are any outstanding borrowings on the line-of-credit arrangement.  The Company has determined that it will not early adopt this ASU and that the amendments will materially impact the presentation of the Company’s consolidated financial position but will not have a material impact on the Company’s consolidated results of operations or cash flows.

2. Summary of Significant Accounting Policies (continued)

In September 2015, the FASB issued ASU 2015-16, “Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments,” which requires an acquirer to recognize provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined.  The amendments require that the acquirer record, in the same period’s financial statements, the effect on earnings of changes in depreciation, amortization, or other income effects, if any, as a result of the change to the provisional amounts, calculated as if the accounting had been completed at the acquisition date.  The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The Company adopted ASU 2015-16 on January 1, 2016; the adoption of which did not have a material impact to its consolidated financial position, results of operations or cash flows.

In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU will also require qualitative and quantitative disclosures designed to give financial statement users additional information on the amount, timing, and uncertainty of cash flows arising from leases.  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018 with early adoption permitted.  The ASU is to be applied using a modified retrospective approach.  The Company is currently evaluating the impact this ASU will have on the Company’s consolidated financial position, results of operations and cash flows.

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Acquisitions

12 Months Ended

Dec. 31, 2015

Business Combinations [Abstract]

Acquisitions

3. Acquisitions

Real Estate Investment Properties — During the year ended December 31, 2015, the Company acquired the following 39 properties, which were comprised of 15 seniors housing communities, 22 MOBs, one post-acute care hospital, and one acute care hospital as follows:

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Acute care
Triangle Orthopaedic
North Carolina Specialty Hospital	Modified Lease	6/29/2015	$	31,830
Durham, NC
Medical Office
Novi Orthopaedic Center	Modified Lease	2/13/2015		30,500	(1)
Novi, MI
Southeast Medical Office Properties
UT Cancer Institute Building	Modified Lease	2/20/2015		33,660
Knoxville, TN
Bend Memorial Clinic MOB	Modified Lease	5/11/2015		36,000	(1)
Bend, OR
Stoneterra Medical Plaza	Modified Lease	5/29/2015		15,050	(1)
San Antonio, TX
Triangle Orthopaedic
Triangle Orthopaedic Durham	Modified Lease	6/29/2015		21,275
Durham, NC
Triangle Orthopaedic Oxford	Modified Lease	6/29/2015		4,728
Oxford, NC
Triangle Orthopaedic Chapel Hill	Modified Lease	6/29/2015		3,258
Chapel Hill, NC
Triangle Orthopaedic Roxboro	Modified Lease	6/29/2015		2,067
Roxboro, NC
Doctor's Park
Doctor's Park Building B	Modified Lease	6/30/2015		5,000	(1)
Chula Vista, CA ("San Diego")
Doctor's Park Building C	Modified Lease	6/30/2015		10,000	(1)
Chula Vista, CA ("San Diego")
540 New Waverly Place	Modified Lease	7/20/2015		15,000	(1)
Cary, NC ("Raleigh")
MedHelp	Modified Lease	7/31/2015		15,000	(1)
Birmingham, AL
Maryland MOBs
Patriot Professional Center	Modified Lease	7/31/2015		16,950	(1)
Frederick, MD ("Baltimore")
Liberty Professional Center	Modified Lease	7/31/2015		7,300	(1)
Frederick, MD ("Baltimore")
Columbia MOBs
Broadway Medical Plaza 1	Modified Lease	8/21/2015		10,700	(1)
Columbia, MO
Broadway Medical Plaza 2	Modified Lease	8/21/2015		13,100	(1)
Columbia, MO
Broadway Medical Plaza 4	Modified Lease	8/21/2015		14,200	(1)
Columbia, MO
Center One	Modified Lease	11/30/2015		34,362	(1)
Jacksonville, FL
Red Bank MOB	Modified Lease	12/14/2015		10,610	(1)
Cincinnati, OH

3. Acquisitions (continued) 

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Henderson NV MOBs
Siena Pavilion IV	Modified Lease	12/18/2015		6,990
Henderson, NV ("Las Vegas")
Siena Pavilion V	Modified Lease	12/18/2015		27,859
Henderson, NV ("Las Vegas")
Siena Pavilion VI	Modified Lease	12/18/2015		19,474
Henderson, NV ("Las Vegas")
Post-Acute Care
Cobalt Rehabilitation Hospital Surprise	Triple-net Lease	12/30/2015		23,660	(1)
Surprise, AZ ("Phoenix")
Seniors Housing
Fieldstone Memory Care	Managed	3/31/2015		12,400	(1)
Yakima, WA
Primrose III Communities
Primrose Retirement Community of Anderson	Triple-net Lease	5/29/2015		21,086
Anderson, IN ("Muncie")
Primrose Retirement Community of Lancaster	Triple-net Lease	5/29/2015		25,657
Lancaster, OH ("Columbus")
Primrose Retirement Community of Wausau	Triple-net Lease	5/29/2015		20,307
Wausau, WI ("Green Bay")
Superior Residences of Panama City	Managed	7/15/2015		20,000	(1)
Panama City Beach, FL
Southeast Seniors Housing Communities
Parc at Duluth	Triple-net Lease	7/31/2015		52,800
Duluth, GA ("Atlanta")
Parc at Piedmont	Triple-net Lease	7/31/2015		50,800
Marietta, GA ("Atlanta")
The Pavilion at Great Hills	Managed	7/31/2015		35,000
Austin, TX
The Hampton at Meadows Place	Managed	7/31/2015		28,400
Meadows Place, TX ("Houston")
The Beacon at Gulf Breeze	Managed	7/31/2015		28,000
Gulf Breeze, FL ("Pensacola")
Palmilla Senior Living	Managed	9/30/2015		47,600
Albuquerque, NM
Cedar Lake Assisted Living and Memory Care	Managed	9/30/2015		30,000
Lake Zurich, IL ("Chicago")
The Shores of Lake Phalen	Managed	11/10/2015		29,250	(1)
Maplewood, MN ("St. Paul")
Park Place Senior Living at WingHaven	Managed	12/17/2015		54,000
O'Fallon, MO ("St. Louis")
Hearthside Senior Living of Collierville	Managed	12/29/2015		17,000	(1)
Collierville, TN ("Memphis")
			$	880,873

FOOTNOTE:

(1) This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

3. Acquisitions (continued) 

During the year ended December 31, 2014, the Company acquired the following 35 properties, which were comprised of 15 MOBs, 14 seniors housing communities, three post-acute care facilities, and three acute care hospital as follows:

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Acute Care
Memorial Hermann Orthopedic & Spine Hospital ("MHOSH")	Triple-net Lease	6/2/2014	$	49,000
Bellaire, TX ("Houston")
Medical Portfolio II Properties
Hurst Specialty Hospital	Modified Lease	8/15/2014		29,465
Hurst, TX ("Dallas/Fort Worth")
Beaumont Specialty Hospital	Modified Lease	8/15/2014		33,600
Beaumont, TX ("Houston")
Medical Office
Chula Vista Medical Arts Center - Plaza I	Modified Lease	1/21/2014		17,863	(1)
Chula Vista, CA ("San Diego")
MHOSH MOB	Modified Lease	6/2/2014		27,000
Bellaire, TX ("Houston")
Lee Hughes MOB	Modified Lease	9/29/2014		29,870	(1)
Glendale, CA ("Los Angeles")
Northwest Medical Park Building	Modified Lease	10/31/2014		10,804	(1)
Margate, FL ("Fort Lauderdale")
Newburyport Medical Center	Modified Lease	10/31/2014		18,000	(1)
Newburyport, MA ("Boston")
ProMed Building I	Modified Lease	12/19/2014		11,000	(1)
Yuma, AZ
Southeast Medical Office Properties
Midtown Medical Plaza	Modified Lease	12/22/2014		54,695
Charlotte, NC
Presbyterian Medical Tower	Modified Lease	12/22/2014		36,333
Charlotte, NC
Metroview Professional Building	Modified Lease	12/22/2014		17,262
Charlotte, NC
Physicians Plaza Huntersville	Modified Lease	12/22/2014		29,964
Huntersville, NC ("Charlotte")
Matthews Medical Office Building	Modified Lease	12/22/2014		21,227
Matthews, NC ("Charlotte")
Outpatient Care Center	Modified Lease	12/22/2014		15,450
Clyde, NC ("Asheville")
330 Physicians Center	Modified Lease	12/22/2014		30,099
Rome, GA
Spivey Station Physicians Center	Modified Lease	12/22/2014		14,379
Atlanta, GA
Spivey Station ASC Building	Modified Lease	12/22/2014		18,591
Atlanta, GA

3. Acquisitions (continued) 

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Post-Acute Care
Medical Portfolio II Properties
Oklahoma City Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014	$	25,504
Oklahoma City, OK
Las Vegas Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		22,292
Las Vegas, NV
South Bend Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		20,240
Mishawaka, IN ("South Bend")
Seniors Housing
Pacific Northwest II Communities
Prestige Senior Living Auburn Meadows	Managed	2/3/2014		21,930
Auburn, WA ("Seattle")
Prestige Senior Living Bridgewood	Managed	2/3/2014		22,096
Vancouver, WA ("Portland")
Prestige Senior Living Monticello Park	Managed	2/3/2014		27,360
Longview, WA
Prestige Senior Living Rosemont	Managed	2/3/2014		16,877
Yelm, WA
Prestige Senior Living West Hills	Managed	3/3/2014		14,986
Corvallis, OR
South Bay II Communities
Isle at Cedar Ridge	Managed	2/28/2014		21,630
Cedar Park, TX ("Austin")
HarborChase of Plainfield	Managed	3/28/2014		26,500
Plainfield, IL
Legacy Ranch Alzheimer’s Special Care Center	Managed	3/28/2014		11,960
Midland, TX
The Springs Alzheimer’s Special Care Center	Managed	3/28/2014		10,920
San Angelo, TX
Isle at Watercrest – Bryan	Managed	4/21/2014		22,050
Bryan, TX
Watercrest at Bryan	Managed	4/21/2014		28,035
Bryan, TX
Isle at Watercrest – Mansfield	Managed	5/5/2014		31,300
Mansfield, TX ("Dallas/Fort Worth")
Watercrest  at Mansfield	Managed	6/30/2014		49,000
Mansfield, TX ("Dallas/Fort Worth")
Fairfield Village of Layton	Managed	11/20/2014		68,000
Layton, UT ("Salt Lake City")
			$	905,282

FOOTNOTE:

(1) This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

3. Acquisitions (continued) 

The following summarizes the purchase price allocation for the above properties, and the estimated fair values of the assets acquired and liabilities assumed (in thousands):

	December 31,
	2015			2014
Land and land improvements	$	91,419		$	60,565
Buildings and building improvements		702,611			732,740
Furniture, fixtures and equipment		11,746			12,260
Intangibles (1)		86,601			110,325
Other liabilities		(5,175	)		(12,037	)
Liabilities assumed		(6,905	)		(1,000	)
Assumed mortgage note payable (2)		(6,976	)		(27,657	)
Net assets acquired		873,321			875,196
Contingent purchase price consideration		(6,481	)		(12,395	)
Total purchase price consideration	$	866,840		$	862,801

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the years ended December 31, 2015 and 2014 were approximately 7.7 years for both periods, respectively.  The acquired lease intangibles during the year ended December 31, 2015 were comprised of approximately $81.8 million and $4.8 million of in-place lease intangibles and other lease intangibles, respectively, and the acquired lease intangibles during the year ended December 31, 2014 were comprised of approximately $97.3 million and $13.0 million of in-place lease intangibles and other lease intangibles, respectively.

(2) During the year ended December 31, 2015, the Company assumed a discount on a below-market mortgage note payable assumed of approximately $0.2 million at the acquisition date.  During the year ended December 31, 2014, the Company assumed a premium on an above-market mortgage note payable of approximately $0.4 million at the acquisition date.

The revenues and net loss (including deductions for acquisition fees and expenses and depreciation and amortization expense) attributable to the Company’s material acquisitions were approximately $18.0 million and $8.8 million, respectively, for the year ended December 31, 2015; and approximately $55.0 million and $24.3 million, respectively, for the year ended December 31, 2014.

3. Acquisitions (continued) 

The following table presents the unaudited pro forma results of operations for the Company as if each of the 2015 material acquisitions noted above were acquired as of January 1, 2014 and the unaudited pro forma results of operations for the Company as if each of the 2014 material acquisitions noted above were acquired as of January 1, 2013 (in thousands except per share data):

	Years ended December 31,
	2015 (Unaudited)			2014 (Unaudited)			2013 (Unaudited)
Revenues	$	346,071		$	307,552		$	242,415
Net loss (1)	$	(66,613	)	$	(62,071	)	$	(59,527	)
Loss per share of common stock (basic and diluted)	$	(0.39	)	$	(0.42	)	$	(0.57	)
Weighted average number of shares of common stock    outstanding (basic and diluted) (2)		170,735			148,443			104,079

FOOTNOTES:

(1) The unaudited pro forma results for the years ended December 31, 2015 and 2014 were adjusted to exclude approximately $11.3 million and $20.5 million, respectively, of acquisition related expenses directly attributable to the properties acquired during the years ended December 31, 2015 and 2014. The unaudited pro forma results for the years ended December 31, 2014 and 2013 were adjusted to include these charges as if the properties were acquired on January 1, 2014 and 2013, respectively.

(2) As a result of the acquired properties being treated as operational since January 1, 2014 and 2013, the Company assumed approximately 31.6 million and 40.8 million additional shares were issued as of January 1, 2014 and 2013, respectively.  Consequently, the weighted average number of shares outstanding was adjusted to reflect this amount of shares being issued as of January 1, 2014 and 2013, instead of actual dates on which the shares were issued, and such shares were treated as outstanding as of the beginning of the period presented.

Real Estate Under Development — In August 2015, the Company acquired a tract of land in Greenville, South Carolina for $2.3 million (“Waterstone”).  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of an assisted living and memory care community with a maximum development budget of approximately $27.0 million, including the allocated purchase price of the land.  The Company determined that Waterstone is a VIE because it believes there is insufficient equity at risk due to the development nature of the property. The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

In September 2015, the Company acquired a tract of land in Grand Junction, Colorado for $1.1 million (“Welbrook Senior Living Grand Junction”).  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of a transitional rehabilitation facility with a maximum development budget of approximately $13.1 million, including the allocated purchase price of the land.  The Company determined that Welbrook Senior Living Grand Junction is not a VIE because the Company’s equity investment is sufficient to finance the activities of the entity without a construction loan and the Company will receive substantially all expected residual returns.

In September 2015, the Company acquired a tract of land in Lexington, South Carolina for $2.3 million (“Wellmore of Lexington”), which is a suburb of Columbia, South Carolina.  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of a continuing care retirement facility with a maximum development budget of approximately $53.9 million, including the allocated purchase price of the land.  The Company determined that Wellmore of Lexington is a VIE because it believes there is insufficient equity at risk due to the development nature of the property. The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

3. Acquisitions (continued) 

In October 2015, the Company entered into a joint venture agreement with a third-party and acquired a 75% membership interest a tract of land in Yakima, Washington for $1.0 million (“Fieldstone at Pear Orchard”).  The joint venture plans to construct and develop an independent and assisted living facility with a maximum development budget of approximately $15.3 million, including the allocated purchase price of the land.  The Company determined that Fieldstone at Pear Orchard is a VIE because it believes there is insufficient equity at risk due to the development nature of the joint venture. The Company is the primary beneficiary and managing member while the joint venture partner or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight. The Company’s joint venture partner acquired a 25% noncontrolling interest. Pursuant to the joint venture agreement, distributions of operating cash flow will be distributed pro rata based on each member’s ownership interest.

In November 2015, the Company acquired a tract of land in Grayson, Georgia for $1.8 million (“Dogwood Forest of Grayson”), which is approximately 35 miles from downtown Atlanta, Georgia.  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of an assisted living and memory care facility with a maximum development budget of approximately $26.0 million, including the allocated purchase price of the land.

The Company determined that Dogwood Forest of Grayson is a VIE because it believes there is insufficient equity at risk due to the development nature of the property. The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

In February 2014, the Company acquired a tract of land in Tega Cay, South Carolina for $2.8 million (“Wellmore of Tega Cay”), which is a suburb of Charlotte, North Carolina.  In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of a continuing care retirement community with a maximum development budget of approximately $35.6 million, including the allocated purchase price of the land.  The Company determined that Wellmore of Tega Cay is a VIE because it believes there is insufficient equity at risk due to the development nature of the property.  The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

In June 2014, the Company entered into a joint venture agreement with a third-party and acquired a 95% membership interest in a tract of land in Katy, Texas for $4.0 million (“Watercrest at Katy”), which is a suburb of Houston, Texas. The joint venture plans to construct and develop an independent living community with a maximum development budget of approximately $38.2 million, including the allocated purchase price of the land.  The Company determined that Watercrest at Katy is a VIE because it believes there is insufficient equity at risk due to the development nature of the joint venture.  The Company is the primary beneficiary and managing member while the joint venture partner or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  The Company’s joint venture partner acquired a 5% noncontrolling interest that includes a put option of its membership to the Company upon the occurrence of certain events that are not solely within the control of the Company and at a price that is determinable upon exercising the option; refer to Note 13. “Equity – Redeemable Noncontrolling Interest” for additional information.  Pursuant to the joint venture agreement, distributions of operating cash flow will be distributed pro rata based on each member’s ownership interest until the members of the joint venture receive a specified minimum return on their invested capital, and thereafter, the joint venture partner will receive a disproportionately higher share of any remaining proceeds at varying levels based on the Company having received certain minimum threshold returns.

3. Acquisitions (continued) 

In July 2014, the Company acquired a tract of land in Shorewood, Wisconsin for $2.2 million (“HarborChase of Shorewood”), which is a suburb of Milwaukee, Wisconsin. In connection with the acquisition, the Company entered into a development agreement with a third-party developer for the construction and development of an assisted living and memory care community with a maximum development budget of approximately $25.6 million, including the allocated purchase price of the land.  The Company determined that HarborChase of Shorewood is a VIE because it believes there is insufficient equity at risk due to the development nature of the property.  The Company is the primary beneficiary while the developer or its affiliates manage the development, construction and certain day-to-day operations of the property subject to the Company’s oversight.  Under a promoted interest agreement with the developer, certain net operating income targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development.

Purchase of Controlling Interest in Montecito Joint Venture — In January 2013, the Company acquired a 90% membership interest in a two-story MOB in Claremont, California for approximately $7.0 million in equity through a joint venture (“Montecito Joint Venture”) formed by the Company and its co-venture partner, an unrelated party, that initially held the remaining 10% interest.  The Montecito Joint Venture was previously recorded under the equity method of accounting because the decisions that significantly impacted the entity were shared between the Company and its co-venture partner, but it was not determined to be a VIE.

In August 2014, the Company acquired its co-venture partner’s 10% interest in the Montecito Joint Venture for approximately $1.6 million.  As a result of this transaction, the Company owns 100% of the Montecito Joint Venture, and began consolidating all of the assets, liabilities and results of operations in the Company’s consolidated financial statements upon acquisition.  Accordingly, the Company recorded a step up from its carrying value of the investment in the Montecito Joint Venture to the estimated fair value of the net assets acquired and liabilities assumed.   The following summarizes the allocation of the purchase price, and the estimated fair values of the assets acquired and liabilities assumed as of the acquisition date (in thousands):

Land and land improvements	$	6,324
Buildings and building improvements		13,533
Intangibles (1)		2,691
Working capital, net		87
Other liabilities		(175	)
Mortgage note payable assumed (2)		(12,331	)
Net assets acquired	$	10,129

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles was approximately 5.1 years and was comprised of approximately $1.9 million and $0.8 million of in-place lease intangibles and other lease intangibles, respectively.

(2) At the acquisition date, the fair value of the mortgage note payable assumed reflects an approximate $0.6 million discount on the below-market mortgage note payable assumed.

The fair value of the Company’s equity interest in the Montecito Joint Venture immediately before the acquisition date was approximately $5.7 million. The Company recorded a gain of approximately $2.8 million based on the acquisition date fair value of its equity interest in the Montecito Joint Venture.  The following summarizes the gain that resulted from the change of control in the equity method investment for the year ended December 31, 2015 (in thousands):

Fair value of net assets acquired	$	10,129
Less: Previous investment in Montecito Joint Venture		(5,747	)
Less: Cash paid to acquire co-venture partner's interest		(1,584	)
Gain on purchase of controlling interest of    investment in unconsolidated entity	$	2,798

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Real Estate Assets, net

12 Months Ended

Dec. 31, 2015

Real Estate [Abstract]

Real Estate Assets, net

4. Real Estate Assets, net

The gross carrying amount and accumulated depreciation of the Company’s real estate assets as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015			2014
Land and land improvements	$	229,046		$	128,662
Building and building improvements		2,297,336			1,545,614
Furniture, fixtures and equipment		60,601			36,319
Less: accumulated depreciation		(116,807	)		(53,095	)
Real estate investment properties, net		2,470,176			1,657,500
Real estate under development, including land		62,521			47,153
Total real estate assets, net	$	2,532,697		$	1,704,653

Depreciation expense on the Company’s real estate investment properties, net was approximately $63.6 million, $39.1 million and $12.0 million for the years ended December 31, 2015, 2014 and 2013, respectively.

In June 2015, the Company completed the construction and development of a seniors housing community in Tega Cay, South Carolina (“Wellmore of Tega Cay”), which is a suburb of Charlotte, North Carolina.  Wellmore of Tega Cay opened to residents beginning in July 2015 and was considered placed into service as of June 30, 2015.

In November 2015, the Company completed the construction and development of a seniors housing community in Shorewood, Wisconsin (“Harborchase of Shorewood”), which is north of Milwaukee. Harborchase of Shorewood opened to residents beginning in December 2015 and was considered placed into service as of November 30, 2015.

During the quarter ended December 31, 2015, the Company completed the construction of the independent living villas on the Raider Ranch community in Lubbock, Texas.  Certain villas opened to residents beginning in September 2015 and each villa was placed into service throughout the quarter upon completion.  The Company continues the construction and development of an independent living apartment building at this community.

In June 2014, the Company completed the construction and development of a seniors housing community in Acworth, Georgia (“Dogwood Forest of Acworth”).  Dogwood Forest of Acworth opened to residents in July 2014 and was considered placed into service as of June 30, 2014.

As such, the asset values related to Wellmore of Tega Cay, Harborchase of Shorewood, portions of the Raider Ranch development and Dogwood Forest of Acworth are included in real estate investment properties, net in the accompanying consolidated balance sheet as of December 31, 2015.

4. Real Estate Assets, net (continued)

As of December 31, 2015, eight of the Company’s seniors housing communities and one post-acute care facility have real estate under development or expansion projects with third-party developers as follows (in thousands):

Property Name (and Location)	Developer	Real Estate Development Costs  Incurred (1)		(Unaudited) Remaining Development Budget (2)
Development Properties
Raider Ranch
(Lubbock, TX)	South Bay Partners, Ltd	$	9,942	$	2,274
Watercrest at Katy
(Katy, TX) (3)	South Bay Partners, Ltd		26,565		16,245
Welbrook Senior Living
Grand Junction
(Grand Junction, CO)	Embree Asset Group, Inc.		3,198		10,636
Waterstone
(Greenville, SC)	T&D Greenville, LLC		7,185		21,287
Wellmore of Lexington
(Lexington, SC)	Maxwell Group, Inc.		8,723		46,282
Dogwood Forest of Grayson
(Grayson, GA)	Solomon Development Services, LLC		3,973		23,024
Fieldstone at Pear Orchard
(Yakima, WA) (4)	Cascadia Development, LLC		2,606		13,067
Expansion Projects
Tranquillity at Fredericktowne
(Frederick, MD)	Capital Health Partners		235		5,649
Brookridge Heights Assisted Living & Memory Care
(Marquette, MI)	Capital Health Partners		94		4,725
		$	62,521	$	143,189

FOOTNOTES:

(1) This amount represents land and total capitalized costs for GAAP purposes for the acquisition, development and construction of the seniors housing community or post-acute care facility as of December 31, 2015.  Amounts include investment services fees, asset management fees, interest expense and other costs capitalized during the development period.

(2) This amount includes preleasing and marketing costs which will be expensed as incurred.

(3) This property is owned through a joint venture in which the Company’s initial ownership interest is 95%.

(4) This property is owned through a joint venture in which the Company’s initial ownership interest is 75%.

The development budgets include the cost of the land, construction costs, development fees, financing costs, start-up costs and initial operating deficits of the respective properties.  An affiliate of the developer of the respective community coordinates and supervises the management and administration of the development and construction.  Each developer is responsible for any cost overruns beyond the approved development budget for the applicable project pursuant to a cost overrun guarantee.  Some of these developments were deemed to be VIEs; refer to Note 7. “Variable Interest Entities” for additional information.

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Intangibles, net

12 Months Ended

Dec. 31, 2015

Goodwill And Intangible Assets Disclosure [Abstract]

Intangibles, net

5. Intangibles, net

The gross carrying amount and accumulated amortization of the Company’s intangible assets and liabilities as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015			2014
In-place lease intangibles	$	220,917		$	148,880
Above-market lease intangibles		13,960			11,320
Below-market ground lease intangibles		12,470			10,314
Less: accumulated amortization		(74,895	)		(30,250	)
Intangible assets, net	$	172,452		$	140,264
Below-market lease intangibles	$	(12,095	)	$	(13,243	)
Above-market ground lease intangibles		(3,488	)		(2,273	)
Less: accumulated amortization		2,581			1,014
Intangible liabilities, net (1)	$	(13,002	)	$	(14,502	)

FOOTNOTE:

(1) Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

Amortization on the Company’s intangible assets was approximately $44.6 million for the year ended December 31, 2015, of which approximately $2.0 million was treated as a reduction of rental income from operating leases, approximately $0.3 million was treated as an increase of property operating expenses and approximately $42.3 million was included in depreciation and amortization.  Amortization on the Company’s intangible assets was approximately $25.1 million for the year ended December 31, 2014, of which approximately $1.0 million was treated as a reduction of rental income from operating leases, approximately $0.1 million was treated as an increase of property operating expenses and $24.0 million was included in depreciation and amortization. Amortization expense on the Company’s intangible assets was approximately $5.0 million for the year ended December 31, 2013, of which approximately $0.2 million was treated as a reduction of rental income from operating leases, approximately $0.1 million was treated as an increase of property operating expenses and approximately $4.7 million was included in depreciation and amortization.

Amortization on the Company’s intangible liabilities was approximately $1.6 million for the year ended December 31, 2015, of which approximately $1.5 million was treated as an increase of rental income from operating leases and approximately $0.08 million was treated as a reduction of property operating expenses.  For the year ended December 31, 2014, amortization on the Company’s intangible liabilities was approximately $0.8 million, which was treated as an increase of rental income from operating leases and approximately eight thousand dollars was treated as a reduction of property operating expenses. Amortization expense on the Company’s intangible liabilities was approximately $0.2 million for the year ended December 31, 2013, of which approximately $0.2 million was treated as an increase of rental income from operating leases and approximately three thousand dollars was treated as a reduction of property operating expenses.

During the year ended December 31, 2015, as a result of tenant default at two of the Company’s specialty hospitals, the Company recorded an impairment provision of approximately $4.7 million related to the lease intangibles as it was determined that the carrying value of these assets would more than likely not be recoverable.  

5. Intangibles, net (continued)

The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2015 is as follows (in thousands):

	In-place Lease Intangibles		Above- market Leases		Below- market Ground Leases		Total Assets		Below- market Leases		Above- market Ground Leases		Total Liabilities
2016	$	42,932		1,899		320	$	45,151	$	1,577		89	$	1,666
2017		29,041		1,703		320		31,064		1,414		89		1,503
2018		17,414		1,517		320		19,251		1,257		89		1,346
2019		12,128		1,215		320		13,663		1,094		89		1,183
2020		10,124		1,005		320		11,449		866		89		955
Thereafter		38,070		3,402		10,402		51,874		3,395		2,954		6,349
	$	149,709		10,741		12,002	$	172,452	$	9,603		3,399	$	13,002

Weighted average remaining useful life as of December 31, 2015 (in years):

In-place Lease Intangibles		Above-market Leases		Below-market Ground Leases		Below-market Leases		Above-market Ground Leases
	4.7		5.9		37.6		5.5		38.1

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Operating Leases

12 Months Ended

Dec. 31, 2015

Leases [Abstract]

Operating Leases

6 Operating Leases

As of December 31, 2015, the Company owned 84 properties that were leased to tenants on a triple-net, net or modified gross basis, and accounted for as operating leases; of which, 39 are single-tenant properties that are 100% leased under operating leases and the remaining 45 are multi-tenant properties that are leased under operating leases. The Company’s leases had a weighted average remaining lease term of 7.4 years based on annualized base rents expiring between 2016 and 2038, subject to the tenants’ options to extend the lease periods ranging from two to ten years.  In addition, certain tenants hold options to extend their leases for multiple periods.

Under the terms of the Company’s triple-net lease agreements, each tenant is responsible for the payment of property taxes, general liability insurance, utilities, repairs and maintenance, including structural and roof maintenance expenses.  Each tenant is expected to pay real estate taxes directly to taxing authorities.  However, if the tenant does not pay, the Company will be liable.  The total annualized property tax assessed on these properties is approximately $2.9 million.

Under the terms of the multi-tenant lease agreements that have third-party property managers, each tenant is responsible for the payment of their proportionate share of property taxes, general liability insurance, utilities, repairs and common area maintenance. These amounts are billed monthly and recorded as tenant reimbursement income in the accompanying consolidated statements of operations.

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, as of December 31, 2015 (in thousands):

2016	$	112,660
2017		106,582
2018		99,076
2019		90,885
2020		84,552
Thereafter		437,055
	$	930,810

6 Operating Leases (continued)

The above future minimum lease payments to be received excludes tenant reimbursements, straight-line rent adjustments, amortization of above- and below-market lease intangibles and base rent attributable to any renewal options exercised by the tenants in the future.  In addition, future minimum lease payments related to one of the two specialty hospitals discussed in Note 5. “Intangibles, net” have been excluded since the tenant had vacated the building as of December 31, 2015.  Refer to Note 18. “Subsequent Events” for additional information.

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Variable Interest Entities

12 Months Ended

Dec. 31, 2015

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Variable Interest Entities

7. Variable Interest Entities

Consolidated VIEs — As of December 31, 2015, the Company has 17 wholly-owned subsidiaries, which are VIEs due to the following factors and circumstances:

(1) Two of these subsidiaries are single property entities, designed to own and lease their respective properties to single tenants, for which buy-out options are held by the respective tenants that are formula based.

(2) Four of these subsidiaries are single property entities, designed to own and lease their respective properties to multiple tenants, which are subject to either a ground lease or an air rights lease that include buy-out and put options held by either the tenant or landlord under the applicable lease.

(3) Eight of these subsidiaries are entities with real estate under development or completed developments in which there is either insufficient equity at risk due to the development nature of each entity or the third-party developers have an opportunity to earn promoted interest payments after certain net operating income targets and internal rate of return targets have been met.

(4) Two of these subsidiaries are joint ventures with real estate under development in which there is insufficient equity at risk due to the development nature of each joint venture.  In addition, one of the third-party developer has an opportunity to earn promoted interest payments after certain net operating income targets and internal rate of return targets have been met.

(5) One of these subsidiaries is a joint venture with equity interest that consists of non-substantive voting rights.

The Company determined it is the primary beneficiary and holds a controlling financial interest in each of the aforementioned property and development entities due to its power to direct the activities that most significantly impact the economic performance of the entities, as well as its obligation to absorb the losses and its right to receive benefits from these entities that could potentially be significant to these entities. As such, the transactions and accounts of these VIEs are included in the accompanying consolidated financial statements.

7. Variable Interest Entities (continued)

The aggregate carrying amount and major classifications of the consolidated assets that can be used to settle obligations of the VIEs and liabilities of the consolidated VIEs that are non-recourse to the Company as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015		2014
Assets:
Real estate investment properties, net	$	219,971	$	174,449
Real estate under development, including land	$	58,994	$	47,153
Intangibles, net	$	23,540	$	25,519
Cash	$	4,427	$	6,280
Deferred rent and lease incentives	$	6,942	$	2,978
Other assets	$	1,506	$	511
Loan costs, net	$	2,625	$	2,300
Restricted cash	$	1,461	$	5,304
Liabilities:
Mortgages and other notes payable, net	$	153,735	$	137,754
Accounts payable and accrued liabilities	$	981	$	2,317
Accrued development costs	$	10,669	$	7,951
Other liabilities	$	3,644	$	4,949
Due to related parties	$	136	$	219

The Company’s maximum exposure to loss as a result of its involvement with these VIEs is limited to its net investment in these entities which totaled approximately $148.1 million as of December 31, 2015. The Company’s exposure is limited because of the non-recourse nature of the borrowings of the VIEs.

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Ground and Air Rights Leases

12 Months Ended

Dec. 31, 2015

Leases [Abstract]

Ground and Air Rights Leases

8. Ground and Air Rights Leases

Under the terms of its ground and air rights lease agreements, the Company is responsible for the monthly rental payments. These amounts are billed monthly and recorded as property operating expenses in the accompanying consolidated statements of operations.  In some cases, the Company is able to pass this expense through to its tenants as tenant reimbursement income. The Company incurred approximately $1.7 million, $0.5 million and $0.1 million in ground and air rights lease expense for the years ended December 31, 2015, 2014 and 2013, respectively, excluding straight-line rent adjustments and amortization of above- or below-market lease intangibles.

The following is a schedule of future minimum lease payments to be paid under the ground and air rights leases for each of the next five years and thereafter, in the aggregate, as of December 31, 2015 (in thousands):

2016	$	1,957
2017		1,984
2018		2,016
2019		2,039
2020		2,061
Thereafter		113,559
	$	123,616

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Contingent Purchase Price Consideration

12 Months Ended

Dec. 31, 2015

Fair Value Disclosures [Abstract]

Contingent Purchase Price Consideration

9. Contingent Purchase Price Consideration

Capital Health Communities — In connection with the acquisition of the Capital Health Communities in 2012, the Company required that approximately $7.0 million of the purchase price be placed in an escrow account as the seller guaranteed the Company an annual return of at least $6.9 million, $7.0 million, and $7.1 million of net operating income on the acquired properties during 2013, 2014 and 2015, respectively (“Capital Health Yield Guaranty”).  As of December 31, 2015, the Company had received the maximum amount of $7.0 million available under the Capital Health Yield Guaranty.  The following table provides a roll-forward of the fair value of the contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015			2014			2013
Beginning balance	$	4,078		$	4,488		$	2,664
Contingent consideration in connection with acquisition		—			—			—
Change in fair value		321			2,191			1,824
Yield Guaranty payment received from seller		(4,399	)		(2,601	)		—
Ending balance	$	—		$	4,078		$	4,488

Medical Portfolio I — During 2013, in conjunction with the acquisition of Medical Portfolio I, the Company entered into an earn-out agreement with the seller related to Cleveland Clinic, the tenant at Chestnut Commons, whereby the tenant maintains an exercisable right to expand the leased space by an additional 10,000 square feet within 24 months of the property acquisition closing (“Chestnut Commons Earn-Out”).  The Chestnut Commons Earn-Out fee was equal to (a) the base rent due for the first full year of the lease applicable to the expansion space divided by 8% minus (b) the costs incurred by the Company in connection with the exercise by Cleveland Clinic of its option for the expansion space, including tenant improvement costs, multiplied by 50%.  The Chestnut Commons Earn-Out expired in August 2015. The following table provides a roll-forward of the fair value of the contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015			2014			2013
Beginning balance	$	(268	)	$	(507	)	$	—
Contingent consideration in connection with acquisition		—			—			(507	)
Change in fair value		268			239			—
Ending balance	$	—		$	(268	)	$	(507	)

South Bay II Communities — In conjunction with the acquisition of the South Bay II Communities, the Company entered into an agreement with the sellers whereby the purchase price is adjusted in the event that certain net operating income targets are met.  The additional consideration was determined within three months of the acquisition date and is equal to (a) the baseline net operating income divided by the baseline capitalization rates (as defined in the purchase and sale agreement) less (b) the purchase price paid at closing.  The following table provides a roll-forward of the fair value of the estimated contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015		2014			2013
Beginning balance	$	—	$	—		$	—
Contingent consideration in connection with acquisition		—		(12,395	)		—
Change in fair value		—		(1,800	)		—
Contingent consideration payment		—		14,195			—
Ending balance	$	—	$	—		$	—

Superior Residences of Panama City — In connection with the purchase of Superior Residences of Panama City, the Company entered into an earn-out agreement with the seller whereby up to $4 million in additional consideration is owed in the event that certain performance targets are met (“Panama City Earn-Out”) during the immediate 36 months post-closing.  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Panama City Earn-Out to be $3.0 million.

9. Contingent Purchase Price Consideration (Continued)

The Shores of Lake Phalen — In connection with the purchase of Shores of Lake Phalen, the Company entered into an earn-out agreement with the seller whereby up to $0.8 million in additional consideration is owed in the event that certain net operating income targets are met (“Shores of Lake Phalen Earn-Out”) during the immediate 12 months post-closing.  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Shores of Lake Phalen Earn-Out to be $0.8 million.

Siena Pavilion VI — In conjunction with the acquisition of Siena Pavilion VI, the Company entered into an earn-out agreement with the seller whereby up to $3.3 million in additional consideration and $0.5 million of additional tenant improvements are owed in the event that the seller is able to lease-up additional space at the property during the immediate 6 months post-closing (“Siena Pavilion VI Earn-Out”).  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Siena Pavilion VI Earn-Out to be $3.8 million.

Center One — In connection with the purchase of Center One, the Company required that approximately $2.8 million of the purchase price be placed in an escrow account as the seller provided a rent guarantee to the Company in connection with two seller leased spaces at the property for a term equal to the earlier of five years or at such time as a suitable replacement tenant can be found (“Center One Rent Guarantee”).  At the acquisition date and as of December 31, 2015, the Company determined the fair value of the Center One Rent Guarantee to be $1.0 million.

Fair Value Measurements

The fair value of the contingent purchase price consideration was based on a then-current income approach that is primarily determined based on the present value and probability of future cash flows using internal underwriting models.  The income approach further includes estimates of risk-adjusted rate of return and capitalization rates for each property.  Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurements of the estimated fair value related to the Company’s contingent purchase price consideration are categorized as Level 3 on the three-level fair value hierarchy.

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Indebtedness

12 Months Ended

Dec. 31, 2015

Debt Disclosure [Abstract]

Indebtedness

10. Indebtedness

The following table provides details of the Company’s indebtedness as of December 31, 2015 and December 31, 2014 (in thousands):

	December 31,
	2015			2014
Mortgages payable and other notes payable:
Fixed rate debt	$	391,639		$	370,854
Variable rate debt  (1)		449,017			482,922
Mortgages and other notes payable (2)		840,656			853,776
Premium (discount), net (3)		(221	)		(215	)
Total mortgages and other notes payable, net		840,435			853,561
Credit facilities:
First Term Loan Facility (1)		175,000			175,000
Revolving Credit Facility (4)		225,000			31,403
Second Term Loan Facility (5)		260,000		―
Total borrowings	$	1,500,435		$	1,059,964

FOOTNOTES:

(1) As of December 31, 2015 and December 31, 2014, the Company had entered into interest rate swaps with notional amounts of approximately $480.7 million and $182.1 million, respectively, which were settling on a monthly basis. In addition, as of December 31, 2015 and December 31, 2014, the Company had entered into forward-starting interest rate swaps for total notional amounts of approximately $48.4 million and $269.4 million, respectively, in order to hedge the Company’s exposure to this variable rate debt in future periods.  Refer to Note 12. “Derivative Financial Instruments” for additional information.

(2) As of December 31, 2015, the Company’s mortgages and other notes payable are collateralized by 65 properties with total carrying value of approximately $1.4 billion.

(3) Premium (discount), net is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates.

(4) As of December 31, 2015 and December 31, 2014, availability under the Revolving Credit Facility was approximately $20.0 million and $14.0 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan.

(5) As of December 31, 2015, the Company had entered into an interest rate cap with a notional amount of approximately $260 million.  Refer to Note 12. “Derivative Financial Instruments” for additional information.

The following is a schedule of future principal payments and maturity for the Company’s total borrowings as of December 31, 2015 (in thousands):

2016	$	36,758
2017		262,276
2018		287,172
2019		491,631
2020		333,318
Thereafter		89,280
	$	1,500,435

As a result of the tenant default discussed in Note 5. “Intangibles, net,” the lender on the mortgage loan secured by the two specialty hospitals elected to accelerate the required debt service payments related to these properties from a 25-year to a 15-year amortization period given that the tenant did not meet the required lease coverage thresholds.  In September 2015, the Company signed an amended and restated lease agreement with a new tenant at one of the specialty hospitals and the lender re-adjusted the required debt service payments for the property back to a 25-year amortization period. The above maturities of indebtedness have been updated to reflect the amortization adjustments made by the lender for this property.

10. Indebtedness (continued)

The fair market value and carrying value of the mortgage and other notes payable was approximately $844.6 million and $840.4 million, respectively, and both the fair market value and carrying value of the Credit Facilities was $660.0 million as of December 31, 2015.  The fair market value and carrying value of the mortgage and other notes payable was approximately $868.5 million and $853.6 million, respectively, and both the fair market value and carrying value of the Revolving Credit Facility was $206.4 million as of December 31, 2014.  These fair market values are based on current rates and spreads the Company would expect to obtain for similar borrowings.  Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurement of the estimated fair values related to the Company’s mortgage notes payable is categorized as Level 3 on the three-level valuation hierarchy.  The estimated fair value of accounts payable and accrued liabilities approximates the carrying value as of December 31, 2015 and December 31, 2014 because of the relatively short maturities of the obligations.

In December 2014, the Company amended and restated the terms of the credit agreement with KeyBank, as administrative agent, by entering into a $230 million Revolving Credit Facility and a $175 million Term Loan Facility.  Pursuant to the Amended Credit Agreement, the Company has the ability to increase the collective borrowings under the Credit Facilities to $700 million under the accordion features of the Revolving Credit Facility, as additional properties are added to the unencumbered pool of assets.  Moreover, the Revolving Credit Facility has an initial term of 36 months plus two 12-month extension options; whereas, the Term Loan Facility has an initial term of 50 months plus one 12-month extension option.  The Credit Facilities bear interest based on 30-day LIBOR and a spread that varies with the Company’s leverage ratio.  In addition, the Company is required to make interest only payments until the respective maturity dates of the Credit Facilities as well as to pay fees ranging from 0.15% to 0.25% for unused commitments on the Revolving Credit Facility.

In May and November 2015, the Company executed amendments to the credit agreement with KeyBank, as administrative agent, related to the Credit Facilities, which adjusts certain criteria and terms for the unencumbered pool of assets supporting the Company’s Revolving Credit Facility.  The amendments allowed the Company to include additional properties in the unencumbered pool of assets, which increased the availability under the Revolving Credit Facility.

In November 2015, the company entered into a $260 million Second Term Loan Facility.  The Second Term Loan Facility has an initial term of 60 months.  The Second Term Loan Facility bears interest based on the 30-day LIBOR and a spread that varies with the Company’s leverage ratio.  In addition, the Company is required to make interest only payments until the maturity date.

All of the Company’s mortgage and construction loans contain customary financial covenants and ratios; including (but not limited to) the following: debt service coverage ratio, minimum occupancy levels, limitations on incurrence of additional indebtedness, etc.  As of December 31, 2015, the Company was in compliance with all financial covenants and ratios.

The Credit Facilities contain affirmative, negative, and financial covenants which are customary for loans of this type, including (but not limited to): (i) maximum leverage, (ii) minimum fixed charge coverage ratio, (iii) minimum consolidated net worth, (iv) restrictions on payments of cash distributions except if required by REIT requirements, (v) maximum secured indebtedness, (vi) maximum secured recourse debt, (vii) minimum unsecured interest coverage and (viii) limitations on certain types of investments and with respect to the pool of properties supporting borrowings under the Credit Facilities, minimum debt service coverage ratio, minimum weighted average occupancy, and remaining lease terms, as well as property type, MSA, operator, and asset value concentration limits.  The limitations on distributions include a limitation on the extent of allowable distributions, which are not to exceed the greater of 95% of adjusted FFO (as defined per the Credit Facilities) and the minimum amount of distributions required to maintain the Company’s REIT status.

10. Indebtedness (continued)

The following table provides additional details of the Company’s mortgages and other notes payable as of December 31, 2015 and 2014 (in thousands):

	Interest Rate at
	December 31,						December 31,
Property and Loan Type	2015 (1)		Payment Terms		Maturity Date (2)		2015		2014
Pacific Northwest Communities; Mortgage Loan (3)	4.30% per annum		Monthly principal and interest payments based on a 25-year amortization schedule		12/5/18		$	210,665	$	215,904
Capital Health Communities; Mortgage Loan	4.25% per annum		Monthly principal and interest payments based on a 25-year amortization schedule		1/5/20			37,889		43,684
Primrose II Communities; Mortgage Loan	3.81% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		6/1/20			22,473		22,913
Novi Orthopaedic Center; Mortgage Loan	3.61% per annum		Monthly interest only payments through June 2018; principal and interest payments thereafter based on a 25-year amortization schedule		6/15/20			19,825		—
ProMed Medical Building I; Mortgage Loan	3.64% per annum (4)		Monthly principal and interest payments based upon a 25-year amortization schedule		1/15/22			7,050		—
Primrose I Communities; Mortgage Loan  (5)	4.11% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		9/1/22			52,048		53,060
Watercrest at Mansfield; Mortgage Loan  (6)	4.68% per annum		Monthly principal and interest payments based on a total payment of $143,330		6/1/23			26,628		27,073
540 New Waverly Place; Mortgage Loan (7)	4.08% per annum		Monthly principal and interest payments based upon a 25-year amortization schedule		5/31/28			7,048		—
LaPorte Cancer Center; Mortgage Loan	4.25% per annum (through 2020)		Monthly principal and interest payments based on a 25-year amortization schedule		6/14/28			8,013		8,220
			Total fixed rate debt					391,639		370,854
Perennial Communities; Mortgage Loan		(8)		(8)		(8)		—		30,000
Medical Portfolio I Properties; Mortgage Loan		(9)		(9)		(9)		—		34,720
Lee Hughes Medical Building; Mortgage Loan	30-day LIBOR plus 1.85% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		9/5/16			18,632		19,162

10. Indebtedness (continued)

	Interest Rate at
	December 31,			December 31,
Property and Loan Type	2015 (1)	Payment Terms	Maturity Date (2)	2015		2014
Harborchase of Villages Crossing; Construction Loan	(10)	(10)	(10)		—		16,589
Raider Ranch Development Construction Loan	30-day LIBOR plus 3.50% at 0.5% LIBOR floor	Monthly interest only payments through October 2017; principal and interest payments thereafter based on a 25-year amortization schedule	10/27/17		7,528		1
Northwest Medical Park; Mortgage Loan (11)	30-day LIBOR plus 2.30% per annum	Monthly principal and interest payments based upon a 30-year amortization schedule	10/31/17		7,008		7,129
Watercrest at Katy Construction Loan	30-day LIBOR plus 2.75% per annum	Monthly interest only payments through December 2017; principal payments thereafter based on a 30-year amortization schedule	12/27/17		10,632		—
Dogwood Forest of Acworth; Construction Loan	(12)	(12)	(12)		—		12,038
Claremont Medical Office; Mortgage Loan (13)	30-day LIBOR plus 2.60% per annum	Monthly principal and interest payments based on a 30-year amortization schedule	1/15/18		12,683		12,958
Knoxville Medical Office Properties; Mortgage Loan (14)	30-day LIBOR plus 2.50% per annum	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule	7/10/18		38,087		38,609
Calvert Medical Office Properties; Mortgage Loan (15)	30-day LIBOR plus 2.50% per annum	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule	8/29/18		25,950		26,274
Wellmore of Tega Cay; Construction Loan	30-day LIBOR plus 5.4% at 0.5% LIBOR floor	Monthly interest only payments through February 2019; principal and interest payments thereafter based on a 25-year amortization schedule	2/5/19		23,695		8,007
Memorial Hermann Orthopedic & Spine Hospital Medical Office Building; Mortgage Loan (16)	90-day LIBOR plus 2.85% at 0.4% LIBOR floor	Monthly principal and interest payments based on a 20-year amortization schedule	6/2/19		48,832		49,624
Medical Portfolio II Properties; Mortgage Loan   (17)	90-day LIBOR plus 2.35% at 0.25% LIBOR  floor	Monthly principal and interest payments based on a 25-year amortization schedule	7/14/19		83,295		85,127
HarborChase of Shorewood; Construction Loan	30-day LIBOR plus 3% at 2% LIBOR floor	Monthly interest only payments through June 2017; principal and interest payments thereafter based on a 25-year amortization schedule	7/15/19		12,469		—
Wellmore of Lexington; Construction Loan	30-day LIBOR plus 2.5% per annum	Monthly interest only payments through September 2019; principal payments thereafter based on a 30-year amortization schedule	9/13/19		—		—

10. Indebtedness (continued)

	Interest Rate at
	December 31,			December 31,
Property and Loan Type	2015 (1)	Payment Terms	Maturity Date (2)	2015		2014
Southeast Medical Office Properties; Mortgage Loan (18)	30-day LIBOR plus 2.0% per annum	Monthly principal and interest payments based on a 25-year amortization schedule	12/22/19		160,206		142,684
Waterstone; Construction Loan	30-day LIBOR plus 3.0% per annum	Monthly interest only payments through September 2018; principal payments thereafter based on a 30-year amortization schedule	9/1/20		—		—
Fieldstone at Pear Orchard; Construction Loan	30-day LIBOR plus 2.9% per annum	Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule	10/15/20		—		—
Dogwood Forest of Grayson; Construction Loan	30-day LIBOR plus 3.0% per annum	Monthly interest only payments through December 2018; principal payments thereafter based on a 30-year amortization schedule	12/1/20		—		—
		Total variable rate debt			449,017		482,922
		Total debt		$	840,656	$	853,776

FOOTNOTES:

(1) The 30-day and 90-day LIBOR was approximately 0.43% and 0.61%, respectively, as of December 31, 2015 and approximately 0.17% and 0.25%, respectively, as of December 31, 2014.

(2) Represents the initial maturity date (or, as applicable, the maturity date as extended).  The maturity date may be extended beyond the date shown subject to certain lender conditions.

(3) The Pacific Northwest Loan may be prepaid, in whole or in part, with a prepayment premium equal to the greater of: (i) one percent (1%) of the principal amount being prepaid, multiplied by the quotient of the number of full months remaining until the maturity date of the loan (calculated as of the prepayment date) divided by the number of full months comprising the term of the loan; or (b) a “make-whole” payment equal to the present value of the loan less the amount of principal and accrued interest being prepaid calculated as of the prepayment date for the period between that date and the maturity date.

(4) Beginning January 2020, the interest rate transitions to variable rate based on 30-day LIBOR plus 2.20% per annum.

(5) If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and May 31, 2022, the prepayment penalty will be 1% of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between June 1, 2022 and maturity.  Partial prepayment of a loan is not permitted.  The loan is transferable upon sale of the assets subject to lender approval.

(6) The balance for this loan excludes a remaining premium of $0.3 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

(7) The balance for this loan excludes a remaining premium of $0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

(8) In March 2015, the Company repaid its $30.0 million outstanding mortgage loan on the Perennial Communities prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.  In addition, the corresponding interest rate swap was terminated and approximately $0.1 million related to the derecognition of the cash flow hedge was reclassified from other comprehensive loss to interest expense and loan cost amortization in the accompanying consolidated financial statements.

10. Indebtedness (continued)

(9) In April 2015, the Company repaid its $34.5 million outstanding mortgage loan on the Medical Portfolio I Properties prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.  In addition, the corresponding interest rate swap was terminated and approximately $0.2 million related to the derecognition of the cash flow hedge was reclassified from other comprehensive loss to interest expense and loan cost amortization in the accompanying consolidated financial statements.

(10) In December 2015, the Company repaid its $16.5 million outstanding construction loan on the HarborChase of Villages Crossing property prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

(11) The Company entered into an interest rate swap with a remaining notional amount of $7.0 million; see Note 12. “Derivative Financial Instruments” for additional information.

(12) In December 2015, the Company repaid its $12.4 million outstanding construction loan on the Dogwood Forest of Acworth property prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

(13) The balance for this loan excludes a remaining discount of $0.4 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.  In addition, the Company entered into a three-year forward interest rate swap with a remaining notional amount of $12.2 million; see Note 12. “Derivative Financial Instruments” for additional information

(14) The Company entered into an interest rate swap with a remaining notional amount of $38.1 million; see Note 12. “Derivative Financial Instruments” for additional information.

(15) The Company entered into an interest rate swap with a remaining notional amount of $25.9 million; see Note 12. “Derivative Financial Instruments” for additional information.

(16) The Company entered into a three-year forward interest rate swap with a remaining notional amount of $48.4 million; see Note 12. “Derivative Financial Instruments” for additional information.

(17) The Company entered into an interest rate swap with a remaining notional amount of $83.8 million; see Note 12. “Derivative Financial Instruments” for additional information.

(18) The Company entered into an interest rate swap with a remaining notional amount of $138.7 million; see Note 12. “Derivative Financial Instruments” for additional information.

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Related Party Arrangements

12 Months Ended

Dec. 31, 2015

Related Party Transactions [Abstract]

Related Party Arrangements

11. Related Party Arrangements

The Company is externally advised and has no direct employees. Certain of the Company’s executive officers are executive officers of, or are on the board of managers of the Advisor.  In addition, certain directors and officers hold similar positions with CNL Securities Corp., the managing dealer of the Offerings and a wholly owned subsidiary of CNL (“Managing Dealer”).

In connection with services provided to the Company, affiliates are entitled to the following fees:

Managing Dealer — The Managing Dealer received selling commissions and marketing support fees of up to 7% and 3%, respectively, of gross offering proceeds for shares sold, excluding shares sold pursuant to the Company’s Reinvestment Plan, all or a portion of which may be paid to participating broker dealers by the Managing Dealer.

Advisor — The Advisor and certain affiliates are entitled to receive fees and compensation in connection with the acquisition, management and sale of the Company’s assets, as well as the refinancing of debt obligations of the Company or its subsidiaries. In addition, the Advisor and its affiliates are entitled to reimbursement of actual costs incurred on behalf of the Company in connection with the Company’s organizational, offering, acquisition and operating activities. Pursuant to the advisory agreement, as amended in 2013, the Advisor receives investment services fees equal to 1.85% of the purchase price of properties (including its proportionate share of properties acquired through joint ventures) for services rendered in connection with the selection, evaluation, structure and purchase of assets. In addition, the Advisor is entitled to receive a monthly asset management fee of 0.08334% of the average real estate asset value (as defined in the advisory agreement) of the Company’s properties, including its proportionate share of properties owned through joint ventures. The Advisor will also receive a financing coordination fee for services rendered with respect to refinancing of any debt obligations of the Company or its subsidiaries equal to 1.0% of the gross amount of the refinancing.

The Company will pay the Advisor a disposition fee in an amount equal to (i) in the case of the sale of real property, the lesser of (A) one-half of a competitive real estate commission, or (B) 1% of the sales price of such property, and (ii) in the case of the sale of any asset other than real property or securities, 1% of the sales price of such asset, if the Advisor, its affiliates or related parties provide a substantial amount of services, as determined by the Company’s independent directors, in connection with the sale of one or more assets (including a sale of all of its assets or the sale of it or a portion thereof). The Company will not pay its Advisor a disposition fee in connection with the sale of investments that are securities; however, a disposition fee in the form of a usual and customary brokerage fee may be paid to an affiliate or related party of the Advisor, if such affiliate is properly licensed.

Under the advisory agreement and the Company’s articles of incorporation, the Advisor will be entitled to receive certain subordinated incentive fees upon (a) sales of assets and/or (b) a listing (which would also include the receipt by the Company’s stockholders of securities that are approved for trading on a national securities exchange in exchange for shares of the Company’s common stock as a result of a merger, share acquisition or similar transaction). However, once a listing occurs, the Advisor will not be entitled to receive an incentive fee on subsequent sales of assets. The incentive fees are calculated pursuant to formulas set forth in both the advisory agreement and the Company’s articles of incorporation. All incentive fees payable to the Advisor are subordinated to the return to investors of their invested capital plus a 6% cumulative, noncompounded annual return on their invested capital. Upon termination or non-renewal of the advisory agreement by the Advisor for good reason (as defined in the advisory agreement) or by the Company other than for cause (as defined in the advisory agreement), a listing or sale of assets after such termination or non-renewal will entitle the Advisor to receive a pro-rated portion of the applicable subordinated incentive fee.

In addition, the Advisor or its affiliates may be entitled to receive fees that are usual and customary for comparable services in connection with the financing, development, construction or renovation of a property, subject to approval of the Company’s board of directors, including a majority of its independent directors.

In March 2013, the Company entered into the Advisor Expense Support Agreement pursuant to which the Advisor agreed to accept certain payments in the form of forfeitable restricted common stock of the Company in lieu of cash for asset management fees and specified expenses owed by the Company to the Advisor under the advisory agreement. The term of the Advisor Expense Support Agreement automatically renews for consecutive one year periods, subject to the right of the Advisor to terminate the Advisor Expense Support Agreement upon 30 days’ written notice to the Company.

11. Related Party Arrangements (continued)

Commencing on April 1, 2013, the Advisor has provided expense support to the Company through forgoing the payment of fees in cash and acceptance of restricted stock for services rendered and specified expenses incurred in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable quarter, over (b) the Company’s aggregate modified funds from operations (as defined in the Advisor Expense Support Agreement). The Advisor expense support amount shall be determined for each calendar quarter, on a non-cumulative basis, on each Determination Date.

Property Manager — Pursuant to a property management agreement, as amended in 2012, the Property Manager receives property management fees of (a) 2% of annual gross rental revenues from single tenant properties, and (b) 4% of annual gross rental revenues from multi-tenant properties. In the event that the Company contracts directly with a third-party property manager, the Company may pay the Property Manager an oversight fee of up to 1% of annual gross revenues of the property managed; however, in no event will the Company pay both a property management fee and an oversight fee with respect to the same property. The Company will pay to the Property Manager a construction management fee equal to 5% of hard and soft costs associated with the initial construction or renovation of a property, or with the management and oversight of expansion projects and other capital improvements, in those cases in which the value of the construction, renovation, expansion or improvements exceeds (i) 10% of the initial purchase price of the property, and (ii) $1.0 million, which fee will be due and payable upon completion of such projects.

In August 2013, the Company entered into the Property Manager Expense Support Agreement pursuant to which the Property Manager has agreed to accept certain payments in the form of forfeitable restricted common stock of the Company in lieu of cash for property management services owed by the Company to the Property Manager under the property management and leasing agreement.

Commencing on July 1, 2013, the Property Manager is required to provide expense support to the Company through forgoing the payment of fees in cash and acceptance of restricted stock for services in an amount equal to the positive excess, if any, of (a) aggregate stockholder cash distributions declared for the applicable quarter, over (b) the Company’s aggregate modified funds from operations (as defined in the Property Manager Expense Support Agreement). The Property Manager expense support amount shall be determined, on a non-cumulative basis, after the calculation of the Advisor expense support amount pursuant to the Property Manager Expense Support Agreement on each Determination Date.

Expense Support Agreements — In exchange for services rendered and in consideration of the expense support provided, the Company shall issue, within 45 days following each Determination Date, a number of shares of restricted stock equal to the quotient of the expense support amount provided by to the Advisor and Property Manager for the preceding quarter divided by the then-current public offering price per share of common stock, on the terms and conditions and subject to the restrictions set forth in the Expense Support Agreements. Any amounts deferred, and for which restricted stock shares are issued, pursuant to the Expense Support Agreements will be permanently waived and the Company will have no obligation to pay such amounts to the Advisor or the Property Manager. The Restricted Stock is subordinated and forfeited to the extent that shareholders do not receive their original invested capital back with at least a 6% annualized return of investment upon ultimate liquidity of the Company. Refer to Note 2. “Summary of Significant Accounting Policies” for treatment of issued Restricted Stock.

The Company amended the Expense Support Agreements in March 2016; refer to Note 18. “Subsequent Events” for additional information.

CNL Capital Markets Corp — CNL Capital Markets Corp., an affiliate of CNL, receives a sliding flat annual rate (payable monthly) based on the average number of investor accounts that will be open over the term of the agreement. For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $0.6 million, $0.4 million and $0.3 million in such fees, respectively. These amounts are included in general and administrative expenses in the accompanying consolidated statements of operations.

Co-venture partners — The Company paid certain amounts on behalf of its co-venture partner, Windsor Manor, of approximately $2,000 and $30,000 during the years ended December 31, 2015 and 2014.  The Company has recorded a receivable balance as of December 31, 2015 and 2014, which is included in other assets in the accompanying consolidated balance sheet.

11. Related Party Arrangements (continued)

The Company incurs operating expenses which, in general, relate to administration of the Company on an ongoing basis.  Pursuant to the advisory agreement, the Advisor shall reimburse the Company the amount by which the total operating expenses paid or incurred by the Company exceed, in any four consecutive fiscal quarters commencing with the Expense Year ending June 30, 2013, the greater of 2% of average invested assets or 25% of net income (as defined in the advisory agreement) (“Limitation”), unless a majority of the Company’s independent directors determines that such excess expenses are justified based on unusual and non-recurring factors (“Expense Cap Test”).  In performing the Expense Cap Test, the Company uses operating expenses on a GAAP basis after making adjustments for the benefit of expense support under the Expense Support Agreements.  For the Expense Year ended December 31, 2015, the Company did not incur operating expenses in excess of the Limitation.

The Company maintains accounts totaling approximately $0.1 million as of December 31, 2015 and 2014, at a bank in which the Company’s chairman served as a director through December 2015.

In March 2015, the Company acquired Fieldstone Memory Care, a 40-unit memory care community located in Yakima, Washington for a purchase price of $12.4 million from a related party of the Company’s Sponsor.  The board of directors, including all of the independent directors, concluded that substantial justification existed to consummate the Fieldstone Memory Care acquisition.  In determining whether to approve the Fieldstone Transaction, the board of directors reviewed and took into account, among other factors it deemed appropriate, the following information, facts and circumstances:  an affiliate of CNL is the majority interest holder and managing member of the seller; the purchase price exceeds the seller’s acquisition and development costs; a March 2015 independent appraisal; and a prospective value upon reaching stabilization.

In June 2013, the Company originated an ADC Loan in the amount of $6.2 million to C4 Development, LLC (“Crosland Southeast”), a related party by virtue of a family relationship between a principal of the borrower and the Company’s vice chairman who recused himself from review and approval of the investment, for the development of an MOB in Rutland, Virginia that will function as an out-patient emergency and imaging center and was leased to Hospital Corporation of America (“HCA”). As of December 31, 2014, the Company’s ADC Loan had been fully repaid.  The Company recorded interest income for the years ended December 31, 2014 and 2013, which is included in interest income on note receivable from related party in the accompanying consolidated statements of operations.

The fees incurred by and reimbursable to the Managing Dealer in connection with the Company’s Offerings for the years ended December 31, 2015, 2014 and 2013, and related amounts unpaid as of December 31, 2015 and 2014 are as follows (in thousands):

	Years Ended December 31,						Unpaid amounts (1) as of December 31,
	2015		2014		2013		2015		2014
Selling commissions (2)	$	12,507	$	18,387	$	10,262	$	—	$	388
Marketing support fees (2)		16,242		16,429		11,310		—	555
	$	28,749	$	34,816	$	21,572	$	—	$	943

11. Related Party Arrangements (continued)

The expenses and fees incurred by and reimbursable to the Company’s related parties for the years ended December 31, 2015, 2014 and 2013, and related amounts unpaid as of December 31, 2015 and 2014 are as follows (in thousands):

	Years Ended December 31,						Unpaid amounts (1) as of December 31,
	2015		2014		2013		2015		2014
Reimbursable expenses:
Offering costs (2)	$	3,446	$	5,151	$	4,373	$	32	$	713
Operating expenses (3)		4,192		3,206		2,576		935		479
Acquisition fees and expenses		613		614		254		12		80
		8,251		8,971		7,203		979		1,272
Investment services fees (4)		18,561		18,553		12,892		182		—
Disposition fee (5)		—		—		608		—		—
Financing coordination fees (6)		—		220		—		—		—
Property management fees (7)		3,894		2,982		1,244		418		429
Asset management fees (8)		22,837		13,612		5,089		224		355
	$	53,543	$	44,338	$	27,036	$	1,803	$	2,056

FOOTNOTES:

(1) Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

(2) Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  Amounts include approximately $25,000, $30,000 and $0.1 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively.  The reimbursement payments include components of salaries, benefits and other overhead charges.

(3) Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations.  Amounts include approximately $0.1 million, $0.2 million and $0.2 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively.  The reimbursement payments include components of salaries, benefits and other overhead charges.

(4) For the year ended December 31, 2015, the Company incurred approximately $18.6 million in investment services fees of which approximately $2.3 million, was capitalized and included in real estate under development in the accompanying consolidated balance sheets.  For the year ended December 31, 2014, the Company incurred approximately $18.6 million in investment service fees of which approximately $1.8 million was capitalized and included in real estate under development.  For the year ended December 31, 2013, the Company incurred approximately $12.9 million in investment service fees of which approximately $0.5 million and $0.1 million, respectively, were capitalized and included in investments in unconsolidated entities and real estate under development. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.

(5) Amounts are recorded as a reduction to gain on sale of investment in unconsolidated entity in the accompanying consolidated statements of operations.

(6) For the year ended December 31, 2014, the Company incurred approximately $0.2 million in financing coordination fees, which was capitalized and included in its investment in the Windsor Manor Joint Venture.  There were no financing coordination fees for the years ended December 31, 2015 and 2013.

(7) For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $3.9 million, $2.9 million and $1.2 million, respectively, in property and construction management fees payable to the Property Manager of which approximately $0.7 million, $0.9 million and $0.2 million, respectively, in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

(8) For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $22.9 million, $13.6 million and $5.1 million, respectively, in asset management fees payable to the Advisor of which approximately $4.4 million, $4.9 million and $1.4 million, respectively, were settled in accordance with the terms of the Advisor Expense Support Agreement and approximately $0.6 million , $0.3 million and $0.1 million, respectively, were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

11. Related Party Arrangements (continued)

The following fees were settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015 (in thousands, except offering price):

	Years Ended December 31,							As of December 31,
	2015		2014		2013			2015
Asset management fees (1)	$	4,379	$	4,867	$	1,402		$	10,648
Then-current offering price or NAV (2)	$	10.19	$	10.24	$	10.00		$	9.75
Restricted stock shares (3)		423		478		140			1,041
Cash distributions on Restricted Stock (4)	$	281	$	98	$	5		$	384
Stock distributions on Restricted Stock (5)		14		7		—	(6)		21

FOOTNOTES:

(1) No other amounts have been settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015.

(2) The number of restricted stock shares granted to the Advisor in lieu of payment in cash is determined by dividing the expense support amount for the respective quarter by the then-current public offering price as of the Determination Date or by NAV, once the board of directors has made such determination after the close of the Company’s public offering.

(3) Restricted stock shares are comprised of approximately 0.8 million issued to the Advisor and approximately 0.2 million issuable to the Advisor as of December 31, 2015.  No fair value was assigned to the restricted stock shares as the shares were valued at zero, which represents the lowest possible value estimated at vesting.  In addition, the restricted stock shares were treated as unissued for financial reporting purposes because the vesting criteria had not been met as of December 31, 2015. 

(4) The cash distributions have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

(5) This represents the number of shares issued to the Advisor as stock distributions on its restricted stock shares.  The par value of the stock distributions has been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

(6) During the year ended December 31, 2013, the Advisor received 356 shares in the form of stock distributions under the terms of the Advisor Expense Support Agreement.

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Derivative Financial Instruments

12 Months Ended

Dec. 31, 2015

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Derivative Financial Instruments

12. Derivative Financial Instruments

The following summarizes the terms of the Company’s, or its equity method investments’, derivative financial instruments and the corresponding asset (liability) as of December 31, 2015 and 2014 (in thousands):

														Fair value asset (liability) as of
Notional Amount				Strike (1)			Credit Spread (1)			Trade date	Forward date	Maturity date		December 31, 2015			December 31, 2014
$	12,248	(2	)		1.3	%		2.6	%	1/17/2013	1/15/2015	1/16/2018		$	(85	)	$	(71	)
$	38,052	(2	)		2.7	%		2.5	%	9/6/2013	8/17/2015	7/10/2018		$	(1,472	)	$	(1,228	)
$	25,929	(2	)		2.8	%		2.5	%	9/6/2013	8/17/2015	8/29/2018		$	(1,086	)	$	(906	)
$	30,000	(3	)		1.1	%		2.7	%	10/22/2013	8/5/2015		(3)	$	—		$	(82	)
$	29,952	(3	)		0.9	%		4.3	%	11/13/2013	5/11/2015		(3)	$	—		$	(74	)
$	10,699	(4	)		3.0	%		—	%	6/27/2014	6/30/2014	6/30/2017		$	1		$	10
$	48,415	(2	)		2.4	%		2.9	%	8/15/2014	6/1/2016	6/2/2019		$	(1,066	)	$	(270	)
$	83,797	(2	)		2.3	%		2.4	%	9/12/2014	8/1/2015	7/15/2019		$	(2,283	)	$	(1,326	)
$	6,998	(2	)		1.2	%		2.3	%	11/12/2014	11/15/2014	10/15/2017		$	(37	)	$	(35	)
$	175,000	(2	)		1.6	%		2.0	%	12/23/2014	12/19/2014	2/19/2019		$	(1,694	)	$	(881	)
$	138,698	(2	)		1.7	%		2.0	%	1/9/2015	12/10/2015	12/22/2019		$	(1,795	)	$	—
$	260,000	(4	)		1.5	%		—	%	11/19/2015	11/19/2015	11/30/2018		$	1,988		$	—

The following summarizes the gross and net presentation of amounts related to the Company’s, or its equity method investments’, derivative financial instruments as of December 31, 2015 (in thousands):

			Gross and net amounts of asset (liability) as of December 31, 2015								Gross amounts as of December 31, 2015
Notional amount			Gross amount			Offset amount		Net amount			Financial Instruments				Cash Collateral		Net Amount
$	12,248	(2)	$	(85	)	$	—	$	(85	)	$	(85		)	$	—	$	(85	)
$	38,052	(2)	$	(1,472	)	$	—	$	(1,472	)	$	(1,472		)	$	—	$	(1,472	)
$	25,929	(2)	$	(1,086	)	$	—	$	(1,086	)	$	(1,086		)	$	—	$	(1,086	)
$	30,000	(3)	$	—		$	—	$	―		$		―		$	—	$	—
$	29,952	(3)	$	—		$	—	$	―		$		―		$	—	$	—
$	10,699	(4)	$	1		$	—	$	1		$	1			$	—	$	1
$	48,415	(2)	$	(1,066	)	$	—	$	(1,066	)	$	(1,066		)	$	—	$	(1,066	)
$	83,797	(2)	$	(2,283	)	$	—	$	(2,283	)	$	(2,283		)	$	—	$	(2,283	)
$	6,998	(2)	$	(37	)	$	—	$	(37	)	$	(37		)	$	—	$	(37	)
$	175,000	(2)	$	(1,694	)	$	—	$	(1,694	)	$	(1,694		)	$	—	$	(1,694	)
$	138,698	(2)	$	(1,795	)	$	—	$	(1,795	)	$	(1,795		)	$	—	$	(1,795	)
$	260,000	(4)	$	1,988		$	—	$	1,988		$	1,988			$	—	$	1,988

12. Derivative Financial Instruments (continued)

The following summarizes the gross and net presentation of amounts related to the Company’s, or its equity method investments’, derivative financial instruments as of December 31, 2014 (in thousands):

			Gross and net amounts of asset (liability) as of December 31, 2014								Gross amounts as of December 31, 2014
Notional amount			Gross amount			Offset amount		Net amount			Financial Instruments			Cash Collateral		Net Amount
$	12,421	(2)	$	(71	)	$	—	$	(71	)	$	(71	)	$	—	$	(71	)
$	38,255	(2)	$	(1,228	)	$	—	$	(1,228	)	$	(1,228	)	$	—	$	(1,228	)
$	26,067	(2)	$	(906	)	$	—	$	(906	)	$	(906	)	$	—	$	(906	)
$	30,000	(3)	$	(82	)	$	—	$	(82	)	$	(82	)	$	—	$	(82	)
$	29,952	(3)	$	(74	)	$	—	$	(74	)	$	(74	)	$	—	$	(74	)
$	10,904	(4)	$	10		$	—	$	10		$	10		$	—	$	10
$	48,415	(2)	$	(270	)	$	—	$	(270	)	$	(270	)	$	—	$	(270	)
$	84,251	(2)	$	(1,326	)	$	—	$	(1,326	)	$	(1,326	)	$	—	$	(1,326	)
$	7,119	(2)	$	(35	)	$	—	$	(35	)	$	(35	)	$	—	$	(35	)
$	175,000	(2)	$	(881	)	$	—	$	(881	)	$	(881	)	$	—	$	(881	)

FOOTNOTES:

(1) The all-in rates are equal to the sum of the Strike and Credit Spread detailed above.

(2) Amounts related to interest rate swaps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

(3) The loans associated with these derivatives were repaid during the year ended December 31, 2015. Refer to Note 10. “Indebtedness” for additional information.

(4) Amounts related to the interest rate caps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

Although the Company has determined that the majority of the inputs used to value its derivative financial instruments fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with its derivatives utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by the Company and its counterparties.  The Company has assessed the significance of the impact of the credit valuation adjustments on the overall valuation of its derivative financial instruments and has determined that the credit valuation adjustments on the overall valuation adjustments are not significant to the overall valuation of its derivative financial instruments. As a result, the Company determined that its derivative financial instruments valuation in its entirety is classified in Level 2 of the fair value hierarchy. Determining fair value requires management to make certain estimates and judgments.  Changes in assumptions could have a positive or negative impact on the estimated fair values of such instruments which could, in turn, impact the Company’s or its joint venture’s results of operations.

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Equity

12 Months Ended

Dec. 31, 2015

Equity [Abstract]

Equity

13. Equity

Redeemable Noncontrolling Interest:

In connection with the Watercrest at Katy joint venture described in Note 3. “Acquisitions – Real Estate Under Development,” the Company’s joint venture partner acquired a 5% noncontrolling interest that includes a put option of its membership to the Company at any time commencing on the date on which Watercrest at Katy development opens to residents and concluding on the fifth anniversary thereof, when NOI is: (a) equal to or greater than the NOI threshold established in the joint venture agreement, and (b) has been equal to or greater than the NOI threshold established in the joint venture agreement for the three calendar months immediately preceding the calendar month during which the  joint venture partner exercises the put option.  The put option is redeemable for cash at a price equal to the appraised market value (less certain transaction-related costs) at the time the put option is exercised (“Put Price”).  The Company’s maximum exposure, as a result of these redeemable equity securities, is limited to the Put Price multiplied by the joint venture partner’s 5% membership interest.

Stockholders’ Equity:

Public Offerings —

The following table details the Company’s aggregate proceeds from its Offerings as of December 31, 2015 and December 31, 2014 (in millions):

	December 31, 2015								December 31, 2014
	Subscriptions				Reinvestment Plan				Subscriptions				Reinvestment Plan
	Proceeds		Shares		Proceeds		Shares		Proceeds		Shares		Proceeds		Shares
Initial Offering	$	1,271.4		125.1	$	27.1		2.8	$	1,114.2		110.2	$	27.1		2.8
Follow-on Offering		394.6		37.4		36.8		3.7	―		―		―		―
	$	1,666.0		162.5	$	63.9		6.5	$	1,114.2		110.2	$	27.1		2.8

Stock Issuance and Offering Costs – The Company incurred costs in connection with the offering and issuance of shares, including selling commissions, marketing support fees, filing fees, legal, accounting, printing and due diligence expense reimbursements, which are recorded as stock issuance and offering costs and deducted from stockholders’ equity. In accordance with the Company’s articles of incorporation, the total amount of selling commissions, marketing support fees, and other organizational and offering costs to be paid by the Company may not exceed 15% of the aggregate gross offering proceeds.  Offering costs are generally funded by the Managing Dealer and subsequently reimbursed by the Company subject to this limitation.  For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $57.4 million, $59.8 million and $42.0 million, respectively, in stock issuance and other offering costs, as described in the discussion of selling commissions and marketing support fees and offering expenses in Note 11. “Related Party Arrangements.”

Distributions — The following table details the Company’s historical share prices in its Offerings from inception through December 31, 2015, including the prices pursuant to the Reinvestment Plan and the Company’s monthly cash and stock distributions per share:

Period	Price per Share		Reinvestment Plan Price per Share		Monthly Cash Distributions		Monthly Stock Distributions
June 27, 2011 through December 10, 2013	$	10.00	$	9.50	$	0.0333		0.0025
December 11, 2013 through November 3, 2014	$	10.14	$	9.64	$	0.0338		0.0025
November 4, 2014 through December 31, 2015 (1)	$	10.58	$	10.06	$	0.0353		(2	)

FOOTNOTES:

(1) The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

(2) The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015.

13. Equity (continued)

For the years ended December 31, 2015, 2014 and 2013, the Company declared cash distributions of $63.2 million, $31.9 million and $14.2 million, respectively, of which $26.4 million, $14.2 million and $6.6 million, respectively, were paid in cash to stockholders and $36.8 million, $17.7 million and $7.6 million, respectively, were reinvested pursuant to the Reinvestment Plan.  In addition, for the years ended December 31, 2015, 2014 and 2013, the Company declared and made stock distributions of approximately 3.2 million, 2.4 million and 1.1 million shares of common stock, respectively.

The tax composition of the Company’s distributions declared for the years ended December 31, 2015, 2014 and 2013 were as follows:

	December 31,
Distribution Type	2015			2014			2013
Taxable as ordinary income		37.8	%		30.8	%		0.0	%
Taxable as capital gain		0.0	%		0.0	%		63.8	%
Return of capital		62.2	%		69.2	%		36.2	%

Redemptions — During the years ended December 31, 2015, 2014 and 2013, the Company received requests for the redemption of common stock of approximately 1.0 million, 0.3 million and 0.08 million shares, respectively, all of which were approved for redemption at an average price of $9.51, $9.24 and $9.25, respectively, and for a total of approximately $9.3 million, $3.0 million and $0.8, respectively.

Other comprehensive loss — The following table reflects the effect of derivative financial instruments held by Company, or its equity method investments, and included in the consolidated statements of comprehensive loss for the years ended December 31, 2015 and 2014 (in thousands):

	Gain (loss) recognized in other comprehensive loss on derivative financial instrument						Location of gain (loss) reclassified into earnings	Loss reclassified from AOCI into earnings
	Years Ended December 31,							Years Ended December 31,
Derivative Financial Instrument	2015			2014				2015			2014
Interest rate swaps	$	(4,881	)	$	(3,915	)	Interest expense and loan cost amortization	$	(4,110	)	$	(98	)
Interest rate caps		(262	)	―			Not applicable	―			―
Reclassification of interest rate swaps upon derecognition		236		―			Interest expense and loan cost amortization		(236	)	―
Reclassification of interest rate swaps due to    ineffectiveness		33		―			Interest expense and loan cost amortization		(33	)	―
Interest rate cap held by unconsolidated joint venture		(9	)		10		Not applicable	―			―
Total	$	(4,883	)	$	(3,905	)		$	(4,379	)	$	(98	)

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Income Taxes

12 Months Ended

Dec. 31, 2015

Income Tax Disclosure [Abstract]

Income Taxes

14. Income Taxes

For the years ended December 31, 2015, 2014 and 2013, the Company recorded net current tax expense and current deferred tax assets related to deferred income at its TRSs. The components of the income tax benefit (expense) for the years ended December 31, 2015, 2014 and 2013 were as follows (in thousands):

	Years Ended December 31,
	2015			2014			2013
Current:
Federal	$	—		$	—		$	13
State		(378	)		(361	)		—
Total current benefit (expense)		(378	)		(361	)		13
Deferred:
Federal		—			—			(25	)
State		—			—			(6	)
Total deferred expense		—			—			(31	)
Income tax expense	$	(378	)	$	(361	)	$	(18	)

Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the Company’s deferred tax assets as of years ended December 31, 2015 and 2014 are as follows:

	2015			2014
Carryforwards of net operating loss	$	5,220		$	2,361
Prepaid rent		619			437
Valuation allowance		(5,839	)		(2,798	)
Net deferred tax assets	$	—		$	—

A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows (in thousands):

	Years Ended December 31,
	2015					2014					2013
Tax benefit computed at federal statutory rate	$	23,701		35.00	%	$	18,253		35.00	%	$	6,329		35.00	%
Impact of REIT election		(23,701	)	(35.00	)%		(18,253	)	(35.00	)%		(6,344	)	(35.08	)%
State income tax expense		(378	)	(0.56	)%		(361	)	(0.69	)%		(3	)	(0.02	)%
Income tax expense	$	(378	)	(0.56	)%	$	(361	)	(0.69	)%	$	(18	)	(0.10	)%

The Company’s TRS entities had net operating loss carry-forwards for federal and state purposes of approximately $28.1 million as of year ended December 31, 2015 to offset future taxable income with approximately $0.8 million, $11.5 million and $15.7 million of the estimated net operating loss carry-forwards set to expire in 2033, 2034 and 2035, respectively.

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Commitments and Contingencies

12 Months Ended

Dec. 31, 2015

Commitments And Contingencies Disclosure [Abstract]

Commitments and Contingencies

15. Commitments and Contingencies

From time to time, the Company may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, its business, including proceedings to enforce its contractual or statutory rights.  While the Company cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, the Company does not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on its results of operations or financial condition.

Refer to Note 4. “Real Estate Assets, net” for additional information on the remaining development budgets for the Company’s real estate under development.

Refer to Note 8. “Ground and Air Rights Leases” for information on commitments under its ground and air rights lease agreements.

Refer to Note 9. “Contingent Purchase Price Consideration” for information on potential contingent purchase price considerations related to property acquisitions.

Refer to Note 11. “Related Party Arrangements” for information on contingent restricted stock shares due to the Company’s Advisor and Property Manager in connection with the Expense Support Agreements.

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Concentration of Credit Risk

12 Months Ended

Dec. 31, 2015

Risks And Uncertainties [Abstract]

Concentration of Credit Risk

16. Concentration of Credit Risk

For the years ended December 31, 2015, 2014 and 2013 the Company had the following tenant and geographical concentrations that individually accounted for 10% or more of total revenues:

	Type of	December 31,
	Concentration	2015			2014			2013
TSMM Management, LLC (1)	Tenant		5.7	%		7.7	%		26.5	%
State of Texas (2)	Geographical		16.5	%		22.1	%		5.4	%

FOOTNOTES:

(1) Includes contractual rental income from operating leases, capital reserve income, straight-line rent adjustments, and amortization of lease intangibles.  Failure of this tenant to pay contractual lease payments could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

(2) Includes rental income from operating leases, resident fees and services, and tenant reimbursement income.  Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

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Selected Quarterly Financial Data (Unaudited)

12 Months Ended

Dec. 31, 2015

Quarterly Financial Information Disclosure [Abstract]

Selected Quarterly Financial Data (Unaudited)

17. Selected Quarterly Financial Data (Unaudited)

The following table presents selected unaudited quarterly financial data for the years ended December 31, 2015 and 2014 (in thousands, except per share data):

2015 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	65,033		$	67,476		$	79,904		$	88,112		$	300,525
Operating loss		(7,909	)		(3,650	)		(7,925	)		(4,824	)		(24,308	)
Net loss attributable to common stockholders		(18,000	)		(13,410	)		(19,225	)		(17,420	)		(68,055	)
Weighted average number of shares outstanding     (basic and diluted) (1)		131,880			146,257			162,730			173,766			153,804
Loss per share of common stock     (basic and diluted)	$	(0.14	)	$	(0.09	)	$	(0.12	)	$	(0.10	)	$	(0.44	)
2014 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	33,275		$	42,464		$	49,660		$	55,685		$	181,084
Operating loss		(7,375	)		(3,381	)		(6,243	)		(6,179	)		(23,178	)
Net loss attributable to common stockholders		(12,523	)		(12,303	)		(12,204	)		(15,481	)		(52,511	)
Weighted average number of shares outstanding     (basic and diluted) (1)		67,526			77,426			89,597			107,705			85,710
Loss per share of common stock     (basic and diluted)	$	(0.19	)	$	(0.16	)	$	(0.14	)	$	(0.14	)	$	(0.61	)

FOOTNOTE:

(1) For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions issued are treated as if they were outstanding for all periods presented.

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Subsequent Events

12 Months Ended

Dec. 31, 2015

Subsequent Events [Abstract]

Subsequent Events

18. Subsequent Events

In March 2016, the Company’s board of directors approved Amended and Restated Expense Support Agreements with the Advisor and Property Manager that are effective January 1, 2016 and change the period for determining and calculating the respective affiliate’s agreement to accept restricted stock in lieu of cash from each calendar quarter, on a non-cumulative basis, to each calendar year.  In addition, the Company’s board of directors changed the declaration of cash distributions from monthly to quarterly beginning in the second quarter of 2016.

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SCHEDULE II-Valuation and Qualifying Accounts

12 Months Ended

Dec. 31, 2015

Valuation And Qualifying Accounts [Abstract]

SCHEDULE II-Valuation and Qualifying Accounts

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE II – VALUATION AND QUALIFYING ACCOUNTS

YEARS ENDED DECEMBER 31, 2015, 2014 AND 2013 (in thousands)

Year	Description	Balance at Beginning of Year		Charged to Costs and Expenses		Charged to Other Accounts		Balance at End of Year
2013	Deferred tax asset valuation allowance	$	—	$	(597)	$	—	$	(597)
		$	—	$	(597)	$	—	$	(597)
2014	Deferred tax asset valuation allowance	$	(597)	$	(2,201)	$	—	$	(2,798)
		$	(597)	$	(2,201)	$	—	$	(2,798)
2015	Deferred tax asset valuation allowance	$	(2,798)	$	(3,041)	$	—	$	(5,839)
	Allowance for doubtful accounts		—		(1,170)		—		(1,170)
		$	(2,798)	$	(4,211)	$	—	$	(7,009)

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SCHEDULE III-Real Estate and Accumulated Depreciation

12 Months Ended

Dec. 31, 2015

Real Estate And Accumulated Depreciation Disclosure [Abstract]

SCHEDULE III-Real Estate and Accumulated Depreciation

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION

AS OF DECEMBER 31, 2015 (in thousands)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building  and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Primrose Retirement Community of Casper
Casper, Wyoming	$	12,031	$	1,910	$	16,310	$	—	$	9	$	—	$	1,910	$	16,319	$	—	$	18,229	$	(1,653	)	2004	2/16/2012		(1	)
Primrose Retirement Community of Grand Island
Grand Island, Nebraska	$	8,487	$	719	$	12,140	$	25	$	—	$	—	$	744	$	12,140	$	—	$	12,884	$	(1,284	)	2005	2/16/2012		(1	)
Primrose Retirement Community of Mansfield
Mansfield, Ohio	$	11,548	$	650	$	16,720	$	228	$	6	$	—	$	878	$	16,726	$	—	$	17,604	$	(1,756	)	2007	2/16/2012		(1	)
Primrose Retirement Community of Marion
Marion, Ohio	$	9,579	$	889	$	16,305	$	—	$	—	$	—	$	889	$	16,305	$	—	$	17,194	$	(1,705	)	2006	2/16/2012		(1	)
Sweetwater Retirement Community
Billings, Montana		10,403	$	1,578	$	14,205	$	20	$	—	$	—	$	1,598	$	14,205	$	—	$	15,803	$	(1,449	)	2006	2/16/2012		(1	)
HarborChase of Villages Crossing
Lady Lake, Florida ("The Villages")	$	—	$	2,165	$	—	$	986	$	15,424	$	—	$	3,151	$	15,424	$	—	$	18,575	$	(843	)	2013	8/29/2012		(1	)
Dogwood Forest of Acworth
Acworth, Georgia	$	—	$	1,750	$	—	$	277	$	15,994	$	—	$	2,027	$	15,994	$	—	$	18,021	$	(617	)	(3)	12/18/2012		(1	)
Primrose Retirement Community Cottages
Aberdeen, South Dakota	$	—	$	311	$	3,794	$	—	$	—	$	—	$	311	$	3,794	$	—	$	4,105	$	(316	)	2005	12/19/2012		(1	)
Primrose Retirement Community of Council Bluffs
Council Bluffs, Iowa ("Omaha")	$	—	$	1,144	$	11,117	$	—	$	—	$	—	$	1,144	$	11,117	$	—	$	12,261	$	(951	)	2008	12/19/2012		(1	)
Primrose Retirement Community of Decatur
Decatur, Illinois	$	10,558	$	513	$	16,706	$	—	$	—	$	—	$	513	$	16,706	$	—	$	17,219	$	(1,358	)	2009	12/19/2012		(1	)
Primrose Retirement Community of Lima
Lima, Ohio	$	—	$	944	$	17,115	$	8	$	4	$	—	$	952	$	17,119	$	—	$	18,071	$	(1,396	)	2006	12/19/2012		(1	)
Primrose Retirement Community of Zanesville
Zanesville, Ohio	$	11,915	$	1,184	$	17,292	$	—	$	—	$	—	$	1,184	$	17,292	$	—	$	18,476	$	(1,411	)	2008	12/19/2012		(1	)
Symphony Manor
Baltimore, Maryland	$	12,131	$	2,319	$	19,444	$	—	$	78	$	—	$	2,319	$	19,522	$	—	$	21,841	$	(1,564	)	2011	12/21/2012		(1	)
Curry House Assisted Living & Memory Care
Cadillac, Michigan	$	6,253	$	995	$	11,072	$	—	$	—	$	—	$	995	$	11,072	$	—	$	12,067	$	(901	)	1966	12/21/2012		(1	)
Tranquillity at Fredericktowne
Frederick, Maryland	$	6,032	$	808	$	14,291	$	—	$	97	$	235	$	808	$	14,388	$	235	$	15,431	$	(1,149	)	2000	12/21/2012		(1	)
Brookridge Heights Assisted Living & Memory Care
Marquette, Michigan	$	6,189	$	595	$	11,339	$	—	$	31	$	94	$	595	$	11,370	$	94	$	12,059	$	(909	)	1998	12/21/2012		(1	)
Woodholme Gardens Assisted Living & Memory Care
Pikesville, Maryland ("Baltimore")	$	7,285	$	1,603	$	13,472	$	—	$	—	$	—	$	1,603	$	13,472	$	—	$	15,075	$	(1,092	)	2010	12/21/2012		(1	)
Batesville Healthcare Center
Batesville, Arkansas	$	—	$	397	$	5,382	$	—	$	—	$	—	$	397	$	5,382	$	—	$	5,779	$	(362	)	1975	5/31/2013		(1	)
Broadway Healthcare Center
West Memphis, Arkansas	$	—	$	438	$	10,560	$	—	$	77	$	—	$	438	$	10,637	$	—	$	11,075	$	(721	)	1994	5/31/2013		(1	)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Jonesboro Healthcare Center
Jonesboro, Arkansas	$	—	$	527	$	13,493	$	—	$	5	$	—	$	527	$	13,498	$	—	$	14,025	$	(908	)	2012	5/31/2013		(1	)
Magnolia Healthcare Center
Magnolia, Arkansas	$	—	$	421	$	10,454	$	—	$	—	$	—	$	421	$	10,454	$	—	$	10,875	$	(716	)	2009	5/31/2013		(1	)
Mine Creek Healthcare Center
Nashville, Arkansas	$	—	$	135	$	2,942	$	11	$	10	$	—	$	146	$	2,952	$	—	$	3,098	$	(209	)	1978	5/31/2013		(1	)
Searcy Healthcare Center
Searcy, Arkansas	$	—	$	648	$	6,017	$	—	$	50	$	—	$	648	$	6,067	$	—	$	6,715	$	(420	)	1973	5/31/2013		(1	)
LaPorte Cancer Center
Westville, Indiana	$	8,013	$	433	$	10,846	$	—	$	—	$	—	$	433	$	10,846	$	—	$	11,279	$	(750	)	2010	6/14/2013		(1	)
Jefferson Medical Commons
Jefferson City, Tennessee ("Knoxville")	$	7,719	$	151	$	10,236	$	—	$	162	$	—	$	151	$	10,398	$	—	$	10,549	$	(681	)	2001	7/10/2013		(1	)
Physicians Plaza A at North Knoxville Medical Center
Powell, Tennessee ("Knoxville")	$	12,044	$	262	$	16,976	$	—	$	—	$	—	$	262	$	16,976	$	—	$	17,238	$	(1,132	)	2005	7/10/2013		(1	)
Physicians Plaza B at North Knoxville Medical Center
Powell, Tennessee ("Knoxville")	$	14,487	$	303	$	18,754	$	—	$	318	$	—	$	303	$	19,072	$	—	$	19,375	$	(1,255	)	2008	7/10/2013		(1	)
Physicians Regional Medical Center - Central Wing Annex
Knoxville, Tennessee	$	3,838	$	73	$	5,285	$	—	$	—	$	—	$	73	$	5,285	$	—	$	5,358	$	(351	)	2004	7/10/2013		(1	)
HarborChase of Jasper
Jasper, Alabama	$	—	$	355	$	6,358	$	—	$	1	$	—	$	355	$	6,359	$	—	$	6,714	$	(408	)	1998	7/31/2013		(1	)
Chestnut Commons MOB
Elyria, Ohio ("Cleveland")	$	—	$	2,053	$	15,650	$	—	$	—	$	—	$	2,053	$	15,650	$	—	$	17,703	$	(1,077	)	2008	8/16/2013		(1	)
Doctors Specialty Hospital
Leawood, Kansas ("Kansas City")	$	—	$	924	$	5,771	$	16	$	—	$	—	$	940	$	5,771	$	—	$	6,711	$	(385	)	2001	8/16/2013		(1	)
Escondido Medical Arts Center
Escondido, California ("San Diego")	$	—	$	1,863	$	12,199	$	—	$	23	$	—	$	1,863	$	12,222	$	—	$	14,085	$	(754	)	1994	8/16/2013		(1	)
John C. Lincoln Medical Office Plaza I
Phoenix, Arizona	$	—	$	233	$	2,779	$	—	$	34	$	—	$	233	$	2,813	$	—	$	3,046	$	(200	)	1980	8/16/2013		(1	)
John C. Lincoln Medical Office Plaza II
Phoenix, Arizona	$	—	$	138	$	1,908	$	—	$	—	$	—	$	138	$	1,908	$	—	$	2,046	$	(138	)	1984	8/16/2013		(1	)
North Mountain Medical Plaza
Phoenix, Arizona	$	—	$	297	$	4,079	$	—	$	—	$	—	$	297	$	4,079	$	—	$	4,376	$	(290	)	1994	8/16/2013		(1	)
Raider Ranch
Lubbock, Texas	$	—	$	1,992	$	48,818	$	—	$	—	$	—	$	1,992	$	48,818	$	—	$	50,810	$	(2,999	)	2009	8/29/2013		(1	)
The Club at Raider Ranch Development
Lubbock, Texas	$	7,528	$	3,000	$	—	$	170	$	4,905	$	7,824	$	3,170	$	4,905	$	7,824	$	15,899	$	—		(3)	8/29/2013		(1	)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Town Village
Oklahoma City, Oklahoma	$	—	$	1,020	$	19,847	$	—	$	45	$	—	$	1,020	$	19,892	$	—	$	20,912	$	(1,205	)	2004	8/29/2013	(1)
Calvert Medical Arts Center
Prince Frederick, Maryland ("Washington D.C.")	$	12,427	$	20	$	17,838	$	1	$	72	$	—	$	21	$	17,910	$	—	$	17,931	$	(1,077	)	2009	8/30/2013	(1)
Calvert MOBs I, II & III
Prince Frederick, Maryland ("Washington D.C.")	$	10,554	$	51	$	14,334	$	—	$	319	$	—	$	51	$	14,653	$	—	$	14,704	$	(890	)	1991/1999/2000	8/30/2013	(1)
Dunkirk Medical Center
Dunkirk, Maryland ("Washington D.C.")	$	2,970	$	351	$	2,991	$	—	$	10	$	—	$	351	$	3,001	$	—	$	3,352	$	(235	)	1997	8/30/2013	(1)
Prestige Senior Living Beaverton Hills
Beaverton, Oregon ("Portland")	$	9,235	$	1,387	$	10,324	$	—	$	—	$	—	$	1,387	$	10,324	$	—	$	11,711	$	(579	)	2000	12/2/2013	(1)
Prestige Senior Living High Desert
Bend, Oregon	$	7,988	$	835	$	11,252	$	—	$	—	$	—	$	835	$	11,252	$	—	$	12,087	$	(656	)	2003	12/2/2013	(1)
MorningStar of Billings
Billings, Montana	$	19,673	$	4,067	$	41,373	$	5	$	2	$	—	$	4,072	$	41,375	$	—	$	45,447	$	(2,441	)	2009	12/2/2013	(1)
MorningStar of Boise
Boise, Idaho	$	21,000	$	1,663	$	35,752	$	12	$	—	$	—	$	1,675	$	35,752	$	—	$	37,427	$	(1,991	)	2007	12/2/2013	(1)
Prestige Senior Living Huntington Terrace
Gresham, Oregon ("Portland")	$	10,229	$	1,236	$	12,083	$	—	$	6	$	—	$	1,236	$	12,089	$	—	$	13,325	$	(688	)	2000	12/2/2013	(1)
MorningStar of Idaho Falls
Idaho Falls, Idaho	$	17,966	$	2,006	$	40,397	$	5	$	—	$	—	$	2,011	$	40,397	$	—	$	42,408	$	(2,294	)	2009	12/2/2013	(1)
Prestige Senior Living Arbor Place
Medford, Oregon	$	8,224	$	355	$	14,083	$	—	$	—	$	—	$	355	$	14,083	$	—	$	14,438	$	(782	)	2003	12/2/2013	(1)
Prestige Senior Living Orchard Heights
Salem, Oregon	$	12,351	$	545	$	15,544	$	—	$	18	$	—	$	545	$	15,562	$	—	$	16,107	$	(856	)	2002	12/2/2013	(1)
Prestige Senior Living Southern Hills
Salem, Oregon	$	7,506	$	653	$	10,753	$	—	$	—	$	—	$	653	$	10,753	$	—	$	11,406	$	(605	)	2001	12/2/2013	(1)
MorningStar of Sparks
Sparks, Nevada ("Reno")	$	23,811	$	3,986	$	47,968	$	—	$	3	$	—	$	3,986	$	47,971	$	—	$	51,957	$	(2,750	)	2009	12/2/2013	(1)
Prestige Senior Living Five Rivers
Tillamook, Oregon	$	7,738	$	1,298	$	14,064	$	—	$	48	$	—	$	1,298	$	14,112	$	—	$	15,410	$	(837	)	2002	12/2/2013	(1)
Prestige Senior Living Riverwood
Tualatin, Oregon ("Portland")	$	4,489	$	1,028	$	7,429	$	—	$	37	$	—	$	1,028	$	7,466	$	—	$	8,494	$	(434	)	1999	12/2/2013	(1)
Chula Vista Medical Arts Center - Plaza II
Chula Vista, California ("San Diego")	$	—	$	2,462	$	7,453	$	—	$	331	$	—	$	2,462	$	7,784	$	—	$	10,246	$	(418	)	1985	12/23/2013	(1)
Coral Springs MOB I
Coral Springs, Florida	$	—	$	2,614	$	11,220	$	—	$	—	$	—	$	2,614	$	11,220	$	—	$	13,834	$	(664	)	2005	12/23/2013	(1)
Coral Springs MOB II
Coral Springs, Florida	$	—	$	2,614	$	12,130	$	1	$	—	$	—	$	2,615	$	12,130	$	—	$	14,745	$	(663	)	2008	12/23/2013	(1)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement is computed
Property/Location	Encum- brances		Land & Land Improve- ments		Building and Building Improve- ments		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Land & Land Improve- ments		Building and Building Improve- ments		Construc- tion in Process		Total		Accumu- lated Depreci- ation			Date of Construction	Date Acquired
Chula Vista Medical Arts Center - Plaza I
Chula Vista, California ("San Diego")	$	—	$	6,130	$	10,293	$	3	$	200	$	—	$	6,133	$	10,493	$	—	$	16,626	$	(543	)	1975	1/21/2014	(1)
Prestige Senior Living Auburn Meadows
Auburn, Washington ("Seattle")	$	10,549	$	2,537	$	17,261	$	—	$	—	$	—	$	2,537	$	17,261	$	—	$	19,798	$	(905	)	2003/2010	2/3/2014	(1)
Prestige Senior Living Bridgewood
Vancouver, Washington ("Portland")	$	13,188	$	1,603	$	18,172	$	—	$	—	$	—	$	1,603	$	18,172	$	—	$	19,775	$	(945	)	2001	2/3/2014	(1)
Prestige Senior Living Monticello Park
Longview, Washington	$	18,401	$	1,981	$	23,056	$	—	$	—	$	—	$	1,981	$	23,056	$	—	$	25,037	$	(1,183	)	2001/2010	2/3/2014	(1)
Prestige Senior Living Rosemont
Yelm, Washington	$	9,503	$	668	$	14,564	$	—	$	—	$	—	$	668	$	14,564	$	—	$	15,232	$	(739	)	2004	2/3/2014	(1)
Wellmore of Tega Cay
Tega Cay, South Carolina ("Charlotte")	$	23,695	$	2,445	$	—	$	2,733	$	23,380	$	—	$	5,178	$	23,380	$	—	$	28,558	$	(391	)	(3)	2/7/2014	(1)
Isle at Cedar Ridge
Cedar Park, Texas ("Austin")	$	—	$	1,525	$	16,277	$	—	$	10	$	—	$	1,525	$	16,287	$	—	$	17,812	$	(834	)	2011	2/28/2014	(1)
Prestige Senior Living West Hills
Corvallis, Oregon	$	8,815	$	842	$	12,603	$	—	$	—	$	—	$	842	$	12,603	$	—	$	13,445	$	(644	)	2002	3/3/2014	(1)
HarborChase of Plainfield
Plainfield, Illinois	$	—	$	1,596	$	21,832	$	—	$	—	$	—	$	1,596	$	21,832	$	—	$	23,428	$	(1,036	)	2010	3/28/2014	(1)
Legacy Ranch Alzheimer's Special Care Center
Midland, Texas	$	—	$	917	$	9,982	$	—	$	—	$	—	$	917	$	9,982	$	—	$	10,899	$	(483	)	2012	3/28/2014	(1)
The Springs Alzheimer's Special Care Center
San Angelo, Texas	$	—	$	595	$	9,658	$	—	$	—	$	—	$	595	$	9,658	$	—	$	10,253	$	(467	)	2012	3/28/2014	(1)
Isle at Watercrest - Bryan
Bryan, Texas	$	—	$	714	$	18,140	$	4	$	6	$	—	$	718	$	18,146	$	—	$	18,864	$	(809	)	2011	4/21/2014	(1)
Watercrest at Bryan
Bryan, Texas	$	—	$	2,509	$	22,441	$	4	$	14	$	—	$	2,513	$	22,455	$	—	$	24,968	$	(1,084	)	2009	4/21/2014	(1)
Isle at Watercrest - Mansfield
Mansfield, Texas ("Dallas/Fort Worth")	$	—	$	997	$	24,635	$	—	$	—	$	—	$	997	$	24,635	$	—	$	25,632	$	(1,090	)	2011	5/5/2014	(1)
Memorial Hermann Orthopedic & Spine Hospital
Bellaire, Texas ("Houston")	$	31,480	$	3,867	$	32,761	$	—	$	—	$	—	$	3,867	$	32,761	$	—	$	36,628	$	(1,353	)	2007	6/2/2014	(1)
MHOSH MOB
Bellaire, Texas ("Houston")	$	17,348	$	3,738	$	20,525	$	—	$	170	$	—	$	3,738	$	20,695	$	—	$	24,433	$	(859	)	2007	6/2/2014	(1)
Watercrest at Katy
Katy, Texas ("Houston")	$	10,632	$	4,000	$	—	$	—	$	—	$	22,565	$	4,000	$	—	$	22,565	$	26,565	$	—		(3)	6/27/2014	(1)
Watercrest at Mansfield
Mansfield, Texas ("Dallas/Fort Worth")	$	26,628	$	2,191	$	42,740	$	—	$	56	$	—	$	2,191	$	42,796	$	—	$	44,987	$	(1,718	)	2010	6/30/2014	(1)

			Initial Costs				Costs Capitalized Subsequent to Acquisition							Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement
	Encum-		Land & Land Improve-		Building and Building Improve-		Land & Land Improve-		Building and Building Improve-			Construc- tion in		Land & Land Improve-		Building and Building Improve-		Construc- tion in				Accumu- lated Depreci-			Date of	Date
Property/Location	brances		ments		ments		ments		ments			Process		ments		ments		Process		Total		ation			Construction	Acquired	is computed
HarborChase of Shorewood
Shorewood, Wisconsin ("Milwaukee")	$	12,469	$	2,200	$	—	$	294	$	19,805		$	—	$	2,494	$	19,805	$	—	$	22,299	$	(44	)	(3)	7/8/2014	(1)
Oklahoma City Inpatient Rehabilitation Hospital
Oklahoma City, Oklahoma	$	16,203	$	3,341	$	19,249	$	—	$	—		$	—	$	3,341	$	19,249	$	—	$	22,590	$	(814	)	2012	7/15/2014	(1)
Las Vegas Inpatient Rehabilitation Hospital
Las Vegas, Nevada	$	14,163	$	2,650	$	16,979	$	—	$	—		$	—	$	2,650	$	16,979	$	—	$	19,629	$	(726	)	2007	7/15/2014	(1)
South Bend Inpatient Rehabilitation Hospital
Mishawaka, Indiana ("South Bend")	$	12,860	$	2,339	$	16,239	$	—	$	—		$	—	$	2,339	$	16,239	$	—	$	18,578	$	(703	)	2009	7/15/2014	(1)
Beaumont Specialty Hospital
Beaumont, Texas ("Houston")	$	21,347	$	2,749	$	28,863	$	—	$	—		$	—	$	2,749	$	28,863	$	—	$	31,612	$	(1,102	)	2013	8/15/2014	(1)
Hurst Specialty Hospital
Hurst, Texas ("Dallas/Fort Worth")	$	18,722	$	2,510	$	24,091	$	—	$	—		$	—	$	2,510	$	24,091	$	—	$	26,601	$	(921	)	2004/2012	8/15/2014	(1)
Claremont Medical Office
Claremont, CA ("Los Angeles")	$	12,683	$	6,324	$	13,533	$	—	$	—		$	—	$	6,324	$	13,533	$	—	$	19,857	$	(532	)	2008	8/29/2014	(1)
Lee Hughes MOB
Glendale, California ("Los Angeles")	$	18,632	$	69	$	22,967	$	—	$	17		$	—	$	69	$	22,984	$	—	$	23,053	$	(743	)	2008	9/29/2014	(1)
Newburyport Medical Center
Newburyport, Massachusetts ("Boston")	$	—	$	2,614	$	12,135	$	—	$	—		$	—	$	2,614	$	12,135	$	—	$	14,749	$	(432	)	2008	10/31/2014	(1)
Northwest Medical Park Building
Margate, Florida ("Fort Lauderdale")	$	7,008	$	610	$	6,170	$	—	$	—		$	—	$	610	$	6,170	$	—	$	6,780	$	(232	)	2004	10/31/2014	(1)
Fairfield Village of Layton
Layton, Utah ("Salt Lake City")	$	—	$	5,217	$	54,167	$	—	$		5	$	—	$	5,217	$	54,172	$	—	$	59,389	$	(1,667	)	2010	11/20/2014	(1)
ProMed Building I
Yuma, Arizona	$	7,050	$	2,486	$	6,728	$	—	$	—		$	—	$	2,486	$	6,728	$	—	$	9,214	$	(201	)	2006	12/19/2014	(1)
Midtown Medical Plaza
Charlotte, North Carolina	$	29,378	$	10	$	51,237	$	—	$		3	$	—	$	10	$	51,240	$	—	$	51,250	$	(1,314	)	1994	12/22/2014	(1)
Presbyterian Medical Tower
Charlotte, North Carolina	$	19,528	$	40	$	32,345	$	—	$	—		$	—	$	40	$	32,345	$	—	$	32,385	$	(832	)	1989	12/22/2014	(1)
Metroview Professional Building
Charlotte, North Carolina	$	9,276	$	11	$	15,910	$	—	$	—		$	—	$	11	$	15,910	$	—	$	15,921	$	(409	)	1971	12/22/2014	(1)
Physicians Plaza Huntersville
Huntersville, North Carolina ("Charlotte")	$	16,306	$	520	$	26,134	$	—	$	—		$	—	$	520	$	26,134	$	—	$	26,654	$	(705	)	2004	12/22/2014	(1)
Matthews Medical Office Building
Matthews, North Carolina ("Charlotte")	$	11,441	$	350	$	19,624	$	—	$	—		$	—	$	350	$	19,624	$	—	$	19,974	$	(527	)	1994	12/22/2014	(1)
Outpatient Care Center
Clyde, North Carolina ("Asheville")	$	10,690	$	1,169	$	12,079	$	—	$	—		$	—	$	1,169	$	12,079	$	—	$	13,248	$	(317	)	2012	12/22/2014	(1)

			Initial Costs				Costs Capitalized Subsequent to Acquisition							Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement
	Encum-		Land & Land Improve-		Building and Building Improve-		Land & Land Improve-		Building and Building Improve-			Construc- tion in		Land & Land Improve-		Building and Building Improve-		Construc- tion in				Accumu- lated Depreci-			Date of	Date
Property/Location	brances		ments		ments		ments		ments			Process		ments		ments		Process		Total		ation			Construction	Acquired	is computed
330 Physicians Center
Rome, Georgia	$	19,901	$	12	$	26,868	$	—	$	—		$	—	$	12	$	26,868	$	—	$	26,880	$	(690	)	1987/2005	12/22/2014	(1)
Spivey Station Physicians Center
Atlanta, Georgia	$	9,735	$	1,026	$	12,246	$	—	$	—		$	—	$	1,026	$	12,246	$	—	$	13,272	$	(345	)	2007	12/22/2014	(1)
Spivey Station ASC Building
Atlanta, Georgia	$	12,448	$	929	$	13,769	$	—	$	—		$	—	$	929	$	13,769	$	—	$	14,698	$	(381	)	2009	12/22/2014	(1)
Novi Orthopaedic Center
Novi, Michigan	$	19,825	$	1,314	$	26,239	$	—	$	—		$	—	$	1,314	$	26,239	$	—	$	27,553	$	(697	)	2008	2/13/2015	(1)
UT Cancer Institute Building
Knoxville, Tennessee	$	21,503	$	421	$	27,621	$	—	$	3		$	—	$	421	$	27,624	$	—	$	28,045	$	(614	)	2012	2/20/2015	(1)
Fieldstone Memory Care
Yakima, Washington	$	—	$	1,297	$	9,965	$	—	$	—		$	—	$	1,297	$	9,965	$	—	$	11,262	$	(212	)	2014	3/31/2015	(1)
Bend Memorial Clinic MOB
Bend, Oregon	$	—	$	9,069	$	19,867	$	—	$	—		$	—	$	9,069	$	19,867	$	—	$	28,936	$	(410	)	1976	5/11/2015	(1)
Stoneterra Medical Plaza
San Antonio, Texas	$	—	$	2,864	$	10,412	$	—	$	—		$	—	$	2,864	$	10,412	$	—	$	13,276	$	(175	)	2006	5/29/2015	(1)
Primrose Retirement Center of Anderson
Anderson, Indiana ("Muncie")	$	—	$	1,342	$	19,083	$	—	$	—		$	—	$	1,342	$	19,083	$	—	$	20,425	$	(314	)	2008	5/29/2015	(1)
Primrose Retirement Center of Lancaster
Lancaster, Ohio ("Columbus")	$	—	$	2,840	$	21,884	$	—	$	—		$	—	$	2,840	$	21,884	$	—	$	24,724	$	(397	)	2007	5/29/2015	(1)
Primrose Retirement Center of Wausau
Wausau, Wisconsin ("Green Bay")	$	—	$	1,089	$	18,653	$	—	$		—	$	—	$	1,089	$	18,653	$	—	$	19,742	$	(295	)	2008	5/29/2015	(1)
Triangle Orthopaedic Durham
Durham, North Carolina	$	—	$	3,191	$	14,523	$	—	$	—		$	—	$	3,191	$	14,523	$	—	$	17,714	$	(210	)	2000	6/29/2015	(1)
Triangle Orthopaedic Roxboro
Roxboro, North Carolina	$	—	$	287	$	1,406	$	—	$		—	$	—	$	287	$	1,406	$	—	$	1,693	$	(22	)	2000	6/29/2015	(1)
Triangle Orthopaedic Chapel Hill
Chapel Hill, North Carolina	$	—	$	360	$	2,306	$	—	$	—		$	—	$	360	$	2,306	$	—	$	2,666	$	(33	)	2011	6/29/2015	(1)
Triangle Orthopaedic Oxford
Oxford, North Carolina	$	—	$	658	$	3,074	$	—	$	—		$	—	$	658	$	3,074	$	—	$	3,732	$	(48	)	2011	6/29/2015	(1)
North Carolina Specialty Hospital
Durham, North Carolina	$	—	$	3,173	$	22,762	$	—	$	—		$	—	$	3,173	$	22,762	$	—	$	25,935	$	(315	)	2004	6/29/2015	(1)
Doctor's Park Building B
Chula Vista, California ("San Diego")	$	—	$	1,161	$	2,919	$	—	$	—		$	—	$	1,161	$	2,919	$	—	$	4,080	$	(43	)	2008	6/30/2015	(1)
Doctor's Park Building C
Chula Vista, California ("San Diego")	$	—	$	2,323	$	6,351	$	—	$	—		$	—	$	2,323	$	6,351	$	—	$	8,674	$	(92	)	2006	6/30/2015	(1)
Superior Residences of Panama City
Panama City Beach, Florida	$	—	$	2,099	$	19,367	$	—	$	—		$	—	$	2,099	$	19,367	$	—	$	21,466	$	(273	)	2015	7/15/2015	(1)
540 New Waverly Place
Cary, North Carolina ("Raleigh")	$	7,048	$	2,476	$	11,009	$	—	$	—		$	—	$	2,476	$	11,009	$	—	$	13,485	$	(136	)	2007	7/20/2015	(1)
MedHelp
Birmingham, Alabama	$	—	$	2,270	$	10,359	$	—	$	—		$	—	$	2,270	$	10,359	$	—	$	12,629	$	(119	)	2015	7/31/2015	(1)
Patriot Professional Center
Frederick, Maryland ("Baltimore")	$	—	$	3,912	$	11,781	$	—	$	—		$	—	$	3,912	$	11,781	$	—	$	15,693	$	(146	)	2006/2014	7/31/2015	(1)
Liberty Professional Center
Frederick, Maryland ("Baltimore")	$	—	$	1,977	$	4,462	$	—	$	—		$	—	$	1,977	$	4,462	$	—	$	6,439	$	(54	)	1979/2013	7/31/2015	(1)

			Initial Costs				Costs Capitalized Subsequent to Acquisition						Gross Amounts at which Carried at Close of Period (2)													Life on which depreciation in latest income statement
	Encum-		Land & Land Improve-		Building and Building Improve-		Land & Land Improve-		Building and Building Improve-		Construc- tion in		Land & Land Improve-		Building and Building Improve-		Construc- tion in				Accumu- lated Depreci-			Date of	Date
Property/Location	brances		ments		ments		ments		ments		Process		ments		ments		Process		Total		ation			Construction	Acquired	is computed
The Hampton at Meadows Place
Meadows Place, Texas ("Houston")	$	—	$	715	$	24,281	$	—	$	—	$	—	$	715	$	24,281	$	—	$	24,996	$	(263	)	2007/2013/2014	7/31/2015	(1)
The Pavilion at Great Hills
Austin, Texas	$	—	$	1,783	$	29,318	$	—	$	—	$	—	$	1,783	$	29,318	$	—	$	31,101	$	(321	)	2010	7/31/2015	(1)
The Beacon at Gulf Breeze
Gulf Breeze, Florida ("Pensacola")	$	—	$	824	$	24,106	$	—	$	—	$	—	$	824	$	24,106	$	—	$	24,930	$	(273	)	2008	7/31/2015	(1)
Parc at Piedmont
Marietta, Georgia ("Atlanta")	$	—	$	3,529	$	43,080	$	—	$	—	$	—	$	3,529	$	43,080	$	—	$	46,609	$	(489	)	2001/2011	7/31/2015	(1)
Parc at Duluth
Duluth, Georgia ("Atlanta")	$	—	$	5,951	$	42,458	$	—	$	—	$	—	$	5,951	$	42,458	$	—	$	48,409	$	(481	)	2003/2012	7/31/2015	(1)
Broadway Medical Plaza 1
Columbia, Missouri	$	—	$	437	$	9,281	$	—	$	—	$	—	$	437	$	9,281	$	—	$	9,718	$	(89	)	1994	8/21/2015	(1)
Broadway Medical Plaza 2
Columbia, Missouri	$	—	$	386	$	12,460	$	—	$	—	$	—	$	386	$	12,460	$	—	$	12,846	$	(115	)	1999	8/21/2015	(1)
Broadway Medical Plaza 4
Columbia, Missouri	$	—	$	170	$	12,118	$	—	$	—	$	—	$	170	$	12,118	$	—	$	12,288	$	(107	)	2007	8/21/2015	(1)
Waterstone
Greenville, South Carolina	$	—	$	2,253	$	—	$	—	$	—	$	4,932	$	2,253	$	—	$	4,932	$	7,185	$	—		(3)	8/31/2015	(1)
Welbrook Senior Living Grand Junction
Grand Junction, Colorado	$	—	$	1,050	$	—	$	—	$	—	$	2,148	$	1,050	$	—	$	2,148	$	3,198	$	—		(3)	9/4/2015	(1)
Wellmore of Lexington
Lexington, South Carolina ("Columbia")	$	—	$	2,300	$	—	$	—	$	—	$	6,423	$	2,300	$	—	$	6,423	$	8,723	$	—		(3)	9/14/2015	(1)
Palmilla Senior Living
Albuquerque, New Mexico	$	—	$	4,701	$	38,321	$	—	$	—	$	—	$	4,701	$	38,321	$	—	$	43,022	$	(261	)	2013	9/30/2015	(1)
Cedar Lake Assisted Living and Memory Care
Lake Zurich, Illinois ("Chicago")	$	—	$	2,412	$	25,126	$	—	$	—	$	—	$	2,412	$	25,126	$	—	$	27,538	$	(171	)	2014	9/30/2015	(1)
Fieldstone at Pear Orchard
Yakima Washington	$	—	$	1,035	$	—	$	—	$	—	$	1,571	$	1,035	$	—	$	1,571	$	2,606	$	—		(3)	10/12/2015	(1)
The Shores at Lake Phalen
Maplewood, Minnesota ("St. Paul")	$	—	$	2,724	$	25,093	$	—	$	—	$	—	$	2,724	$	25,093	$	—	$	27,817	$	(113	)	2012	11/10/2015	(1)
Dogwood Forest of Grayson
Grayson, Georgia	$	—	$	1,788	$	—	$	—	$	—	$	2,185	$	1,788	$	—	$	2,185	$	3,973	$	—		(3)	11/24/2015	(1)
Center One
Jacksonville, Florida	$	—	$	8,294	$	21,756	$	—	$	—	$	—	$	8,294	$	21,756	$	—	$	30,050	$	—		2006	11/30/2015	(1)
Red Bank Professional Office Building
Cincinnati, Ohio	$	—	$	1,721	$	7,721	$	—	$	—	$	—	$	1,721	$	7,721	$	—	$	9,442	$	(18	)	2001	12/14/2015	(1)
Park Place Senior Living at WingHaven
O'Fallon, Missouri ("St. Louis")	$	—	$	1,283	$	48,221	$	—	$	—	$	—	$	1,283	$	48,221	$	—	$	49,504	$	—		2006/2014	12/17/2015	(1)
Siena Pavilion IV
Henderson, Nevada ("Las Vegas")	$	—	$	1,454	$	4,786	$	—	$	—	$	—	$	1,454	$	4,786	$	—	$	6,240	$	—		2002	12/18/2015	(1)
Siena Pavilion V
Henderson, Nevada ("Las Vegas")	$	—	$	3,944	$	20,355	$	—	$	—	$	—	$	3,944	$	20,355	$	—	$	24,299	$	—		2003	12/18/2015	(1)
Siena Pavilion VI
Henderson, Nevada ("Las Vegas")	$	—	$	2,599	$	18,725	$	—	$	—	$	—	$	2,599	$	18,725	$	—	$	21,324	$	—		2005	12/18/2015	(1)
Hearthside Senior Living of Collierville
Collierville, Tennessee ("Memphis")	$	—	$	1,905	$	13,379	$	—	$	—	$	—	$	1,905	$	13,379	$	—	$	15,284	$	—		2014	12/29/2015	(1)
Cobalt Rehabilitation Hospital Surprise
Surprise, Arizona ("Phoenix")	$	—	$	2,464	$	17,983	$	—	$	—	$	—	$	2,464	$	17,983	$	—	$	20,447	$	—		2015	12/30/2015	(1)
	$	840,656	$	238,787	$	2,215,548	$	4,803	$	81,788	$	47,977	$	243,590	$	2,297,336	$	47,977	$	2,588,903	$	(90,201	)

Transactions in real estate and accumulated depreciation as of December 31, 2015 are as follows:

Balance December 31, 2011	$	—	Balance December 31, 2011	$	—
2012 Acquisitions		231,398	2012 Depreciation		(1,702)
2012 Improvements		4,547	Balance December 31, 2012		(1,702)
Balance December 31, 2012		235,945	2013 Depreciation		(9,309)
2013 Acquisitions		598,176	Balance December 31, 2013		(11,011)
2013 Improvements		25,756	2014 Depreciation		(29,456)
Balance December 31, 2013		859,877	Balance December 31, 2014		(40,467)
2014 Acquisitions		822,305	2015 Depreciation		(49,734)
2014 Improvements		39,247	Balance December 31, 2015	$	(90,201)
Balance December 31, 2014		1,721,429
2015 Acquisitions		802,456
2015 Improvements		65,018
Balance December 31, 2015	$	2,588,903

FOOTNOTES:

(1) Buildings and building improvements are depreciated over 39 and 15 years, respectively. Tenant improvements are depreciated over the terms of their respective leases.

(2) The aggregate cost for federal income tax purposes is approximately $2.9 billion.

(3) Land and land improvements, initial cost, include the purchase price of land under development which is included as a component of construction in process in the consolidated balance sheets. As of December 31, 2015 these properties were under development; therefore, depreciation is not applicable.

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SCHEDULE IV-Mortgage Loans on Real Estate

12 Months Ended

Dec. 31, 2015

Mortgage Loans On Real Estate [Abstract]

SCHEDULE IV-Mortgage Loans on Real Estate

CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES

SCHEDULE IV – MORTGAGE LOANS ON REAL ESTATE

YEARS ENDED DECEMBER 31, 2015, 2014 AND 2013 (in thousands)

The following is a reconciliation of mortgages and other notes receivable on real estate for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	2015		2014		2013
Balance at beginning of year	$	—	$	3,949	$	—
Additions during period:
New mortgage loans and additional advances		—		2,065		3,741
Accrued and deferred interest		—		288		124
Loan origination costs, net		—		—		84
Deductions during period:
Collection of principal		—		(6,302)		—
Balance at end of year	$	—	$	—	$	3,949

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Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2015

Accounting Policies [Abstract]

Basis of Presentation and Consolidation

Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the accounts of wholly owned subsidiaries or subsidiaries for which the Company has a controlling interest, the accounts of VIEs in which the Company is the primary beneficiary, and the accounts of other subsidiaries over which the Company has a controlling financial interest.  All material intercompany accounts and transactions have been eliminated in consolidation.

2. Summary of Significant Accounting Policies (continued)

In accordance with the guidance for the consolidation of VIEs, the Company analyzes its variable interests, including loans, leases, guarantees, and equity investments, to determine if the entity in which it has a variable interest is a variable interest entity (“VIE”). The Company’s analysis includes both quantitative and qualitative reviews. The Company bases its quantitative analysis on the forecasted cash flows of the entity, and its qualitative analysis on its review of the design of the entity, its organizational structure including decision-making ability and financial agreements. The Company also uses its quantitative and qualitative analyses to determine if it is the primary beneficiary of the VIE, and if such determination is made, it includes the accounts of the VIE in its consolidated financial statements.

Use of Estimates

Use of Estimates — The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements, the reported amounts of revenues and expenses during the reporting periods and the disclosure of contingent liabilities. For example, significant assumptions are made in the allocation of purchase price, the analysis of real estate impairments, the valuation of contingent assets and liabilities, and the valuation of restricted stock shares issued to the Advisor or Property Manager.  Accordingly, actual results could differ from those estimates.

Allocation of Purchase Price for Real Estate Acquisitions

Allocation of Purchase Price for Real Estate Acquisitions— Upon acquisition of properties, the Company estimates the fair value of acquired tangible assets (consisting of land, building and improvements, tenant improvements and equipment), intangible assets (consisting of in-place leases and above- or below-market leases), liabilities assumed and any contingent assets or liabilities in order to allocate the purchase price.  In estimating the fair value of the assets acquired and liabilities assumed, the Company considers information obtained about each property as a result of its due diligence and utilizes various valuation methods, such as estimated cash flow projections using appropriate discount and capitalization rates, estimates of replacement costs net of depreciation and available market information.

The fair value of the tangible assets of an acquired leased property is determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land and building based on the relative fair values of these assets.

The purchase price is allocated to in-place lease intangibles based on management’s evaluation of the specific characteristics of the acquired lease(s).  Factors considered include estimates of carrying costs during hypothetical expected lease-up periods, including estimates of lost rental income during the expected lease-up periods, and costs to execute similar leases such as leasing commissions, legal and other related expenses.  Above- and below-market lease intangibles are recorded based on the present value of the difference between the contractual rents to be paid pursuant to the lease and management’s estimate of the fair market lease rates for each in-place lease and may include assumptions for lease renewals of below-market leases.

The Company also enters into contingent purchase price consideration arrangements in connection with acquisitions, which result in either an asset or liability being recognized as part of the purchase price allocation.  In calculating the estimated fair value of contingent purchase price consideration arrangements, the Company considers information obtained during the due diligence and budget process as well as discount rates to determine the fair value.  The Company evaluates the fair value of the arrangements at each reporting period and records any adjustments to the fair value as a component of operating income (expense) in the consolidated statement of operations.  Refer to Note 9. “Contingent Purchase Price Consideration” for additional information on fair value measurements of contingent purchase price consideration arrangements.

Depreciation and Amortization

Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized. Repair and maintenance costs are charged to expense as incurred and significant replacements and improvements are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets.  Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are the lesser of 39 and 15 years, respectively, or the remaining life of the ground lease.

Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease related costs not deemed to be recoverable.

Impairment of Real Estate Assets

Impairment of Real Estate Assets — Real estate assets are reviewed on an ongoing basis to determine whether there are any indicators, including property operating performance and general market conditions, that the value of the real estate properties (including any related amortizable intangible assets or liabilities) may be impaired.  To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group.  Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors.  In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value of the asset group.

When impairment indicators are present for real estate indirectly owned, through an investment in a joint venture or other similar investment structure accounted for under the equity method, the Company compares the estimated fair value of its investment to the carrying value.  An impairment charge will be recorded to the extent fair value of the investment is less than the carrying amount and the decline in value is determined to be other than a temporary decline.

Real Estate Under Development

Real Estate Under Development — The Company records real estate under development at cost, including acquisition fees and closing costs incurred. The cost of the real estate under development includes direct and indirect costs of development, including interest and miscellaneous costs incurred during the development period until the project is substantially complete and available for occupancy. In addition, during active development, all operating expenses related to the project, including property expenses such as real estate taxes and insurance, are capitalized rather than expensed and incidental revenue is recorded as a reduction of capitalized development costs.  Preleasing costs are expensed as incurred.

Capitalized Interest

Capitalized Interest — Interest and loan cost amortization attributable to funds used to finance real estate under development is capitalized as additional costs of development. The Company capitalizes interest at the weighted average interest rate of the Company’s outstanding indebtedness and based on its weighted average expenditures for the period. Capitalization of interest on a specific project ceases when the project is substantially complete and ready for occupancy.  During the years ended December 31, 2015, 2014 and 2013, the Company incurred interest expense and loan cost amortization of approximately $45.3 million, $31.5 million and $11.5 million, respectively, of which approximately $2.3 million, $1.0 million and $0.7 million, respectively, was capitalized according to this policy.

Cash

Cash — Cash consists of demand deposits at commercial banks. The Company also invests in cash equivalents consisting of highly liquid investments in money market funds with original maturities of three months or less during the year.  As of December 31, 2015, certain of the Company’s cash deposits exceeded federally insured amounts.  However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal.  The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.

Restricted Cash

Restricted Cash — Certain amounts of cash are restricted to fund capital expenditures for the Company’s real estate investment properties or represent certain tenant security deposits.

Loan Costs

Loan Costs — Financing costs paid in connection with obtaining debt are deferred and amortized over the estimated life of the debt using the effective interest method.  As of December 31, 2015 and 2014, the accumulated amortization of loan costs was approximately $7.8 million and $4.3 million, respectively.

Leasing Costs

Leasing Costs — The Company defers costs that it incurs to obtain new tenant leases or extend existing tenant leases and classifies these costs as other assets, net of accumulated amortization. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life.  If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized deferred lease costs not deemed to be recoverable.

Investments in Unconsolidated Entities

Investments in Unconsolidated Entities — The Company accounts for its investments in unconsolidated joint ventures under the equity method of accounting as the Company exercises significant influence, but does not maintain a controlling financial interest over these entities. These investments are recorded initially at cost and subsequently adjusted for cash contributions, distributions and equity in earnings (loss) of the unconsolidated entities. Based on the respective venture structures and preferences the Company receives on distributions and liquidation, the Company records its equity in earnings of the unconsolidated entities under the HLBV method of accounting.  Under this method, the Company recognizes income or loss in each period as if the net book value of the assets in the ventures were hypothetically liquidated at the end of each reporting period pursuant to the provisions of the joint venture agreements. In any given period, the Company could be recording more or less income than actual cash distributions received and more or less than what the Company may receive in the event of an actual liquidation.  The Company’s investment in unconsolidated entities is accounted for as an asset acquisition in which acquisition fees and expenses are capitalized as part of the basis in the investment in unconsolidated entities.  The acquisition fees and expenses create an outside basis difference that are allocated to the assets of the investee and, if assigned to depreciable or amortizable assets, the basis differences are then amortized as a component of equity in earnings (loss) of unconsolidated entities.

Revenue Recognition

Revenue Recognition — Rental income from operating leases is recorded on the straight-line basis over the terms of the leases. The Company’s leases require the tenants to pay certain additional contractual amounts that are set aside by the Company for replacements of fixed assets and other improvements to the properties. These amounts are and will remain the property of the Company during and after the term of the lease. The amounts are recorded as capital improvement reserve income at the time that they are earned and are included in rental income from operating leases in the accompanying consolidated statement of operations.  Additional percentage rent that is due contingent upon tenant performance thresholds, such as gross revenues, is deferred until the underlying performance thresholds have been achieved.

Resident fees and services consist of monthly services, which include rent, assistance and other related services.  Agreements with residents are generally for an initial term of three months and are cancelable by the residents with 30-days notice.

Tenant reimbursement income represents amounts tenants are required to reimburse the Company for expenses incurred on behalf of the tenants, in accordance with the terms of the leases and are recognized in the period in which the related reimbursable expenses are incurred.

Interest income is recognized on an accrual basis when earned.  Any deferred portion of contractual interest is recognized on a straight-line basis over the term of the corresponding note receivable.  Loan origination fees incurred are recognized as a reduction to interest income over the term of the note receivable.

Reclassifications

Reclassifications — Certain amounts in the prior year’s consolidated balance sheet have been reclassified to conform to the current year’s presentation with no effect on the other previously reported consolidated financial statements.

Derivative Financial Instruments

Derivative Financial Instruments — The Company and certain unconsolidated equity method investments held by the Company use derivative financial instruments to partially offset the effect of fluctuating interest rates on the cash flows associated with its variable-rate debt.  Upon entry into a derivative, the Company or its unconsolidated equity method investment formally designates and documents the financial instrument as a hedge of a specific underlying exposure, as well as the risk management objectives and strategies for undertaking the hedge transaction.  The Company or its unconsolidated equity method investment accounts for derivatives through the use of a fair value concept whereby the derivative positions are stated at fair value in the accompanying consolidated balance sheets.  The fair value of derivatives used to hedge or modify risk fluctuates over time.  As such, the fair value amounts should not be viewed in isolation, but rather in relation to the cash flows or fair value of the underlying hedged transaction and to the overall reduction in the exposure relating to adverse fluctuations in interest rates on the Company’s or its unconsolidated equity method investment’s variable-rate debt.  Realized and unrealized gain (loss) on derivative financial instruments designated by either the Company or its unconsolidated equity method investment as cash flow hedges are reported as a component of other comprehensive income (loss), a component of stockholders’ equity, in the accompanying consolidated statements of comprehensive income (loss) to the extent they are effective; reclassified into earnings on the same line item associated with the hedged transaction and in the same period the hedged transaction affects earnings.  Any ineffective portions of cash flow hedges are reported in the accompanying consolidated statements of operations as derivative gain (loss).

2. Summary of Significant Accounting Policies (continued)

Realized and unrealized gain (loss) on derivative financial instruments designated as cash flow hedges that are entered into by the Company’s equity method investments are reported as a component of the Company’s other comprehensive income (loss) in proportion to the Company’s ownership percentage in the investment, with reclassifications and ineffective portions being included in equity in earnings (loss) of unconsolidated entities in the accompanying consolidated statements of operations.

Fair Value Measurements

Fair Value Measurements — Fair value assumptions are based on the framework established in the fair value accounting guidance under GAAP.  The framework specifies a hierarchy of valuation inputs which was established to increase consistency, clarity and comparability in fair value measurements and related disclosures.  The guidance describes the following fair value hierarchy based upon three levels of inputs that may be used to measure fair value, two of which are considered observable and one that is considered unobservable:

· Level 1 — Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access.

· Level 2 — Inputs, other than quoted prices included in Level 1, that are observable for the asset or liability either directly or indirectly;  such as, quoted prices for similar assets or liabilities or other inputs that can be corroborated by observable market data.

· Level 3 — Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity.

When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement.

Mortgages and Other Notes Payable

Mortgages and Other Notes Payable — Mortgages and other notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s properties.  Mortgages and other notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.

Redemptions

Redemptions — Under the Company’s stock redemption plan, a stockholder’s shares are deemed to have been redeemed as of the date that the Company accepts the stockholder’s request for redemption.  From and after such date, the stockholder by virtue of such redemption is no longer entitled to any rights as a stockholder in the Company.  Shares redeemed are retired and not available for reissue.

Net Loss per Share

Net Loss per Share — Net loss per share is calculated based upon the weighted average number of shares of common stock outstanding during the period in which the Company was operational. For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions are treated as if they were issued and outstanding for the full periods presented.  Therefore, the weighted average number of shares outstanding for the years ended December 31, 2015, 2014 and 2013 have been revised to include stock distributions declared and issued as if they were outstanding as of the beginning of each period presented.

Shares Based Payments to Non-Employees

Shares Based Payments to Non-Employees — In connection with the Expense Support Agreements described in Note 11. “Related Party Arrangements,” the Company may issue Restricted Stock to the Advisor or the Property Manager on a quarterly basis in exchange for providing expense support in the event that cash distributions declared exceed modified funds from operations as defined by the Expense Support Agreements. Refer to Note 18. “Subsequent Events” for additional information.

2. Summary of Significant Accounting Policies (continued)

The Restricted Stock is forfeited if shareholders do not ultimately receive their original invested capital back with at least a 6% annualized return of investment upon a future liquidity or disposition event of the Company.  Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to ASC 505-50.  On the date in which the Advisor or the Property Manager satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date.  In addition, given that performance is outside the control of the Advisor or the Property Manager and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date.

Pursuant to the Expense Support Agreements, the Advisor or the Property Manager shall be the record owner of the Restricted Stock until the shares of common stock are sold or otherwise disposed of, and shall be entitled to all of the rights of a stockholder of the Company including, without limitation, the right to vote such shares (to the extent permitted by the Articles) and receive all dividends and other distributions paid with respect to such shares.  All dividends or other distributions actually paid to the Advisor or the Property Manager in connection with the Restricted Stock shall vest immediately and will not be subject to forfeiture.  The Company recognizes expense related to the dividends on the Restricted Stock shares as declared.

Segment Information

Segment Information — Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance. The Company has determined that it operates in one operating segment, real estate ownership.  The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis and by tenant or operator.  The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed).  Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.

Redeemable Noncontrolling Interests

Redeemable Noncontrolling Interest — The Company classifies redeemable equity securities in accordance with Accounting Standard Update (“ASU”) No. 2009-04, “Liabilities (Topic 480): Accounting for Redeemable Equity Instruments,” which requires that equity securities redeemable at the option of the holder be classified outside of permanent stockholders’ equity.  The Company classifies redeemable equity securities as redeemable noncontrolling interest within the accompanying consolidated balance sheets and consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  The Company evaluates the probability that these equity securities will become redeemable at each reporting period and, if determined probable, the Company measures the redemption value and records an adjustment to the carrying value of the equity securities as a component of redeemable noncontrolling interest.  As of December 31, 2015, the amount payable, if any, relating to these equity securities is not probable and is dependent on the future results of operations from real estate currently under development.

Promoted Interest

Promoted Interest — The Company accounts for promoted interests with third-party developers in a manner similar to redeemable noncontrolling interests discussed above.  The Company records the initial carrying value of the promoted interest at its issuance date fair value.  Subsequently, as the completed developments stabilize and it becomes probable that the promoted interest thresholds will be met, the Company records a liability equal to the estimated redemption value at the end of each reporting period based on the conditions that exist as of the balance sheet date.   In connection with the measurement of this liability, the Company records, as a reduction to capital in excess of par value, an amount equal to the difference between the promoted interests’ carrying value and the consideration paid or payable.  As of December 31, 2015, the amounts payable, if any, relating to these promoted interests is not probable and is dependent on the future results of operations from either completed developments stabilizing or current real estate under development.

Acquisition Fees and Expenses

Acquisition Fees and Expenses — Acquisition fees, including investment services fees and expenses associated with transactions deemed to be business combinations (including investment transactions that are no longer under consideration), are expensed as incurred.  Acquisition fees and expenses associated with making loans and with transactions deemed to be an asset purchase are capitalized.  The following table summarizes the Company’s acquisition fees and expenses for the years ended December 31, 2015, 2014 and 2013 (in millions):

	December 31,
Distribution Type	2015		2014		2013
Capitalized as real estate under development	$	4.2	$	3.4	$	0.1
Capitalized as investment in unconsolidated entities	―		―			0.5
Capitalized as origination costs to the note receivable	―		―			0.1
Acquisition costs expensed		21.5		23.9		18.8
Total acquisition costs incurred	$	25.7	$	27.3	$	19.5

Income Taxes

Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2012.  In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends.  If the Company fails to quality as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the Internal Revenue Service grants the Company relief under certain statutory provisions.  Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income. The Company may also be subject to foreign taxes on investments outside of the U.S. based on the jurisdictions in which the Company conducts business.

The Company has and will continue to form subsidiaries which may elect to be taxed as a TRS for U.S. federal income tax purposes. Under the provisions of the Internal Revenue Code and applicable state laws, a TRS will be subject to tax on its taxable income from its operations.  The Company will account for federal and state income taxes with respect to a TRS using the asset and liability method.  Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities, the respective tax bases, operating losses and/or tax-credit carryforwards.

Prior to the Company’s REIT election, it was subject to corporate federal and state income taxes.  Prior to and including the year ended December 31, 2011, the Company did not have earnings.  The tax years from 2011 to 2015 remain subject to examination by taxing authorities throughout the U.S.  The Company analyzed its material tax positions and determined that it has not taken any uncertain tax positions.

Adopted Accounting Pronouncements

Adopted Accounting Pronouncements — In April 2014, the FASB issued ASU No. 2014-08, “Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity.”  The ASU changes the criteria for reporting discontinued operations where only disposals representing a strategic shift that has (or will have) a major effect on an entity’s operations and financial results, such as a major line of business or geographical area, should be presented as a discontinued operation. The ASU is effective prospectively for all disposals (or classifications as held for sale) of components of an entity that occur within annual periods beginning on or after December 15, 2014 with early adoption permitted.   Effective January 1, 2015, the Company adopted this ASU and determined that the amendments will impact the Company’s determinations of which future property disposals qualify as discontinued operations and will require additional disclosure about discontinued operations for future property disposals.

Recent Accounting Pronouncements

Recent Accounting Pronouncements — In May 2014, the FASB issued ASU No. 2014-09, “Revenue from Contracts with Customers,” as a new ASC topic (Topic 606).  The core principle of this ASU is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.  The ASU further provides guidance for any entity that either enters into contracts with customers to transfer goods or services or enters into contracts for the transfer of nonfinancial assets, unless those contracts are within the scope of other standards (for example, lease contracts).  The FASB subsequently issued ASU 2015-14 to defer the effective date of ASU 2014-09 until annual reporting periods beginning after December 15, 2017, including interim periods within that reporting period, with earlier adoption permitted.  ASU 2014-09 can be adopted using one of two retrospective transition methods: 1) retrospectively to each prior reporting period presented or 2) as a cumulative-effect adjustment as of the date of adoption.  The Company has not yet selected a transition method and is currently evaluating the impact of ASU 2014-09; however, its adoption could potentially have a significant effect on the Company’s consolidated financial position, results of operations or cash flows.

In February 2015, the FASB issued ASU 2015-02, “Amendments to the Consolidation Analysis,” which requires amendments to both the variable interest entity and voting models. The amendments (i) modify the identification of variable interests (fees paid to a decision maker or service provider), the VIE characteristics for a limited partnership or similar entity and primary beneficiary determination under the VIE model, and (ii) eliminate the presumption within the current voting model that a general partner controls a limited partnership or similar entity. The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The amendments may be applied using either a modified retrospective or full retrospective approach.  The Company adopted ASU 2015-02 on January 1, 2016; the adoption of which did not have a material impact to its consolidated financial position, results of operations or cash flows.

In April 2015, the FASB issued ASU 2015-03, “Interest-Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs,” which requires that loan costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts or premiums. The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The ASU is to be applied retrospectively for each period presented.  Upon adoption, an entity is required to comply with the applicable disclosures for a change in an accounting principle.  The FASB subsequently issued ASU 2015-15, “Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements,” which clarifies that, given the absence of authoritative guidance in ASU 2015-03 regarding presentation and subsequent measurement of loan costs related to line-of-credit arrangements, the SEC Staff would not object to an entity deferring and presenting loan costs as an asset and subsequently amortizing the loan costs ratably over the term of the line-of-credit arrangement, regardless of whether there are any outstanding borrowings on the line-of-credit arrangement.  The Company has determined that it will not early adopt this ASU and that the amendments will materially impact the presentation of the Company’s consolidated financial position but will not have a material impact on the Company’s consolidated results of operations or cash flows.

2. Summary of Significant Accounting Policies (continued)

In September 2015, the FASB issued ASU 2015-16, “Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments,” which requires an acquirer to recognize provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined.  The amendments require that the acquirer record, in the same period’s financial statements, the effect on earnings of changes in depreciation, amortization, or other income effects, if any, as a result of the change to the provisional amounts, calculated as if the accounting had been completed at the acquisition date.  The new guidance is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2015 with early adoption permitted.  The Company adopted ASU 2015-16 on January 1, 2016; the adoption of which did not have a material impact to its consolidated financial position, results of operations or cash flows.

In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842): Accounting for Leases,” which sets out the principles for the recognition, measurement, presentation and disclosure of leases for both parties to a contract (i.e. lessees and lessors).  The ASU requires lessees to recognize assets and liabilities on the balance sheet for the rights and obligations created by all leases with terms of more than 12 months.  The ASU further modifies lessors’ classification criteria for leases and the accounting for sales-type and direct financing leases.  The ASU will also require qualitative and quantitative disclosures designed to give financial statement users additional information on the amount, timing, and uncertainty of cash flows arising from leases.  The ASU is effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2018 with early adoption permitted.  The ASU is to be applied using a modified retrospective approach.  The Company is currently evaluating the impact this ASU will have on the Company’s consolidated financial position, results of operations and cash flows.

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Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2015

Accounting Policies [Abstract]

Acquisition Fees and Expenses

The following table summarizes the Company’s acquisition fees and expenses for the years ended December 31, 2015, 2014 and 2013 (in millions):

	December 31,
Distribution Type	2015		2014		2013
Capitalized as real estate under development	$	4.2	$	3.4	$	0.1
Capitalized as investment in unconsolidated entities	―		―			0.5
Capitalized as origination costs to the note receivable	―		―			0.1
Acquisition costs expensed		21.5		23.9		18.8
Total acquisition costs incurred	$	25.7	$	27.3	$	19.5

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Acquisitions (Tables)

12 Months Ended

Dec. 31, 2015

Acquisitions of Properties

Real Estate Investment Properties — During the year ended December 31, 2015, the Company acquired the following 39 properties, which were comprised of 15 seniors housing communities, 22 MOBs, one post-acute care hospital, and one acute care hospital as follows:

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Acute care
Triangle Orthopaedic
North Carolina Specialty Hospital	Modified Lease	6/29/2015	$	31,830
Durham, NC
Medical Office
Novi Orthopaedic Center	Modified Lease	2/13/2015		30,500	(1)
Novi, MI
Southeast Medical Office Properties
UT Cancer Institute Building	Modified Lease	2/20/2015		33,660
Knoxville, TN
Bend Memorial Clinic MOB	Modified Lease	5/11/2015		36,000	(1)
Bend, OR
Stoneterra Medical Plaza	Modified Lease	5/29/2015		15,050	(1)
San Antonio, TX
Triangle Orthopaedic
Triangle Orthopaedic Durham	Modified Lease	6/29/2015		21,275
Durham, NC
Triangle Orthopaedic Oxford	Modified Lease	6/29/2015		4,728
Oxford, NC
Triangle Orthopaedic Chapel Hill	Modified Lease	6/29/2015		3,258
Chapel Hill, NC
Triangle Orthopaedic Roxboro	Modified Lease	6/29/2015		2,067
Roxboro, NC
Doctor's Park
Doctor's Park Building B	Modified Lease	6/30/2015		5,000	(1)
Chula Vista, CA ("San Diego")
Doctor's Park Building C	Modified Lease	6/30/2015		10,000	(1)
Chula Vista, CA ("San Diego")
540 New Waverly Place	Modified Lease	7/20/2015		15,000	(1)
Cary, NC ("Raleigh")
MedHelp	Modified Lease	7/31/2015		15,000	(1)
Birmingham, AL
Maryland MOBs
Patriot Professional Center	Modified Lease	7/31/2015		16,950	(1)
Frederick, MD ("Baltimore")
Liberty Professional Center	Modified Lease	7/31/2015		7,300	(1)
Frederick, MD ("Baltimore")
Columbia MOBs
Broadway Medical Plaza 1	Modified Lease	8/21/2015		10,700	(1)
Columbia, MO
Broadway Medical Plaza 2	Modified Lease	8/21/2015		13,100	(1)
Columbia, MO
Broadway Medical Plaza 4	Modified Lease	8/21/2015		14,200	(1)
Columbia, MO
Center One	Modified Lease	11/30/2015		34,362	(1)
Jacksonville, FL
Red Bank MOB	Modified Lease	12/14/2015		10,610	(1)
Cincinnati, OH

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Henderson NV MOBs
Siena Pavilion IV	Modified Lease	12/18/2015		6,990
Henderson, NV ("Las Vegas")
Siena Pavilion V	Modified Lease	12/18/2015		27,859
Henderson, NV ("Las Vegas")
Siena Pavilion VI	Modified Lease	12/18/2015		19,474
Henderson, NV ("Las Vegas")
Post-Acute Care
Cobalt Rehabilitation Hospital Surprise	Triple-net Lease	12/30/2015		23,660	(1)
Surprise, AZ ("Phoenix")
Seniors Housing
Fieldstone Memory Care	Managed	3/31/2015		12,400	(1)
Yakima, WA
Primrose III Communities
Primrose Retirement Community of Anderson	Triple-net Lease	5/29/2015		21,086
Anderson, IN ("Muncie")
Primrose Retirement Community of Lancaster	Triple-net Lease	5/29/2015		25,657
Lancaster, OH ("Columbus")
Primrose Retirement Community of Wausau	Triple-net Lease	5/29/2015		20,307
Wausau, WI ("Green Bay")
Superior Residences of Panama City	Managed	7/15/2015		20,000	(1)
Panama City Beach, FL
Southeast Seniors Housing Communities
Parc at Duluth	Triple-net Lease	7/31/2015		52,800
Duluth, GA ("Atlanta")
Parc at Piedmont	Triple-net Lease	7/31/2015		50,800
Marietta, GA ("Atlanta")
The Pavilion at Great Hills	Managed	7/31/2015		35,000
Austin, TX
The Hampton at Meadows Place	Managed	7/31/2015		28,400
Meadows Place, TX ("Houston")
The Beacon at Gulf Breeze	Managed	7/31/2015		28,000
Gulf Breeze, FL ("Pensacola")
Palmilla Senior Living	Managed	9/30/2015		47,600
Albuquerque, NM
Cedar Lake Assisted Living and Memory Care	Managed	9/30/2015		30,000
Lake Zurich, IL ("Chicago")
The Shores of Lake Phalen	Managed	11/10/2015		29,250	(1)
Maplewood, MN ("St. Paul")
Park Place Senior Living at WingHaven	Managed	12/17/2015		54,000
O'Fallon, MO ("St. Louis")
Hearthside Senior Living of Collierville	Managed	12/29/2015		17,000	(1)
Collierville, TN ("Memphis")
			$	880,873

FOOTNOTE:

(1) This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

During the year ended December 31, 2014, the Company acquired the following 35 properties, which were comprised of 15 MOBs, 14 seniors housing communities, three post-acute care facilities, and three acute care hospital as follows:

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Acute Care
Memorial Hermann Orthopedic & Spine Hospital ("MHOSH")	Triple-net Lease	6/2/2014	$	49,000
Bellaire, TX ("Houston")
Medical Portfolio II Properties
Hurst Specialty Hospital	Modified Lease	8/15/2014		29,465
Hurst, TX ("Dallas/Fort Worth")
Beaumont Specialty Hospital	Modified Lease	8/15/2014		33,600
Beaumont, TX ("Houston")
Medical Office
Chula Vista Medical Arts Center - Plaza I	Modified Lease	1/21/2014		17,863	(1)
Chula Vista, CA ("San Diego")
MHOSH MOB	Modified Lease	6/2/2014		27,000
Bellaire, TX ("Houston")
Lee Hughes MOB	Modified Lease	9/29/2014		29,870	(1)
Glendale, CA ("Los Angeles")
Northwest Medical Park Building	Modified Lease	10/31/2014		10,804	(1)
Margate, FL ("Fort Lauderdale")
Newburyport Medical Center	Modified Lease	10/31/2014		18,000	(1)
Newburyport, MA ("Boston")
ProMed Building I	Modified Lease	12/19/2014		11,000	(1)
Yuma, AZ
Southeast Medical Office Properties
Midtown Medical Plaza	Modified Lease	12/22/2014		54,695
Charlotte, NC
Presbyterian Medical Tower	Modified Lease	12/22/2014		36,333
Charlotte, NC
Metroview Professional Building	Modified Lease	12/22/2014		17,262
Charlotte, NC
Physicians Plaza Huntersville	Modified Lease	12/22/2014		29,964
Huntersville, NC ("Charlotte")
Matthews Medical Office Building	Modified Lease	12/22/2014		21,227
Matthews, NC ("Charlotte")
Outpatient Care Center	Modified Lease	12/22/2014		15,450
Clyde, NC ("Asheville")
330 Physicians Center	Modified Lease	12/22/2014		30,099
Rome, GA
Spivey Station Physicians Center	Modified Lease	12/22/2014		14,379
Atlanta, GA
Spivey Station ASC Building	Modified Lease	12/22/2014		18,591
Atlanta, GA

Name and Location	Structure	Date Acquired	Purchase Price (in thousands)
Post-Acute Care
Medical Portfolio II Properties
Oklahoma City Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014	$	25,504
Oklahoma City, OK
Las Vegas Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		22,292
Las Vegas, NV
South Bend Inpatient Rehabilitation Hospital	Modified Lease	7/15/2014		20,240
Mishawaka, IN ("South Bend")
Seniors Housing
Pacific Northwest II Communities
Prestige Senior Living Auburn Meadows	Managed	2/3/2014		21,930
Auburn, WA ("Seattle")
Prestige Senior Living Bridgewood	Managed	2/3/2014		22,096
Vancouver, WA ("Portland")
Prestige Senior Living Monticello Park	Managed	2/3/2014		27,360
Longview, WA
Prestige Senior Living Rosemont	Managed	2/3/2014		16,877
Yelm, WA
Prestige Senior Living West Hills	Managed	3/3/2014		14,986
Corvallis, OR
South Bay II Communities
Isle at Cedar Ridge	Managed	2/28/2014		21,630
Cedar Park, TX ("Austin")
HarborChase of Plainfield	Managed	3/28/2014		26,500
Plainfield, IL
Legacy Ranch Alzheimer’s Special Care Center	Managed	3/28/2014		11,960
Midland, TX
The Springs Alzheimer’s Special Care Center	Managed	3/28/2014		10,920
San Angelo, TX
Isle at Watercrest – Bryan	Managed	4/21/2014		22,050
Bryan, TX
Watercrest at Bryan	Managed	4/21/2014		28,035
Bryan, TX
Isle at Watercrest – Mansfield	Managed	5/5/2014		31,300
Mansfield, TX ("Dallas/Fort Worth")
Watercrest  at Mansfield	Managed	6/30/2014		49,000
Mansfield, TX ("Dallas/Fort Worth")
Fairfield Village of Layton	Managed	11/20/2014		68,000
Layton, UT ("Salt Lake City")
			$	905,282

FOOTNOTE:

(1) This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

Schedule of Purchase Price Allocation

The following summarizes the purchase price allocation for the above properties, and the estimated fair values of the assets acquired and liabilities assumed (in thousands):

	December 31,
	2015			2014
Land and land improvements	$	91,419		$	60,565
Buildings and building improvements		702,611			732,740
Furniture, fixtures and equipment		11,746			12,260
Intangibles (1)		86,601			110,325
Other liabilities		(5,175	)		(12,037	)
Liabilities assumed		(6,905	)		(1,000	)
Assumed mortgage note payable (2)		(6,976	)		(27,657	)
Net assets acquired		873,321			875,196
Contingent purchase price consideration		(6,481	)		(12,395	)
Total purchase price consideration	$	866,840		$	862,801

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the years ended December 31, 2015 and 2014 were approximately 7.7 years for both periods, respectively.  The acquired lease intangibles during the year ended December 31, 2015 were comprised of approximately $81.8 million and $4.8 million of in-place lease intangibles and other lease intangibles, respectively, and the acquired lease intangibles during the year ended December 31, 2014 were comprised of approximately $97.3 million and $13.0 million of in-place lease intangibles and other lease intangibles, respectively.

(2) During the year ended December 31, 2015, the Company assumed a discount on a below-market mortgage note payable assumed of approximately $0.2 million at the acquisition date.  During the year ended December 31, 2014, the Company assumed a premium on an above-market mortgage note payable of approximately $0.4 million at the acquisition date.

Schedule of Unaudited Proforma Results of Operations

The following table presents the unaudited pro forma results of operations for the Company as if each of the 2015 material acquisitions noted above were acquired as of January 1, 2014 and the unaudited pro forma results of operations for the Company as if each of the 2014 material acquisitions noted above were acquired as of January 1, 2013 (in thousands except per share data):

	Years ended December 31,
	2015 (Unaudited)			2014 (Unaudited)			2013 (Unaudited)
Revenues	$	346,071		$	307,552		$	242,415
Net loss (1)	$	(66,613	)	$	(62,071	)	$	(59,527	)
Loss per share of common stock (basic and diluted)	$	(0.39	)	$	(0.42	)	$	(0.57	)
Weighted average number of shares of common stock    outstanding (basic and diluted) (2)		170,735			148,443			104,079

FOOTNOTES:

(1) The unaudited pro forma results for the years ended December 31, 2015 and 2014 were adjusted to exclude approximately $11.3 million and $20.5 million, respectively, of acquisition related expenses directly attributable to the properties acquired during the years ended December 31, 2015 and 2014. The unaudited pro forma results for the years ended December 31, 2014 and 2013 were adjusted to include these charges as if the properties were acquired on January 1, 2014 and 2013, respectively.

(2) As a result of the acquired properties being treated as operational since January 1, 2014 and 2013, the Company assumed approximately 31.6 million and 40.8 million additional shares were issued as of January 1, 2014 and 2013, respectively.  Consequently, the weighted average number of shares outstanding was adjusted to reflect this amount of shares being issued as of January 1, 2014 and 2013, instead of actual dates on which the shares were issued, and such shares were treated as outstanding as of the beginning of the period presented.

Gain That Resulted From Change of Control in Equity Method Investment

The following summarizes the gain that resulted from the change of control in the equity method investment for the year ended December 31, 2015 (in thousands):

Fair value of net assets acquired	$	10,129
Less: Previous investment in Montecito Joint Venture		(5,747	)
Less: Cash paid to acquire co-venture partner's interest		(1,584	)
Gain on purchase of controlling interest of    investment in unconsolidated entity	$	2,798

Montecito Joint Venture

Schedule of Purchase Price Allocation

The following summarizes the allocation of the purchase price, and the estimated fair values of the assets acquired and liabilities assumed as of the acquisition date (in thousands):

Land and land improvements	$	6,324
Buildings and building improvements		13,533
Intangibles (1)		2,691
Working capital, net		87
Other liabilities		(175	)
Mortgage note payable assumed (2)		(12,331	)
Net assets acquired	$	10,129

FOOTNOTES:

(1) At the acquisition date, the weighted-average amortization period on the acquired lease intangibles was approximately 5.1 years and was comprised of approximately $1.9 million and $0.8 million of in-place lease intangibles and other lease intangibles, respectively.

(2) At the acquisition date, the fair value of the mortgage note payable assumed reflects an approximate $0.6 million discount on the below-market mortgage note payable assumed.

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Real Estate Assets, net (Tables)

12 Months Ended

Dec. 31, 2015

Real Estate Properties [Line Items]

Schedule of Real Estate Investment Properties

The gross carrying amount and accumulated depreciation of the Company’s real estate assets as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015			2014
Land and land improvements	$	229,046		$	128,662
Building and building improvements		2,297,336			1,545,614
Furniture, fixtures and equipment		60,601			36,319
Less: accumulated depreciation		(116,807	)		(53,095	)
Real estate investment properties, net		2,470,176			1,657,500
Real estate under development, including land		62,521			47,153
Total real estate assets, net	$	2,532,697		$	1,704,653

Under Development with Third-Party Developers

Real Estate Properties [Line Items]

Schedule of Real Estate Investment Properties

As of December 31, 2015, eight of the Company’s seniors housing communities and one post-acute care facility have real estate under development or expansion projects with third-party developers as follows (in thousands):

Property Name (and Location)	Developer	Real Estate Development Costs  Incurred (1)		(Unaudited) Remaining Development Budget (2)
Development Properties
Raider Ranch
(Lubbock, TX)	South Bay Partners, Ltd	$	9,942	$	2,274
Watercrest at Katy
(Katy, TX) (3)	South Bay Partners, Ltd		26,565		16,245
Welbrook Senior Living
Grand Junction
(Grand Junction, CO)	Embree Asset Group, Inc.		3,198		10,636
Waterstone
(Greenville, SC)	T&D Greenville, LLC		7,185		21,287
Wellmore of Lexington
(Lexington, SC)	Maxwell Group, Inc.		8,723		46,282
Dogwood Forest of Grayson
(Grayson, GA)	Solomon Development Services, LLC		3,973		23,024
Fieldstone at Pear Orchard
(Yakima, WA) (4)	Cascadia Development, LLC		2,606		13,067
Expansion Projects
Tranquillity at Fredericktowne
(Frederick, MD)	Capital Health Partners		235		5,649
Brookridge Heights Assisted Living & Memory Care
(Marquette, MI)	Capital Health Partners		94		4,725
		$	62,521	$	143,189

FOOTNOTES:

(1) This amount represents land and total capitalized costs for GAAP purposes for the acquisition, development and construction of the seniors housing community or post-acute care facility as of December 31, 2015.  Amounts include investment services fees, asset management fees, interest expense and other costs capitalized during the development period.

(2) This amount includes preleasing and marketing costs which will be expensed as incurred.

(3) This property is owned through a joint venture in which the Company’s initial ownership interest is 95%.

(4) This property is owned through a joint venture in which the Company’s initial ownership interest is 75%.

The development budgets include the cost of the land, construction costs, development fees, financing costs, start-up costs and initial operating deficits of the respective properties.  An affiliate of the developer of the respective community coordinates and supervises the management and administration of the development and construction.  Each developer is responsible for any cost overruns beyond the approved development budget for the applicable project pursuant to a cost overrun guarantee.  Some of these developments were deemed to be VIEs; refer to Note 7. “Variable Interest Entities” for additional information.

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Intangibles, net (Tables)

12 Months Ended

Dec. 31, 2015

Goodwill And Intangible Assets Disclosure [Abstract]

Schedule of Net Book Value of Intangibles

The gross carrying amount and accumulated amortization of the Company’s intangible assets and liabilities as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015			2014
In-place lease intangibles	$	220,917		$	148,880
Above-market lease intangibles		13,960			11,320
Below-market ground lease intangibles		12,470			10,314
Less: accumulated amortization		(74,895	)		(30,250	)
Intangible assets, net	$	172,452		$	140,264
Below-market lease intangibles	$	(12,095	)	$	(13,243	)
Above-market ground lease intangibles		(3,488	)		(2,273	)
Less: accumulated amortization		2,581			1,014
Intangible liabilities, net (1)	$	(13,002	)	$	(14,502	)

FOOTNOTE:

(1) Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

Schedule of Estimated Future Amortization and Weighted Average Remaining Useful Life

The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2015 is as follows (in thousands):

	In-place Lease Intangibles		Above- market Leases		Below- market Ground Leases		Total Assets		Below- market Leases		Above- market Ground Leases		Total Liabilities
2016	$	42,932		1,899		320	$	45,151	$	1,577		89	$	1,666
2017		29,041		1,703		320		31,064		1,414		89		1,503
2018		17,414		1,517		320		19,251		1,257		89		1,346
2019		12,128		1,215		320		13,663		1,094		89		1,183
2020		10,124		1,005		320		11,449		866		89		955
Thereafter		38,070		3,402		10,402		51,874		3,395		2,954		6,349
	$	149,709		10,741		12,002	$	172,452	$	9,603		3,399	$	13,002

Weighted average remaining useful life as of December 31, 2015 (in years):

In-place Lease Intangibles		Above-market Leases		Below-market Ground Leases		Below-market Leases		Above-market Ground Leases
	4.7		5.9		37.6		5.5		38.1

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Operating Leases (Tables)

12 Months Ended

Dec. 31, 2015

Leases [Abstract]

Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, as of December 31, 2015 (in thousands):

2016	$	112,660
2017		106,582
2018		99,076
2019		90,885
2020		84,552
Thereafter		437,055
	$	930,810

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Variable Interest Entities (Tables)

12 Months Ended

Dec. 31, 2015

Organization Consolidation And Presentation Of Financial Statements [Abstract]

Aggregate Carrying Amount and Major Classifications of Consolidated Assets

The aggregate carrying amount and major classifications of the consolidated assets that can be used to settle obligations of the VIEs and liabilities of the consolidated VIEs that are non-recourse to the Company as of December 31, 2015 and December 31, 2014 are as follows (in thousands):

	December 31,
	2015		2014
Assets:
Real estate investment properties, net	$	219,971	$	174,449
Real estate under development, including land	$	58,994	$	47,153
Intangibles, net	$	23,540	$	25,519
Cash	$	4,427	$	6,280
Deferred rent and lease incentives	$	6,942	$	2,978
Other assets	$	1,506	$	511
Loan costs, net	$	2,625	$	2,300
Restricted cash	$	1,461	$	5,304
Liabilities:
Mortgages and other notes payable, net	$	153,735	$	137,754
Accounts payable and accrued liabilities	$	981	$	2,317
Accrued development costs	$	10,669	$	7,951
Other liabilities	$	3,644	$	4,949
Due to related parties	$	136	$	219

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Ground and Air Rights Leases (Tables)

12 Months Ended

Dec. 31, 2015

Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases

The following are future minimum lease payments to be received under non-cancellable operating leases for the next five years and thereafter, as of December 31, 2015 (in thousands):

2016	$	112,660
2017		106,582
2018		99,076
2019		90,885
2020		84,552
Thereafter		437,055
	$	930,810

Ground and Air Rights Leases

Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases

The following is a schedule of future minimum lease payments to be paid under the ground and air rights leases for each of the next five years and thereafter, in the aggregate, as of December 31, 2015 (in thousands):

2016	$	1,957
2017		1,984
2018		2,016
2019		2,039
2020		2,061
Thereafter		113,559
	$	123,616

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Contingent Purchase Price Consideration (Tables)

12 Months Ended

Dec. 31, 2015

Capital Health Communities

Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]

Fair Value of Contingent Purchase Price Consideration

The following table provides a roll-forward of the fair value of the contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015			2014			2013
Beginning balance	$	4,078		$	4,488		$	2,664
Contingent consideration in connection with acquisition		—			—			—
Change in fair value		321			2,191			1,824
Yield Guaranty payment received from seller		(4,399	)		(2,601	)		—
Ending balance	$	—		$	4,078		$	4,488

Medical Portfolio I

Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]

Fair Value of Contingent Purchase Price Consideration

The following table provides a roll-forward of the fair value of the contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015			2014			2013
Beginning balance	$	(268	)	$	(507	)	$	—
Contingent consideration in connection with acquisition		—			—			(507	)
Change in fair value		268			239			—
Ending balance	$	—		$	(268	)	$	(507	)

South Bay II Communities

Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]

Fair Value of Contingent Purchase Price Consideration

The following table provides a roll-forward of the fair value of the estimated contingent purchase price consideration for the years ended December 31, 2015, 2014 and 2013 (in thousands):

	Years Ended December 31,
	2015		2014			2013
Beginning balance	$	—	$	—		$	—
Contingent consideration in connection with acquisition		—		(12,395	)		—
Change in fair value		—		(1,800	)		—
Contingent consideration payment		—		14,195			—
Ending balance	$	—	$	—		$	—

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Indebtedness (Tables)

12 Months Ended

Dec. 31, 2015

Debt Disclosure [Abstract]

Details of Indebtedness

The following table provides details of the Company’s indebtedness as of December 31, 2015 and December 31, 2014 (in thousands):

	December 31,
	2015			2014
Mortgages payable and other notes payable:
Fixed rate debt	$	391,639		$	370,854
Variable rate debt  (1)		449,017			482,922
Mortgages and other notes payable (2)		840,656			853,776
Premium (discount), net (3)		(221	)		(215	)
Total mortgages and other notes payable, net		840,435			853,561
Credit facilities:
First Term Loan Facility (1)		175,000			175,000
Revolving Credit Facility (4)		225,000			31,403
Second Term Loan Facility (5)		260,000		―
Total borrowings	$	1,500,435		$	1,059,964

FOOTNOTES:

(1) As of December 31, 2015 and December 31, 2014, the Company had entered into interest rate swaps with notional amounts of approximately $480.7 million and $182.1 million, respectively, which were settling on a monthly basis. In addition, as of December 31, 2015 and December 31, 2014, the Company had entered into forward-starting interest rate swaps for total notional amounts of approximately $48.4 million and $269.4 million, respectively, in order to hedge the Company’s exposure to this variable rate debt in future periods.  Refer to Note 12. “Derivative Financial Instruments” for additional information.

(2) As of December 31, 2015, the Company’s mortgages and other notes payable are collateralized by 65 properties with total carrying value of approximately $1.4 billion.

(3) Premium (discount), net is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates.

(4) As of December 31, 2015 and December 31, 2014, availability under the Revolving Credit Facility was approximately $20.0 million and $14.0 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan.

(5) As of December 31, 2015, the Company had entered into an interest rate cap with a notional amount of approximately $260 million.  Refer to Note 12. “Derivative Financial Instruments” for additional information.

Schedule of Maturities of Indebtedness

The following is a schedule of future principal payments and maturity for the Company’s total borrowings as of December 31, 2015 (in thousands):

2016	$	36,758
2017		262,276
2018		287,172
2019		491,631
2020		333,318
Thereafter		89,280
	$	1,500,435

Schedule of Indebtedness

The following table provides additional details of the Company’s mortgages and other notes payable as of December 31, 2015 and 2014 (in thousands):

	Interest Rate at
	December 31,						December 31,
Property and Loan Type	2015 (1)		Payment Terms		Maturity Date (2)		2015		2014
Pacific Northwest Communities; Mortgage Loan (3)	4.30% per annum		Monthly principal and interest payments based on a 25-year amortization schedule		12/5/18		$	210,665	$	215,904
Capital Health Communities; Mortgage Loan	4.25% per annum		Monthly principal and interest payments based on a 25-year amortization schedule		1/5/20			37,889		43,684
Primrose II Communities; Mortgage Loan	3.81% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		6/1/20			22,473		22,913
Novi Orthopaedic Center; Mortgage Loan	3.61% per annum		Monthly interest only payments through June 2018; principal and interest payments thereafter based on a 25-year amortization schedule		6/15/20			19,825		—
ProMed Medical Building I; Mortgage Loan	3.64% per annum (4)		Monthly principal and interest payments based upon a 25-year amortization schedule		1/15/22			7,050		—
Primrose I Communities; Mortgage Loan  (5)	4.11% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		9/1/22			52,048		53,060
Watercrest at Mansfield; Mortgage Loan  (6)	4.68% per annum		Monthly principal and interest payments based on a total payment of $143,330		6/1/23			26,628		27,073
540 New Waverly Place; Mortgage Loan (7)	4.08% per annum		Monthly principal and interest payments based upon a 25-year amortization schedule		5/31/28			7,048		—
LaPorte Cancer Center; Mortgage Loan	4.25% per annum (through 2020)		Monthly principal and interest payments based on a 25-year amortization schedule		6/14/28			8,013		8,220
			Total fixed rate debt					391,639		370,854
Perennial Communities; Mortgage Loan		(8)		(8)		(8)		—		30,000
Medical Portfolio I Properties; Mortgage Loan		(9)		(9)		(9)		—		34,720
Lee Hughes Medical Building; Mortgage Loan	30-day LIBOR plus 1.85% per annum		Monthly principal and interest payments based on a 30-year amortization schedule		9/5/16			18,632		19,162

10. Indebtedness (continued)

	Interest Rate at
	December 31,			December 31,
Property and Loan Type	2015 (1)	Payment Terms	Maturity Date (2)	2015		2014
Harborchase of Villages Crossing; Construction Loan	(10)	(10)	(10)		—		16,589
Raider Ranch Development Construction Loan	30-day LIBOR plus 3.50% at 0.5% LIBOR floor	Monthly interest only payments through October 2017; principal and interest payments thereafter based on a 25-year amortization schedule	10/27/17		7,528		1
Northwest Medical Park; Mortgage Loan (11)	30-day LIBOR plus 2.30% per annum	Monthly principal and interest payments based upon a 30-year amortization schedule	10/31/17		7,008		7,129
Watercrest at Katy Construction Loan	30-day LIBOR plus 2.75% per annum	Monthly interest only payments through December 2017; principal payments thereafter based on a 30-year amortization schedule	12/27/17		10,632		—
Dogwood Forest of Acworth; Construction Loan	(12)	(12)	(12)		—		12,038
Claremont Medical Office; Mortgage Loan (13)	30-day LIBOR plus 2.60% per annum	Monthly principal and interest payments based on a 30-year amortization schedule	1/15/18		12,683		12,958
Knoxville Medical Office Properties; Mortgage Loan (14)	30-day LIBOR plus 2.50% per annum	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule	7/10/18		38,087		38,609
Calvert Medical Office Properties; Mortgage Loan (15)	30-day LIBOR plus 2.50% per annum	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule	8/29/18		25,950		26,274
Wellmore of Tega Cay; Construction Loan	30-day LIBOR plus 5.4% at 0.5% LIBOR floor	Monthly interest only payments through February 2019; principal and interest payments thereafter based on a 25-year amortization schedule	2/5/19		23,695		8,007
Memorial Hermann Orthopedic & Spine Hospital Medical Office Building; Mortgage Loan (16)	90-day LIBOR plus 2.85% at 0.4% LIBOR floor	Monthly principal and interest payments based on a 20-year amortization schedule	6/2/19		48,832		49,624
Medical Portfolio II Properties; Mortgage Loan   (17)	90-day LIBOR plus 2.35% at 0.25% LIBOR  floor	Monthly principal and interest payments based on a 25-year amortization schedule	7/14/19		83,295		85,127
HarborChase of Shorewood; Construction Loan	30-day LIBOR plus 3% at 2% LIBOR floor	Monthly interest only payments through June 2017; principal and interest payments thereafter based on a 25-year amortization schedule	7/15/19		12,469		—
Wellmore of Lexington; Construction Loan	30-day LIBOR plus 2.5% per annum	Monthly interest only payments through September 2019; principal payments thereafter based on a 30-year amortization schedule	9/13/19		—		—

10. Indebtedness (continued)

	Interest Rate at
	December 31,			December 31,
Property and Loan Type	2015 (1)	Payment Terms	Maturity Date (2)	2015		2014
Southeast Medical Office Properties; Mortgage Loan (18)	30-day LIBOR plus 2.0% per annum	Monthly principal and interest payments based on a 25-year amortization schedule	12/22/19		160,206		142,684
Waterstone; Construction Loan	30-day LIBOR plus 3.0% per annum	Monthly interest only payments through September 2018; principal payments thereafter based on a 30-year amortization schedule	9/1/20		—		—
Fieldstone at Pear Orchard; Construction Loan	30-day LIBOR plus 2.9% per annum	Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule	10/15/20		—		—
Dogwood Forest of Grayson; Construction Loan	30-day LIBOR plus 3.0% per annum	Monthly interest only payments through December 2018; principal payments thereafter based on a 30-year amortization schedule	12/1/20		—		—
		Total variable rate debt			449,017		482,922
		Total debt		$	840,656	$	853,776

FOOTNOTES:

(1) The 30-day and 90-day LIBOR was approximately 0.43% and 0.61%, respectively, as of December 31, 2015 and approximately 0.17% and 0.25%, respectively, as of December 31, 2014.

(2) Represents the initial maturity date (or, as applicable, the maturity date as extended).  The maturity date may be extended beyond the date shown subject to certain lender conditions.

(3) The Pacific Northwest Loan may be prepaid, in whole or in part, with a prepayment premium equal to the greater of: (i) one percent (1%) of the principal amount being prepaid, multiplied by the quotient of the number of full months remaining until the maturity date of the loan (calculated as of the prepayment date) divided by the number of full months comprising the term of the loan; or (b) a “make-whole” payment equal to the present value of the loan less the amount of principal and accrued interest being prepaid calculated as of the prepayment date for the period between that date and the maturity date.

(4) Beginning January 2020, the interest rate transitions to variable rate based on 30-day LIBOR plus 2.20% per annum.

(5) If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and May 31, 2022, the prepayment penalty will be 1% of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between June 1, 2022 and maturity.  Partial prepayment of a loan is not permitted.  The loan is transferable upon sale of the assets subject to lender approval.

(6) The balance for this loan excludes a remaining premium of $0.3 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

(7) The balance for this loan excludes a remaining premium of $0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

(8) In March 2015, the Company repaid its $30.0 million outstanding mortgage loan on the Perennial Communities prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.  In addition, the corresponding interest rate swap was terminated and approximately $0.1 million related to the derecognition of the cash flow hedge was reclassified from other comprehensive loss to interest expense and loan cost amortization in the accompanying consolidated financial statements.

10. Indebtedness (continued)

(9) In April 2015, the Company repaid its $34.5 million outstanding mortgage loan on the Medical Portfolio I Properties prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.  In addition, the corresponding interest rate swap was terminated and approximately $0.2 million related to the derecognition of the cash flow hedge was reclassified from other comprehensive loss to interest expense and loan cost amortization in the accompanying consolidated financial statements.

(10) In December 2015, the Company repaid its $16.5 million outstanding construction loan on the HarborChase of Villages Crossing property prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

(11) The Company entered into an interest rate swap with a remaining notional amount of $7.0 million; see Note 12. “Derivative Financial Instruments” for additional information.

(12) In December 2015, the Company repaid its $12.4 million outstanding construction loan on the Dogwood Forest of Acworth property prior to its scheduled maturity.  In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

(13) The balance for this loan excludes a remaining discount of $0.4 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.  In addition, the Company entered into a three-year forward interest rate swap with a remaining notional amount of $12.2 million; see Note 12. “Derivative Financial Instruments” for additional information

(14) The Company entered into an interest rate swap with a remaining notional amount of $38.1 million; see Note 12. “Derivative Financial Instruments” for additional information.

(15) The Company entered into an interest rate swap with a remaining notional amount of $25.9 million; see Note 12. “Derivative Financial Instruments” for additional information.

(16) The Company entered into a three-year forward interest rate swap with a remaining notional amount of $48.4 million; see Note 12. “Derivative Financial Instruments” for additional information.

(17) The Company entered into an interest rate swap with a remaining notional amount of $83.8 million; see Note 12. “Derivative Financial Instruments” for additional information.

(18) The Company entered into an interest rate swap with a remaining notional amount of $138.7 million; see Note 12. “Derivative Financial Instruments” for additional information.

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Related Party Arrangements (Tables)

12 Months Ended

Dec. 31, 2015

Related Party Arrangement, Fees and Expenses Incurred By, Reimbursable, Settled and Paid

The expenses and fees incurred by and reimbursable to the Company’s related parties for the years ended December 31, 2015, 2014 and 2013, and related amounts unpaid as of December 31, 2015 and 2014 are as follows (in thousands):

	Years Ended December 31,						Unpaid amounts (1) as of December 31,
	2015		2014		2013		2015		2014
Reimbursable expenses:
Offering costs (2)	$	3,446	$	5,151	$	4,373	$	32	$	713
Operating expenses (3)		4,192		3,206		2,576		935		479
Acquisition fees and expenses		613		614		254		12		80
		8,251		8,971		7,203		979		1,272
Investment services fees (4)		18,561		18,553		12,892		182		—
Disposition fee (5)		—		—		608		—		—
Financing coordination fees (6)		—		220		—		—		—
Property management fees (7)		3,894		2,982		1,244		418		429
Asset management fees (8)		22,837		13,612		5,089		224		355
	$	53,543	$	44,338	$	27,036	$	1,803	$	2,056

FOOTNOTES:

(1) Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

(2) Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity and redeemable noncontrolling interest.  Amounts include approximately $25,000, $30,000 and $0.1 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively.  The reimbursement payments include components of salaries, benefits and other overhead charges.

(3) Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations.  Amounts include approximately $0.1 million, $0.2 million and $0.2 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively.  The reimbursement payments include components of salaries, benefits and other overhead charges.

(4) For the year ended December 31, 2015, the Company incurred approximately $18.6 million in investment services fees of which approximately $2.3 million, was capitalized and included in real estate under development in the accompanying consolidated balance sheets.  For the year ended December 31, 2014, the Company incurred approximately $18.6 million in investment service fees of which approximately $1.8 million was capitalized and included in real estate under development.  For the year ended December 31, 2013, the Company incurred approximately $12.9 million in investment service fees of which approximately $0.5 million and $0.1 million, respectively, were capitalized and included in investments in unconsolidated entities and real estate under development. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.

(5) Amounts are recorded as a reduction to gain on sale of investment in unconsolidated entity in the accompanying consolidated statements of operations.

(6) For the year ended December 31, 2014, the Company incurred approximately $0.2 million in financing coordination fees, which was capitalized and included in its investment in the Windsor Manor Joint Venture.  There were no financing coordination fees for the years ended December 31, 2015 and 2013.

(7) For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $3.9 million, $2.9 million and $1.2 million, respectively, in property and construction management fees payable to the Property Manager of which approximately $0.7 million, $0.9 million and $0.2 million, respectively, in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

(8) For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $22.9 million, $13.6 million and $5.1 million, respectively, in asset management fees payable to the Advisor of which approximately $4.4 million, $4.9 million and $1.4 million, respectively, were settled in accordance with the terms of the Advisor Expense Support Agreement and approximately $0.6 million , $0.3 million and $0.1 million, respectively, were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

Public Offering | Managing Dealer

Related Party Arrangement, Fees and Expenses Incurred By, Reimbursable, Settled and Paid

The fees incurred by and reimbursable to the Managing Dealer in connection with the Company’s Offerings for the years ended December 31, 2015, 2014 and 2013, and related amounts unpaid as of December 31, 2015 and 2014 are as follows (in thousands):

	Years Ended December 31,						Unpaid amounts (1) as of December 31,
	2015		2014		2013		2015		2014
Selling commissions (2)	$	12,507	$	18,387	$	10,262	$	—	$	388
Marketing support fees (2)		16,242		16,429		11,310		—	555
	$	28,749	$	34,816	$	21,572	$	—	$	943

Expense Support Agreements

Related Party Arrangement, Fees and Expenses Incurred By, Reimbursable, Settled and Paid

The following fees were settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015 (in thousands, except offering price):

	Years Ended December 31,							As of December 31,
	2015		2014		2013			2015
Asset management fees (1)	$	4,379	$	4,867	$	1,402		$	10,648
Then-current offering price or NAV (2)	$	10.19	$	10.24	$	10.00		$	9.75
Restricted stock shares (3)		423		478		140			1,041
Cash distributions on Restricted Stock (4)	$	281	$	98	$	5		$	384
Stock distributions on Restricted Stock (5)		14		7		—	(6)		21

FOOTNOTES:

(1) No other amounts have been settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015.

(2) The number of restricted stock shares granted to the Advisor in lieu of payment in cash is determined by dividing the expense support amount for the respective quarter by the then-current public offering price as of the Determination Date or by NAV, once the board of directors has made such determination after the close of the Company’s public offering.

(3) Restricted stock shares are comprised of approximately 0.8 million issued to the Advisor and approximately 0.2 million issuable to the Advisor as of December 31, 2015.  No fair value was assigned to the restricted stock shares as the shares were valued at zero, which represents the lowest possible value estimated at vesting.  In addition, the restricted stock shares were treated as unissued for financial reporting purposes because the vesting criteria had not been met as of December 31, 2015. 

(4) The cash distributions have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

(5) This represents the number of shares issued to the Advisor as stock distributions on its restricted stock shares.  The par value of the stock distributions has been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

(6) During the year ended December 31, 2013, the Advisor received 356 shares in the form of stock distributions under the terms of the Advisor Expense Support Agreement.

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Derivative Financial Instruments (Tables)

12 Months Ended

Dec. 31, 2015

Derivative Instruments And Hedging Activities Disclosure [Abstract]

Summary of Gross and Net Amounts of Derivative Financial Instruments Presented in Condensed Consolidated Balance Sheet

The following summarizes the terms of the Company’s, or its equity method investments’, derivative financial instruments and the corresponding asset (liability) as of December 31, 2015 and 2014 (in thousands):

														Fair value asset (liability) as of
Notional Amount				Strike (1)			Credit Spread (1)			Trade date	Forward date	Maturity date		December 31, 2015			December 31, 2014
$	12,248	(2	)		1.3	%		2.6	%	1/17/2013	1/15/2015	1/16/2018		$	(85	)	$	(71	)
$	38,052	(2	)		2.7	%		2.5	%	9/6/2013	8/17/2015	7/10/2018		$	(1,472	)	$	(1,228	)
$	25,929	(2	)		2.8	%		2.5	%	9/6/2013	8/17/2015	8/29/2018		$	(1,086	)	$	(906	)
$	30,000	(3	)		1.1	%		2.7	%	10/22/2013	8/5/2015		(3)	$	—		$	(82	)
$	29,952	(3	)		0.9	%		4.3	%	11/13/2013	5/11/2015		(3)	$	—		$	(74	)
$	10,699	(4	)		3.0	%		—	%	6/27/2014	6/30/2014	6/30/2017		$	1		$	10
$	48,415	(2	)		2.4	%		2.9	%	8/15/2014	6/1/2016	6/2/2019		$	(1,066	)	$	(270	)
$	83,797	(2	)		2.3	%		2.4	%	9/12/2014	8/1/2015	7/15/2019		$	(2,283	)	$	(1,326	)
$	6,998	(2	)		1.2	%		2.3	%	11/12/2014	11/15/2014	10/15/2017		$	(37	)	$	(35	)
$	175,000	(2	)		1.6	%		2.0	%	12/23/2014	12/19/2014	2/19/2019		$	(1,694	)	$	(881	)
$	138,698	(2	)		1.7	%		2.0	%	1/9/2015	12/10/2015	12/22/2019		$	(1,795	)	$	—
$	260,000	(4	)		1.5	%		—	%	11/19/2015	11/19/2015	11/30/2018		$	1,988		$	—

FOOTNOTES:

(1) The all-in rates are equal to the sum of the Strike and Credit Spread detailed above.

(2) Amounts related to interest rate swaps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

(3) The loans associated with these derivatives were repaid during the year ended December 31, 2015. Refer to Note 10. “Indebtedness” for additional information.

(4) Amounts related to the interest rate caps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

Summary of the Gross and Net Presentation of Amounts Related to the Derivative Financial Instruments

The following summarizes the gross and net presentation of amounts related to the Company’s, or its equity method investments’, derivative financial instruments as of December 31, 2015 (in thousands):

			Gross and net amounts of asset (liability) as of December 31, 2015								Gross amounts as of December 31, 2015
Notional amount			Gross amount			Offset amount		Net amount			Financial Instruments				Cash Collateral		Net Amount
$	12,248	(2)	$	(85	)	$	—	$	(85	)	$	(85		)	$	—	$	(85	)
$	38,052	(2)	$	(1,472	)	$	—	$	(1,472	)	$	(1,472		)	$	—	$	(1,472	)
$	25,929	(2)	$	(1,086	)	$	—	$	(1,086	)	$	(1,086		)	$	—	$	(1,086	)
$	30,000	(3)	$	—		$	—	$	―		$		―		$	—	$	—
$	29,952	(3)	$	—		$	—	$	―		$		―		$	—	$	—
$	10,699	(4)	$	1		$	—	$	1		$	1			$	—	$	1
$	48,415	(2)	$	(1,066	)	$	—	$	(1,066	)	$	(1,066		)	$	—	$	(1,066	)
$	83,797	(2)	$	(2,283	)	$	—	$	(2,283	)	$	(2,283		)	$	—	$	(2,283	)
$	6,998	(2)	$	(37	)	$	—	$	(37	)	$	(37		)	$	—	$	(37	)
$	175,000	(2)	$	(1,694	)	$	—	$	(1,694	)	$	(1,694		)	$	—	$	(1,694	)
$	138,698	(2)	$	(1,795	)	$	—	$	(1,795	)	$	(1,795		)	$	—	$	(1,795	)
$	260,000	(4)	$	1,988		$	—	$	1,988		$	1,988			$	—	$	1,988

The following summarizes the gross and net presentation of amounts related to the Company’s, or its equity method investments’, derivative financial instruments as of December 31, 2014 (in thousands):

			Gross and net amounts of asset (liability) as of December 31, 2014								Gross amounts as of December 31, 2014
Notional amount			Gross amount			Offset amount		Net amount			Financial Instruments			Cash Collateral		Net Amount
$	12,421	(2)	$	(71	)	$	—	$	(71	)	$	(71	)	$	—	$	(71	)
$	38,255	(2)	$	(1,228	)	$	—	$	(1,228	)	$	(1,228	)	$	—	$	(1,228	)
$	26,067	(2)	$	(906	)	$	—	$	(906	)	$	(906	)	$	—	$	(906	)
$	30,000	(3)	$	(82	)	$	—	$	(82	)	$	(82	)	$	—	$	(82	)
$	29,952	(3)	$	(74	)	$	—	$	(74	)	$	(74	)	$	—	$	(74	)
$	10,904	(4)	$	10		$	—	$	10		$	10		$	—	$	10
$	48,415	(2)	$	(270	)	$	—	$	(270	)	$	(270	)	$	—	$	(270	)
$	84,251	(2)	$	(1,326	)	$	—	$	(1,326	)	$	(1,326	)	$	—	$	(1,326	)
$	7,119	(2)	$	(35	)	$	—	$	(35	)	$	(35	)	$	—	$	(35	)
$	175,000	(2)	$	(881	)	$	—	$	(881	)	$	(881	)	$	—	$	(881	)

FOOTNOTES:

(1) The all-in rates are equal to the sum of the Strike and Credit Spread detailed above.

(2) Amounts related to interest rate swaps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

(3) The loans associated with these derivatives were repaid during the year ended December 31, 2015. Refer to Note 10. “Indebtedness” for additional information.

(4) Amounts related to the interest rate caps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

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Equity (Tables)

12 Months Ended

Dec. 31, 2015

Equity [Abstract]

Proceeds From Common Stock Offering [Table Text Block]

The following table details the Company’s aggregate proceeds from its Offerings as of December 31, 2015 and December 31, 2014 (in millions):

	December 31, 2015								December 31, 2014
	Subscriptions				Reinvestment Plan				Subscriptions				Reinvestment Plan
	Proceeds		Shares		Proceeds		Shares		Proceeds		Shares		Proceeds		Shares
Initial Offering	$	1,271.4		125.1	$	27.1		2.8	$	1,114.2		110.2	$	27.1		2.8
Follow-on Offering		394.6		37.4		36.8		3.7	―		―		―		―
	$	1,666.0		162.5	$	63.9		6.5	$	1,114.2		110.2	$	27.1		2.8

Historical Offering Share Prices, Including the Prices Pursuant To the Reinvestment Plan and the Company's Monthly Distributions per Share

The following table details the Company’s historical share prices in its Offerings from inception through December 31, 2015, including the prices pursuant to the Reinvestment Plan and the Company’s monthly cash and stock distributions per share:

Period	Price per Share		Reinvestment Plan Price per Share		Monthly Cash Distributions		Monthly Stock Distributions
June 27, 2011 through December 10, 2013	$	10.00	$	9.50	$	0.0333		0.0025
December 11, 2013 through November 3, 2014	$	10.14	$	9.64	$	0.0338		0.0025
November 4, 2014 through December 31, 2015 (1)	$	10.58	$	10.06	$	0.0353		(2	)

FOOTNOTES:

(1) The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

(2) The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015.

13. Equity (continued)

For the years ended December 31, 2015, 2014 and 2013, the Company declared cash distributions of $63.2 million, $31.9 million and $14.2 million, respectively, of which $26.4 million, $14.2 million and $6.6 million, respectively, were paid in cash to stockholders and $36.8 million, $17.7 million and $7.6 million, respectively, were reinvested pursuant to the Reinvestment Plan.  In addition, for the years ended December 31, 2015, 2014 and 2013, the Company declared and made stock distributions of approximately 3.2 million, 2.4 million and 1.1 million shares of common stock, respectively.

Tax Components Of Dividends Declared [Table Text Block]

The tax composition of the Company’s distributions declared for the years ended December 31, 2015, 2014 and 2013 were as follows:

	December 31,
Distribution Type	2015			2014			2013
Taxable as ordinary income		37.8	%		30.8	%		0.0	%
Taxable as capital gain		0.0	%		0.0	%		63.8	%
Return of capital		62.2	%		69.2	%		36.2	%

Effect of Derivative Financial Instruments

The following table reflects the effect of derivative financial instruments held by Company, or its equity method investments, and included in the consolidated statements of comprehensive loss for the years ended December 31, 2015 and 2014 (in thousands):

	Gain (loss) recognized in other comprehensive loss on derivative financial instrument						Location of gain (loss) reclassified into earnings	Loss reclassified from AOCI into earnings
	Years Ended December 31,							Years Ended December 31,
Derivative Financial Instrument	2015			2014				2015			2014
Interest rate swaps	$	(4,881	)	$	(3,915	)	Interest expense and loan cost amortization	$	(4,110	)	$	(98	)
Interest rate caps		(262	)	―			Not applicable	―			―
Reclassification of interest rate swaps upon derecognition		236		―			Interest expense and loan cost amortization		(236	)	―
Reclassification of interest rate swaps due to    ineffectiveness		33		―			Interest expense and loan cost amortization		(33	)	―
Interest rate cap held by unconsolidated joint venture		(9	)		10		Not applicable	―			―
Total	$	(4,883	)	$	(3,905	)		$	(4,379	)	$	(98	)

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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2015

Income Tax Disclosure [Abstract]

Components of Income Tax Benefit (Expense)

The components of the income tax benefit (expense) for the years ended December 31, 2015, 2014 and 2013 were as follows (in thousands):

	Years Ended December 31,
	2015			2014			2013
Current:
Federal	$	—		$	—		$	13
State		(378	)		(361	)		—
Total current benefit (expense)		(378	)		(361	)		13
Deferred:
Federal		—			—			(25	)
State		—			—			(6	)
Total deferred expense		—			—			(31	)
Income tax expense	$	(378	)	$	(361	)	$	(18	)

Significant Components of Deferred Tax Assets

Significant components of the Company’s deferred tax assets as of years ended December 31, 2015 and 2014 are as follows:

	2015			2014
Carryforwards of net operating loss	$	5,220		$	2,361
Prepaid rent		619			437
Valuation allowance		(5,839	)		(2,798	)
Net deferred tax assets	$	—		$	—

Reconciliation of Income Tax Expense

A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows (in thousands):

	Years Ended December 31,
	2015					2014					2013
Tax benefit computed at federal statutory rate	$	23,701		35.00	%	$	18,253		35.00	%	$	6,329		35.00	%
Impact of REIT election		(23,701	)	(35.00	)%		(18,253	)	(35.00	)%		(6,344	)	(35.08	)%
State income tax expense		(378	)	(0.56	)%		(361	)	(0.69	)%		(3	)	(0.02	)%
Income tax expense	$	(378	)	(0.56	)%	$	(361	)	(0.69	)%	$	(18	)	(0.10	)%

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Concentration of Credit Risk (Tables)

12 Months Ended

Dec. 31, 2015

Risks And Uncertainties [Abstract]

Tenants and Geographical Concentrations that Individually Accounted for 10% or More of Total Revenues

For the years ended December 31, 2015, 2014 and 2013 the Company had the following tenant and geographical concentrations that individually accounted for 10% or more of total revenues:

	Type of	December 31,
	Concentration	2015			2014			2013
TSMM Management, LLC (1)	Tenant		5.7	%		7.7	%		26.5	%
State of Texas (2)	Geographical		16.5	%		22.1	%		5.4	%

FOOTNOTES:

(1) Includes contractual rental income from operating leases, capital reserve income, straight-line rent adjustments, and amortization of lease intangibles.  Failure of this tenant to pay contractual lease payments could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

(2) Includes rental income from operating leases, resident fees and services, and tenant reimbursement income.  Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

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Selected Quarterly Financial Data (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2015

Quarterly Financial Information Disclosure [Abstract]

Quarterly Financial Data

The following table presents selected unaudited quarterly financial data for the years ended December 31, 2015 and 2014 (in thousands, except per share data):

2015 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	65,033		$	67,476		$	79,904		$	88,112		$	300,525
Operating loss		(7,909	)		(3,650	)		(7,925	)		(4,824	)		(24,308	)
Net loss attributable to common stockholders		(18,000	)		(13,410	)		(19,225	)		(17,420	)		(68,055	)
Weighted average number of shares outstanding     (basic and diluted) (1)		131,880			146,257			162,730			173,766			153,804
Loss per share of common stock     (basic and diluted)	$	(0.14	)	$	(0.09	)	$	(0.12	)	$	(0.10	)	$	(0.44	)
2014 Quarters	First			Second			Third			Fourth			Full Year
Total revenues	$	33,275		$	42,464		$	49,660		$	55,685		$	181,084
Operating loss		(7,375	)		(3,381	)		(6,243	)		(6,179	)		(23,178	)
Net loss attributable to common stockholders		(12,523	)		(12,303	)		(12,204	)		(15,481	)		(52,511	)
Weighted average number of shares outstanding     (basic and diluted) (1)		67,526			77,426			89,597			107,705			85,710
Loss per share of common stock     (basic and diluted)	$	(0.19	)	$	(0.16	)	$	(0.14	)	$	(0.14	)	$	(0.61	)

FOOTNOTE:

(1) For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions issued are treated as if they were outstanding for all periods presented.

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Organization - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
CNL properties Trust, Inc. organized date	Jun. 08, 2010
Follow-On Offering
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Maximum expected date to sell shares of common stock	Sep. 30, 2015

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Summary of Significant Accounting Policies - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2015 USD ($) OperatingSegment	Dec. 31, 2014 USD ($)	Dec. 31, 2013 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Interest expense and loan cost amortization	$ 45.3	$ 31.5	$ 11.5
Capitalized amount of interest	2.3	1.0	$ 0.7
Accumulated amortization of loan costs	$ 7.8	$ 4.3
Lease, initial term	3 months
Lease termination, notice period	30 days
Annualized return of investment	6.00%
Number of segment | OperatingSegment	1
Building and Building Improvements | Maximum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	39 years
Building and Building Improvements | Minimum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	15 years

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Summary of Significant Accounting Policies - Acquisition Fees and Expenses (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Accounting Policies [Abstract]
Capitalized as real estate under development	$ 4,200	$ 3,400	$ 100
Capitalized as investment in unconsolidated entities			500
Capitalized as origination costs to the note receivable			100
Acquisition fees and expenses	21,526	23,931	18,840
Total acquisition costs incurred	$ 25,700	$ 27,300	$ 19,500

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Acquisitions - Additional Information (Detail)	1 Months Ended									12 Months Ended
	Nov. 30, 2015 USD ($)	Oct. 31, 2015 USD ($)	Sep. 30, 2015 USD ($)	Aug. 31, 2015 USD ($)	Aug. 31, 2014 USD ($)	Jul. 31, 2014 USD ($)	Jun. 30, 2014 USD ($)	Feb. 28, 2014 USD ($)	Jan. 31, 2013 USD ($)	Dec. 31, 2015 USD ($) Property	Dec. 31, 2014 USD ($) Property
Business Acquisition [Line Items]
Number of properties acquired | Property										39	35
Revenues attributable to properties										$ 18,000,000	$ 55,000,000
Net loss attributable to properties										$ 8,800,000	24,300,000
Co-venture partner's interest in the acquired business										5.00%
Payment to acquire interest in joint ventures											1,584,000
Gain from change of control in equity method investment											$ 2,798,000
Senior Housing
Business Acquisition [Line Items]
Number of properties acquired | Property										15	14
Medical Office
Business Acquisition [Line Items]
Number of properties acquired | Property										22	15
Post-acute Care Hospital
Business Acquisition [Line Items]
Number of properties acquired | Property										1	3
Acute Care Hospital
Business Acquisition [Line Items]
Number of properties acquired | Property										1	3
Waterstone at Greenville (Greenville, SC)
Business Acquisition [Line Items]
Purchase price of land				$ 2,300,000
Maximum development budget				$ 27,000,000
Location				Greenville, South Carolina
Date Acquired				Aug. 31, 2015
Welbrook Senior Living Grand Junction (Grand Junction, CO)
Business Acquisition [Line Items]
Purchase price of land			$ 1,100,000
Maximum development budget			$ 13,100,000
Location			Grand Junction, Colorado
Date Acquired			Sep. 30, 2015
Wellmore of Lexington (Lexington, SC)
Business Acquisition [Line Items]
Purchase price of land			$ 2,300,000
Maximum development budget			$ 53,900,000
Location			Lexington, South Carolina
Date Acquired			Sep. 30, 2015
Fieldstone at Pear Orchard (Yakima, Washington)
Business Acquisition [Line Items]
Purchase price of land		$ 1,000,000
Maximum development budget		$ 15,300,000
Location		Yakima, Washington
Date Acquired		Oct. 31, 2015
Percentage of membership interest acquired		75.00%
Co-venture partner's interest in the acquired business		25.00%
The Dogwood Forest of Grayson (Grayson, GA)
Business Acquisition [Line Items]
Purchase price of land	$ 1,800,000
Maximum development budget	$ 26,000,000
Location	Grayson, Georgia
Date Acquired	Nov. 30, 2015
Wellmore of Tega Cay (Tega Cay, South Carolina)
Business Acquisition [Line Items]
Purchase price of land								$ 2,800,000
Maximum development budget								$ 35,600,000
Location								Tega Cay, South Carolina
Date Acquired								Feb. 28, 2014
Watercrest at Katy (Katy, Texas)
Business Acquisition [Line Items]
Purchase price of land							$ 4,000,000
Maximum development budget							$ 38,200,000
Location							Katy, Texas
Date Acquired							Jun. 30, 2014
Percentage of membership interest acquired							95.00%
Co-venture partner's interest in the acquired business							5.00%
HarborChase of Shorewood (Shorewood, Wisconsin)
Business Acquisition [Line Items]
Purchase price of land						$ 2,200,000
Maximum development budget						$ 25,600,000
Location						Shorewood, Wisconsin
Date Acquired						Jul. 31, 2014
Montecito Joint Venture
Business Acquisition [Line Items]
Percentage of membership interest acquired					10.00%				90.00%
Co-venture partner's interest in the acquired business									10.00%
Value of equity issued in acquisition									$ 7,000,000
Percentage of membership interest acquired										100.00%
Payment to acquire interest in joint ventures					$ 1,600,000					$ 1,584,000
Fair value of equity interest in Montecito Joint Venture immediately before the acquisition date					5,700,000
Gain from change of control in equity method investment					$ 2,800,000					$ 2,798,000

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Acquisitions of Properties (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014
Business Acquisition [Line Items]
Purchase Price		$ 880,873	$ 905,282
North Carolina Specialty Hospital
Business Acquisition [Line Items]
Location		Durham, NC
Structure		Modified Lease
Date Acquired		Jun. 29, 2015
Purchase Price		$ 31,830
Novi Orthopaedic Center
Business Acquisition [Line Items]
Location		Novi, MI
Structure		Modified Lease
Date Acquired		Feb. 13, 2015
Purchase Price	[1]	$ 30,500
UT Cancer Institute Building
Business Acquisition [Line Items]
Location		Knoxville, TN
Structure		Modified Lease
Date Acquired		Feb. 20, 2015
Purchase Price		$ 33,660
Bend Memorial Clinic MOB
Business Acquisition [Line Items]
Location		Bend, OR
Structure		Modified Lease
Date Acquired		May 11, 2015
Purchase Price	[1]	$ 36,000
Stoneterra Medical Plaza
Business Acquisition [Line Items]
Location		San Antonio, TX
Structure		Modified Lease
Date Acquired		May 29, 2015
Purchase Price	[1]	$ 15,050
Triangle Orthopaedic Durham
Business Acquisition [Line Items]
Location		Durham, NC
Structure		Modified Lease
Date Acquired		Jun. 29, 2015
Purchase Price		$ 21,275
Triangle Orthopaedic Oxford
Business Acquisition [Line Items]
Location		Oxford, NC
Structure		Modified Lease
Date Acquired		Jun. 29, 2015
Purchase Price		$ 4,728
Triangle Orthopaedic Chapel Hill
Business Acquisition [Line Items]
Location		Chapel Hill, NC
Structure		Modified Lease
Date Acquired		Jun. 29, 2015
Purchase Price		$ 3,258
Triangle Orthopaedic Roxboro
Business Acquisition [Line Items]
Location		Roxboro, NC
Structure		Modified Lease
Date Acquired		Jun. 29, 2015
Purchase Price		$ 2,067
Doctor's Park Building B
Business Acquisition [Line Items]
Location		Chula Vista, CA ("San Diego")
Structure		Modified Lease
Date Acquired		Jun. 30, 2015
Purchase Price	[1]	$ 5,000
Doctor's Park Building C
Business Acquisition [Line Items]
Location		Chula Vista, CA ("San Diego")
Structure		Modified Lease
Date Acquired		Jun. 30, 2015
Purchase Price	[1]	$ 10,000
540 New Waverly Place
Business Acquisition [Line Items]
Location		Cary, NC ("Raleigh")
Structure		Modified Lease
Date Acquired		Jul. 20, 2015
Purchase Price	[1]	$ 15,000
MedHelp
Business Acquisition [Line Items]
Location		Birmingham, AL
Structure		Modified Lease
Date Acquired		Jul. 31, 2015
Purchase Price	[1]	$ 15,000
Patriot Professional Center
Business Acquisition [Line Items]
Location		Frederick, MD ("Baltimore")
Structure		Modified Lease
Date Acquired		Jul. 31, 2015
Purchase Price	[1]	$ 16,950
Liberty Professional Center
Business Acquisition [Line Items]
Location		Frederick, MD ("Baltimore")
Structure		Modified Lease
Date Acquired		Jul. 31, 2015
Purchase Price	[1]	$ 7,300
Broadway Medical Plaza 1
Business Acquisition [Line Items]
Location		Columbia, MO
Structure		Modified Lease
Date Acquired		Aug. 21, 2015
Purchase Price	[1]	$ 10,700
Broadway Medical Plaza 2
Business Acquisition [Line Items]
Location		Columbia, MO
Structure		Modified Lease
Date Acquired		Aug. 21, 2015
Purchase Price	[1]	$ 13,100
Broadway Medical Plaza 4
Business Acquisition [Line Items]
Location		Columbia, MO
Structure		Modified Lease
Date Acquired		Aug. 21, 2015
Purchase Price	[1]	$ 14,200
Center One
Business Acquisition [Line Items]
Location		Jacksonville, FL
Structure		Modified Lease
Date Acquired		Nov. 30, 2015
Purchase Price	[1]	$ 34,362
Red Bank MOB
Business Acquisition [Line Items]
Location		Cincinnati, OH
Structure		Modified Lease
Date Acquired		Dec. 14, 2015
Purchase Price	[1]	$ 10,610
Siena Pavilion IV
Business Acquisition [Line Items]
Location		Henderson, NV ("Las Vegas")
Structure		Modified Lease
Date Acquired		Dec. 18, 2015
Purchase Price		$ 6,990
Siena Pavilion V
Business Acquisition [Line Items]
Location		Henderson, NV ("Las Vegas")
Structure		Modified Lease
Date Acquired		Dec. 18, 2015
Purchase Price		$ 27,859
Siena Pavilion VI
Business Acquisition [Line Items]
Location		Henderson, NV ("Las Vegas")
Structure		Modified Lease
Date Acquired		Dec. 18, 2015
Purchase Price		$ 19,474
Cobalt Rehabilitation Hospital Surprise
Business Acquisition [Line Items]
Location		Surprise, AZ ("Phoenix")
Structure		Triple-net Lease
Date Acquired		Dec. 30, 2015
Purchase Price	[1]	$ 23,660
Fieldstone Memory Care
Business Acquisition [Line Items]
Location		Yakima, WA
Structure		Managed
Date Acquired		Mar. 31, 2015
Purchase Price	[1]	$ 12,400
Primrose Retirement Community of Anderson
Business Acquisition [Line Items]
Location		Anderson, IN ("Muncie")
Structure		Triple-net Lease
Date Acquired		May 29, 2015
Purchase Price		$ 21,086
Primrose Retirement Community of Lancaster
Business Acquisition [Line Items]
Location		Lancaster, OH ("Columbus")
Structure		Triple-net Lease
Date Acquired		May 29, 2015
Purchase Price		$ 25,657
Primrose Retirement Community of Wausau
Business Acquisition [Line Items]
Location		Wausau, WI ("Green Bay")
Structure		Triple-net Lease
Date Acquired		May 29, 2015
Purchase Price		$ 20,307
Superior Residences of Panama City
Business Acquisition [Line Items]
Location		Panama City Beach, FL
Structure		Managed
Date Acquired		Jul. 15, 2015
Purchase Price	[1]	$ 20,000
Parc at Duluth
Business Acquisition [Line Items]
Location		Duluth, GA ("Atlanta")
Structure		Triple-net Lease
Date Acquired		Jul. 31, 2015
Purchase Price		$ 52,800
Parc at Piedmont
Business Acquisition [Line Items]
Location		Marietta, GA ("Atlanta")
Structure		Triple-net Lease
Date Acquired		Jul. 31, 2015
Purchase Price		$ 50,800
The Pavilion at Great Hills
Business Acquisition [Line Items]
Location		Austin, TX
Structure		Managed
Date Acquired		Jul. 31, 2015
Purchase Price		$ 35,000
The Hampton at Meadows Place
Business Acquisition [Line Items]
Location		Meadows Place, TX ("Houston")
Structure		Managed
Date Acquired		Jul. 31, 2015
Purchase Price		$ 28,400
The Beacon at Gulf Breeze
Business Acquisition [Line Items]
Location		Gulf Breeze, FL ("Pensacola")
Structure		Managed
Date Acquired		Jul. 31, 2015
Purchase Price		$ 28,000
Palmilla Senior Living
Business Acquisition [Line Items]
Location		Albuquerque, NM
Structure		Managed
Date Acquired		Sep. 30, 2015
Purchase Price		$ 47,600
Cedar Lake Assisted Living and Memory Care
Business Acquisition [Line Items]
Location		Lake Zurich, IL ("Chicago")
Structure		Managed
Date Acquired		Sep. 30, 2015
Purchase Price		$ 30,000
The Shores of Lake Phalen
Business Acquisition [Line Items]
Location		Maplewood, MN ("St. Paul")
Structure		Managed
Date Acquired		Nov. 10, 2015
Purchase Price	[1]	$ 29,250
Park Place Senior Living at WingHaven
Business Acquisition [Line Items]
Location		O'Fallon, MO ("St. Louis")
Structure		Managed
Date Acquired		Dec. 17, 2015
Purchase Price		$ 54,000
Hearthside Senior Living of Collierville
Business Acquisition [Line Items]
Location		Collierville, TN ("Memphis")
Structure		Managed
Date Acquired		Dec. 29, 2015
Purchase Price	[1]	$ 17,000
Memorial Hermann Orthopedic & Spine Hospital
Business Acquisition [Line Items]
Location		Bellaire, TX ("Houston")
Structure		Triple-net Lease
Date Acquired			Jun. 02, 2014
Purchase Price			$ 49,000
Hurst Specialty Hospital
Business Acquisition [Line Items]
Location		Hurst, TX ("Dallas/Fort Worth")
Structure		Modified Lease
Date Acquired			Aug. 15, 2014
Purchase Price			$ 29,465
Beaumont Specialty Hospital
Business Acquisition [Line Items]
Location		Beaumont, TX ("Houston")
Structure		Modified Lease
Date Acquired			Aug. 15, 2014
Purchase Price			$ 33,600
Chula Vista Medical Arts Center - Plaza I
Business Acquisition [Line Items]
Location		Chula Vista, CA ("San Diego")
Structure		Modified Lease
Date Acquired			Jan. 21, 2014
Purchase Price	[1]		$ 17,863
MHOSH MOB
Business Acquisition [Line Items]
Location		Bellaire, TX ("Houston")
Structure		Modified Lease
Date Acquired			Jun. 02, 2014
Purchase Price			$ 27,000
Lee Hughes MOB
Business Acquisition [Line Items]
Location		Glendale, CA ("Los Angeles")
Structure		Modified Lease
Date Acquired			Sep. 24, 2014
Purchase Price	[1]		$ 29,870
Northwest Medical Park Building
Business Acquisition [Line Items]
Location		Margate, FL ("Fort Lauderdale")
Structure		Modified Lease
Date Acquired			Oct. 31, 2014
Purchase Price	[1]		$ 10,804
Newburyport Medical Center
Business Acquisition [Line Items]
Location		Newburyport, MA ("Boston")
Structure		Modified Lease
Date Acquired			Oct. 31, 2014
Purchase Price	[1]		$ 18,000
ProMed Building I
Business Acquisition [Line Items]
Location		Yuma, AZ
Structure		Modified Lease
Date Acquired			Dec. 19, 2014
Purchase Price	[1]		$ 11,000
Midtown Medical Plaza
Business Acquisition [Line Items]
Location		Charlotte, NC
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 54,695
Presbyterian Medical Tower
Business Acquisition [Line Items]
Location		Charlotte, NC
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 36,333
Metroview Professional Building
Business Acquisition [Line Items]
Location		Charlotte, NC
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 17,262
Physicians Plaza Huntersville
Business Acquisition [Line Items]
Location		Huntersville, NC ("Charlotte")
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 29,964
Matthews Medical Office Building
Business Acquisition [Line Items]
Location		Matthews, NC ("Charlotte")
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 21,227
Outpatient Care Center
Business Acquisition [Line Items]
Location		Clyde, NC ("Asheville")
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 15,450
Clyde, NC ("Asheville") 330 Physicians Center
Business Acquisition [Line Items]
Location		Rome, GA
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 30,099
Spivey Station Physicians Center
Business Acquisition [Line Items]
Location		Atlanta, GA
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 14,379
Spivey Station ASC Building
Business Acquisition [Line Items]
Location		Atlanta, GA
Structure		Modified Lease
Date Acquired			Dec. 22, 2014
Purchase Price			$ 18,591
Oklahoma City Inpatient Rehabilitation Hospital
Business Acquisition [Line Items]
Location		Oklahoma City, OK
Structure		Modified Lease
Date Acquired			Jul. 15, 2014
Purchase Price			$ 25,504
Las Vegas Inpatient Rehabilitation Hospital
Business Acquisition [Line Items]
Location		Las Vegas, NV
Structure		Modified Lease
Date Acquired			Jul. 15, 2014
Purchase Price			$ 22,292
South Bend Inpatient Rehabilitation Hospital
Business Acquisition [Line Items]
Location		Mishawaka, IN ("South Bend")
Structure		Modified Lease
Date Acquired			Jul. 15, 2014
Purchase Price			$ 20,240
Prestige Senior Living Auburn Meadows
Business Acquisition [Line Items]
Location		Auburn, WA ("Seattle")
Structure		Managed
Date Acquired			Feb. 03, 2014
Purchase Price			$ 21,930
Prestige Senior Living Bridgewood
Business Acquisition [Line Items]
Location		Vancouver, WA ("Portland")
Structure		Managed
Date Acquired			Feb. 03, 2014
Purchase Price			$ 22,096
Prestige Senior Living Monticello Park
Business Acquisition [Line Items]
Location		Longview, WA
Structure		Managed
Date Acquired			Feb. 03, 2014
Purchase Price			$ 27,360
Prestige Senior Living Rosemont
Business Acquisition [Line Items]
Location		Yelm, WA
Structure		Managed
Date Acquired			Feb. 03, 2014
Purchase Price			$ 16,877
Prestige Senior Living West Hills
Business Acquisition [Line Items]
Location		Corvallis, OR
Structure		Managed
Date Acquired			Mar. 03, 2014
Purchase Price			$ 14,986
Isle at Cedar Ridge
Business Acquisition [Line Items]
Location		Cedar Park, TX ("Austin")
Structure		Managed
Date Acquired			Feb. 28, 2014
Purchase Price			$ 21,630
HarborChase of Plainfield
Business Acquisition [Line Items]
Location		Plainfield, IL
Structure		Managed
Date Acquired			Mar. 28, 2014
Purchase Price			$ 26,500
Legacy Ranch Alzheimer’s Special Care Center
Business Acquisition [Line Items]
Location		Midland, TX
Structure		Managed
Date Acquired			Mar. 28, 2014
Purchase Price			$ 11,960
The Springs Alzheimer’s Special Care Center
Business Acquisition [Line Items]
Location		San Angelo, TX
Structure		Managed
Date Acquired			Mar. 28, 2014
Purchase Price			$ 10,920
Isle at Watercrest – Bryan
Business Acquisition [Line Items]
Location		Bryan, TX
Structure		Managed
Date Acquired			Apr. 21, 2014
Purchase Price			$ 22,050
Watercrest at Bryan
Business Acquisition [Line Items]
Location		Bryan, TX
Structure		Managed
Date Acquired			Apr. 21, 2014
Purchase Price			$ 28,035
Isle at Watercrest – Mansfield
Business Acquisition [Line Items]
Location		Mansfield, TX ("Dallas/Fort Worth")
Structure		Managed
Date Acquired			May 05, 2014
Purchase Price			$ 31,300
Watercrest at Mansfield
Business Acquisition [Line Items]
Location		Mansfield, TX ("Dallas/Fort Worth")
Structure		Managed
Date Acquired			Jun. 30, 2014
Purchase Price			$ 49,000
Fairfield Village of Layton
Business Acquisition [Line Items]
Location		Layton, UT ("Salt Lake City")
Structure		Managed
Date Acquired			Nov. 20, 2014
Purchase Price			$ 68,000

[1] This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

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Schedule of Purchase Price Allocation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014	Aug. 31, 2014
Business Acquisition [Line Items]
Land and land improvements		$ 91,419	$ 60,565
Buildings and building improvements		702,611	732,740
Furniture, fixtures and equipment		11,746	12,260
Intangibles	[1]	86,601	110,325
Other liabilities		(5,175)	(12,037)
Liabilities assumed		(6,905)	(1,000)
Assumed mortgage note payable	[2]	(6,976)	(27,657)
Net assets acquired		873,321	875,196
Contingent purchase price consideration		(6,481)	(12,395)
Total purchase price consideration		866,840	$ 862,801
Montecito Joint Venture
Business Acquisition [Line Items]
Land and land improvements				$ 6,324
Buildings and building improvements				13,533
Intangibles	[3]			2,691
Other liabilities				(175)
Assumed mortgage note payable	[4]			(12,331)
Net assets acquired		$ 10,129		10,129
Working capital, net				$ 87

[1] At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the years ended December 31, 2015 and 2014 were approximately 7.7 years for both periods, respectively. The acquired lease intangibles during the year ended December 31, 2015 were comprised of approximately $81.8 million and $4.8 million of in-place lease intangibles and other lease intangibles, respectively, and the acquired lease intangibles during the year ended December 31, 2014 were comprised of approximately $97.3 million and $13.0 million of in-place lease intangibles and other lease intangibles, respectively.

[2] During the year ended December 31, 2015, the Company assumed a discount on a below-market mortgage note payable assumed of approximately $0.2 million at the acquisition date. During the year ended December 31, 2014, the Company assumed a premium on an above-market mortgage note payable of approximately $0.4 million at the acquisition date.

[3] At the acquisition date, the weighted-average amortization period on the acquired lease intangibles was approximately 5.1 years and was comprised of approximately $1.9 million and $0.8 million of in-place lease intangibles and other lease intangibles, respectively.

[4] At the acquisition date, the fair value of the mortgage note payable assumed reflects an approximate $0.6 million discount on the below-market mortgage note payable assumed.

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Schedule of Purchase Price Allocation (Parenthetical) (Detail) - USD ($) $ in Thousands		1 Months Ended	12 Months Ended
		Aug. 31, 2014	Dec. 31, 2015	Dec. 31, 2014
Business Acquisition [Line Items]
Weighted-average amortization period on the acquired lease intangibles			7 years 8 months 12 days	7 years 8 months 12 days
Acquired lease intangibles	[1]		$ 86,601	$ 110,325
Mortgage note payable, discount			200	400
Montecito Joint Venture
Business Acquisition [Line Items]
Weighted-average amortization period on the acquired lease intangibles		5 years 1 month 6 days
Acquired lease intangibles	[2]	$ 2,691
Mortgage note payable, discount		600
In-place lease intangibles
Business Acquisition [Line Items]
Acquired lease intangibles			81,800	4,800
In-place lease intangibles | Montecito Joint Venture
Business Acquisition [Line Items]
Acquired lease intangibles		1,900
Other lease intangibles
Business Acquisition [Line Items]
Acquired lease intangibles			$ 97,300	$ 13,000
Other lease intangibles | Montecito Joint Venture
Business Acquisition [Line Items]
Acquired lease intangibles		$ 800

[1] At the acquisition date, the weighted-average amortization period on the acquired lease intangibles for the years ended December 31, 2015 and 2014 were approximately 7.7 years for both periods, respectively. The acquired lease intangibles during the year ended December 31, 2015 were comprised of approximately $81.8 million and $4.8 million of in-place lease intangibles and other lease intangibles, respectively, and the acquired lease intangibles during the year ended December 31, 2014 were comprised of approximately $97.3 million and $13.0 million of in-place lease intangibles and other lease intangibles, respectively.

[2] At the acquisition date, the weighted-average amortization period on the acquired lease intangibles was approximately 5.1 years and was comprised of approximately $1.9 million and $0.8 million of in-place lease intangibles and other lease intangibles, respectively.

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Schedule of Unaudited Proforma Results of Operations (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Business Combinations [Abstract]
Revenues		$ 346,071	$ 307,552	$ 242,415
Net loss	[1]	$ (66,613)	$ (62,071)	$ (59,527)
Loss per share of common stock (basic and diluted)		$ (0.39)	$ (0.42)	$ (0.57)
Weighted average number of shares of common stock outstanding (basic and diluted)	[2]	170,735	148,443	104,079

[1] The unaudited pro forma results for the years ended December 31, 2015 and 2014 were adjusted to exclude approximately $11.3 million and $20.5 million, respectively, of acquisition related expenses directly attributable to the properties acquired during the years ended December 31, 2015 and 2014. The unaudited pro forma results for the years ended December 31, 2014 and 2013 were adjusted to include these charges as if the properties were acquired on January 1, 2014 and 2013, respectively.

[2] As a result of the acquired properties being treated as operational since January 1, 2014 and 2013, the Company assumed approximately 31.6 million and 40.8 million additional shares were issued as of January 1, 2014 and 2013, respectively. Consequently, the weighted average number of shares outstanding was adjusted to reflect this amount of shares being issued as of January 1, 2014 and 2013, instead of actual dates on which the shares were issued, and such shares were treated as outstanding as of the beginning of the period presented.

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Schedule of Unaudited Proforma Results of Operations (Parenthetical) (Detail) - USD ($) $ in Thousands, shares in Millions			12 Months Ended
	Jan. 02, 2014	Jan. 02, 2013	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Business Acquisition, Pro Forma Information, Nonrecurring Adjustment [Line Items]
Acquisition fees and expenses			$ 21,526	$ 23,931	$ 18,840
Shares issued to fund acquisition	31.6	40.8
Proforma results adjusted to exclude
Business Acquisition, Pro Forma Information, Nonrecurring Adjustment [Line Items]
Acquisition fees and expenses			$ 11,300	$ 20,500

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Gain Resulted From Change of Control in Equity Method Investment (Detail) - USD ($) $ in Thousands	1 Months Ended	12 Months Ended
	Aug. 31, 2014	Dec. 31, 2015	Dec. 31, 2014
Schedule of Equity Method Investments [Line Items]
Fair value of net assets acquired		$ 873,321	$ 875,196
Less: Cash paid to acquire co-venture partner's interest			(1,584)
Gain on purchase of controlling interest of investment in unconsolidated entity			$ 2,798
Montecito Joint Venture
Schedule of Equity Method Investments [Line Items]
Fair value of net assets acquired	$ 10,129	10,129
Less: Previous investment in Montecito Joint Venture		(5,747)
Less: Cash paid to acquire co-venture partner's interest	(1,600)	(1,584)
Gain on purchase of controlling interest of investment in unconsolidated entity	$ 2,800	$ 2,798

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Schedule of Real Estate Investment Properties (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Real Estate [Abstract]
Land and land improvements	$ 229,046	$ 128,662
Building and building improvements	2,297,336	1,545,614
Furniture, fixtures and equipment	60,601	36,319
Less: accumulated depreciation	(116,807)	(53,095)
Real estate investment properties, net	2,470,176	1,657,500
Real estate under development, including land	62,521	47,153
Total real estate assets, net	$ 2,532,697	$ 1,704,653

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Real Estate Assets, Net - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Real Estate Investment Properties
Real Estate Properties [Line Items]
Depreciation expense	$ 63.6	$ 39.1	$ 12.0

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Real Estate under Development with Third-Party Developers (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2015 USD ($)
Real Estate Properties [Line Items]
Real Estate Development Costs Incurred	$ 62,521	[1]
(Unaudited) Remaining Development Budget	$ 143,189	[2]
Raider Ranch (Lubbock, TX)
Real Estate Properties [Line Items]
Developer	South Bay Partners, Ltd
Real Estate Development Costs Incurred	$ 9,942	[1]
(Unaudited) Remaining Development Budget	$ 2,274	[2]
Watercrest at Katy (Katy, TX)
Real Estate Properties [Line Items]
Developer	South Bay Partners, Ltd	[3]
Real Estate Development Costs Incurred	$ 26,565	[1],[3]
(Unaudited) Remaining Development Budget	$ 16,245	[2],[3]
Welbrook Senior Living Grand Junction (Grand Junction, CO)
Real Estate Properties [Line Items]
Developer	Embree Asset Group, Inc.
Real Estate Development Costs Incurred	$ 3,198	[1]
(Unaudited) Remaining Development Budget	$ 10,636	[2]
Waterstone at Greenville (Greenville, SC)
Real Estate Properties [Line Items]
Developer	T&D Greenville, LLC
Real Estate Development Costs Incurred	$ 7,185	[1]
(Unaudited) Remaining Development Budget	$ 21,287	[2]
Wellmore of Lexington (Lexington, SC)
Real Estate Properties [Line Items]
Developer	Maxwell Group, Inc.
Real Estate Development Costs Incurred	$ 8,723	[1]
(Unaudited) Remaining Development Budget	$ 46,282	[2]
The Dogwood Forest of Grayson (Grayson, GA)
Real Estate Properties [Line Items]
Developer	Solomon Development Services, LLC
Real Estate Development Costs Incurred	$ 3,973	[1]
(Unaudited) Remaining Development Budget	$ 23,024	[2]
Fieldstone at Pear Orchard (Yakima, WA)
Real Estate Properties [Line Items]
Developer	Cascadia Development, LLC	[4]
Real Estate Development Costs Incurred	$ 2,606	[1],[4]
(Unaudited) Remaining Development Budget	$ 13,067	[2],[4]
Tranquillity at Fredericktowne (Frederick, MD)
Real Estate Properties [Line Items]
Developer	Capital Health Partners
Real Estate Development Costs Incurred	$ 235	[1]
(Unaudited) Remaining Development Budget	$ 5,649	[2]
Brookridge Heights Assisted Living & Memory Care (Marquette, MI)
Real Estate Properties [Line Items]
Developer	Capital Health Partners
Real Estate Development Costs Incurred	$ 94	[1]
(Unaudited) Remaining Development Budget	$ 4,725	[2]

[1] This amount represents land and total capitalized costs for GAAP purposes for the acquisition, development and construction of the seniors housing community or post-acute care facility as of December 31, 2015. Amounts include investment services fees, asset management fees, interest expense and other costs capitalized during the development period.

[2] This amount includes preleasing and marketing costs which will be expensed as incurred.

[3] This property is owned through a joint venture in which the Company’s initial ownership interest is 95%.

[4] This property is owned through a joint venture in which the Company’s initial ownership interest is 75%.

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Real Estate under Development with Third-Party Developers (Parenthetical) (Detail) - Corporate Joint Venture	Dec. 31, 2015
Watercrest at Katy (Katy, TX)
Real Estate Properties [Line Items]
Percentage of ownership interest	95.00%
Fieldstone at Pear Orchard (Yakima, Washington)
Real Estate Properties [Line Items]
Percentage of ownership interest	75.00%

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Schedule of Net Book Value of Intangibles (Detail) - USD ($) $ in Thousands		Dec. 31, 2015	Dec. 31, 2014
Finite-Lived Intangible Assets And Liabilities [Line Items]
Less: accumulated amortization, assets		$ (74,895)	$ (30,250)
Intangible assets, net		172,452	140,264
Less: accumulated amortization, liabilities		2,581	1,014
In-place lease intangibles
Finite-Lived Intangible Assets And Liabilities [Line Items]
Gross carrying amount, assets		220,917	148,880
Above-market lease intangibles
Finite-Lived Intangible Assets And Liabilities [Line Items]
Gross carrying amount, assets		13,960	11,320
Gross carrying amount, liabilities		(3,488)	(2,273)
Below-market ground lease intangibles
Finite-Lived Intangible Assets And Liabilities [Line Items]
Gross carrying amount, assets		12,470	10,314
Gross carrying amount, liabilities		(12,095)	(13,243)
Other liabilities
Finite-Lived Intangible Assets And Liabilities [Line Items]
Intangible liabilities, net	[1]	$ (13,002)	$ (14,502)

[1] Intangible liabilities, net are included in other liabilities in the accompanying consolidated balance sheets.

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Intangibles net - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Finite-Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	$ 44,600	$ 25,100	$ 5,000
Amortization expense on intangible liabilities	1,600	800	200
Impairment provision of intangible assets	4,700
Rental Income from Operating Leases
Finite-Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	2,000	1,000	200
Amortization expense on intangible liabilities	1,500	800	200
Property Operating Expenses
Finite-Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	300	100	100
Amortization expense on intangible liabilities	80	8	3
Depreciation And Amortization
Finite-Lived Intangible Assets And Liabilities [Line Items]
Amortization expense on intangible assets	$ 42,300	$ 24,000	$ 4,700

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Schedule of Estimated Future Amortization and Weighted Average Remaining Useful Life (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Finite-Lived Intangible Assets And Liabilities [Line Items]
Intangible assets, net	$ 172,452	$ 140,264
Finite-Lived Intangible Assets
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	45,151
2017	31,064
2018	19,251
2019	13,663
2020	11,449
Thereafter	51,874
Intangible assets, net	172,452
Intangible Liabilities
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	1,666
2017	1,503
2018	1,346
2019	1,183
2020	955
Thereafter	6,349
Intangible liabilities, net	$ 13,002
In-place lease intangibles
Finite-Lived Intangible Assets And Liabilities [Line Items]
Weighted average useful life, assets	4 years 8 months 12 days
In-place lease intangibles | Finite-Lived Intangible Assets
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	$ 42,932
2017	29,041
2018	17,414
2019	12,128
2020	10,124
Thereafter	38,070
Intangible assets, net	$ 149,709
Above-market lease intangibles
Finite-Lived Intangible Assets And Liabilities [Line Items]
Weighted average useful life, assets	5 years 10 months 24 days
Weighted average useful life, liabilities	38 years 1 month 6 days
Above-market lease intangibles | Finite-Lived Intangible Assets
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	$ 1,899
2017	1,703
2018	1,517
2019	1,215
2020	1,005
Thereafter	3,402
Intangible assets, net	10,741
Above-market lease intangibles | Intangible Liabilities
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	89
2017	89
2018	89
2019	89
2020	89
Thereafter	2,954
Intangible liabilities, net	$ 3,399
Below-market ground lease intangibles
Finite-Lived Intangible Assets And Liabilities [Line Items]
Weighted average useful life, assets	37 years 7 months 6 days
Weighted average useful life, liabilities	5 years 6 months
Below-market ground lease intangibles | Finite-Lived Intangible Assets
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	$ 320
2017	320
2018	320
2019	320
2020	320
Thereafter	10,402
Intangible assets, net	12,002
Below-market ground lease intangibles | Intangible Liabilities
Finite-Lived Intangible Assets And Liabilities [Line Items]
2016	1,577
2017	1,414
2018	1,257
2019	1,094
2020	866
Thereafter	3,395
Intangible liabilities, net	$ 9,603

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Operating Leases - Additional Information (Detail) - Triple Net Lease Agreements $ in Millions	12 Months Ended
	Dec. 31, 2015 USD ($) Property
Operating Leased Assets [Line Items]
Number of properties owned	84
Weighted average remaining lease term	7 years 4 months 24 days
Total annualized property tax | $	$ 2.9
Minimum
Operating Leased Assets [Line Items]
Lease, expiration year	2016
Extended lease period	2 years
Maximum
Operating Leased Assets [Line Items]
Lease, expiration year	2038
Extended lease period	10 years
Single Tenant Properties
Operating Leased Assets [Line Items]
Number of properties owned	39
Real estate investment properties, percentage leased under operating leases	100.00%
Multi Tenant Properties
Operating Leased Assets [Line Items]
Number of properties owned	45

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Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases (Detail) $ in Thousands	Dec. 31, 2015 USD ($)
Leases [Abstract]
2016	$ 112,660
2017	106,582
2018	99,076
2019	90,885
2020	84,552
Thereafter	437,055
Total	$ 930,810

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Variable Interest Entities (VIEs) - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2015 USD ($)
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Variable interest entity, description	As of December 31, 2015, the Company has 17 wholly-owned subsidiaries, which are VIEs due to the following factors and circumstances: (1) Two of these subsidiaries are single property entities, designed to own and lease their respective properties to single tenants, for which buy-out options are held by the respective tenants that are formula based. (2) Four of these subsidiaries are single property entities, designed to own and lease their respective properties to multiple tenants, which are subject to either a ground lease or an air rights lease that include buy-out and put options held by either the tenant or landlord under the applicable lease. (3) Eight of these subsidiaries are entities with real estate under development or completed developments in which there is either insufficient equity at risk due to the development nature of each entity or the third-party developers have an opportunity to earn promoted interest payments after certain net operating income targets and internal rate of return targets have been met. (4) Two of these subsidiaries are joint ventures with real estate under development in which there is insufficient equity at risk due to the development nature of each joint venture. In addition, one of the third-party developer has an opportunity to earn promoted interest payments after certain net operating income targets and internal rate of return targets have been met. (5) One of these subsidiaries is a joint venture with equity interest that consists of non-substantive voting rights.
Maximum exposure to loss VIEs limits	$ 148.1

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Aggregate Carrying Amount and Major Classifications of Consolidated Assets and Liabilities (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Variable Interest Entity [Line Items]
Real estate investment properties, net	$ 2,470,176	$ 1,657,500
Real estate under development, including land	62,521	47,153
Intangibles, net	172,452	140,264
Cash	68,922	91,355	$ 44,209	$ 18,262
Deferred rent and lease incentives	23,477	8,240
Other assets	21,302	19,738
Loan costs, net	14,358	14,012
Restricted cash	10,287	10,753
Mortgages and other notes payable, net	840,435	853,561
Other liabilities	41,938	27,448
Due to related parties	1,803	2,999
VIEs
Variable Interest Entity [Line Items]
Real estate investment properties, net	219,971	174,449
Real estate under development, including land	58,994	47,153
Intangibles, net	23,540	25,519
Cash	4,427	6,280
Deferred rent and lease incentives	6,942	2,978
Other assets	1,506	511
Loan costs, net	2,625	2,300
Restricted cash	1,461	5,304
Mortgages and other notes payable, net	153,735	137,754
Accounts payable and accrued liabilities	981	2,317
Accrued development costs	10,669	7,951
Other liabilities	3,644	4,949
Due to related parties	$ 136	$ 219

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Ground and Air Rights Leases - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Ground and Air Rights Leases
Operating Leased Assets [Line Items]
Operating lease rental expense	$ 1.7	$ 0.5	$ 0.1

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Schedule of Future Minimum Lease Payments Under Ground and Air Rights Leases (Detail) - Ground and Air Rights Leases $ in Thousands	Dec. 31, 2015 USD ($)
Operating Leased Assets [Line Items]
2016	$ 1,957
2017	1,984
2018	2,016
2019	2,039
2020	2,061
Thereafter	113,559
Total	$ 123,616

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Contingent Purchase Price Consideration - Additional Information (Detail) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2015 USD ($) ft²	Sep. 30, 2015 USD ($)	Jun. 30, 2015 USD ($)	Mar. 31, 2015 USD ($)	Dec. 31, 2014 USD ($)	Sep. 30, 2014 USD ($)	Jun. 30, 2014 USD ($)	Mar. 31, 2014 USD ($)	Dec. 31, 2015 USD ($) ft²	Dec. 31, 2014 USD ($)	Dec. 31, 2013 USD ($)	Dec. 31, 2012 USD ($)
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration									$ 7,500	$ 268	$ 507
Operating income (loss)	$ (4,824)	$ (7,925)	$ (3,650)	$ (7,909)	$ (6,179)	$ (6,243)	$ (3,381)	$ (7,375)	(24,308)	(23,178)	(13,990)
Fair value of contingent consideration	$ 6,481				12,395				6,481	12,395
Capital Health Communities
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration												$ 7,000
Capital Health Communities | Yield Guarantee
Business Acquisition, Contingent Consideration [Line Items]
Operating income (loss)									7,100	7,000	6,900
Received purchase consideration									$ 7,000
Medical Portfolio I
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration											507
Expandable lease space under earn-out agreement | ft²	10,000								10,000
Contingent consideration arrangements, description									The Chestnut Commons Earn-Out fee was equal to (a) the base rent due for the first full year of the lease applicable to the expansion space divided by 8% minus (b) the costs incurred by the Company in connection with the exercise by Cleveland Clinic of its option for the expansion space, including tenant improvement costs, multiplied by 50%.
Earn out expiration date									2015-08
Fair value of contingent consideration					$ 268					$ 268	$ 507
Superior Residences of Panama City
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration									$ 3,000
Additional purchase price consideration									$ 4,000
Additional purchase price consideration period									36 months
The Shores of Lake Phalen
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration									$ 800
Additional purchase price consideration									$ 800
Additional purchase price consideration period									12 months
Siena Pavilion VI
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration									$ 3,800
Additional purchase price consideration									$ 3,300
Additional purchase price consideration period									6 months
Additional tenant improvements consideration									$ 500
Center One
Business Acquisition, Contingent Consideration [Line Items]
Contingent purchase price consideration									$ 2,800
Contingent consideration arrangements, description									The purchase price be placed in an escrow account as the seller provided a rent guarantee to the Company in connection with two seller leased spaces at the property for a term equal to the earlier of five years or at such time as a suitable replacement tenant can be found (“Center One Rent Guarantee”).
Fair value of contingent consideration	$ 1,000								$ 1,000

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Fair Value of Contingent Purchase Price Consideration (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]
Beginning balance	$ (12,395)
Contingent consideration in connection with acquisition	(7,500)	$ (268)	$ (507)
Ending balance	(6,481)	(12,395)
Capital Health Communities
Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]
Beginning balance	4,078	4,488	2,664
Contingent consideration in connection with acquisition				$ (7,000)
Change in fair value	321	2,191	1,824
Yield Guaranty payment received from seller	(4,399)	(2,601)
Ending balance		4,078	4,488	$ 2,664
Medical Portfolio I
Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]
Beginning balance	(268)	(507)
Contingent consideration in connection with acquisition			(507)
Change in fair value	$ 268	239
Ending balance		(268)	$ (507)
South Bay II Communities
Fair Value Assets Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]
Contingent consideration in connection with acquisition		(12,395)
Change in fair value		(1,800)
Contingent consideration payment		$ 14,195

XML

Details of Indebtedness (Detail) - USD ($) $ in Thousands		Dec. 31, 2015	Dec. 31, 2014
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[1]	$ 840,656	$ 853,776
Premium (discount), net	[2]	(221)	(215)
Total mortgages and other notes payable, net		840,435	853,561
Credit Facility		660,000	206,403
Total borrowings		1,500,435	1,059,964
First Term Loan Facility
Debt Instrument [Line Items]
Credit Facility	[3]	175,000	175,000
Revolving Credit Facility
Debt Instrument [Line Items]
Credit Facility	[4]	225,000	31,403
Second Term Loan Facility
Debt Instrument [Line Items]
Credit Facility	[5]	260,000
Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		391,639	370,854
Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[3]	$ 449,017	$ 482,922

[1] As of December 31, 2015, the Company’s mortgages and other notes payable are collateralized by 65 properties with total carrying value of approximately $1.4 billion.

[2] Premium (discount), net is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates.

[3] As of December 31, 2015 and December 31, 2014, the Company had entered into interest rate swaps with notional amounts of approximately $480.7 million and $182.1 million, respectively, which were settling on a monthly basis. In addition, as of December 31, 2015 and December 31, 2014, the Company had entered into forward-starting interest rate swaps for total notional amounts of approximately $48.4 million and $269.4 million, respectively, in order to hedge the Company’s exposure to this variable rate debt in future periods. Refer to Note 12. “Derivative Financial Instruments” for additional information.

[4] As of December 31, 2015 and December 31, 2014, availability under the Revolving Credit Facility was approximately $20.0 million and $14.0 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan.

[5] As of December 31, 2015, the Company had entered into an interest rate cap with a notional amount of approximately $260 million. Refer to Note 12. “Derivative Financial Instruments” for additional information.

XML

Details of Indebtedness (Parenthetical) (Detail) $ in Millions	Dec. 31, 2015 USD ($) Property	Dec. 31, 2014 USD ($)
Revolving Credit Facility
Debt Instrument [Line Items]
Debt Instrument, Current borrowing capacity	$ 20.0	$ 14.0
Secured Mortgages and Other Notes Payable
Debt Instrument [Line Items]
Number of properties owned | Property	65
Mortgages and other notes payable carrying value of collateral	$ 1,400.0
Interest Rate Swap
Debt Instrument [Line Items]
Notional amount of derivative contract	480.7	182.1
Interest Rate Cap
Debt Instrument [Line Items]
Notional amount of derivative contract	260.0
Forward Contracts
Debt Instrument [Line Items]
Notional amount of derivative contract	$ 48.4	$ 269.4

XML

Schedule of Maturities of Indebtedness (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Net Balance
2016	$ 36,758
2017	262,276
2018	287,172
2019	491,631
2020	333,318
Thereafter	89,280
Total borrowings	$ 1,500,435	$ 1,059,964

XML

Indebtedness - Additional Information (Detail)	1 Months Ended	12 Months Ended
	Nov. 30, 2015 USD ($)	Dec. 31, 2015 USD ($)	Dec. 31, 2014 USD ($) Extension
Debt Instrument [Line Items]
Mortgage loan amortizable period		30 years
Line of credit facility extension period			12 months
After Modification
Debt Instrument [Line Items]
Aggregate maximum principal amount available for borrowing			$ 700,000,000
Revolving Credit Facility
Debt Instrument [Line Items]
Fair value of notes payable		$ 660,000,000	206,400,000
Carrying value of notes payable		$ 660,000,000	206,400,000
Aggregate maximum principal amount available for borrowing			$ 230,000,000
Term of credit facility			36 months
Number of extension options available | Extension			2
Line of credit facility extension period			12 months
Description of covenants		The Credit Facilities contain affirmative, negative, and financial covenants which are customary for loans of this type, including (but not limited to): (i) maximum leverage, (ii) minimum fixed charge coverage ratio, (iii) minimum consolidated net worth, (iv) restrictions on payments of cash distributions except if required by REIT requirements, (v) maximum secured indebtedness, (vi) maximum secured recourse debt, (vii) minimum unsecured interest coverage and (viii) limitations on certain types of investments and with respect to the pool of properties supporting borrowings under the Credit Facilities, minimum debt service coverage ratio, minimum weighted average occupancy, and remaining lease terms, as well as property type, MSA, operator, and asset value concentration limits. The limitations on distributions include a limitation on the extent of allowable distributions, which are not to exceed the greater of 95% of adjusted FFO (as defined per the Credit Facilities) and the minimum amount of distributions required to maintain the Company’s REIT status.
First Term Loan Facility
Debt Instrument [Line Items]
Aggregate maximum principal amount available for borrowing			$ 175,000,000
Term of credit facility			50 months
Number of extension options available | Extension			1
Second Term Loan Facility | 30-day LIBOR
Debt Instrument [Line Items]
Aggregate maximum principal amount available for borrowing	$ 260,000,000
Term of credit facility	60 months
Mortgage Loans
Debt Instrument [Line Items]
Mortgage loan amortizable period		25 years
Fair value of notes payable		$ 844,600,000	$ 868,500,000
Other notes
Debt Instrument [Line Items]
Carrying value of notes payable		$ 840,400,000	$ 853,600,000
Maximum | Revolving Credit Facility | 30-day LIBOR
Debt Instrument [Line Items]
Fees paid range on unused commitments, percentage			0.25%
Maximum | Mortgage Loans | Two Specialty Hospitals
Debt Instrument [Line Items]
Mortgage loan amortizable period		25 years
Minimum | Revolving Credit Facility | 30-day LIBOR
Debt Instrument [Line Items]
Fees paid range on unused commitments, percentage			0.15%
Minimum | Mortgage Loans | Two Specialty Hospitals
Debt Instrument [Line Items]
Mortgage loan amortizable period		15 years

XML

Schedule of Indebtedness (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through December 2018; principal payments thereafter based on a 30-year amortization schedule
Principal and interest payments amortizable period		30 years
Interest payments ending date		2018-12
Maturity Date	[1]	Dec. 01, 2020
Mortgages payable and other notes payable	[2]	$ 840,656	$ 853,776
Total borrowings		1,500,435	1,059,964
Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		391,639	370,854
Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[3]	$ 449,017	482,922
Mortgage Loans
Debt Instrument [Line Items]
Principal and interest payments amortizable period		25 years
Mortgage Loans | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 391,639	370,854
Mortgage Loans | Pacific Northwest II Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4],[5]	4.30%
Payment Terms	[5]	Monthly principal and interest payments based on a 25-year amortization schedule
Principal and interest payments amortizable period	[5]	25 years
Maturity Date	[1],[5]	Dec. 05, 2018
Mortgage Loans | Pacific Northwest II Communities | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[5]	$ 210,665	215,904
Mortgage Loans | Capital Health Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4]	4.25%
Payment Terms		Monthly principal and interest payments based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Maturity Date	[1]	Jan. 05, 2020
Mortgage Loans | Capital Health Communities | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 37,889	43,684
Mortgage Loans | Primrose II Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4]	3.81%
Payment Terms		Monthly principal and interest payments based on a 30-year amortization schedule
Principal and interest payments amortizable period		30 years
Maturity Date	[1]	Jun. 01, 2020
Mortgage Loans | Primrose II Communities | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 22,473	22,913
Mortgage Loans | Novi Orthopaedic Center
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4]	3.61%
Payment Terms		Monthly interest only payments through June 2018; principal and interest payments thereafter based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Interest payments ending date		2018-06
Maturity Date	[1]	Jun. 15, 2020
Mortgage Loans | Novi Orthopaedic Center | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 19,825
Mortgage Loans | ProMed Building I
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4],[6]	3.64%
Payment Terms		Monthly principal and interest payments based upon a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Maturity Date	[1]	Jan. 15, 2022
Mortgage Loans | ProMed Building I | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 7,050
Mortgage Loans | Primrose I Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4],[7]	4.11%
Payment Terms	[7]	Monthly principal and interest payments based on a 30-year amortization schedule
Principal and interest payments amortizable period	[7]	30 years
Maturity Date	[1],[7]	Sep. 01, 2022
Mortgage Loans | Primrose I Communities | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[7]	$ 52,048	53,060
Mortgage Loans | Watercrest at Mansfield
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4],[8]	4.68%
Payment Terms	[8]	Monthly principal and interest payments based on a total payment of $143,330
Maturity Date	[1],[8]	Jun. 01, 2023
Mortgage Loans | Watercrest at Mansfield | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[8]	$ 26,628	27,073
Mortgage Loans | 540 New Waverly Place
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4],[9]	4.08%
Payment Terms	[9]	Monthly principal and interest payments based upon a 25-year amortization schedule
Principal and interest payments amortizable period	[9]	25 years
Maturity Date	[1],[9]	May 31, 2028
Mortgage Loans | 540 New Waverly Place | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[9]	$ 7,048
Mortgage Loans | LaPorte Cancer Center Westville, Indiana
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4]	4.25%
Payment Terms		Monthly principal and interest payments based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Maturity Date	[1]	Jun. 14, 2028
Mortgage Loans | LaPorte Cancer Center Westville, Indiana | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 8,013	8,220
Mortgage Loans | Lee Hughes MOB
Debt Instrument [Line Items]
Payment Terms		Monthly principal and interest payments based on a 30-year amortization schedule
Principal and interest payments amortizable period		30 years
Maturity Date	[1]	Sep. 05, 2016
Mortgage Loans | Lee Hughes MOB | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 18,632	19,162
Mortgage Loans | Perennial Communities | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable			30,000
Mortgage Loans | Medical Portfolio I | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable			34,720
Mortgage Loans | Northwest Medical Park
Debt Instrument [Line Items]
Payment Terms	[10]	Monthly principal and interest payments based upon a 30-year amortization schedule
Principal and interest payments amortizable period	[10]	30 years
Maturity Date	[1],[10]	Oct. 31, 2017
Mortgage Loans | Northwest Medical Park | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[10]	$ 7,008	7,129
Mortgage Loans | Claremont Medical Office
Debt Instrument [Line Items]
Payment Terms	[11]	Monthly principal and interest payments based on a 30-year amortization schedule
Principal and interest payments amortizable period	[11]	30 years
Maturity Date	[1],[11]	Jan. 15, 2018
Mortgage Loans | Claremont Medical Office | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[11]	$ 12,683	12,958
Mortgage Loans | Knoxville MOBs
Debt Instrument [Line Items]
Payment Terms	[12]	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule
Principal and interest payments amortizable period	[12]	30 years
Maturity Date	[1],[12]	Jul. 10, 2018
Mortgage Loans | Knoxville MOBs | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[12]	$ 38,087	38,609
Mortgage Loans | Calvert MOBs
Debt Instrument [Line Items]
Payment Terms	[13]	Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule
Principal and interest payments amortizable period	[13]	30 years
Maturity Date	[1],[13]	Aug. 29, 2018
Mortgage Loans | Calvert MOBs | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[13]	$ 25,950	26,274
Mortgage Loans | MHOSH MOB
Debt Instrument [Line Items]
Payment Terms	[14]	Monthly principal and interest payments based on a 20-year amortization schedule
Principal and interest payments amortizable period	[14]	20 years
Maturity Date	[1],[14]	Jun. 02, 2019
Mortgage Loans | MHOSH MOB | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[14]	$ 48,832	49,624
Mortgage Loans | Medical Portfolio II
Debt Instrument [Line Items]
Payment Terms	[15]	Monthly principal and interest payments based on a 25-year amortization schedule
Principal and interest payments amortizable period	[15]	25 years
Maturity Date	[1],[15]	Jul. 14, 2019
Mortgage Loans | Medical Portfolio II | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[15]	$ 83,295	85,127
Mortgage Loans | Southeast Medical Office Properties
Debt Instrument [Line Items]
Payment Terms	[16]	Monthly principal and interest payments based on a 25-year amortization schedule
Principal and interest payments amortizable period	[16]	25 years
Maturity Date	[1],[16]	Dec. 22, 2019
Mortgage Loans | Southeast Medical Office Properties | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[16]	$ 160,206	142,684
Construction Loan | Raider Ranch Development
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through October 2017; principal and interest payments thereafter based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Interest payments ending date		2017-10
Maturity Date	[1]	Oct. 27, 2017
Construction Loan | Raider Ranch Development | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 7,528	1
Construction Loan | Watercrest at Katy (Katy, Texas)
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through December 2017; principal payments thereafter based on a 30-year amortization schedule
Principal and interest payments amortizable period		30 years
Maturity Date	[1]	Dec. 27, 2017
Construction Loan | Watercrest at Katy (Katy, Texas) | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 10,632
Construction Loan | Wellmore of Tega Cay (Tega Cay, SC)
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through February 2019; principal and interest payments thereafter based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Interest payments ending date		2019-02
Maturity Date	[1]	Feb. 06, 2019
Construction Loan | Wellmore of Tega Cay (Tega Cay, SC) | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 23,695	8,007
Construction Loan | HarborChase of Shorewood (Shorewood, Wisconsin)
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through June 2017; principal and interest payments thereafter based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Interest payments ending date		2017-06
Maturity Date	[1]	Jul. 15, 2019
Construction Loan | HarborChase of Shorewood (Shorewood, Wisconsin) | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 12,469
Construction Loan | Wellmore of Lexington (Lexington, SC)
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through September 2019; principal payments thereafter based on a 30-year amortization schedule
Principal and interest payments amortizable period		30 years
Interest payments ending date		2019-09
Maturity Date	[1]	Sep. 13, 2019
Construction Loan | Harborchase of Villages Crossing | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[17]		16,589
Construction Loan | Dogwood Forest of Acworth | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[18]		12,038
Construction Loan | Waterstone
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through September 2018; principal payments thereafter based on a 30-year amortization schedule
Principal and interest payments amortizable period		30 years
Interest payments ending date		2018-09
Maturity Date	[1]	Sep. 01, 2020
Construction Loan | Fieldstone at Pear Orchard (Yakima, Washington)
Debt Instrument [Line Items]
Payment Terms		Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule
Principal and interest payments amortizable period		25 years
Interest payments ending date		2018-09
Maturity Date	[1]	Oct. 15, 2020
Mortgage and Construction Loans
Debt Instrument [Line Items]
Total borrowings		$ 840,656	853,776
Mortgage and Construction Loans | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 449,017	$ 482,922
30-day LIBOR | Mortgage Loans | Lee Hughes MOB
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	1.85%
30-day LIBOR | Mortgage Loans | Northwest Medical Park
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[10]	2.30%
30-day LIBOR | Mortgage Loans | Claremont Medical Office
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[11]	2.60%
30-day LIBOR | Mortgage Loans | Knoxville MOBs
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[12]	2.50%
30-day LIBOR | Mortgage Loans | Calvert MOBs
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[13]	2.50%
30-day LIBOR | Mortgage Loans | MHOSH MOB
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[14]	2.85%
Floor rate	[4],[14]	0.40%
30-day LIBOR | Mortgage Loans | Medical Portfolio II
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[15]	2.35%
Floor rate	[4],[15]	0.25%
30-day LIBOR | Mortgage Loans | Southeast Medical Office Properties
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4],[16]	2.00%
30-day LIBOR | Construction Loan | Raider Ranch Development
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	3.50%
Floor rate	[4]	0.50%
30-day LIBOR | Construction Loan | Watercrest at Katy (Katy, Texas)
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	2.75%
30-day LIBOR | Construction Loan | Wellmore of Tega Cay (Tega Cay, SC)
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	5.40%
Floor rate	[4]	0.50%
30-day LIBOR | Construction Loan | HarborChase of Shorewood (Shorewood, Wisconsin)
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	3.00%
Floor rate	[4]	2.00%
30-day LIBOR | Construction Loan | Wellmore of Lexington (Lexington, SC)
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	2.50%
30-day LIBOR | Construction Loan | Waterstone
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	3.00%
30-day LIBOR | Construction Loan | Fieldstone at Pear Orchard (Yakima, Washington)
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	2.90%
30-day LIBOR | Construction Loan | Dogwood Forest of Grayson
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR	[4]	3.00%

[1] Represents the initial maturity date (or, as applicable, the maturity date as extended). The maturity date may be extended beyond the date shown subject to certain lender conditions.

[2] As of December 31, 2015, the Company’s mortgages and other notes payable are collateralized by 65 properties with total carrying value of approximately $1.4 billion.

[3] As of December 31, 2015 and December 31, 2014, the Company had entered into interest rate swaps with notional amounts of approximately $480.7 million and $182.1 million, respectively, which were settling on a monthly basis. In addition, as of December 31, 2015 and December 31, 2014, the Company had entered into forward-starting interest rate swaps for total notional amounts of approximately $48.4 million and $269.4 million, respectively, in order to hedge the Company’s exposure to this variable rate debt in future periods. Refer to Note 12. “Derivative Financial Instruments” for additional information.

[4] The 30-day and 90-day LIBOR was approximately 0.43% and 0.61%, respectively, as of December 31, 2015 and approximately 0.17% and 0.25%, respectively, as of December 31, 2014.

[5] The Pacific Northwest Loan may be prepaid, in whole or in part, with a prepayment premium equal to the greater of: (i) one percent (1%) of the principal amount being prepaid, multiplied by the quotient of the number of full months remaining until the maturity date of the loan (calculated as of the prepayment date) divided by the number of full months comprising the term of the loan; or (b) a “make-whole” payment equal to the present value of the loan less the amount of principal and accrued interest being prepaid calculated as of the prepayment date for the period between that date and the maturity date.

[6] Beginning January 2020, the interest rate transitions to variable rate based on 30-day LIBOR plus 2.20% per annum.

[7] If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and May 31, 2022, the prepayment penalty will be 1% of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between June 1, 2022 and maturity. Partial prepayment of a loan is not permitted. The loan is transferable upon sale of the assets subject to lender approval.

[8] The balance for this loan excludes a remaining premium of $0.3 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

[9] The balance for this loan excludes a remaining premium of $0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.

[10] The Company entered into an interest rate swap with a remaining notional amount of $7.0 million; see Note 12. “Derivative Financial Instruments” for additional information.

[11] The balance for this loan excludes a remaining discount of $0.4 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date. In addition, the Company entered into a three-year forward interest rate swap with a remaining notional amount of $12.2 million; see Note 12. “Derivative Financial Instruments” for additional information

[12] The Company entered into an interest rate swap with a remaining notional amount of $38.1 million; see Note 12. “Derivative Financial Instruments” for additional information.

[13] The Company entered into an interest rate swap with a remaining notional amount of $25.9 million; see Note 12. “Derivative Financial Instruments” for additional information.

[14] The Company entered into a three-year forward interest rate swap with a remaining notional amount of $48.4 million; see Note 12. “Derivative Financial Instruments” for additional information.

[15] The Company entered into an interest rate swap with a remaining notional amount of $83.8 million; see Note 12. “Derivative Financial Instruments” for additional information.

[16] The Company entered into an interest rate swap with a remaining notional amount of $138.7 million; see Note 12. “Derivative Financial Instruments” for additional information.

[17] In December 2015, the Company repaid its $16.5 million outstanding construction loan on the HarborChase of Villages Crossing property prior to its scheduled maturity. In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

[18] In December 2015, the Company repaid its $12.4 million outstanding construction loan on the Dogwood Forest of Acworth property prior to its scheduled maturity. In connection therewith, the Company wrote-off approximately $0.1 million in unamortized loan costs as interest expense and loan cost amortization in the accompanying consolidated statements of operations.

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Schedule of Indebtedness (Parenthetical) (Detail) - USD ($)	1 Months Ended			12 Months Ended
	Dec. 31, 2015	Apr. 30, 2015	Mar. 31, 2015	Dec. 31, 2015	Dec. 31, 2014
30-day LIBOR
Debt Instrument [Line Items]
Interest accrues on loan, LIBOR	0.43%			0.43%	0.17%
Ninety Days London Interbank Offered Rate
Debt Instrument [Line Items]
Interest accrues on loan, LIBOR	0.61%			0.61%	0.25%
Mortgage Loans | Medical Portfolio I Properties
Debt Instrument [Line Items]
Extinguishment of outstanding debt		$ 34,500,000
Write off of unamortized loan cost		200,000
Reclassified amount in connection with the derecognition of the cash flow hedge		$ (200,000)
Mortgage Loans | Northwest Medical Park
Debt Instrument [Line Items]
Notional amount of derivative contract	$ 7,000,000			$ 7,000,000
Mortgage Loans | Knoxville MOBs
Debt Instrument [Line Items]
Notional amount of derivative contract	38,100,000			38,100,000
Mortgage Loans | Calvert MOBs
Debt Instrument [Line Items]
Notional amount of derivative contract	25,900,000			25,900,000
Mortgage Loans | Medical Portfolio II
Debt Instrument [Line Items]
Notional amount of derivative contract	83,800,000			83,800,000
Mortgage Loans | Southeast Medical Office Properties
Debt Instrument [Line Items]
Notional amount of derivative contract	138,700,000			138,700,000
Mortgage Loans | Variable Rate Debt | Claremont Medical Office
Debt Instrument [Line Items]
Remaining loan discount	400,000			400,000
Mortgage Loans | 3-year forward interest rate swap | Claremont Medical Office
Debt Instrument [Line Items]
Notional amount of derivative contract	12,200,000			$ 12,200,000
Derivative contract, maturity period				3 years
Mortgage Loans | 3-year forward interest rate swap | Houston Orthopedic And Spine Hospital
Debt Instrument [Line Items]
Notional amount of derivative contract	48,400,000			$ 48,400,000
Derivative contract, maturity period				3 years
Construction Loan | Harborchase of Villages Crossing
Debt Instrument [Line Items]
Write off of unamortized loan cost	100,000
Reclassified amount in connection with the derecognition of the cash flow hedge	16,500,000
Construction Loan | Dogwood Forest of Acworth
Debt Instrument [Line Items]
Write off of unamortized loan cost	100,000
Reclassified amount in connection with the derecognition of the cash flow hedge	12,400,000
Watercrest at Mansfield | Mortgage Loans
Debt Instrument [Line Items]
Monthly principal and interest payment				$ 143,330
Watercrest at Mansfield | Mortgage Loans | Fixed rate debt
Debt Instrument [Line Items]
Remaining loan premium	300,000			$ 300,000
Knoxville MOBs | Mortgage Loans
Debt Instrument [Line Items]
Monthly interest only payments				P18M
Calvert MOBs | Mortgage Loans
Debt Instrument [Line Items]
Monthly interest only payments				P18M
Pacific Northwest II Communities | Mortgage Loans | Minimum
Debt Instrument [Line Items]
Percentage of prepayment penalty on principal repaid				1.00%
ProMed Building I | Mortgage Loans | 30-day LIBOR
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR				2.20%
Primrose I Communities | Mortgage Loans | Minimum | If prepaid prior to March 1, 2022
Debt Instrument [Line Items]
Percentage of prepayment penalty on principal repaid				1.00%
540 New Waverly Place | Mortgage Loans | Fixed rate debt
Debt Instrument [Line Items]
Remaining loan premium	$ 100,000			$ 100,000
Perennial Communities | Mortgage Loans
Debt Instrument [Line Items]
Extinguishment of outstanding debt			$ 30,000,000
Write off of unamortized loan cost			200,000
Reclassified amount in connection with the derecognition of the cash flow hedge			$ 100,000

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Related Party Arrangements - Additional Information (Detail) - USD ($)		1 Months Ended	12 Months Ended
		Mar. 31, 2015	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Jun. 30, 2013
Related Party Transaction [Line Items]
Selling commissions			7.00%
Marketing support fees			3.00%
Investment service fee as percentage of purchase price of properties			1.85%
Monthly asset management fee as Percentage of real estate value			0.08334%
Financing coordination fee as percentage of gross amount of refinancing			1.00%
Advisor disposition fee as percentage of competitive real estate commission			50.00%
Advisor disposition fee as percentage of sales price of property			1.00%
Advisor disposition fee as percentage of sales price of asset			1.00%
Annualized return of investment			6.00%
Oversight fee as percentage of gross revenues from property managed			1.00%
Construction management fee as percentage of hard and soft costs			5.00%
Initial purchase price of property percentage			10.00%
Property management fees	[1],[2]		$ 418,000	$ 429,000
Investment services fees	[3]		$ 18,561,000	18,553,000	$ 12,892,000
Operating expenses reimbursement as percentage average invested assets			2.00%
Operating expenses reimbursement percentage of net income			25.00%
Bank deposits			$ 100,000	100,000
Purchase price			880,873,000	905,282,000
Total construction loan						$ 6,200,000
Fieldstone Memory Care
Related Party Transaction [Line Items]
Purchase price	[4]		$ 12,400,000
Advisor And Property Manager
Related Party Transaction [Line Items]
Annualized return of investment			6.00%
CNL Capital Markets Corp
Related Party Transaction [Line Items]
Investment services fees			$ 600,000	400,000	$ 300,000
Co-venture partners
Related Party Transaction [Line Items]
Payment to co-venture partner			2,000	$ 30,000
Related Party of Company Sponsor | Fieldstone Memory Care
Related Party Transaction [Line Items]
Purchase price		$ 12,400,000
Property Manager
Related Party Transaction [Line Items]
Property management fees			$ 1,000,000
Single Tenant Properties
Related Party Transaction [Line Items]
Property management fees as percentage of annual gross rental revenue			2.00%
Multi Tenant Properties
Related Party Transaction [Line Items]
Property management fees as percentage of annual gross rental revenue			4.00%

[1] Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

[2] For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $3.9 million, $2.9 million and $1.2 million, respectively, in property and construction management fees payable to the Property Manager of which approximately $0.7 million, $0.9 million and $0.2 million, respectively, in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

[3] For the year ended December 31, 2015, the Company incurred approximately $18.6 million in investment services fees of which approximately $2.3 million, was capitalized and included in real estate under development in the accompanying consolidated balance sheets. For the year ended December 31, 2014, the Company incurred approximately $18.6 million in investment service fees of which approximately $1.8 million was capitalized and included in real estate under development. For the year ended December 31, 2013, the Company incurred approximately $12.9 million in investment service fees of which approximately $0.5 million and $0.1 million, respectively, were capitalized and included in investments in unconsolidated entities and real estate under development. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.

[4] This represents a single property or portfolio acquisition that is not considered material to the Company and as such no pro forma financial information has been included related to this property.

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Fees in Connection with Offering (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Related Party Transactions [Abstract]
Selling commissions	$ 12,507	$ 18,387	$ 10,262
Marketing support fees	16,242	16,429	11,310
Total offering expenses	$ 28,749	34,816	$ 21,572
Selling commissions, Unpaid		388
Marketing support fees, Unpaid		555
Total offering expenses unpaid		$ 943

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Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties (Detail) - USD ($)		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014		Dec. 31, 2013
Related Party Transaction [Line Items]
Offering costs	[1]	$ 3,446,000	$ 5,151,000		$ 4,373,000
Operating expenses	[2]	4,192,000	3,206,000		2,576,000
Acquisition fees and expenses		21,526,000	23,931,000		18,840,000
Total reimbursable expenses		8,251,000	8,971,000		7,203,000
Investment services fees	[3]	18,561,000	18,553,000		12,892,000
Disposition fee	[4]				608,000
Financing coordination fees		0	220,000	[5]	0
Property management fees		14,759,000	8,942,000		2,642,000
Asset management fees		17,892,000	8,481,000		3,614,000
Total reimbursable expenses, net		53,543,000	44,338,000		27,036,000
Offering costs, unpaid	[2],[6]	32,000	713,000
Operating expenses, unpaid	[2],[6]	935,000	479,000
Acquisition fees and expenses, unpaid	[6]	12,000	80,000
Total reimbursable expenses due	[6]	979,000	1,272,000
Investment services fees, unpaid	[3],[6]	182,000
Property management fees, unpaid	[6],[7]	418,000	429,000
Asset management fees, unpaid	[6],[8]	224,000	355,000
Total related amount unpaid		1,803,000	2,999,000
Reimbursable expenses
Related Party Transaction [Line Items]
Property management fees	[7]	3,894,000	2,982,000		1,244,000
Asset management fees	[8]	22,837,000	13,612,000		5,089,000
Total related amount unpaid	[6]	1,803,000	2,056,000
Property Manager
Related Party Transaction [Line Items]
Acquisition fees and expenses		$ 613,000	$ 614,000		$ 254,000

[1] Amounts are recorded as stock issuance and offering costs in the accompanying consolidated statements of stockholders’ equity and redeemable noncontrolling interest. Amounts include approximately $25,000, $30,000 and $0.1 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively. The reimbursement payments include components of salaries, benefits and other overhead charges.

[2] Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations. Amounts include approximately $0.1 million, $0.2 million and $0.2 million of reimbursement payments to the Advisor for services provided to the Company by its executive officers for the years ended December 31, 2015, 2014 and 2013, respectively. The reimbursement payments include components of salaries, benefits and other overhead charges.

[3] For the year ended December 31, 2015, the Company incurred approximately $18.6 million in investment services fees of which approximately $2.3 million, was capitalized and included in real estate under development in the accompanying consolidated balance sheets. For the year ended December 31, 2014, the Company incurred approximately $18.6 million in investment service fees of which approximately $1.8 million was capitalized and included in real estate under development. For the year ended December 31, 2013, the Company incurred approximately $12.9 million in investment service fees of which approximately $0.5 million and $0.1 million, respectively, were capitalized and included in investments in unconsolidated entities and real estate under development. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.

[4] Amounts are recorded as a reduction to gain on sale of investment in unconsolidated entity in the accompanying consolidated statements of operations.

[5] For the year ended December 31, 2014, the Company incurred approximately $0.2 million in financing coordination fees, which was capitalized and included in its investment in the Windsor Manor Joint Venture. There were no financing coordination fees for the years ended December 31, 2015 and 2013.

[6] Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

[7] For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $3.9 million, $2.9 million and $1.2 million, respectively, in property and construction management fees payable to the Property Manager of which approximately $0.7 million, $0.9 million and $0.2 million, respectively, in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

[8] For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $22.9 million, $13.6 million and $5.1 million, respectively, in asset management fees payable to the Advisor of which approximately $4.4 million, $4.9 million and $1.4 million, respectively, were settled in accordance with the terms of the Advisor Expense Support Agreement and approximately $0.6 million , $0.3 million and $0.1 million, respectively, were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

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Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties (Parenthetical) (Detail) - USD ($)		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014		Dec. 31, 2013
Related Party Transaction [Line Items]
Investment services fees	[1]	$ 18,561,000	$ 18,553,000		$ 12,892,000
Investment service fees capitalized		2,300,000	1,800,000		500,000
Financing coordination fees		0	220,000	[2]	0
Construction management fees capitalized		700,000	900,000		200,000
Asset management fees		17,892,000	8,481,000		3,614,000
Expense under Support Agreement		4,400,000	4,900,000		1,400,000
Asset management fees capitalized		600,000	300,000		100,000
Investment Services Fees
Related Party Transaction [Line Items]
Investment services fees		18,600,000	18,600,000		12,900,000
Development
Related Party Transaction [Line Items]
Investment service fees capitalized					100,000
Reimbursable expenses
Related Party Transaction [Line Items]
Advisory fee paid		25,000	30,000		100,000
Property and construction management fees payable		3,900,000	2,900,000		1,200,000
Asset management fees	[3]	22,837,000	13,612,000		5,089,000
Reimbursable expenses | General and Administrative Expense
Related Party Transaction [Line Items]
Advisory fee paid		$ 100,000	$ 200,000		$ 200,000

[1] For the year ended December 31, 2015, the Company incurred approximately $18.6 million in investment services fees of which approximately $2.3 million, was capitalized and included in real estate under development in the accompanying consolidated balance sheets. For the year ended December 31, 2014, the Company incurred approximately $18.6 million in investment service fees of which approximately $1.8 million was capitalized and included in real estate under development. For the year ended December 31, 2013, the Company incurred approximately $12.9 million in investment service fees of which approximately $0.5 million and $0.1 million, respectively, were capitalized and included in investments in unconsolidated entities and real estate under development. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.

[2] For the year ended December 31, 2014, the Company incurred approximately $0.2 million in financing coordination fees, which was capitalized and included in its investment in the Windsor Manor Joint Venture. There were no financing coordination fees for the years ended December 31, 2015 and 2013.

[3] For the years ended December 31, 2015, 2014 and 2013, the Company incurred approximately $22.9 million, $13.6 million and $5.1 million, respectively, in asset management fees payable to the Advisor of which approximately $4.4 million, $4.9 million and $1.4 million, respectively, were settled in accordance with the terms of the Advisor Expense Support Agreement and approximately $0.6 million , $0.3 million and $0.1 million, respectively, were capitalized and included in real estate under development in the accompanying consolidated balance sheets.

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Related Party Arrangement, Fees and Expenses Incurred (Detail) - USD ($) $ / shares in Units, $ in Thousands		10 Months Ended	11 Months Ended	12 Months Ended			14 Months Ended		29 Months Ended
		Nov. 03, 2014	Sep. 30, 2015	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015		Dec. 10, 2013
Related Party Transaction [Line Items]
Asset management fees				$ 17,892	$ 8,481	$ 3,614
Cash distributions on Restricted Stock				$ 26,373	$ 14,203	$ 6,579
Stock distributions, shares		0.0025	0.0025	3,200,000	2,400,000	1,100,000		[1],[2]	0.0025
Then-current offering price or NAV				$ 9.75			$ 9.75
Expense Support Agreements
Related Party Transaction [Line Items]
Asset management fees	[3]			$ 4,379	$ 4,867	$ 1,402
Then-current offering price or NAV	[4]			$ 10.19	$ 10.24	$ 10.00	$ 10.19
Restricted stock shares	[5]			423,000	478,000	140,000
Asset management fees	[3]			$ 10,648			$ 10,648
Then-current offering price or NAV	[4]			$ 9.75			$ 9.75
Expense Support Agreements | Restricted Stock
Related Party Transaction [Line Items]
Cash distributions on Restricted Stock	[6]			$ 281	$ 98	$ 5
Stock distributions, shares	[7]			14,000	7,000
Restricted stock shares	[5]			1,041,000			1,041,000
Cash distributions on Restricted Stock	[6]			$ 384			$ 384
Stock distributions on Restricted Stock	[7]			21,000			21,000

[1] (2)The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015

[2] The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

[3] No other amounts have been settled in connection with the Expense Support Agreements for the years ended December 31, 2015, 2014 and 2013, and cumulatively as of December 31, 2015.

[4] The number of restricted stock shares granted to the Advisor in lieu of payment in cash is determined by dividing the expense support amount for the respective quarter by the then-current public offering price as of the Determination Date or by NAV, once the board of directors has made such determination after the close of the Company’s public offering.

[5] Restricted stock shares are comprised of approximately 0.8 million issued to the Advisor and approximately 0.2 million issuable to the Advisor as of December 31, 2015. No fair value was assigned to the restricted stock shares as the shares were valued at zero, which represents the lowest possible value estimated at vesting. In addition, the restricted stock shares were treated as unissued for financial reporting purposes because the vesting criteria had not been met as of December 31, 2015.

[6] The cash distributions have been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

[7] This represents the number of shares issued to the Advisor as stock distributions on its restricted stock shares. The par value of the stock distributions has been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

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Related Party Arrangement, Fees and Expenses Incurred (Parenthetical) (Detail) - USD ($)		10 Months Ended	11 Months Ended	12 Months Ended			14 Months Ended		29 Months Ended
		Nov. 03, 2014	Sep. 30, 2015	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015		Dec. 10, 2013
Related Party Transaction [Line Items]
Stock distributions, shares		0.0025	0.0025	3,200,000	2,400,000	1,100,000		[1],[2]	0.0025
Advisor | Expense Support Agreements
Related Party Transaction [Line Items]
Stock distributions, shares						356
Restricted Stock | Expense Support Agreements
Related Party Transaction [Line Items]
Stock distributions, shares	[3]			14,000	7,000
CNL Healthcare Corp. | Restricted Stock
Related Party Transaction [Line Items]
Shares issued to Advisor				800,000
Shares issuable to Advisor				200,000			200,000
Restricted stock fair value				$ 0

[1] (2)The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015

[2] The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

[3] This represents the number of shares issued to the Advisor as stock distributions on its restricted stock shares. The par value of the stock distributions has been recognized as compensation expense as issued and included in general and administrative expense in the accompanying consolidated statements of operations.

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Amounts Related to Derivative Financial Instruments Included in Unconsolidated Entities in Condensed Consolidated Balance Sheet (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014
Derivative Financial Instruments One
Derivative [Line Items]
Initial Notional Amount	[1]	$ 12,248
Strike	[2]	1.30%
Credit Spread	[2]	2.60%
Trade date		Jan. 17, 2013
Forward date		Jan. 15, 2015
Maturity date		Jan. 16, 2018
Fair value asset (liability)		$ (85)	$ (71)
Derivative Financial Instruments Two
Derivative [Line Items]
Initial Notional Amount	[1]	$ 38,052
Strike	[2]	2.70%
Credit Spread	[2]	2.50%
Trade date		Sep. 06, 2013
Forward date		Aug. 17, 2015
Maturity date		Jul. 10, 2018
Fair value asset (liability)		$ (1,472)	(1,228)
Derivative Financial Instruments Three
Derivative [Line Items]
Initial Notional Amount	[1]	$ 25,929
Strike	[2]	2.80%
Credit Spread	[2]	2.50%
Trade date		Sep. 06, 2013
Forward date		Aug. 17, 2015
Maturity date		Aug. 29, 2018
Fair value asset (liability)		$ (1,086)	(906)
Derivative Financial Instruments Four
Derivative [Line Items]
Initial Notional Amount	[3]	$ 30,000
Strike	[2]	1.10%
Credit Spread	[2]	2.70%
Trade date		Oct. 22, 2013
Forward date		Aug. 05, 2015
Fair value asset (liability)			(82)
Derivative Financial Instruments Five
Derivative [Line Items]
Initial Notional Amount	[3]	$ 29,952
Strike	[2]	0.90%
Credit Spread	[2]	4.30%
Trade date		Nov. 13, 2013
Forward date		May 11, 2015
Fair value asset (liability)			(74)
Derivative Financial Instruments Six
Derivative [Line Items]
Initial Notional Amount	[1]	$ 10,699
Strike	[2]	3.00%
Trade date		Jun. 27, 2014
Forward date		Jun. 30, 2014
Maturity date		Jun. 30, 2017
Fair value asset (liability)		$ 1	10
Derivative Financial Instruments Seven
Derivative [Line Items]
Initial Notional Amount	[1]	$ 48,415
Strike	[2]	2.40%
Credit Spread	[2]	2.90%
Trade date		Aug. 15, 2014
Forward date		Jun. 01, 2016
Maturity date		Jun. 02, 2019
Fair value asset (liability)		$ (1,066)	(270)
Derivative Financial Instruments Eight
Derivative [Line Items]
Initial Notional Amount	[1]	$ 83,797
Strike	[2]	2.30%
Credit Spread	[2]	2.40%
Trade date		Sep. 12, 2014
Forward date		Aug. 01, 2015
Maturity date		Jul. 15, 2019
Fair value asset (liability)		$ (2,283)	(1,326)
Derivative Financial Instruments Nine
Derivative [Line Items]
Initial Notional Amount	[1]	$ 6,998
Strike	[2]	1.20%
Credit Spread	[2]	2.30%
Trade date		Nov. 12, 2014
Forward date		Nov. 15, 2014
Maturity date		Oct. 15, 2017
Fair value asset (liability)		$ (37)	(35)
Derivative Financial Instruments Ten
Derivative [Line Items]
Initial Notional Amount	[1]	$ 175,000
Strike	[2]	1.60%
Credit Spread	[2]	2.00%
Trade date		Dec. 23, 2014
Forward date		Dec. 19, 2014
Maturity date		Feb. 19, 2019
Fair value asset (liability)		$ (1,694)	$ (881)
Derivative Financial Instruments Eleven
Derivative [Line Items]
Initial Notional Amount	[1]	$ 138,698
Strike	[2]	1.70%
Credit Spread	[2]	2.00%
Trade date		Jan. 09, 2015
Forward date		Dec. 10, 2015
Maturity date		Dec. 22, 2019
Fair value asset (liability)		$ (1,795)
Derivative Financial Instruments Twelve
Derivative [Line Items]
Initial Notional Amount	[4]	$ 260,000
Strike	[2]	1.50%
Trade date		Nov. 19, 2015
Forward date		Nov. 19, 2015
Maturity date		Nov. 30, 2018
Fair value asset (liability)		$ 1,988

[1] Amounts related to interest rate swaps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

[2] The all-in rates are equal to the sum of the Strike and Credit Spread detailed above.

[3] The loans associated with these derivatives were repaid during the year ended December 31, 2015. Refer to Note 10. “Indebtedness” for additional information.

[4] Amounts related to the interest rate caps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

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Summary of the Gross and Net Presentation of Amounts Related to the Derivative Financial Instruments (Detail) - USD ($) $ in Thousands		Dec. 31, 2015	Dec. 31, 2014
Interest Rate Swap Agreement One
Derivative [Line Items]
Notional amount of derivative contract	[1]	$ 12,248	$ 12,421
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(85)	(71)
Fair value asset (liability)		(85)	(71)
Interest Rate Swap Agreement Two
Derivative [Line Items]
Notional amount of derivative contract	[1]	38,052	38,255
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(1,472)	(1,228)
Fair value asset (liability)		(1,472)	(1,228)
Interest Rate Swap Agreement Three
Derivative [Line Items]
Notional amount of derivative contract	[1]	25,929	26,067
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(1,086)	(906)
Fair value asset (liability)		(1,086)	(906)
Interest Rate Swap Agreement Four
Derivative [Line Items]
Notional amount of derivative contract	[2]	30,000	30,000
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount			(82)
Fair value asset (liability)			(82)
Interest Rate Swap Agreement Five
Derivative [Line Items]
Notional amount of derivative contract	[2]	29,952	29,952
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount			(74)
Fair value asset (liability)			(74)
Interest Rate Swap Six Agreement
Derivative [Line Items]
Notional amount of derivative contract	[3]	10,699	10,904
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		1	10
Fair value asset (liability)		1	10
Interest Rate Swap Seven Agreement
Derivative [Line Items]
Notional amount of derivative contract	[1]	48,415	48,415
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(1,066)	(270)
Fair value asset (liability)		(1,066)	(270)
Interest Rate Swap Eight Agreement
Derivative [Line Items]
Notional amount of derivative contract	[1]	83,797	84,251
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(2,283)	(1,326)
Fair value asset (liability)		(2,283)	(1,326)
Interest Rate Swap Nine Agreement
Derivative [Line Items]
Notional amount of derivative contract	[1]	6,998	7,119
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(37)	(35)
Fair value asset (liability)		(37)	(35)
Interest Rate Swap Ten Agreement
Derivative [Line Items]
Notional amount of derivative contract	[1]	175,000	175,000
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(1,694)	(881)
Fair value asset (liability)		(1,694)	$ (881)
Interest Rate Swap Eleven Agreement
Derivative [Line Items]
Notional amount of derivative contract	[1]	138,698
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		(1,795)
Fair value asset (liability)		(1,795)
Interest Rate Swap Twelve Agreement
Derivative [Line Items]
Notional amount of derivative contract	[3]	260,000
Amounts of asset (liability) presented in the accompanying condensed consolidated balance sheet, Gross amount		1,988
Fair value asset (liability)		$ 1,988

[1] Amounts related to interest rate swaps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

[2] The loans associated with these derivatives were repaid during the year ended December 31, 2015. Refer to Note 10. “Indebtedness” for additional information.

[3] Amounts related to the interest rate caps held by the Company, or its equity method investments, which are recorded at fair value and included in either other assets or other liabilities in the accompanying consolidated balance sheets.

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Equity - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	10 Months Ended	11 Months Ended	12 Months Ended			14 Months Ended		29 Months Ended
	Nov. 03, 2014	Sep. 30, 2015	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015		Dec. 10, 2013
Class of Stock [Line Items]
Redeemable noncontrolling interest in joint venture			5.00%			5.00%
Stock issuance and other offering cost			$ 57,400	$ 59,800	$ 42,000
Cash distribution declared			63,201	31,919	14,170
Cash paid to stockholders			$ 26,400	$ 14,200	$ 6,600
Stock distributions on Restricted Stock	0.0025	0.0025	3,200,000	2,400,000	1,100,000		[1],[2]	0.0025
Redemption of common stock, per share			$ 9.51	$ 9.24	$ 9.25	$ 9.51
Redemptions of common stock			$ 9,309	$ 2,996	$ 827
Common Stock
Class of Stock [Line Items]
Stock distributions on Restricted Stock			3,196,000	2,356,000	1,063,000
Redemptions of common stock			$ 12	$ 3	$ 1
Redemption of common stock, shares			978,000	324,000	89,000
Reinvestment Plan
Class of Stock [Line Items]
Cash distribution declared			$ 36,800	$ 17,700	$ 7,600

[1] (2)The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015

[2] The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

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Aggregate Proceeds from Offerings (Detail) - USD ($) shares in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Subscription
Class of Stock [Line Items]
Aggregate offering proceeds received from public offering	$ 1,666.0	$ 1,114.2
Shares issued	162.5	110.2
Subscription | IPO
Class of Stock [Line Items]
Aggregate offering proceeds received from public offering	$ 1,271.4	$ 1,114.2
Shares issued	125.1	110.2
Subscription | Follow-On Offering
Class of Stock [Line Items]
Aggregate offering proceeds received from public offering	$ 394.6
Shares issued	37.4
Reinvestment Plan
Class of Stock [Line Items]
Aggregate offering proceeds received from public offering	$ 63.9	$ 27.1
Shares issued	6.5	2.8
Reinvestment Plan | IPO
Class of Stock [Line Items]
Aggregate offering proceeds received from public offering	$ 27.1	$ 27.1
Shares issued	2.8	2.8
Reinvestment Plan | Follow-On Offering
Class of Stock [Line Items]
Aggregate offering proceeds received from public offering	$ 36.8
Shares issued	3.7

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Historical Share Prices in Its Offerings, Including the Prices Pursuant To the Reinvestment Plan and the Company's Monthly Cash and Stock Distributions per Share (Detail) - $ / shares	10 Months Ended	11 Months Ended	12 Months Ended				14 Months Ended		29 Months Ended
	Nov. 03, 2014	Sep. 30, 2015	Dec. 31, 2015		Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015		Dec. 10, 2013
Dividends Payable [Line Items]
Offering Price per Share	$ 10.14		$ 10.58	[1]			$ 10.58	[1]	$ 10.00
Reinvestment Plan Price per Share			9.75				9.75
Monthly Cash Distribution	$ 0.0338		$ 0.0353	[1]			$ 0.0353	[1]	$ 0.0333
Stock distributions on Restricted Stock	0.0025	0.0025	3,200,000		2,400,000	1,100,000		[1],[2]	0.0025
Reinvestment Plan
Dividends Payable [Line Items]
Reinvestment Plan Price per Share	$ 9.64		$ 10.06	[1]			$ 10.06	[1]	$ 9.50

[1] The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

[2] (2)The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015

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Historical Share Prices in Its Offerings, Including the Prices Pursuant To the Reinvestment Plan and the Company's Monthly Cash and Stock Distributions per Share (Parenthetical) (Detail) - $ / shares	10 Months Ended	11 Months Ended	12 Months Ended			14 Months Ended		29 Months Ended
	Nov. 03, 2014	Sep. 30, 2015	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2015		Dec. 10, 2013
Equity [Abstract]
Then-current offering price or NAV			$ 9.75			$ 9.75
Stock distributions, shares	0.0025	0.0025	3,200,000	2,400,000	1,100,000		[1],[2]	0.0025

[1] (2)The Company closed its Follow-On Offering on September 30, 2015 and discontinued its stock distributions concurrently. The monthly stock distributions were 0.0025 through September 30, 2015

[2] The Company’s board of directors adopted an estimated NAV of $9.75 as of December 31, 2015.

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Tax Composition of Company's Distributions Declared (Detail)	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Uncategorized [Abstract]
Taxable as ordinary income	37.80%	30.80%	0.00%
Taxable as capital gain	0.00%	0.00%	63.80%
Return of capital	62.20%	69.20%	36.20%

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Effect of Derivative Financial Instruments (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, Gain (loss) recognized in other comprehensive loss	$ (4,883)	$ (3,905)
Interest Expense and Loan Cost Amortization
Derivative Instruments, Gain (Loss) [Line Items]
Loss reclassified from AOCI into earnings	(4,379)	(98)
Interest Rate Swap
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, Gain (loss) recognized in other comprehensive loss	(4,881)	(3,915)
Interest Rate Swap | Interest Expense and Loan Cost Amortization
Derivative Instruments, Gain (Loss) [Line Items]
Loss reclassified from AOCI into earnings	(4,110)	(98)
Interest Rate Cap
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, Gain (loss) recognized in other comprehensive loss	(262)
Interest Rate Cap | Unconsolidated Joint Venture
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, Gain (loss) recognized in other comprehensive loss	(9)	$ 10
Reclassification of Interest Rate Swaps Upon Derecognition
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, Gain (loss) recognized in other comprehensive loss	236
Reclassification of Interest Rate Swaps Upon Derecognition | Interest Expense and Loan Cost Amortization
Derivative Instruments, Gain (Loss) [Line Items]
Loss reclassified from AOCI into earnings	(236)
Reclassification of Interest Rate Swaps Due to Ineffectiveness
Derivative Instruments, Gain (Loss) [Line Items]
Derivative instruments, Gain (loss) recognized in other comprehensive loss	33
Reclassification of Interest Rate Swaps Due to Ineffectiveness | Interest Expense and Loan Cost Amortization
Derivative Instruments, Gain (Loss) [Line Items]
Loss reclassified from AOCI into earnings	$ (33)

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Components of Income Tax Benefit (Expense) (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Current:
Federal			$ 13
State	$ (378)	$ (361)
Total current benefit (expense)	(378)	(361)	13
Deferred:
Federal			(25)
State			(6)
Total deferred expense			(31)
Income tax expense	$ (378)	$ (361)	$ (18)

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Significant Components of Deferred Tax Assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2015	Dec. 31, 2014
Income Tax Disclosure [Abstract]
Carryforwards of net operating loss	$ 5,220	$ 2,361
Prepaid rent	619	437
Valuation allowance	(5,839)	(2,798)
Net deferred tax assets	$ 0	$ 0

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Reconciliation of Income Tax Expense (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Income Tax Disclosure [Abstract]
Tax benefit computed at federal statutory rate	$ 23,701	$ 18,253	$ 6,329
Impact of REIT election	(23,701)	(18,253)	(6,344)
State income tax expense	(378)	(361)	(3)
Income tax expense	$ (378)	$ (361)	$ (18)
Tax benefit computed at federal statutory rate	35.00%	35.00%	35.00%
Impact of REIT election	(35.00%)	(35.00%)	(35.08%)
State income tax expense	(0.56%)	(0.69%)	(0.02%)
Income tax expense	(0.56%)	(0.69%)	(0.10%)

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Income Taxes - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2015 USD ($)
Income Taxes [Line Items]
Net operating loss carry-forwards for federal and state	$ 28.1
Net operating loss carry-forwards expire in 2033
Income Taxes [Line Items]
Net operating loss carry-forwards for federal and state	$ 0.8
Net Operating loss carry-forwards, expiration year	2033
Net operating loss carry-forwards expire in 2034
Income Taxes [Line Items]
Net operating loss carry-forwards for federal and state	$ 11.5
Net Operating loss carry-forwards, expiration year	2034
Net operating loss carry-forwards expire in 2035
Income Taxes [Line Items]
Net operating loss carry-forwards for federal and state	$ 15.7
Net Operating loss carry-forwards, expiration year	2035

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Tenants and Geographical Concentrations that Individually Accounted for 10% or More of Total Revenues (Detail) - Total Revenue		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Tenant | TSMM Management, LLC
Concentration Risk [Line Items]
Concentration risk, percentage	[1]	5.70%	7.70%	26.50%
Geographical | State of Texas
Concentration Risk [Line Items]
Concentration risk, percentage	[2]	16.50%	22.10%	5.40%

[1] Includes contractual rental income from operating leases, capital reserve income, straight-line rent adjustments, and amortization of lease intangibles. Failure of this tenant to pay contractual lease payments could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

[2] Includes rental income from operating leases, resident fees and services, and tenant reimbursement income. Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flow from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

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Selected Quarterly Financial Data (Unaudited) (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended																12 Months Ended
	Dec. 31, 2015		Sep. 30, 2015		Jun. 30, 2015		Mar. 31, 2015		Dec. 31, 2014		Sep. 30, 2014		Jun. 30, 2014		Mar. 31, 2014		Dec. 31, 2015		Dec. 31, 2014		Dec. 31, 2013
Quarterly Financial Information Disclosure [Abstract]
Total revenues	$ 88,112		$ 79,904		$ 67,476		$ 65,033		$ 55,685		$ 49,660		$ 42,464		$ 33,275		$ 300,525		$ 181,084		$ 52,605
Operating loss	(4,824)		(7,925)		(3,650)		(7,909)		(6,179)		(6,243)		(3,381)		(7,375)		(24,308)		(23,178)		(13,990)
Net loss attributable to common stockholders	$ (17,420)		$ (19,225)		$ (13,410)		$ (18,000)		$ (15,481)		$ (12,204)		$ (12,303)		$ (12,523)		$ (68,055)		$ (52,511)		$ (18,100)
Weighted average number of shares outstanding (basic and diluted)	173,766	[1]	162,730	[1]	146,257	[1]	131,880	[1]	107,705	[1]	89,597	[1]	77,426	[1]	67,526	[1]	153,804	[1]	85,710	[1]	43,450
Loss per share of common stock (basic and diluted)	$ (0.10)		$ (0.12)		$ (0.09)		$ (0.14)		$ (0.14)		$ (0.14)		$ (0.16)		$ (0.19)		$ (0.44)		$ (0.61)		$ (0.42)

[1] For the purposes of determining the weighted average number of shares of common stock outstanding, stock distributions issued are treated as if they were outstanding for all periods presented.

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Schedule II-Valuation and Qualifying Accounts (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Valuation And Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	$ (2,798)	$ (597)
Charged to Costs and Expenses	(4,211)	(2,201)	$ (597)
Charged to Other Accounts	0	0	0
Balance at End of Year	(7,009)	(2,798)	(597)
Valuation Allowance of Deferred Tax Assets
Valuation And Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	(2,798)	(597)
Charged to Costs and Expenses	(3,041)	(2,201)	(597)
Charged to Other Accounts	0	0	0
Balance at End of Year	(5,839)	$ (2,798)	$ (597)
Allowance for Doubtful Accounts
Valuation And Qualifying Accounts Disclosure [Line Items]
Charged to Costs and Expenses	(1,170)
Charged to Other Accounts	0
Balance at End of Year	$ (1,170)

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Schedule III-Real Estate And Accumulated Depreciation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 840,656
Initial Costs, Land & Land Improvements		238,787
Initial Costs, Buildings & Building Improvements		2,215,548
Costs Capitalized Subsequent to Acquisition, Land and Improvements		4,803
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		81,788
Costs Capitalized Subsequent to Acquisition, Construction in Process		47,977
Gross Amounts at which Carried at Close of period, Land & Land Improvements		243,590
Gross Amounts at which Carried at Close of period, Building & Building Improvements		2,297,336
Gross Amounts at which Carried at Close of period, Construction in Process		47,977
Total		2,588,903	$ 1,721,429	$ 859,877	$ 235,945
Accumulated Depreciation		(90,201)	$ (40,467)	$ (11,011)	$ (1,702)
Primrose Retirement Community Casper, Wyoming
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	12,031
Initial Costs, Land & Land Improvements	[1]	1,910
Initial Costs, Buildings & Building Improvements	[1]	16,310
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	9
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,910
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,319
Total	[1]	18,229
Accumulated Depreciation	[1]	$ (1,653)
Date of construction	[1]	2004
Date Acquired	[1]	Feb. 16, 2012
Primrose Retirement Community Of Grand Island
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 8,487
Initial Costs, Land & Land Improvements	[1]	719
Initial Costs, Buildings & Building Improvements	[1]	12,140
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	25
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	744
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,140
Total	[1]	12,884
Accumulated Depreciation	[1]	$ (1,284)
Date of construction	[1]	2005
Date Acquired	[1]	Feb. 16, 2012
Primrose Retirement Community Mansfield, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 11,548
Initial Costs, Land & Land Improvements	[1]	650
Initial Costs, Buildings & Building Improvements	[1]	16,720
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	228
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	6
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	878
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,726
Total	[1]	17,604
Accumulated Depreciation	[1]	$ (1,756)
Date of construction	[1]	2007
Date Acquired	[1]	Feb. 16, 2012
Primrose Retirement Community Marion, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 9,579
Initial Costs, Land & Land Improvements	[1]	889
Initial Costs, Buildings & Building Improvements	[1]	16,305
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	889
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,305
Total	[1]	17,194
Accumulated Depreciation	[1]	$ (1,705)
Date of construction	[1]	2006
Date Acquired	[1]	Feb. 16, 2012
Sweetwater Retirement Community Billings Montana
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,403
Initial Costs, Land & Land Improvements	[1]	1,578
Initial Costs, Buildings & Building Improvements	[1]	14,205
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	20
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,598
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,205
Total	[1]	15,803
Accumulated Depreciation	[1]	$ (1,449)
Date of construction	[1]	2006
Date Acquired	[1]	Feb. 16, 2012
HarborChase Community Lady Lake, Florida
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,165
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	986
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	15,424
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,151
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	15,424
Total	[1]	18,575
Accumulated Depreciation	[1]	$ (843)
Date of construction	[1]	2013
Date Acquired	[1]	Aug. 29, 2012
Dogwood Forest of Acworth
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1],[2]	$ 1,750
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1],[2]	277
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1],[2]	15,994
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,027
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	15,994
Total	[1],[2]	18,021
Accumulated Depreciation	[1],[2]	$ (617)
Date Acquired	[1],[2]	Dec. 18, 2012
Primrose Retirement Community Aberdeen, South Dakota
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 311
Initial Costs, Buildings & Building Improvements	[1]	3,794
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	311
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	3,794
Total	[1]	4,105
Accumulated Depreciation	[1]	$ (316)
Date of construction	[1]	2005
Date Acquired	[1]	Dec. 19, 2012
Primrose Retirement Community Council Bluffs, Iowa
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,144
Initial Costs, Buildings & Building Improvements	[1]	11,117
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,144
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,117
Total	[1]	12,261
Accumulated Depreciation	[1]	$ (951)
Date of construction	[1]	2008
Date Acquired	[1]	Dec. 19, 2012
Primrose Retirement Community Decatur, Illinois
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,558
Initial Costs, Land & Land Improvements	[1]	513
Initial Costs, Buildings & Building Improvements	[1]	16,706
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	513
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,706
Total	[1]	17,219
Accumulated Depreciation	[1]	$ (1,358)
Date of construction	[1]	2009
Date Acquired	[1]	Dec. 19, 2012
Primrose Retirement Community Lima, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 944
Initial Costs, Buildings & Building Improvements	[1]	17,115
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	8
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	4
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	952
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	17,119
Total	[1]	18,071
Accumulated Depreciation	[1]	$ (1,396)
Date of construction	[1]	2006
Date Acquired	[1]	Dec. 19, 2012
Primrose Retirement Community Zanesville, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 11,915
Initial Costs, Land & Land Improvements	[1]	1,184
Initial Costs, Buildings & Building Improvements	[1]	17,292
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,184
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	17,292
Total	[1]	18,476
Accumulated Depreciation	[1]	$ (1,411)
Date of construction	[1]	2008
Date Acquired	[1]	Dec. 19, 2012
Capital Health of Symphony Manor Baltimore, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,131
Initial Costs, Land & Land Improvements	[1]	2,319
Initial Costs, Buildings & Building Improvements	[1]	19,444
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	78
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,319
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,522
Total	[1]	21,841
Accumulated Depreciation	[1]	$ (1,564)
Date of construction	[1]	2011
Date Acquired	[1]	Dec. 21, 2012
Curry House Assisted Living & Memory Care Cadillac, Michigan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 6,253
Initial Costs, Land & Land Improvements	[1]	995
Initial Costs, Buildings & Building Improvements	[1]	11,072
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	995
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,072
Total	[1]	12,067
Accumulated Depreciation	[1]	$ (901)
Date of construction	[1]	1966
Date Acquired	[1]	Dec. 21, 2012
Tranquillity at Fredericktowne, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 6,032
Initial Costs, Land & Land Improvements	[1]	808
Initial Costs, Buildings & Building Improvements	[1]	14,291
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	97
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	235
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	808
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,388
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	235
Total	[1]	15,431
Accumulated Depreciation	[1]	$ (1,149)
Date of construction	[1]	2000
Date Acquired	[1]	Dec. 21, 2012
Brookridge Heights Assisted Living and Memory Care Marquette, Michigan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 6,189
Initial Costs, Land & Land Improvements	[1]	595
Initial Costs, Buildings & Building Improvements	[1]	11,339
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	31
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	94
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	595
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,370
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	94
Total	[1]	12,059
Accumulated Depreciation	[1]	$ (909)
Date of construction	[1]	1998
Date Acquired	[1]	Dec. 21, 2012
Woodholme Gardens Assisted Living and Memory Care Pikesville, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,285
Initial Costs, Land & Land Improvements	[1]	1,603
Initial Costs, Buildings & Building Improvements	[1]	13,472
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,603
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,472
Total	[1]	15,075
Accumulated Depreciation	[1]	$ (1,092)
Date of construction	[1]	2010
Date Acquired	[1]	Dec. 21, 2012
Batesville Healthcare Center Batesville, Arkansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 397
Initial Costs, Buildings & Building Improvements	[1]	5,382
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	397
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	5,382
Total	[1]	5,779
Accumulated Depreciation	[1]	$ (362)
Date of construction	[1]	1975
Date Acquired	[1]	May 31, 2013
Broadway Healthcare Center West Memphis, Arkansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 438
Initial Costs, Buildings & Building Improvements	[1]	10,560
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	77
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	438
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,637
Total	[1]	11,075
Accumulated Depreciation	[1]	$ (721)
Date of construction	[1]	1994
Date Acquired	[1]	May 31, 2013
Jonesboro Healthcare Center Jonesboro, Arkansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 527
Initial Costs, Buildings & Building Improvements	[1]	13,493
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	5
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	527
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,498
Total	[1]	14,025
Accumulated Depreciation	[1]	$ (908)
Date of construction	[1]	2012
Date Acquired	[1]	May 31, 2013
Magnolia Healthcare Center Magnolia, Arkansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 421
Initial Costs, Buildings & Building Improvements	[1]	10,454
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	421
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,454
Total	[1]	10,875
Accumulated Depreciation	[1]	$ (716)
Date of construction	[1]	2009
Date Acquired	[1]	May 31, 2013
Mine Creek Healthcare Center Nashville, Arkansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 135
Initial Costs, Buildings & Building Improvements	[1]	2,942
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	11
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	10
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	146
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	2,952
Total	[1]	3,098
Accumulated Depreciation	[1]	$ (209)
Date of construction	[1]	1978
Date Acquired	[1]	May 31, 2013
Searcy Healthcare Center Searcy, Arkansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 648
Initial Costs, Buildings & Building Improvements	[1]	6,017
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	50
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	648
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	6,067
Total	[1]	6,715
Accumulated Depreciation	[1]	$ (420)
Date of construction	[1]	1973
Date Acquired	[1]	May 31, 2013
LaPorte Cancer Center Westville, Indiana
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 8,013
Initial Costs, Land & Land Improvements	[1]	433
Initial Costs, Buildings & Building Improvements	[1]	10,846
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	433
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,846
Total	[1]	11,279
Accumulated Depreciation	[1]	$ (750)
Date of construction	[1]	2010
Date Acquired	[1]	Jun. 14, 2013
Jefferson Medical Commons Jefferson City, Tennessee
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,719
Initial Costs, Land & Land Improvements	[1]	151
Initial Costs, Buildings & Building Improvements	[1]	10,236
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	162
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	151
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,398
Total	[1]	10,549
Accumulated Depreciation	[1]	$ (681)
Date of construction	[1]	2001
Date Acquired	[1]	Jul. 10, 2013
Physicians Plaza A at North Knoxville Medical Center Powell, Tennessee
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,044
Initial Costs, Land & Land Improvements	[1]	262
Initial Costs, Buildings & Building Improvements	[1]	16,976
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	262
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,976
Total	[1]	17,238
Accumulated Depreciation	[1]	$ (1,132)
Date of construction	[1]	2005
Date Acquired	[1]	Jul. 10, 2013
Physicians Plaza B at North Knoxville Medical Center Powell, Tennessee
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 14,487
Initial Costs, Land & Land Improvements	[1]	303
Initial Costs, Buildings & Building Improvements	[1]	18,754
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	318
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	303
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,072
Total	[1]	19,375
Accumulated Depreciation	[1]	$ (1,255)
Date of construction	[1]	2008
Date Acquired	[1]	Jul. 10, 2013
Physicians Regional Medical Center - Central Wing Annex Knoxville, Tennessee
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 3,838
Initial Costs, Land & Land Improvements	[1]	73
Initial Costs, Buildings & Building Improvements	[1]	5,285
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	73
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	5,285
Total	[1]	5,358
Accumulated Depreciation	[1]	$ (351)
Date of construction	[1]	2004
Date Acquired	[1]	Jul. 10, 2013
HarborChase of Jasper Jasper, Alabama
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 355
Initial Costs, Buildings & Building Improvements	[1]	6,358
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	1
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	355
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	6,359
Total	[1]	6,714
Accumulated Depreciation	[1]	$ (408)
Date of construction	[1]	1998
Date Acquired	[1]	Jul. 31, 2013
Chestnut Commons MOB Elyria, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,053
Initial Costs, Buildings & Building Improvements	[1]	15,650
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,053
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	15,650
Total	[1]	17,703
Accumulated Depreciation	[1]	$ (1,077)
Date of construction	[1]	2008
Date Acquired	[1]	Aug. 16, 2013
Doctor's Specialty Hospital Leawood, Kansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 924
Initial Costs, Buildings & Building Improvements	[1]	5,771
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	16
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	940
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	5,771
Total	[1]	6,711
Accumulated Depreciation	[1]	$ (385)
Date of construction	[1]	2001
Date Acquired	[1]	Aug. 16, 2013
Escondido Medical Arts Center Escondido, California
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,863
Initial Costs, Buildings & Building Improvements	[1]	12,199
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	23
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,863
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,222
Total	[1]	14,085
Accumulated Depreciation	[1]	$ (754)
Date of construction	[1]	1994
Date Acquired	[1]	Aug. 16, 2013
John C. Lincoln Medical Office Plaza I Phoenix, Arizona
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 233
Initial Costs, Buildings & Building Improvements	[1]	2,779
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	34
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	233
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	2,813
Total	[1]	3,046
Accumulated Depreciation	[1]	$ (200)
Date of construction	[1]	1980
Date Acquired	[1]	Aug. 16, 2013
John C. Lincoln Medical Office Plaza II Phoenix, Arizona
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 138
Initial Costs, Buildings & Building Improvements	[1]	1,908
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	138
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	1,908
Total	[1]	2,046
Accumulated Depreciation	[1]	$ (138)
Date of construction	[1]	1984
Date Acquired	[1]	Aug. 16, 2013
North Mountain Medical Plaza Phoenix, Arizona
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 297
Initial Costs, Buildings & Building Improvements	[1]	4,079
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	297
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	4,079
Total	[1]	4,376
Accumulated Depreciation	[1]	$ (290)
Date of construction	[1]	1994
Date Acquired	[1]	Aug. 16, 2013
Raider Ranch Development (Lubbock, TX)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,992
Initial Costs, Buildings & Building Improvements	[1]	48,818
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,992
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	48,818
Total	[1]	50,810
Accumulated Depreciation	[1]	$ (2,999)
Date of construction	[1]	2009
Date Acquired	[1]	Aug. 29, 2013
The Club at Raider Ranch Development Lubbock, Texas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1],[2]	$ 7,528
Initial Costs, Land & Land Improvements	[1],[2]	3,000
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1],[2]	170
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1],[2]	4,905
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1],[2]	7,824
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	3,170
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	4,905
Gross Amounts at which Carried at Close of period, Construction in Process	[1],[2]	7,824
Total	[1],[2]	$ 15,899
Date Acquired	[1],[2]	Aug. 29, 2013
Town Village Oklahoma City, Oklahoma
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,020
Initial Costs, Buildings & Building Improvements	[1]	19,847
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	45
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,020
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,892
Total	[1]	20,912
Accumulated Depreciation	[1]	$ (1,205)
Date of construction	[1]	2004
Date Acquired	[1]	Aug. 29, 2013
Calvert Medical Arts Center Prince Frederick, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,427
Initial Costs, Land & Land Improvements	[1]	20
Initial Costs, Buildings & Building Improvements	[1]	17,838
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	1
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	72
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	21
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	17,910
Total	[1]	17,931
Accumulated Depreciation	[1]	$ (1,077)
Date of construction	[1]	2009
Date Acquired	[1]	Aug. 30, 2013
Calvert MOBs I, II, III Prince Frederick, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,554
Initial Costs, Land & Land Improvements	[1]	51
Initial Costs, Buildings & Building Improvements	[1]	14,334
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	319
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	51
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,653
Total	[1]	14,704
Accumulated Depreciation	[1]	$ (890)
Date Acquired	[1]	Aug. 30, 2013
Calvert Medical Office Building I Prince Frederick, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[1]	1991
Calvert Medical Office Building II Prince Frederick, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[1]	1999
Calvert Medical Office Building III Prince Frederick, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[1]	2000
Dunkirk Medical Center Dunkirk, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 2,970
Initial Costs, Land & Land Improvements	[1]	351
Initial Costs, Buildings & Building Improvements	[1]	2,991
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	10
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	351
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	3,001
Total	[1]	3,352
Accumulated Depreciation	[1]	$ (235)
Date of construction	[1]	1997
Date Acquired	[1]	Aug. 30, 2013
Prestige Senior Living Beaverton Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 9,235
Initial Costs, Land & Land Improvements	[1]	1,387
Initial Costs, Buildings & Building Improvements	[1]	10,324
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,387
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,324
Total	[1]	11,711
Accumulated Depreciation	[1]	$ (579)
Date of construction	[1]	2000
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living High Desert
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,988
Initial Costs, Land & Land Improvements	[1]	835
Initial Costs, Buildings & Building Improvements	[1]	11,252
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	835
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,252
Total	[1]	12,087
Accumulated Depreciation	[1]	$ (656)
Date of construction	[1]	2003
Date Acquired	[1]	Dec. 02, 2013
MorningStar of Billings
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 19,673
Initial Costs, Land & Land Improvements	[1]	4,067
Initial Costs, Buildings & Building Improvements	[1]	41,373
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	5
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	2
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,072
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	41,375
Total	[1]	45,447
Accumulated Depreciation	[1]	$ (2,441)
Date of construction	[1]	2009
Date Acquired	[1]	Dec. 02, 2013
MorningStar of Boise
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 21,000
Initial Costs, Land & Land Improvements	[1]	1,663
Initial Costs, Buildings & Building Improvements	[1]	35,752
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	12
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,675
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	35,752
Total	[1]	37,427
Accumulated Depreciation	[1]	$ (1,991)
Date of construction	[1]	2007
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living Huntington Terrace
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,229
Initial Costs, Land & Land Improvements	[1]	1,236
Initial Costs, Buildings & Building Improvements	[1]	12,083
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	6
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,236
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,089
Total	[1]	13,325
Accumulated Depreciation	[1]	$ (688)
Date of construction	[1]	2000
Date Acquired	[1]	Dec. 02, 2013
MorningStar of Idaho Falls
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 17,966
Initial Costs, Land & Land Improvements	[1]	2,006
Initial Costs, Buildings & Building Improvements	[1]	40,397
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	5
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,011
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	40,397
Total	[1]	42,408
Accumulated Depreciation	[1]	$ (2,294)
Date of construction	[1]	2009
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living Arbor Place
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 8,224
Initial Costs, Land & Land Improvements	[1]	355
Initial Costs, Buildings & Building Improvements	[1]	14,083
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	355
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,083
Total	[1]	14,438
Accumulated Depreciation	[1]	$ (782)
Date of construction	[1]	2003
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living Orchard Heights
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,351
Initial Costs, Land & Land Improvements	[1]	545
Initial Costs, Buildings & Building Improvements	[1]	15,544
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	18
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	545
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	15,562
Total	[1]	16,107
Accumulated Depreciation	[1]	$ (856)
Date of construction	[1]	2002
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living Southern Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,506
Initial Costs, Land & Land Improvements	[1]	653
Initial Costs, Buildings & Building Improvements	[1]	10,753
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	653
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,753
Total	[1]	11,406
Accumulated Depreciation	[1]	$ (605)
Date of construction	[1]	2001
Date Acquired	[1]	Dec. 02, 2013
MorningStar of Sparks
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 23,811
Initial Costs, Land & Land Improvements	[1]	3,986
Initial Costs, Buildings & Building Improvements	[1]	47,968
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	3
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,986
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	47,971
Total	[1]	51,957
Accumulated Depreciation	[1]	$ (2,750)
Date of construction	[1]	2009
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living Five Rivers
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,738
Initial Costs, Land & Land Improvements	[1]	1,298
Initial Costs, Buildings & Building Improvements	[1]	14,064
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	48
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,298
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,112
Total	[1]	15,410
Accumulated Depreciation	[1]	$ (837)
Date of construction	[1]	2002
Date Acquired	[1]	Dec. 02, 2013
Prestige Senior Living Riverwood
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 4,489
Initial Costs, Land & Land Improvements	[1]	1,028
Initial Costs, Buildings & Building Improvements	[1]	7,429
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	37
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,028
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	7,466
Total	[1]	8,494
Accumulated Depreciation	[1]	$ (434)
Date of construction	[1]	1999
Date Acquired	[1]	Dec. 02, 2013
Chula Vista Medical Arts Center - Plaza II
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,462
Initial Costs, Buildings & Building Improvements	[1]	7,453
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	331
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,462
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	7,784
Total	[1]	10,246
Accumulated Depreciation	[1]	$ (418)
Date of construction	[1]	1985
Date Acquired	[1]	Dec. 23, 2013
Coral Springs MOB I
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,614
Initial Costs, Buildings & Building Improvements	[1]	11,220
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,614
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,220
Total	[1]	13,834
Accumulated Depreciation	[1]	$ (664)
Date of construction	[1]	2005
Date Acquired	[1]	Dec. 23, 2013
Coral Springs MOB II
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,614
Initial Costs, Buildings & Building Improvements	[1]	12,130
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	1
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,615
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,130
Total	[1]	14,745
Accumulated Depreciation	[1]	$ (663)
Date of construction	[1]	2008
Date Acquired	[1]	Dec. 23, 2013
Chula Vista Medical Arts Center - Plaza I
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 6,130
Initial Costs, Buildings & Building Improvements	[1]	10,293
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	3
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	200
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	6,133
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,493
Total	[1]	16,626
Accumulated Depreciation	[1]	$ (543)
Date of construction	[1]	1975
Date Acquired	[1]	Jan. 21, 2014
Prestige Senior Living Auburn Meadows
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,549
Initial Costs, Land & Land Improvements	[1]	2,537
Initial Costs, Buildings & Building Improvements	[1]	17,261
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,537
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	17,261
Total	[1]	19,798
Accumulated Depreciation	[1]	$ (905)
Date Acquired	[1]	Feb. 03, 2014
Prestige Senior Living Auburn Meadows One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2003
Prestige Senior Living Auburn Meadows Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2010
Prestige Senior Living Bridgewood
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 13,188
Initial Costs, Land & Land Improvements	[1]	1,603
Initial Costs, Buildings & Building Improvements	[1]	18,172
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,603
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	18,172
Total	[1]	19,775
Accumulated Depreciation	[1]	$ (945)
Date of construction	[1]	2001
Date Acquired	[1]	Feb. 03, 2014
Prestige Senior Living Monticello Park
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 18,401
Initial Costs, Land & Land Improvements	[1]	1,981
Initial Costs, Buildings & Building Improvements	[1]	23,056
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,981
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	23,056
Total	[1]	25,037
Accumulated Depreciation	[1]	$ (1,183)
Date Acquired	[1]	Feb. 03, 2014
Prestige Senior Living Monticello Park One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2001
Prestige Senior Living Monticello Park Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2010
Prestige Senior Living Rosemont
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 9,503
Initial Costs, Land & Land Improvements	[1]	668
Initial Costs, Buildings & Building Improvements	[1]	14,564
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	668
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,564
Total	[1]	15,232
Accumulated Depreciation	[1]	$ (739)
Date of construction	[1]	2004
Date Acquired	[1]	Feb. 03, 2014
Wellmore of Tega Cay (Tega Cay, South Carolina)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 23,695
Initial Costs, Land & Land Improvements	[1]	2,445
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	2,733
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	23,380
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	5,178
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	23,380
Total	[1]	28,558
Accumulated Depreciation	[1]	$ (391)
Date Acquired	[1]	Feb. 07, 2014
Isle at Cedar Ridge
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,525
Initial Costs, Buildings & Building Improvements	[1]	16,277
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	10
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,525
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,287
Total	[1]	17,812
Accumulated Depreciation	[1]	$ (834)
Date of construction	[1]	2011
Date Acquired	[1]	Feb. 28, 2014
Prestige Senior Living West Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 8,815
Initial Costs, Land & Land Improvements	[1]	842
Initial Costs, Buildings & Building Improvements	[1]	12,603
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	842
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,603
Total	[1]	13,445
Accumulated Depreciation	[1]	$ (644)
Date of construction	[1]	2002
Date Acquired	[1]	Mar. 03, 2014
HarborChase of Plainfield
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,596
Initial Costs, Buildings & Building Improvements	[1]	21,832
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,596
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	21,832
Total	[1]	23,428
Accumulated Depreciation	[1]	$ (1,036)
Date of construction	[1]	2010
Date Acquired	[1]	Mar. 28, 2014
Legacy Ranch Alzheimer's Special Care Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 917
Initial Costs, Buildings & Building Improvements	[1]	9,982
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	917
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,982
Total	[1]	10,899
Accumulated Depreciation	[1]	$ (483)
Date of construction	[1]	2012
Date Acquired	[1]	Mar. 28, 2014
The Springs Alzheimer's Special Care Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 595
Initial Costs, Buildings & Building Improvements	[1]	9,658
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	595
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,658
Total	[1]	10,253
Accumulated Depreciation	[1]	$ (467)
Date of construction	[1]	2012
Date Acquired	[1]	Mar. 28, 2014
Isle at Watercrest - Bryan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 714
Initial Costs, Buildings & Building Improvements	[1]	18,140
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	4
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	6
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	718
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	18,146
Total	[1]	18,864
Accumulated Depreciation	[1]	$ (809)
Date of construction	[1]	2011
Date Acquired	[1]	Apr. 21, 2014
Watercrest at Bryan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,509
Initial Costs, Buildings & Building Improvements	[1]	22,441
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	4
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	14
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,513
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	22,455
Total	[1]	24,968
Accumulated Depreciation	[1]	$ (1,084)
Date of construction	[1]	2009
Date Acquired	[1]	Apr. 21, 2014
Isle at Watercrest - Mansfield
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 997
Initial Costs, Buildings & Building Improvements	[1]	24,635
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	997
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,635
Total	[1]	25,632
Accumulated Depreciation	[1]	$ (1,090)
Date of construction	[1]	2011
Date Acquired	[1]	May 05, 2014
Houston Orthopedic & Spine Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 31,480
Initial Costs, Land & Land Improvements	[1]	3,867
Initial Costs, Buildings & Building Improvements	[1]	32,761
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,867
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	32,761
Total	[1]	36,628
Accumulated Depreciation	[1]	$ (1,353)
Date of construction	[1]	2007
Date Acquired	[1]	Jun. 02, 2014
Houston Orthopedic & Spine Hospital Medical Office Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 17,348
Initial Costs, Land & Land Improvements	[1]	3,738
Initial Costs, Buildings & Building Improvements	[1]	20,525
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	170
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,738
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	20,695
Total	[1]	24,433
Accumulated Depreciation	[1]	$ (859)
Date of construction	[1]	2007
Date Acquired	[1]	Jun. 02, 2014
Watercrest at Katy (Katy, Texas)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,632
Initial Costs, Land & Land Improvements	[1]	4,000
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	22,565
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,000
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	22,565
Total	[1]	$ 26,565
Date Acquired	[1]	Jun. 27, 2014
Watercrest at Mansfield
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 26,628
Initial Costs, Land & Land Improvements	[1]	2,191
Initial Costs, Buildings & Building Improvements	[1]	42,740
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	56
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,191
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	42,796
Total	[1]	44,987
Accumulated Depreciation	[1]	$ (1,718)
Date of construction	[1]	2010
Date Acquired	[1]	Jun. 30, 2014
HarborChase Of Shorewood (Shorewood, WI)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,469
Initial Costs, Land & Land Improvements	[1]	2,200
Costs Capitalized Subsequent to Acquisition, Land and Improvements	[1]	294
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	19,805
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,494
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,805
Total	[1]	22,299
Accumulated Depreciation	[1]	$ (44)
Date Acquired	[1]	Jul. 08, 2014
Oklahoma City Inpatient Rehabilitation Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 16,203
Initial Costs, Land & Land Improvements	[1]	3,341
Initial Costs, Buildings & Building Improvements	[1]	19,249
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,341
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,249
Total	[1]	22,590
Accumulated Depreciation	[1]	$ (814)
Date of construction	[1]	2012
Date Acquired	[1]	Jul. 15, 2014
Las Vegas Inpatient Rehabilitation Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 14,163
Initial Costs, Land & Land Improvements	[1]	2,650
Initial Costs, Buildings & Building Improvements	[1]	16,979
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,650
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,979
Total	[1]	19,629
Accumulated Depreciation	[1]	$ (726)
Date of construction	[1]	2007
Date Acquired	[1]	Jul. 15, 2014
South Bend Inpatient Rehabilitation Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,860
Initial Costs, Land & Land Improvements	[1]	2,339
Initial Costs, Buildings & Building Improvements	[1]	16,239
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,339
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,239
Total	[1]	18,578
Accumulated Depreciation	[1]	$ (703)
Date of construction	[1]	2009
Date Acquired	[1]	Jul. 15, 2014
Beaumont Specialty Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 21,347
Initial Costs, Land & Land Improvements	[1]	2,749
Initial Costs, Buildings & Building Improvements	[1]	28,863
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,749
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	28,863
Total	[1]	31,612
Accumulated Depreciation	[1]	$ (1,102)
Date of construction	[1]	2013
Date Acquired	[1]	Aug. 15, 2014
Hurst Specialty Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 18,722
Initial Costs, Land & Land Improvements	[1]	2,510
Initial Costs, Buildings & Building Improvements	[1]	24,091
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,510
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,091
Total	[1]	26,601
Accumulated Depreciation	[1]	$ (921)
Date Acquired	[1]	Aug. 15, 2014
Hurst Specialty Hospital One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2004
Hurst Specialty Hospital Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2012
Claremont Medical Office
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,683
Initial Costs, Land & Land Improvements	[1]	6,324
Initial Costs, Buildings & Building Improvements	[1]	13,533
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	6,324
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,533
Total	[1]	19,857
Accumulated Depreciation	[1]	$ (532)
Date of construction	[1]	2008
Date Acquired	[1]	Aug. 29, 2014
Lee Hughes Medical Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 18,632
Initial Costs, Land & Land Improvements	[1]	69
Initial Costs, Buildings & Building Improvements	[1]	22,967
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	17
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	69
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	22,984
Total	[1]	23,053
Accumulated Depreciation	[1]	$ (743)
Date of construction	[1]	2008
Date Acquired	[1]	Sep. 29, 2014
Newburyport Medical Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,614
Initial Costs, Buildings & Building Improvements	[1]	12,135
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,614
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,135
Total	[1]	14,749
Accumulated Depreciation	[1]	$ (432)
Date of construction	[1]	2008
Date Acquired	[1]	Oct. 31, 2014
Northwest Medical Park
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,008
Initial Costs, Land & Land Improvements	[1]	610
Initial Costs, Buildings & Building Improvements	[1]	6,170
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	610
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	6,170
Total	[1]	6,780
Accumulated Depreciation	[1]	$ (232)
Date of construction	[1]	2004
Date Acquired	[1]	Oct. 31, 2014
Fairfield Village of Layton
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 5,217
Initial Costs, Buildings & Building Improvements	[1]	54,167
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	5
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	5,217
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	54,172
Total	[1]	59,389
Accumulated Depreciation	[1]	$ (1,667)
Date of construction	[1]	2010
Date Acquired	[1]	Nov. 20, 2014
ProMed Medical Building I
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,050
Initial Costs, Land & Land Improvements	[1]	2,486
Initial Costs, Buildings & Building Improvements	[1]	6,728
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,486
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	6,728
Total	[1]	9,214
Accumulated Depreciation	[1]	$ (201)
Date of construction	[1]	2006
Date Acquired	[1]	Dec. 19, 2014
Midtown Medical Plaza
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 29,378
Initial Costs, Land & Land Improvements	[1]	10
Initial Costs, Buildings & Building Improvements	[1]	51,237
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	3
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	10
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	51,240
Total	[1]	51,250
Accumulated Depreciation	[1]	$ (1,314)
Date of construction	[1]	1994
Date Acquired	[1]	Dec. 22, 2014
Presbyterian Medical Tower
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 19,528
Initial Costs, Land & Land Improvements	[1]	40
Initial Costs, Buildings & Building Improvements	[1]	32,345
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	40
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	32,345
Total	[1]	32,385
Accumulated Depreciation	[1]	$ (832)
Date of construction	[1]	1989
Date Acquired	[1]	Dec. 22, 2014
Metroview Professional Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 9,276
Initial Costs, Land & Land Improvements	[1]	11
Initial Costs, Buildings & Building Improvements	[1]	15,910
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	11
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	15,910
Total	[1]	15,921
Accumulated Depreciation	[1]	$ (409)
Date of construction	[1]	1971
Date Acquired	[1]	Dec. 22, 2014
Physicians Plaza Huntersville
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 16,306
Initial Costs, Land & Land Improvements	[1]	520
Initial Costs, Buildings & Building Improvements	[1]	26,134
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	520
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	26,134
Total	[1]	26,654
Accumulated Depreciation	[1]	$ (705)
Date of construction	[1]	2004
Date Acquired	[1]	Dec. 22, 2014
Matthews Medical Office Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 11,441
Initial Costs, Land & Land Improvements	[1]	350
Initial Costs, Buildings & Building Improvements	[1]	19,624
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	350
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,624
Total	[1]	19,974
Accumulated Depreciation	[1]	$ (527)
Date of construction	[1]	1994
Date Acquired	[1]	Dec. 22, 2014
Outpatient Care Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 10,690
Initial Costs, Land & Land Improvements	[1]	1,169
Initial Costs, Buildings & Building Improvements	[1]	12,079
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,169
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,079
Total	[1]	13,248
Accumulated Depreciation	[1]	$ (317)
Date of construction	[1]	2012
Date Acquired	[1]	Dec. 22, 2014
Clyde, NC ("Asheville") 330 Physicians Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 19,901
Initial Costs, Land & Land Improvements	[1]	12
Initial Costs, Buildings & Building Improvements	[1]	26,868
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	12
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	26,868
Total	[1]	26,880
Accumulated Depreciation	[1]	$ (690)
Date Acquired	[1]	Dec. 22, 2014
Clyde, NC ("Asheville") 330 Physicians Center one
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		1987
Clyde, NC ("Asheville") 330 Physicians Center Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2005
Spivey Station Physicians Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 9,735
Initial Costs, Land & Land Improvements	[1]	1,026
Initial Costs, Buildings & Building Improvements	[1]	12,246
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,026
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,246
Total	[1]	13,272
Accumulated Depreciation	[1]	$ (345)
Date of construction	[1]	2007
Date Acquired	[1]	Dec. 22, 2014
Spivey Station ASC Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 12,448
Initial Costs, Land & Land Improvements	[1]	929
Initial Costs, Buildings & Building Improvements	[1]	13,769
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	929
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,769
Total	[1]	14,698
Accumulated Depreciation	[1]	$ (381)
Date of construction	[1]	2009
Date Acquired	[1]	Dec. 22, 2014
Novi Orthopaedic Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 19,825
Initial Costs, Land & Land Improvements	[1]	1,314
Initial Costs, Buildings & Building Improvements	[1]	26,239
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,314
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	26,239
Total	[1]	27,553
Accumulated Depreciation	[1]	$ (697)
Date of construction	[1]	2008
Date Acquired	[1]	Feb. 13, 2015
UT Cancer Institute Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 21,503
Initial Costs, Land & Land Improvements	[1]	421
Initial Costs, Buildings & Building Improvements	[1]	27,621
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[1]	3
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	421
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	27,624
Total	[1]	28,045
Accumulated Depreciation	[1]	$ (614)
Date of construction	[1]	2012
Date Acquired	[1]	Feb. 20, 2015
Fieldstone Memory Care
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,297
Initial Costs, Buildings & Building Improvements	[1]	9,965
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,297
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,965
Total	[1]	11,262
Accumulated Depreciation	[1]	$ (212)
Date of construction	[1]	2014
Date Acquired	[1]	Feb. 13, 2015
Bend Memorial Clinic MOB
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 9,069
Initial Costs, Buildings & Building Improvements	[1]	19,867
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	9,069
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,867
Total	[1]	28,936
Accumulated Depreciation	[1]	$ (410)
Date of construction	[1]	1976
Date Acquired	[1]	May 11, 2015
Stoneterra Medical Plaza
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,864
Initial Costs, Buildings & Building Improvements	[1]	10,412
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,864
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,412
Total	[1]	13,276
Accumulated Depreciation	[1]	$ (175)
Date of construction	[1]	2006
Date Acquired	[1]	May 29, 2015
Primrose Retirement Center of Anderson
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,342
Initial Costs, Buildings & Building Improvements	[1]	19,083
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,342
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,083
Total	[1]	20,425
Accumulated Depreciation	[1]	$ (314)
Date of construction	[1]	2008
Date Acquired	[1]	May 29, 2015
Primrose Retirement Center of Lancaster
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,840
Initial Costs, Buildings & Building Improvements	[1]	21,884
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,840
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	21,884
Total	[1]	24,724
Accumulated Depreciation	[1]	$ (397)
Date of construction	[1]	2007
Date Acquired	[1]	May 29, 2015
Primrose Retirement Center of Wausau
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,089
Initial Costs, Buildings & Building Improvements	[1]	18,653
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,089
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	18,653
Total	[1]	19,742
Accumulated Depreciation	[1]	$ (295)
Date of construction	[1]	2008
Date Acquired	[1]	May 29, 2015
Triangle Orthopaedic Durham
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 3,191
Initial Costs, Buildings & Building Improvements	[1]	14,523
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,191
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,523
Total	[1]	17,714
Accumulated Depreciation	[1]	$ (210)
Date of construction	[1]	2000
Date Acquired	[1]	Jun. 29, 2015
Triangle Orthopaedic Roxboro
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 287
Initial Costs, Buildings & Building Improvements	[1]	1,406
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	287
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	1,406
Total	[1]	1,693
Accumulated Depreciation	[1]	$ (22)
Date of construction	[1]	2000
Date Acquired	[1]	Jun. 29, 2015
Triangle Orthopaedic Chapel Hill
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 360
Initial Costs, Buildings & Building Improvements	[1]	2,306
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	360
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	2,306
Total	[1]	2,666
Accumulated Depreciation	[1]	$ (33)
Date of construction	[1]	2011
Date Acquired	[1]	Jun. 29, 2015
Triangle Orthopaedic Oxford
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 658
Initial Costs, Buildings & Building Improvements	[1]	3,074
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	658
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	3,074
Total	[1]	3,732
Accumulated Depreciation	[1]	$ (48)
Date of construction	[1]	2011
Date Acquired	[1]	Jun. 29, 2015
North Carolina Specialty Hospital
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 3,173
Initial Costs, Buildings & Building Improvements	[1]	22,762
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,173
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	22,762
Total	[1]	25,935
Accumulated Depreciation	[1]	$ (315)
Date of construction	[1]	2004
Date Acquired	[1]	Jun. 29, 2015
Doctor's Park Building B
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,161
Initial Costs, Buildings & Building Improvements	[1]	2,919
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,161
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	2,919
Total	[1]	4,080
Accumulated Depreciation	[1]	$ (43)
Date of construction	[1]	2008
Date Acquired	[1]	Jun. 30, 2015
Doctor's Park Building C
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,323
Initial Costs, Buildings & Building Improvements	[1]	6,351
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,323
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	6,351
Total	[1]	8,674
Accumulated Depreciation	[1]	$ (92)
Date of construction	[1]	2006
Date Acquired	[1]	Jun. 30, 2015
Superior Residences of Panama City
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,099
Initial Costs, Buildings & Building Improvements	[1]	19,367
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,099
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,367
Total	[1]	21,466
Accumulated Depreciation	[1]	$ (273)
Date of construction	[1]	2015
Date Acquired	[1]	Jul. 15, 2015
540 New Waverly Place
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[1]	$ 7,048
Initial Costs, Land & Land Improvements	[1]	2,476
Initial Costs, Buildings & Building Improvements	[1]	11,009
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,476
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,009
Total	[1]	13,485
Accumulated Depreciation	[1]	$ (136)
Date of construction	[1]	2007
Date Acquired	[1]	Jul. 20, 2015
MedHelp
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,270
Initial Costs, Buildings & Building Improvements	[1]	10,359
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,270
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	10,359
Total	[1]	12,629
Accumulated Depreciation	[1]	$ (119)
Date of construction	[1]	2015
Date Acquired	[1]	Jul. 31, 2015
Patriot Professional Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 3,912
Initial Costs, Buildings & Building Improvements	[1]	11,781
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,912
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	11,781
Total	[1]	15,693
Accumulated Depreciation	[1]	$ (146)
Date Acquired	[1]	Jul. 31, 2015
Patriot Professional Center One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2006
Patriot Professional Center Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2014
Liberty Professional Center
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,977
Initial Costs, Buildings & Building Improvements	[1]	4,462
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,977
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	4,462
Total	[1]	6,439
Accumulated Depreciation	[1]	$ (54)
Date Acquired	[1]	Jul. 31, 2015
Liberty Professional Center One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		1979
Liberty Professional Center Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2013
The Hampton at Meadows Place
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 715
Initial Costs, Buildings & Building Improvements	[1]	24,281
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	715
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,281
Total	[1]	24,996
Accumulated Depreciation	[1]	$ (263)
Date Acquired	[1]	Jul. 31, 2015
The Hampton at Meadows Place One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2007
The Hampton at Meadows Place Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2013
The Hampton at Meadows Place Three
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2014
The Pavilion at Great Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,783
Initial Costs, Buildings & Building Improvements	[1]	29,318
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,783
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	29,318
Total	[1]	31,101
Accumulated Depreciation	[1]	$ (321)
Date of construction	[1]	2010
Date Acquired	[1]	Jul. 31, 2015
The Beacon at Gulf Breeze
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 824
Initial Costs, Buildings & Building Improvements	[1]	24,106
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	824
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,106
Total	[1]	24,930
Accumulated Depreciation	[1]	$ (273)
Date of construction	[1]	2008
Date Acquired	[1]	Jul. 31, 2015
Parc at Piedmont
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 3,529
Initial Costs, Buildings & Building Improvements	[1]	43,080
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,529
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	43,080
Total	[1]	46,609
Accumulated Depreciation	[1]	$ (489)
Date Acquired	[1]	Jul. 31, 2015
Parc at Piedmont One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2001
Parc at Piedmont Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2011
Parc at Duluth
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 5,951
Initial Costs, Buildings & Building Improvements	[1]	42,458
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	5,951
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	42,458
Total	[1]	48,409
Accumulated Depreciation	[1]	$ (481)
Date Acquired	[1]	Jul. 31, 2015
Parc at Duluth One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2003
Parc at Duluth Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2012
Broadway Medical Plaza 1
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 437
Initial Costs, Buildings & Building Improvements	[1]	9,281
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	437
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,281
Total	[1]	9,718
Accumulated Depreciation	[1]	$ (89)
Date of construction	[1]	1994
Date Acquired	[1]	Aug. 21, 2015
Broadway Medical Plaza 2
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 386
Initial Costs, Buildings & Building Improvements	[1]	12,460
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	386
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,460
Total	[1]	12,846
Accumulated Depreciation	[1]	$ (115)
Date of construction	[1]	1999
Date Acquired	[1]	Aug. 21, 2015
Broadway Medical Plaza 4
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 170
Initial Costs, Buildings & Building Improvements	[1]	12,118
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	170
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,118
Total	[1]	12,288
Accumulated Depreciation	[1]	$ (107)
Date of construction	[1]	2007
Date Acquired	[1]	Aug. 21, 2015
Waterstone
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,253
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	4,932
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,253
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	4,932
Total	[1]	$ 7,185
Date Acquired	[1]	Aug. 31, 2015
Welbrook Senior Living Grand Junction (Grand Junction, CO)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,050
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	2,148
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,050
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	2,148
Total	[1]	$ 3,198
Date Acquired	[1]	Sep. 04, 2015
Wellmore of Lexington (Lexington, SC)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,300
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	6,423
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,300
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	6,423
Total	[1]	$ 8,723
Date Acquired	[1]	Sep. 14, 2015
Palmilla Senior Living
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 4,701
Initial Costs, Buildings & Building Improvements	[1]	38,321
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,701
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	38,321
Total	[1]	43,022
Accumulated Depreciation	[1]	$ (261)
Date of construction	[1]	2013
Date Acquired	[1]	Sep. 30, 2015
Cedar Lake Assisted Living and Memory Care
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,412
Initial Costs, Buildings & Building Improvements	[1]	25,126
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,412
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	25,126
Total	[1]	27,538
Accumulated Depreciation	[1]	$ (171)
Date of construction	[1]	2014
Date Acquired	[1]	Sep. 30, 2015
Fieldstone at Pear Orchard (Yakima, Washington)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,035
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	1,571
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,035
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	1,571
Total	[1]	$ 2,606
Date Acquired	[1]	Oct. 12, 2015
The Shores of Lake Phalen
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,724
Initial Costs, Buildings & Building Improvements	[1]	25,093
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,724
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	25,093
Total	[1]	27,817
Accumulated Depreciation	[1]	$ (113)
Date of construction	[1]	2012
Date Acquired	[1]	Nov. 10, 2015
Dogwood Forest of Grayson
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,788
Costs Capitalized Subsequent to Acquisition, Construction in Process	[1]	2,185
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,788
Gross Amounts at which Carried at Close of period, Construction in Process	[1]	2,185
Total	[1]	$ 3,973
Date Acquired	[1]	Nov. 24, 2015
Center One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 8,294
Initial Costs, Buildings & Building Improvements	[1]	21,756
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	8,294
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	21,756
Total	[1]	$ 30,050
Date of construction	[1]	2006
Date Acquired	[1]	Nov. 30, 2015
Red Bank Professional Office Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,721
Initial Costs, Buildings & Building Improvements	[1]	7,721
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,721
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	7,721
Total	[1]	9,442
Accumulated Depreciation	[1]	$ (18)
Date of construction	[1]	2001
Date Acquired	[1]	Dec. 14, 2015
Park Place Senior Living at WingHaven
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,283
Initial Costs, Buildings & Building Improvements	[1]	48,221
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,283
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	48,221
Total	[1]	$ 49,504
Date Acquired	[1]	Dec. 17, 2015
Park Place Senior Living at WingHaven One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2006
Park Place Senior Living at WingHaven Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2014
Siena Pavilion IV
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,454
Initial Costs, Buildings & Building Improvements	[1]	4,786
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,454
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	4,786
Total	[1]	$ 6,240
Date of construction	[1]	2002
Date Acquired	[1]	Dec. 18, 2015
Siena Pavilion V
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 3,944
Initial Costs, Buildings & Building Improvements	[1]	20,355
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,944
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	20,355
Total	[1]	$ 24,299
Date of construction	[1]	2003
Date Acquired	[1]	Dec. 18, 2015
Siena Pavilion VI
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,599
Initial Costs, Buildings & Building Improvements	[1]	18,725
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,599
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	18,725
Total	[1]	$ 21,324
Date of construction	[1]	2005
Date Acquired	[1]	Dec. 18, 2015
Hearthside Senior Living of Collierville
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 1,905
Initial Costs, Buildings & Building Improvements	[1]	13,379
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,905
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,379
Total	[1]	$ 15,284
Date of construction	[1]	2014
Date Acquired	[1]	Dec. 29, 2015
Cobalt Rehabilitation Hospital Surprise
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[1]	$ 2,464
Initial Costs, Buildings & Building Improvements	[1]	17,983
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,464
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	17,983
Total	[1]	$ 20,447
Date of construction	[1]	2015
Date Acquired	[1]	Dec. 30, 2015

[1] Buildings and building improvements are depreciated over 39 and 15 years, respectively. Tenant improvements are depreciated over the terms of their respective leases.

[2] Land and land improvements, initial cost, include the purchase price of land under development which is included as a component of construction in process in the consolidated balance sheets. As of December 31, 2015 these properties were under development; therefore, depreciation is not applicable.

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Schedule III-Real Estate And Accumulated Depreciation Transactions in Real Estate and Accumulated Depreciation (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Real Estate gross carrying value, Beginning Balance	$ 1,721,429	$ 859,877	$ 235,945
Acquisitions	802,456	822,305	598,176	$ 231,398
Improvements	65,018	39,247	25,756	4,547
Real Estate gross carrying value, Ending Balance	2,588,903	1,721,429	859,877	235,945
Real Estate accumulated depreciation, Beginning Balance	(40,467)	(11,011)	(1,702)
Depreciation	(49,734)	(29,456)	(9,309)	(1,702)
Real Estate accumulated depreciation, Ending Balance	$ (90,201)	$ (40,467)	$ (11,011)	$ (1,702)

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Schedule III-Real Estate And Accumulated Depreciation (Parenthetical) (Detail) $ in Billions	12 Months Ended
	Dec. 31, 2015 USD ($)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Aggregate cost for federal income tax purpose	$ 2.9
Building
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	39 years
Building Improvements
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	15 years

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Schedule IV-Mortgage Loans On Real Estate (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2014	Dec. 31, 2013
Mortgage Loans On Real Estate [Abstract]
Balance at beginning of year	$ 3,949
New mortgage loans and additional advances	2,065	$ 3,741
Accrued and deferred interest	288	124
Loan origination costs, net		84
Collection of principal	$ (6,302)
Balance at end of year		$ 3,949