10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended September 30, 2015

OR

☐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 1-11314

LTC PROPERTIES, INC.

(Exact name of Registrant as specified in its charter)

Maryland	71-0720518
(State or other jurisdiction of	(I.R.S. Employer
incorporation or organization)	Identification No.)

2829 Townsgate Road, Suite 350

Westlake Village, California  91361

(Address of principal executive offices, including zip code)

(805) 981-8655

(Registrant’s telephone number, including area code)

Indicate by check mark whether 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  ☑  No  ☐

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  ☑  No  ☐

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 definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

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

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

The number of shares of common stock outstanding on October 26, 2015 was 35,570,495.

LTC PROPERTIES, INC.

FORM 10-Q

September 30, 2015

INDEX

PART I -- Financial Information		Page
Item 1.	Financial Statements
	Consolidated Balance Sheets	3
	Consolidated Statements of Income	4
	Consolidated Statements of Comprehensive Income	5
	Consolidated Statements of Cash Flows	6
	Notes to Consolidated Financial Statements	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	24
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	42
Item 4.	Controls and Procedures	43
PART II -- Other Information
Item 1.	Legal Proceedings	44
Item 1A.	Risk Factors	44
Item 6.	Exhibits	45

LTC PROPERTIES, INC.

CONSOLIDATED BALANCE SHEETS

(amounts in thousands, except per share)

	September 30, 2015		December 31, 2014
	(unaudited)		(audited)
ASSETS
Investments:
Land	$	98,486	$	80,024
Buildings and improvements		1,056,163		869,814
Accumulated depreciation and amortization		(244,361)		(223,315)
Real property investments, net		910,288		726,523
Mortgage loans receivable, net of loan loss reserve: 2015—$2,065; 2014—$1,673		204,476		165,656
Real estate investments, net		1,114,764		892,179
Investment in unconsolidated joint ventures		21,143		—
Investments, net		1,135,907		892,179
Other assets:
Cash and cash equivalents		11,729		25,237
Debt issue costs, net		3,289		3,782
Interest receivable		3,384		597
Straight-line rent receivable, net of allowance for doubtful accounts: 2015—$802; 2014—$731		39,641		32,651
Prepaid expenses and other assets		20,775		9,931
Notes receivable		2,190		1,442
Total assets	$	1,216,915	$	965,819
LIABILITIES
Bank borrowings	$	165,500	$	—
Senior unsecured notes		352,467		281,633
Accrued interest		2,554		3,556
Accrued incentives and earn-outs		13,323		3,258
Accrued expenses and other liabilities		21,865		17,251
Total liabilities		555,709		305,698
EQUITY
Stockholders’ equity:
Preferred stock $0.01 par value; 15,000 shares authorized; shares issued and outstanding: 2015—2,000; 2014—2,000		38,500		38,500
Common stock: $.01 par value; 60,000 shares authorized; shares issued and outstanding: 2015—35,570; 2014—35,480		356		355
Capital in excess of par value		720,221		717,396
Cumulative net income		910,374		855,247
Accumulated other comprehensive income		56		82
Cumulative distributions		(1,008,301)		(951,459)
Total equity		661,206		660,121
Total liabilities and equity	$	1,216,915	$	965,819

See accompanying notes.

3

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF INCOME

(amounts in thousands, except per share, unaudited)

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2015		2014		2015		2014
Revenues:
Rental income	$	28,531	$	25,098	$	82,325	$	75,375
Interest income from mortgage loans		6,117		4,213		15,777		12,445
Interest and other income		295		230		708		386
Total revenues		34,943		29,541		98,810		88,206
Expenses:
Interest expense		4,296		3,170		11,916		9,445
Depreciation and amortization		7,365		6,335		21,121		18,935
Provision for doubtful accounts		31		40		463		77
Acquisition costs		539		2		564		22
General and administrative expenses		3,739		2,872		11,162		8,468
Total expenses		15,970		12,419		45,226		36,947
Operating income		18,973		17,122		53,584		51,259
Income from unconsolidated joint ventures		674		—		1,543		—
Gain on sale of real estate, net		—		—		—		1,140
Net income		19,647		17,122		55,127		52,399
Income allocated to participating securities		(121)		(123)		(370)		(343)
Income allocated to preferred stockholders		(818)		(818)		(2,454)		(2,454)
Net income available to common stockholders	$	18,708	$	16,181	$	52,303	$	49,602
Earnings per common share:
Basic	$	0.53	$	0.47	$	1.48	$	1.43
Diluted	$	0.52	$	0.46	$	1.47	$	1.42
Weighted average shares used to calculate earnings per common share:
Basic		35,341		34,605		35,306		34,596
Diluted		37,352		36,629		37,319		36,620
Dividends declared and paid per common share	$	0.51	$	0.51	$	1.53	$	1.53

See accompanying notes.

4

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Amounts in thousands, unaudited)

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2015		2014		2015		2014
Net income	$	19,647	$	17,122	$	55,127	$	52,399
Reclassification adjustment (Note 6)		(9)		(9)		(26)		(27)
Comprehensive income	$	19,638	$	17,113	$	55,101	$	52,372

See accompanying notes.

5

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Amounts in thousands, unaudited)

	Nine Months Ended September 30,
	2015		2014
OPERATING ACTIVITIES:
Net income	$	55,127	$	52,399
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		21,121		18,935
Stock-based compensation expense		3,093		2,326
Gain on sale of assets, net		—		(1,140)
Income from unconsolidated joint ventures		(1,543)		—
Distribution from unconsolidated joint ventures		289		—
Straight-line rental income		(7,060)		(1,921)
Amortization of lease inducement		1,163		—
Provision for doubtful accounts		463		77
Non-cash interest related to earn-out liabilities		205		—
Other non-cash items, net		670		1,151
(Increase) decrease in interest receivable		(2,787)		3
Decrease in accrued interest payable		(1,002)		(1,000)
Net change in other assets and liabilities		795		(1,545)
Net cash provided by operating activities		70,534		69,285
INVESTING ACTIVITIES:
Investment in real estate properties		(171,185)		(450)
Investment in real estate developments		(14,460)		(23,922)
Investment in real estate capital improvements		(6,192)		(12,178)
Capitalized interest		(481)		(1,216)
Proceeds from sale of real estate investments, net		—		7,707
Advances under mortgage loans receivable		(3,927)		(7,549)
Origination of real estate mortgages		(49,500)		—
Principal payments received on mortgage loans receivable		4,281		1,609
Investment in unconsolidated joint ventures		(20,143)		—
Advances under notes receivable		(1,464)		(664)
Principal payments received on notes receivable		—		112
Net cash used in investing activities		(263,071)		(36,551)
FINANCING ACTIVITIES:
Bank borrowings		267,000		28,500
Repayment of bank borrowings		(101,500)		(30,000)
Proceeds from issuance of senior unsecured notes		100,000		30,000
Principal payments on senior unsecured notes		(29,167)		(4,167)
Principal payments on bonds payable		—		(635)
Stock option exercises		79		277
Distributions paid to stockholders		(56,842)		(55,729)
Financing costs paid		(195)		(162)
Other		(346)		(7)
Net cash provided by (used in) financing activities		179,029		(31,923)
(Decrease) increase in cash and cash equivalents		(13,508)		811
Cash and cash equivalents, beginning of period		25,237		6,778
Cash and cash equivalents, end of period	$	11,729	$	7,589
Supplemental disclosure of cash flow information:
Interest paid	$	12,230	$	11,077
Non-cash investing and financing transactions:
Mortgage loan receivable applied against purchase price to acquire real estate (Note 2)	$	10,600	$	—
Reclassification of pre-development loans (Note 4)	$	716	$	—
Land conveyance applied to a  mortgage and construction loan receivable (Note 2)	$	670	$	—

See accompanying notes.

6

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

1.General

LTC Properties, Inc., a health care real estate investment trust (or REIT), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in senior housing and long-term health care properties through acquisitions, development, mortgage loans and other investments. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision making purposes.   Our primary objectives are to create, sustain and enhance stockholder equity value and provide current income for distribution to stockholders through real estate investments in senior housing and long-term health care properties managed by experienced operators. Our primary senior housing and long-term health care property types include skilled nursing properties (or SNF), assisted living properties (or ALF), independent living properties (or ILF), memory care properties (or MC) and combinations thereof. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property type and form of investment.

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (or SEC). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (or GAAP) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company, its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the nine months ended September 30, 2015 and 2014 are not necessarily indicative of the results for a full year.

Certain reclassifications have been made to the prior period consolidated financial statements to conform to the current period presentation, including changes in presentation of Provision for doubtful accounts as a result of the application of accounting guidance for presentation of each major income statement caption prescribed by Regulation S-X. These adjustments are normal and recurring in nature.

No provision has been made for federal or state income taxes. Our company qualifies as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. As such, we generally are not taxed on income that is distributed to our stockholders.

Investments in unconsolidated joint ventures

From time to time, the Company may make investments in unconsolidated entities, which may be in the form of common equity, preferred equity, or debt (in the form of an acquisition, development or construction or “ADC” loan, or similar arrangement). The Company evaluates each investment pursuant to ASC 805, Consolidation, to determine whether it meets the definition of a variable interest entity (or VIE) and whether the Company is the primary beneficiary. If the entity is deemed to be a VIE but the Company is not the primary beneficiary, or if the entity is deemed to be a voting interest entity but the Company does not have a controlling financial interest, it accounts for its investment using the equity method. Under the equity method, the Company initially records its investment at cost and subsequently recognizes the Company’s share of net earnings or losses and other comprehensive income or loss, cash

7

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

contributions made and distributions received, and other adjustments, as appropriate. Allocations of net income or loss may be subject to preferred returns or allocation formulas defined in operating agreements and may not be according to percentage interests of the members. In certain circumstances where the Company has a substantive profit-sharing arrangement which provides a priority return on its investment, a portion of its equity in earnings may consist of a change in its claim on the net assets of the underlying joint venture. Distributions of operating profit from the joint ventures are reported as part of operating cash flows, while distributions related to a capital transaction, such as a refinancing transaction or sale, are reported as investing activities.

The Company performs a quarterly evaluation of its investments in unconsolidated joint ventures to determine whether the fair value of each investment is less than the carrying value, and, if such decrease in value is deemed to be other-than-temporary, writes the investment down to its estimated fair value as of the measurement date.

Impact of New Accounting Pronouncements.

In May 2014, the FASB issued Accounting Standards Update (or ASU) No. 2014-09 (or ASU 2014-09), Revenue from Contracts with Customers: Topic 606. ASU 2014-09 provides for a single comprehensive principles based standard for the recognition of revenue across all industries. ASU 2014-09 requires expanded disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. ASU 2014-09 is effective for annual reporting periods (including interim reporting periods within those periods) beginning after December 15, 2016. In July 2015, FASB approved a one-year deferral of the effective date to December 2017. However, the FASB will permit public companies to adopt the amendment as of the original effective date. Early adoption prior to the original effective date is not permitted. We are currently evaluating the effects of this adoption on our consolidated financial statements.

In January 2015, FASB issued ASU No. 2015-01 (or ASU 2015-01), Income Statement – Extraordinary and Unusual Items (Subtopic 225-20): Simplifying Income Statement Presentation by Eliminating the Concept of Extraordinary Items. ASU 2015-01 eliminates the separate classification, presentation and disclosure of extraordinary events and transactions. ASU 2015-01 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2015. Early adoption is permitted provided that the guidance is applied from the beginning of the fiscal year of adoption. We elected early adoption of ASU 2015-01 as of January 1, 2015. The adoption did not have a material impact on our consolidated financial statements.

In February 2015, FASB issued ASU No. 2015-02 (or ASU 2015-02), Consolidation (Topic 810): Amendments to the Consolidation Analysis. ASU 2015-02 amends the consolidation guidance for variable interest entities and voting interest entities, among other items, by eliminating the consolidation model previously applied to limited partnerships, emphasizing the risk of loss when determining a controlling financial interest and reducing the frequency of the application of related-party guidance when determining a controlling financial interest. ASU 2015-02 is effective for periods beginning after December 15, 2015, for public companies. Early adoption is permitted, including adoption in an interim period. We are currently evaluating the effects of this ASU on our consolidated financial statements.

In April 2015, FASB issued ASU No. 2015-03 (ASU 2015-03), Interest – Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. ASU 2015-03 requires debt

8

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

issuance costs related to a recognized debt liability be presented in the balance sheet as a direct reduction from the carrying amount of the debt liability, consistent with debt discounts. ASU 2015-03 is effective for fiscal years beginning after December 15, 2015, and interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the effects of this ASU on our consolidated financial statements.

2.Real Estate Investments

Assisted living properties, independent living properties, memory care properties and combinations thereof are included in the assisted living property type (or collectively ALF). Range of care properties (or ROC) property type consists of properties providing skilled nursing and any combination of assisted living, independent living and/or memory care services.

Any reference to the number of properties, number of units, number of beds, and yield on investments in real estate are unaudited and outside the scope of our independent registered public accounting firm’s review of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Owned Properties. The following table summarizes our investments in owned properties at September 30, 2015 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investments		Investments		Properties(1)	Beds	Units	Bed/Unit
Assisted Living	$	573,693	49.7	%	96	—	5,187	$	110.60
Skilled Nursing		500,161	43.3	%	69	8,513	—	$	58.75
Range of Care		43,907	3.8	%	7	634	274	$	48.36
Under Development(2)		26,675	2.3	%	—	—	—		—
Other(3)		10,213	0.9	%	1	—	—		—
Totals	$	1,154,649	100.0	%	173	9,147	5,461

(1) We own properties in 27 states that are leased to 30 different operators.

(2) Represents six development projects consisting of four MC properties with a total of 254 units, a 108-unit independent living property and an 89-unit combination ALF and MC property.

(3) Represents one school property and three parcels of land held-for-use.

Owned properties are leased pursuant to non-cancelable operating leases generally with an initial term of 10 to 15 years. Each lease is a triple net lease which requires the lessee to pay all taxes, insurance, maintenance and repairs, capital and non-capital expenditures and other costs necessary in the operations of the facilities. Many of the leases contain renewal options. The leases provide for fixed minimum base rent during the initial and renewal periods. The majority of our leases contain provisions for specified annual increases over the rents of the prior year that are generally computed in one of four ways depending on specific provisions of each lease:

(i) a specified percentage increase over the prior year’s rent, generally between 2.0% and 3.0%;

(ii) a calculation based on the Consumer Price Index;

(iii) as a percentage of facility net patient revenues in excess of base amounts; or

(iv) specific dollar increases.

9

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Acquisitions and Development. During the three months ended September 30, 2015, we completed the acquisition of a portfolio of 10 independent, assisted living and memory care properties totaling 891 units. Nine of the properties are located in Wisconsin and one is located in Illinois. The aggregate purchase price paid at closing was $142,000,000. Simultaneously upon closing, we entered into a 15-year triple‐net master lease agreement with an existing operator at an initial cash yield of 6.5% escalating by 25 basis points upon each of the first and second anniversaries and annually thereafter by 2.75%. The master lease agreement includes a commitment up to $10,000,000 to the lessee, upon the portfolio achieving a sustainable stipulated rent coverage ratio, and when funded, cash rent will increase by the amount funded multiplied by the lease rate in effect at the time.

Additionally, during the three months ended September 30, 2015, we acquired a newly constructed 60-unit memory care property located in Florida for $14,250,000 including a $2,000,000 working capital reserve which is recorded similarly to an earn‐out and valued using a discounted cash flow analysis. The estimated fair value of the working capital reserve was $1,847,000 which will be accreted up to the settlement amount as of the estimated payment date. Concurrently with the purchase, we entered into a lease agreement at an initial cash yield of 8.0% escalating annually by 2.5%. The lease agreement includes a commitment to the lessee that we will fund a contingent earn-out payment up to $300,000, upon the property achieving a sustainable stipulated rent coverage ratio. When the working capital reserve and earn-out payments are funded, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time.

During the third quarter of 2015, we purchased a parcel of land in California for $2,022,000 and entered into a development commitment to construct and equip a 66-unit memory care property. Our total commitment for the project is $12,606,000 including the land purchase. Simultaneously with the acquisition, we added this property to a master lease agreement with an existing operator at an initial cash yield of 9.0%. Also, we acquired a parcel of land in Oregon, which we previously leased pursuant to a ground lease. The purchase price was $500,000 and the ground lease was terminated as of the closing.

During the nine months ended September 30, 2015, we purchased and equipped a 106-bed skilled nursing property for a total of $13,946,000 by exercising our purchase option under a $10,600,000 mortgage and construction loan. Additionally, we purchased five parcels of land (including the acquired parcel of land in California and excluding the purchase of parcel of land in Oregon discussed above) to build and equip assisted living facilities totaling 385 units.

The following table summarizes our investments for the nine months ended September 30, 2015 (dollar amounts in thousands):

					Total		Number	Number
	Purchase		Transaction		Acquisition		of	of
Type of Property	Price(1)		Costs(2)		Costs		Properties	Beds/Units
Skilled Nursing(3)	$	13,946	$	—	$	13,946	1	106
Assisted Living(4)		156,097		325		156,422	11	951
Land(5)		13,533		97		13,630	—	—
Totals	$	183,576	$	422	$	183,998	12	1,057

(1) Represents cost associated with our acquisitions; however, depending on the accounting treatment of our acquisitions, transaction costs may be capitalized to the properties’ basis and, for our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Additionally, transaction costs in the table above may differ from the acquisition costs line item in our consolidated statement of income as a result of transaction costs from prior year’s acquisitions.

10

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

(2) We purchased the property by exercising our purchase option under a $10,600 mortgage and construction loan and equipped the property for $3,346. The property was added to an existing master lease at a lease rate equivalent to the interest rate in effect on the loan at the time the purchase option was exercised. Additionally, we paid the lessee a $1,054 lease inducement and will amortize as a yield adjustment over the life of the lease term. See Mortgage Loans below for further discussion of the loan agreement.

(3) We acquired a newly constructed 60-unit MC property for $14,250 including a $2,000 working capital reserve which is recorded similarly to an earn-out and valued at $1,847 using a discounted cash flow analysis. As a result, our basis in the property was recorded at $14,132 which includes capitalized transaction costs. Additionally, we agreed to provide the lessee an earn-out up to $300 upon the property achieving a sustainable stipulated rent coverage ratio. When the working capital reserve and earn-out payments are funded, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time. We also acquired a portfolio comprised of 10 independent, assisted living and memory care properties for $142,000 and agreed to provide the lessee an earn-out up to $10,000, upon the portfolio achieving a sustainable stipulated rent coverage ratio, which will increase cash rent by the amount funded multiplied by the lease rate in effect at the time.

(4) We acquired parcels of land and entered into four development commitments up to a total of $55,529, including the land purchases, for the development of two MC properties totaling 132 units, a 108-unit IL property and an 89-unit combination AL and MC property. Additionally, we acquired land and existing improvements on a 56-unit MC property and entered a development commitment up to a total of $12,182, including the land purchase, to complete the development of the MC property. Also, we purchased a parcel of land we previously leased pursuant to a ground lease.

Subsequent to September 30, 2015, we purchased a parcel of land in Illinois for $2,800,000 and entered into a development commitment up to $14,769,000 (including the land purchase) to construct a 66-unit memory care facility. Also, subsequent to September 30, 2015, we purchased a behavioral health care hospital in Nevada for $9,250,000.

During the nine months ended September 30, 2015, we funded $20,652,000 on our completed and on-going development and improvement projects, including the final funding on a 60-unit memory care property in Colorado for an aggregate cost of $10,703,000, including the land purchase. The following table summarizes our on-going investment commitments as of September 30, 2015, and amounts funded exclusively under these projects (excludes capitalized interest, dollar amounts in thousands):

				Total			Number	Number
	Investment		Commitment		Remaining		of	of
Type of Property	Commitment		Funded		Commitment		Properties	Beds/Units
Skilled Nursing(1)	$	6,000	$	17	$	5,983	2	314
Assisted Living(2)		84,758		26,465		58,293	36	2,097
Totals	$	90,758	$	26,482	$	64,276	38	2,411

(1) Includes two commitments for renovation and expansion projects.

(2) Includes the development of an IL property for $14,500, four MC properties for a total of $48,923 and one ALF/MC property for $16,535. Also, includes three commitments for renovation projects on 30 ALFs totaling $4,800.

11

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Our construction in progress (or CIP) activity during the nine months ended September 30, 2015 for our development, redevelopment, renovation, and expansion projects is as follows (dollar amounts in thousands):

	CIP								CIP
	Balance at				Capitalized		Conversions		Balance at
Type of Property	12/31/2014		Funded(1)		Interest		out of CIP		9/30/2015
Skilled nursing	$	—	$	414	$	—	$	(397)	$	17
Assisted living		8,671		19,297		481		(9,871)		18,578
Total	$	8,671	$	19,711	$	481	$	(10,268)	$	18,595

(1) Excludes $7,972 of funding directly capitalized into building and includes the previously discussed acquisition of the existing improvements of a 56-unit MC property for $6,315 and pre-development loan reclass totaling $716.

During the nine months ended September 30, 2014, we sold two assisted living properties located in Florida and Georgia with a total of 133 units and one school property located in Minnesota for a combined sales price of $7,850,000, resulting in net sales proceeds of $7,707,000, and a net gain on sale of $1,140,000. 

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2015 (dollar amounts in thousands):

			Percentage		Number	Number	Number of		Investment
	Gross		of		of	of	SNF	ALF	per
Type of Property	Investments		Investments		Loans	Properties(1)	Beds	Units	Bed/Unit
Skilled Nursing	$	192,810	93.4	%	14	28	3,621	—	$	53.25
Assisted Living		13,731	6.6	%	3	8	—	270	$	50.86
Totals	$	206,541	100.0	%	17	36	3,621	270

(1) We have investments in properties located in 7 states that include mortgages to 10 different operators.

At September 30, 2015, the mortgage loans had interest rates ranging from 7.3% to 13.8% and maturities ranging from 2016 to 2045. In addition, some loans contain certain guarantees, provide for certain facility fees and generally have 20-year to 30-year amortization schedules. The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 10 to 25 basis points. During the nine months ended September 30, 2015, we received $2,487,000 plus accrued interest related to the payoff of two mortgage loans secured by a range of care property located in California and a skilled nursing property located in Texas. During the nine months ended September 30, 2015 and 2014, we received $1,794,000 and $1,609,000, respectively, in regularly scheduled principal payments.

During the nine months ended September 30, 2015, we amended an existing mortgage loan secured by a 100-unit independent living property in Arizona to provide up to $490,000 of additional proceeds for capital improvements. Also, during the nine months ended September 30, 2015, we funded $230,000 under this amended mortgage loan and have a remaining commitment of $260,000.

During 2013, we funded the initial amount of $124,387,000 under a mortgage loan with a third‑party borrower secured by 15 skilled nursing properties with a total of 2,058 beds in Michigan. The loan agreement provided for additional commitments of $12,000,000 for capital improvements and up to $40,000,000 of additional proceeds, for a total loan commitment of up to $176,387,000. During the nine

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(Unaudited)

months ended September 30, 2015, we funded the $40,000,000 of additional proceeds. During the nine months ended September 30, 2015 and 2014, we funded $3,697,000 and $1,512,000, respectively, under the $12,000,000 capital improvement commitment with $4,965,000 remaining as of September 30, 2015.

In addition, this mortgage loan provided the borrower a one‑time option to prepay up to 50% of the then outstanding loan balance without penalty. During the nine months ended September 30, 2015, we amended this mortgage loan to provide up to an additional $20,000,000 in loan proceeds for the expansion of two properties securing the loan (increasing the total capital improvement commitment to $32,000,000 and the total loan commitment to $196,387,000). As a result, our remaining commitment under the aggregate $32,000,000 capital improvement commitment was $24,965,000 at September 30, 2015. Also, we conveyed, to the borrower, two parcels of land held-for-use adjacent to these properties to facilitate the projects. The estimated fair value of these parcels of $670,000, based upon third-party appraisals, was added to the outstanding mortgage loan receivable. As partial consideration for the increased commitment and associated conveyance, the borrower forfeited their prepayment option. 

Additionally, during the nine months ended September 30, 2015, we originated an $11,000,000 mortgage loan with the same borrower, funding $9,500,000 with a commitment to fund the balance for approved capital improvement projects. The loan is secured by a 157-bed skilled nursing property in Michigan and bears interest at 9.41% for five years, escalating annually thereafter by 2.25%. The term is 30 years with interest-only payments for the initial three years. Additionally, we have the option to purchase the property under certain circumstances, including a change in regulatory provisions.

Subsequent to September 30, 2015, we originated a $20,000,000, 30-year term mortgage loan, funding $9,500,000 at closing, with a commitment to fund $10,500,000.

The following table summarizes our additional loan commitments as of September 30, 2015, and amounts funded under these mortgage loans (dollar amounts in thousands):

	Additional								Number	Number
	Loan		2015		Commitment		Remaining		of	of
Type of Property	Commitment		Funding		Funded		Commitment		Properties	Beds/Units
Skilled Nursing	$	33,500	$	3,697	$	7,035	$	26,465	16	2,215
Assisted Living		490		230		230		260	1	100
Totals	$	33,990	$	3,927	$	7,265	$	26,725	17	2,315

During the nine months ended September 30, 2014, we funded the remaining $3,010,000 balance on a $10,600,000 mortgage and construction loan to develop a new 106-bed skilled nursing property in Wisconsin to replace an old existing skilled nursing property. Upon completion of construction and relocation of the residents from the old property to the replacement property in 2014, the old property was sold and released as collateral. During the nine months ended September 30, 2015, we purchased and equipped the replacement property for a total of $13,946,000 by exercising our right under the agreement including applying amounts otherwise due to us under the underlying loan as a closing adjustment. See Owned Properties above for further discussion of the property purchase.

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(Unaudited)

3.Investment in Unconsolidated Joint Ventures

During the nine months ended September 30, 2015, we made a preferred equity investment in an entity (the JV) that owns four properties providing independent, assisted living and memory care services. These properties are located in Arizona. At closing, we provided an initial preferred capital contribution of $20,143,000 and have committed to provide an additional preferred capital contribution of $5,507,000 for a total preferred capital contribution of $25,650,000. As the preferred member of the JV, we are not entitled to share in the JV’s earnings or losses. Rather, we are entitled to receive a 15% preferred return, a portion of which is paid in cash and a portion of which is deferred if the cash flow of the JV is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return will be added to the balance of the preferred equity investment up to the estimated economic outcome assuming liquidation of the JV. As of September 30, 2015, we have accrued up to the estimated economic outcome assuming liquidation of the JV and will continue to evaluate the estimated economic outcome quarterly. Any unpaid accrued preferred return, whether recorded or unrecorded by us, will be repaid upon redemption.

In addition, we have the option to purchase either the properties owned by the JV or 100% of the common membership interest in the JV, which is exercisable between April 2018 and September 2019. If we elect not to exercise our purchase option, we have the right to put our preferred equity interest to the common member after September 2019 for an amount equal to the unpaid preferred equity investment balance and accrued preferred return thereon. The common equity member has the right to call our preferred interest at any time for an amount equal to the preferred equity investment balance and accrued preferred return thereon that would be due for the first 36 months, less amounts paid to us prior to the redemption date.

The JV is intended to be self-financing, other than our preferred capital contributions, no direct support will be provided by us. As a result, we believe our maximum exposure to loss due to our investment in the JV would be limited to our preferred capital contributions plus any unpaid accrued preferred return. We have concluded that the JV meets the accounting criteria to be considered as a variable interest entity (or VIE). However, because we do not control the entity, nor do we have any role in the day-to-day management, we are not the primary beneficiary of the JV. Therefore, we account for our JV investment using the equity method. During the three and nine months ended September 30, 2015, we recognized $674,000 and $1,544,000, respectively, in income from our preferred equity investment in the JV.  Additionally, during the nine months ended September 30, 2015, we received $289,000 from our preferred equity investment in the JV.

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(Unaudited)

4.Notes Receivable

Notes receivable consists of various loans and line of credit agreements. The following table summarizes our notes receivable activities for the nine months ended September 30, 2015 and 2014 as follows (dollar amounts in thousands):

	Nine months ended September 30,
	2015			2014
Advances under notes receivable	$	1,464		$	664
Principal payments received under notes receivable		—			(112)
Reclassed to real estate under development		(716)	(1)		—
Net increase in notes receivable	$	748		$	552

(1) Represents two pre-development loans which matured due to land acquisitions and commencement of two development projects.

At September 30, 2015, we had 8 loans and line of credit agreements with on-going commitments totaling $2,650,000 and weighted average interest rate of 9.8%. As of September 30, 2015, we have a remaining commitment of $2,013,000.

5.Debt Obligations

The following table sets forth information regarding debt obligations by component as of September 30, 2015 and December 31, 2014 (dollar amounts in thousands):

		At September 30, 2015				At December 31, 2014
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate(1)	Balance		Borrowing		Balance		Borrowing
Bank Borrowings(2)	1.51%	$	165,500	$	234,500	$	—	$	400,000
Senior Unsecured Notes(3)	4.67%		352,467		n.a.		281,633		n.a.
Total	3.66%	$	517,967			$	281,633

(1) Represents weighted average of interest rate as of September 30, 2015.

(2) Subsequent to September 30, 2015, we exercised the $200,000 accordion feature of our $400,000 unsecured revolving line of credit increasing commitments under the credit facility to $600,000 and we borrowed $22,000 under our unsecured revolving line of credit. Accordingly, we have $187,500 outstanding under our unsecured revolving line of credit with $412,500 remaining for borrowing.

(3) Subsequent to September 30, 2015, we locked rate on our AIG shelf agreement on $100,000 senior unsecured notes with a coupon of 4.26% and anticipates selling notes to AIG on or around November 20, 2015.

Bank Borrowings. We have an Unsecured Credit Agreement that provides for a revolving line of credit up to $400,000,000 with the opportunity to increase the credit amount up to a total of $600,000,000. The Unsecured Credit Agreement matures on October 14, 2018 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2015, the facility provides for interest annually at LIBOR plus 125 basis points and an unused commitment fee of 30 basis points. During the nine months ended September 30, 2015 and 2014 we borrowed $267,000,000 and $28,500,000, respectively, under our Unsecured Credit Agreement. Additionally, during the nine months ended September 30, 2015 and 2014, we repaid $101,500,000 and

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(Unaudited)

$30,000,000, respectively, under our Unsecured Credit Agreement. At September 30, 2015, we were in compliance with all covenants.

Subsequent to September 30, 2015, we exercised the $200,000,000 accordion feature of our $400,000,000 unsecured revolving line of credit. The exercise of this feature increases the commitments under our credit facility to $600,000,000 and does not impact any other terms or conditions within the credit facility including the term or covenant requirements of the agreement. Also, subsequent to September 30, 2015, we borrowed $22,000,000 under our unsecured revolving line of credit. Accordingly, we have $187,500,000 outstanding under our unsecured revolving line of credit with $412,500,000 remaining for borrowing.

Senior Unsecured Notes. During the nine months ended September 30, 2015 and 2014, we paid $29,167,000 and $4,167,000 in regular scheduled principal payments. In April 2015, we entered into a third amended and restated $200,000,000 private shelf agreement with Prudential for a three-year term. The agreement provides for the possible issuance of up to an additional $102,000,000 of senior unsecured fixed interest rate term notes. After July 14, 2015 and for the balance of the term, the agreement provides for the possible issuance of additional senior unsecured fixed interest rate term notes up to the maximum availability upon us making our scheduled principal payments on existing notes then outstanding. Interest rates on any issuance under the shelf agreement will be set at a spread over applicable Treasury rates. Maturities of each issuance are at our election for up to 15 years from the date of issuance with a maximum average life of 12 years from the date of original issuance. During the three months ended September 30, 2015, we sold $100,000,000 senior unsecured notes with an annual fixed rate of 4.5% under our Prudential shelf agreement. These notes have periodic scheduled principal repayments with a 15-year final maturity.

Also, during the three months ended September 30, 2015, we entered into a $100,000,000 note purchase and private shelf agreement with AIG Asset Management (U.S.) LLC (or AIG) for a three-year term. Subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100,000,000 senior unsecured notes with a coupon of 4.26% and anticipate selling notes to AIG on or around November 20, 2015. These notes have periodic scheduled principal repayments with a 13-year final maturity.

Bonds Payable. We had a multifamily tax-exempt revenue bond that was secured by five assisted living properties in Washington which was paid off during 2014. During the nine months ended September 30, 2014, we paid $635,000 in regularly scheduled principal payments.

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(Unaudited)

6.Equity

Equity activity was as follows (in thousands):

	Total
	Equity
Balance at December 31, 2014	$	660,121
Net income		55,127
Vesting of stock option and restricted common stock		3,093
Stock option exercise		79
Reclassification adjustment		(26)
Preferred stock dividends		(2,454)
Common stock dividends		(54,388)
Other		(346)
Balance at September 30, 2015	$	661,206

Preferred Stock. At September 30, 2015, we had 2,000,000 shares of our 8.5% Series C Cumulative Convertible Preferred Stock (or Series C preferred stock) outstanding. Our Series C preferred stock is convertible into 2,000,000 shares of our common stock at $19.25 per share. Total shares reserved for issuance of common stock related to the conversion of Series C preferred stock were 2,000,000 shares at September 30, 2015.

Common Stock. During the three months ended September 30, 2015, we entered into equity distribution agreements to issue and sell, from time to time, up to $200,000,000 in aggregate offering price of our common shares. Sales of common shares are made by means of ordinary brokers’ transactions, which may include block trades, or transactions that are deemed to be “at the market” offerings. During the three month ended September 30, 2015, we did not sell shares of common stock under our equity distribution agreement. At September 30, 2015, we had $200,000,000 available under this agreement. Also,during the nine months ended September 30, 2015 and 2014, we acquired 4,609 shares and 200 shares respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Available Shelf Registrations. Our shelf registration statement provides us with the capacity to offer up to $800,000,000 in common stock, preferred stock, warrants, debt, depositary shares, or units.  We may from time to time raise capital under this current shelf registration in amounts, at prices, and on terms to be announced when and if the securities are offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. At September 30, 2015, we had availability of $575,100,000 under our effective shelf registration which expires on July 19, 2016.

Distributions. We declared and paid the following cash dividends (in thousands):

	Nine Months Ended
	September 30, 2015				September 30, 2014
	Declared		Paid		Declared		Paid
Preferred Stock Series C	$	2,454	$	2,454	$	2,454	$	2,454
Common Stock(1)		54,388		54,388		53,275		53,275
Total	$	56,842	$	56,842	$	55,729	$	55,729

(1) Represents $0.17 per share per month for each of the nine months ended September 30, 2015 and 2014, respectively.

In October 2015, we increased our common stock monthly cash dividend approximately 5.9% from $0.17 per share to $0.18 per share and declared monthly cash dividends on our common stock for

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(Unaudited)

the months of October, November and December, payable on October 30, November 30, and December 31, 2015, respectively, to stockholders of record on October 22, November 20, and December 23, 2015, respectively.

Accumulated Other Comprehensive Income.At September 30, 2015 and December 31, 2014, accumulated comprehensive income of $56,000 and $82,000, respectively, represents the net unrealized holding gains on available-for-sale REMIC Certificates recorded in 2005 when we repurchased the loans in the underlying loan pool. This amount is being amortized to increase interest income over the remaining life of the loans that we repurchased from the REMIC Pool.

Stock-Based Compensation.  During the nine months ended September 30, 2015, we adopted and our shareholders approved the 2015 Equity Participation Plan (or the 2015 Plan) which replaces the 2008 Equity Participation Plan (or the 2008 Plan). Under the 2015 Plan, 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion. During the nine months ended September 30, 2015, no stock options or restricted stock were granted under this plan. 

During the nine months ended September 30, 2015, no stock options were granted under the 2008 Plan. In the comparable 2014 period, we granted 15,000 options under the 2008 Plan to purchase common stock at an exercise price of $38.43 per share. These stock options vest ratably over a three-year period from the grant date. The options exercised during the nine months ended September 30, 2015 and 2014 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value(1)
2015	3,333	$	23.79	$	79,000	$	140,000
2014	11,666	$	23.79	$	277,000	$	455,000

(1) As of the exercise dates.

At September 30, 2015, we had 40,001 stock options outstanding of which 30,001 stock options are exercisable. Compensation expense related to the vesting of stock options for the three and nine months ended September 30, 2015, was $3,000 and $11,000, respectively, compared to $4,000 and $9,000 for the same periods in 2014. The following table summarizes our scheduled number of stock option vesting and remaining compensation expense to be recognized related to the future service period of unvested outstanding stock options:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	—	$	4,000
2016	5,000		15,000
2017	5,000		3,000
	10,000	$	22,000

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(Unaudited)

During the nine months ended September 30, 2015, we cancelled 640 shares of restricted stock under the 2008 Plan. During the nine months ended September 30, 2015 and 2014, we granted 92,150 and 87,500 shares of restricted common stock, respectively, under the 2008 Plan as follows:

		Price per
Year	No. of Shares	Share		Vesting Period
2015	65,750	$	44.45	ratably over 3 years
	18,000	$	42.30	ratably over 3 years
	8,400	$	42.30	June 2, 2016
	92,150
2014	59,000	$	36.81	ratably over 3 years
	3,000	$	38.43	ratably over 3 years
	15,000	$	40.05	ratably over 3 years
	10,500	$	40.05	June 9, 2015
	87,500

Compensation expense recognized related to the vesting of restricted common stock for the three and nine months ended September 30, 2015 were $1,009,000 and $3,082,000, respectively, compared to $873,000 and $2,317,000 for the same period in 2014. At September 30, 2015, the total number of restricted common shares that are scheduled to vest and remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock are as follows:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	41,200	$	910,000
2016	102,060		2,618,000
2017	57,367		1,416,000
2018	27,920		187,000
	228,547	$	5,131,000

7.Commitments and Contingencies

As part of our acquisitions, we may commit to provide contingent payments to our sellers or lessees, upon the properties achieving certain rent coverage ratios, and when the contingent payments are funded cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. The contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is provided to the seller, the estimated fair value is capitalized to the properties’ basis.If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease inducement included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease. This fair value measurement is based on significant input not observable in the market and thus represents a Level 3 measurement. The fair value of these contingent liabilities are evaluated on a quarterly basis based on changes in estimates of future operating results and changes in market discount rates. During the three and nine months ended September 30, 2015, we recorded non‑cash interest expense of $96,000 and $205,000, respectively, related to these contingent liabilities and the fair value of our contingent payments was $13,323,000, at September 30, 2015.

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(Unaudited)

At September 30, 2015, we had commitments as follows (in thousands):

	Investment			2015		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(See Note 2)	$	90,758	(2)	$	24,425	$	26,482	$	64,276
Earn-out liabilities		16,300			—		—		16,300
Lease incentives (1)		4,202			493		527		3,675
Mortgage loans (See Note 2)		33,990	(2)		3,927		7,265		26,725
Joint venture investments (See Note 3)		25,650			20,143		20,143		5,507
Notes receivable (See Note 4)		2,650	(3)		502		637		2,013
Totals	$	173,550		$	49,490	$	55,054	$	118,496

(1) As part of our lease originations or amendments, we may provide lease incentive payments to or on behalf of our lessees.  These payments may either be one-time payments or commitments to fund at a future date, as presented above. Lease inducement payments are amortized as a yield adjustment over the term of the lease on a straight line basis.

(2) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand senior housing and long term care properties.

(3) Represents loan and line of credit commitments.

We are a party from time to time to various general and professional liability claims and lawsuits asserted against the lessees or borrowers of our properties, which in our opinion are not singularly or in the aggregate material to our results of operations or financial condition. These types of claims and lawsuits may include matters involving general or professional liability, which we believe under applicable legal principles are not our responsibility as a non-possessory landlord or mortgage holder. We believe that these matters are the responsibility of our lessees and borrowers pursuant to general legal principles and pursuant to insurance and indemnification provisions in the applicable leases or mortgages. We intend to continue to vigorously defend such claims.

8.Major Operators

We have three operators from each of which we derive approximately 10% of our combined rental revenue and interest income from mortgage loans. Additionally, we have one operator from which we would have derived over 10% of our combined rental revenue and interest income from mortgage loans if we had acquired the portfolio of 10 assisted living properties at the beginning of 2015. The following table sets forth information regarding our major operators as of September 30, 2015:

	Number of			Number of		Percentage of
	SNF	ALF	ROC	SNF	ALF	Total		Total
Operator	Properties	Properties	Properties	Beds	Units	revenue (1)		assets
Prestige (2)	16	—	2	2,215	211	14.9	%	15.7	%
Brookdale (3)	—	37	—	—	1,704	11.9	%	6.6	%
Senior Care (2)	9	—	—	1,190	—	9.4	%	8.2	%
Senior Lifestyle	—	27	—	—	1,631	7.9	%	14.9	%
Totals	25	64	2	3,405	3,546	44.1	%	45.4	%

(1) Includes rental income and interest income from mortgage loans.

(2) A privately held company.

(3) A subsidiary of Brookdale Senior Living, Inc.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare, Brookdale Communities, Senior Care, Senior Lifestyle, or any of our lessees and borrowers

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(Unaudited)

face financial difficulties, including any bankruptcies, inability to emerge from bankruptcy, insolvency or general downturn in business of any such operator, or in the event any such operator does not renew and/or extend its relationship with us or our borrowers when it expires.

9.Earnings per Share

The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2015		2014		2015		2014
Net income	$	19,647	$	17,122	$	55,127	$	52,399
Less net income allocated to participating securities:
Non-forfeitable dividends on participating securities		(117)		(123)		(366)		(343)
Income allocated to participating securities		(4)		—		(4)		—
Total net income allocated to participating securities		(121)		(123)		(370)		(343)
Less net income allocated to preferred stockholders:
Preferred stock dividends		(818)		(818)		(2,454)		(2,454)
Total net income allocated to preferred stockholders		(818)		(818)		(2,454)		(2,454)
Net income available to common stockholders		18,708		16,181		52,303		49,602
Effect of dilutive securities:
Convertible preferred securities		818		818		2,454		2,454
Total effect of dilutive securities		818		818		2,454		2,454
Net income for diluted net income per share	$	19,526	$	16,999	$	54,757	$	52,056
Shares for basic net income per share		35,341		34,605		35,306		34,596
Effect of dilutive securities:
Stock options		11		24		13		24
Convertible preferred securities		2,000		2,000		2,000		2,000
Total effect of dilutive securities		2,011		2,024		2,013		2,024
Shares for diluted net income per share		37,352		36,629		37,319		36,620
Basic net income per share	$	0.53	$	0.47	$	1.48	$	1.43
Diluted net income per share	$	0.52	$	0.46	$	1.47	$	1.42

10.Fair Value Measurements

In accordance with the accounting guidance regarding the fair value option for financial assets and financial liabilities, entities are permitted to choose to measure certain financial assets and liabilities at fair value, with the change in unrealized gains and losses reported in earnings. We did not adopt the elective fair value option for our financial assets and financial liabilities.

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(Unaudited)

The carrying amount of cash and cash equivalents approximates fair value because of the short-term maturity of these instruments. We do not invest our cash in auction rate securities.  The carrying value and fair value of our financial instruments as of September 30, 2015 and December 31, 2014 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2015					At December 31, 2014
	Carrying					Carrying
	Value		Fair Value			Value		Fair Value
Mortgage loans receivable	$	204,476	$	244,363	(1)	$	165,656	$	198,977	(1)
Bank borrowings		165,500		165,500	(2)		—		—	(2)
Senior unsecured notes		352,467		355,679	(3)		281,633		283,933	(3)
Contingent liabilities		13,323		13,323	(4)		3,258		3,258	(4)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2015 and December 31, 2014 was 8.8% and 8.6%, respectively.

(2) Our bank borrowings are at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2015 and December 31, 2014 based upon prevailing market interest rates for similar debt arrangements.

(3) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2015, the discount rate used to value our future cash outflow of our senior unsecured notes was 4.25% for those maturing before year 2020 and 4.45% for those maturing beyond year 2020. At December 31, 2014, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.8% for those maturing before year 2020 and 4.55% for those maturing beyond year 2020.

(4) Our contingent liabilities are classified as Level 3. We estimated the fair value of the contingent earn‑out payments using a discounted cash flow analysis. The discount rate that we use consists of a risk‑free U.S. Treasury rate plus a company specific credit spread which we believe is acceptable by willing market participants. At September 30, 2015 and December 31, 2014, the discount rate used to value our contingent liabilities was 5.9% and 6.2%, respectively.

11.Subsequent Events

Subsequent to September 30, 2015 the following events occurred.

Real Estate Investments: We purchased a parcel of land in Illinois for $2,800,000 and entered into a development commitment to construct a 66-unit memory care facility. The commitment totals $14,769,000, including the land purchase. Also, we purchased a behavioral health care hospital in Nevada for $9,250,000 and we originated a $20,000,000, 30-year term mortgage loan, funding $9,500,000 at closing, with a commitment to fund $10,500,000.

Debt Obligations: We locked rate under our AIG shelf agreement on $100,000,000 senior unsecured notes with a coupon of 4.26% and anticipate selling notes to AIG on or around November 20, 2015. Additionally, we exercised the $200,000,000 accordion feature of our $400,000,000 unsecured revolving line of credit increasing commitments under our credit facility to $600,000,000 and we borrowed $22,000,000 under our unsecured revolving line of credit. Accordingly, we have $187,500,000 outstanding under our unsecured revolving line of credit with $412,500,000 remaining for borrowing. See Note 5. Debt Obligations for further discussion.

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LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Equity: We increased our common stock monthly cash dividend approximately 5.9% from $0.17 per share to $0.18 per share and declared monthly cash dividends on our common stock for the months of October, November and December, payable on October 30, November 30, and December 31, 2015, respectively, to stockholders of record on October 22, November 20, and December 23, 2015, respectively.

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Item 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Statement Regarding Forward Looking Disclosure

This quarterly report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, adopted pursuant to the Private Securities Litigation Reform Act of 1995. Statements that are not purely historical may be forward-looking. You can identify some of the forward-looking statements by their use of forward-looking words, such as “believes,” “expects,” “may,” “will,” “should,” “seeks,” “approximately,” “intends,” “plans,” “estimates” or “anticipates,” or the negative of those words or similar words. Forward- looking statements involve inherent risks and uncertainties regarding events, conditions and financial trends that may affect our future plans of operation, business strategy, results of operations and financial position. A number of important factors could cause actual results to differ materially from those included within or contemplated by such forward-looking statements, including, but not limited to, the status of the economy; the status of capital markets (including prevailing interest rates) and our access to capital; the income and returns available from investments in health care related real estate (including our ability to re-lease properties upon expiration of a lease term); the ability of our borrowers and lessees to meet their obligations to us; our reliance on a few major operators; competition faced by our borrowers and lessees within the health care industry; regulation of the health care industry by federal, state and local governments; changes in Medicare and Medicaid reimbursement amounts (including due to federal and state budget constraints); compliance with and changes to regulations and payment policies within the health care industry; debt that we may incur and changes in financing terms; our ability to continue to qualify as a real estate investment trust; the relative illiquidity of our real estate investments; potential limitations on our remedies when mortgage loans default; and risks and liabilities in connection with properties owned through limited liability companies and partnerships. For a discussion of these and other factors that could cause actual results to differ from those contemplated in the forward-looking statements, please see the discussion under “Risk Factors” contained in our Annual Report on Form 10-K for the fiscal year ended December 31, 2014 and in our publicly available filings with the Securities and Exchange Commission. We do not undertake any responsibility to update or revise any of these factors or to announce publicly any revisions to forward-looking statements, whether as a result of new information, future events or otherwise.

Executive Overview

Business

We are a self-administered health care real estate investment trust (or REIT) that invests primarily in senior housing and long-term health care properties through acquisitions, development, mortgage loans and other investments. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision making purposes. Our primary objectives are to create, sustain and enhance stockholder equity value and provide current income for distribution to stockholders through real estate investments in senior housing and long-term health care properties managed by experienced operators. Our primary senior housing and long-term health care property types include skilled nursing properties (or SNF), assisted living properties (or ALF), independent living properties (or ILF), memory care properties (or MC) and combinations thereof. ALF, ILF, MC, and combinations thereof are included in the ALF property type. Range of care properties (or ROC) property type consists of properties providing skilled nursing and any combination of assisted living, independent living and/or memory care services. As of September 30, 2015, senior housing and long-term health care properties comprised approximately 99% of our real estate investment portfolio.  We have been operating since August 1992.

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The following table summarizes our real estate investment portfolio as of September 30, 2015 (dollar amounts in thousands):

					Nine Months Ended
			Percentage		September 30, 2015				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Type of Property	Investments		Investments		Income		Income(1)		Revenues(2)		Properties(3)	Beds(3)	Units(3)
Skilled Nursing	$	692,971	50.9	%	$	42,409	$	14,835	58.4	%	97	12,134	—
Assisted Living		587,424	43.1	%		34,527		903	36.1	%	104	—	5,457
Range of Care		43,907	3.2	%		4,406		—	4.5	%	7	634	274
Under Development(4)		26,675	2.0	%		—		—	—	%	—	—	—
Other(5)		10,213	0.8	%		983		—	1.0	%	1	—	—
Totals	$	1,361,190	100.0	%	$	82,325	$	15,738	100.0	%	209	12,768	5,731

(1) Represents interest income from mortgage loans excluding $39 of interest income from mortgage loans paid off during the nine months ended September 30, 2015.

(2) Includes rental income and (1) above.

(3) We have investments in 29 states leased or mortgaged to 36 different operators. See Item 1. Financial Statements – Note 2. Real Estate Investments for discussion of bed/unit count.

(4) Represents six development projects consisting of four MC properties with a total of 254 units, a 108-unit independent living property and an 89-unit combination ALF and MC property.

(5) Represents one school property and three parcels of land held-for-use.

As of September 30, 2015 we had $1,114.8 million in carrying value of net real estate investments, consisting of $910.3 million or 81.7% invested in owned and leased properties and $204.5 million or 18.3% invested in mortgage loans secured by first mortgages.

For the nine months ended September 30, 2015, rental income and interest income from mortgage loans represented 83.3% and 16.0%, respectively, of total gross revenues. In most instances, our lease structure contains fixed annual rental escalations, which are generally recognized on a straight-line basis over the minimum lease period. Certain leases have annual rental escalations that are contingent upon changes in the Consumer Price Index and/or changes in the gross operating revenues of the property.  This revenue is not recognized until the appropriate contingencies have been resolved. For the nine months ended September 30, 2015, we recorded $7.1 million in straight-line rental income and $71,000 of straight-line rent receivable reserve. During the nine months ended September 30, 2015, we received $76.4 million of cash rental revenue and recorded amortization of lease inducement cost of $1.2 million.  During the nine months ended September 30, 2015, an existing master lease was amended to extend the term an additional three years and increase rent by 3%. Additionally, during the nine months ended September 30, 2015, an operator exercised its first option to extend an existing lease with original maturity date at July 2016, for an additional 5 years, resulting in an annual increase of 2.5% in rent. At September 30, 2015, the straight-line rent receivable balance, net of reserves, on the balance sheet was $39.6 million.

Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals and interest earned on outstanding loans receivable. Our investments in owned properties and mortgage loans represent our primary source of liquidity to fund distributions and are dependent upon the performance of the operators on their lease and loan obligations and the rates earned thereon. To the extent that the operators experience operating difficulties and are unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by the type of health care facility and operator. Our

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monitoring process includes periodic review of financial statements for each facility, periodic review of operator credit, scheduled property inspections and review of covenant compliance.

In addition to our monitoring and research efforts, we also structure our investments to help mitigate payment risk. Some operating leases and loans are credit enhanced by guaranties and/or letters of credit. In addition, operating leases are typically structured as master leases and loans are generally cross-defaulted and cross-collateralized with other loans, operating leases or agreements between us and the operator and its affiliates.

At September 30, 2015, we had $11.7 million of cash on hand, $234.5 million available under our unsecured revolving line of credit, with the opportunity to increase the commitments up to an additional $200.0 million, and $100.0 million available under the private shelf agreement with AIG Asset Management (U.S.) LLC (or AIG).  Subsequent to September 30, 2015, we exercised the $200.0 million accordion feature of our $400.0 million unsecured revolving line of credit increasing commitments under our credit facility to $600.0 million and we borrowed $22.0 million under our unsecured revolving line of credit. Accordingly, we have $412.5 million available under our unsecured revolving line of credit. Also, subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100.0 million senior unsecured notes with a coupon of 4.26% and anticipate selling notes to AIG on or around November 20, 2015. At September 30, 2015, we also have the potential ability to access the capital markets through the issuance of $200.0 million of common stock under our Amended Equity Distribution Agreement and through the issuance of debt and/or equity securities under our $575.1 million effective shelf registration. As a result, we believe our liquidity and various sources of available capital are sufficient to fund operations and development commitments, meet debt service obligations (both principal and interest), make dividend distributions and finance some future investments should we determine such future investments are financially feasible.

Health Care Regulatory Climate

The Centers for Medicare & Medicaid Services (or CMS) annually updates Medicare skilled nursing facility prospective payment system rates and other policies. On July 30, 2015, CMS released its final skilled nursing facility prospective payment system update for fiscal year 2016, which began October 1, 2015. CMS projects that aggregate Medicare payments to skilled nursing facilities will increase by $430 million, or 1.2%, under the final rule. This increase reflects a 2.3% market basket increase, reduced by both a 0.6 percentage point forecast error adjustment and a 0.5 percentage point multifactor productivity adjustment.  On July 13, 2015, CMS released a proposed rule that would revise the requirements that long-term care facilities must meet to participate in the Medicare and Medicaid programs. The major rule addresses requirements for improving quality of care and patient safety, nursing facility staffing, care planning, binding arbitration agreements, infection control, residents’ rights, compliance and ethics programs, and several other areas. CMS estimates that the rule, if adopted as proposed, would impose an average cost of $46,491 per facility in the first year and $40,685 per facility in subsequent years, There can be no assurance that future regulations modifying Medicare skilled nursing facility payment rates or other requirements for Medicare and/or Medicaid participation will not have an adverse effect on the financial condition of our borrowers and lessees which could, in turn, adversely impact the timing or level of their payments to us.

Congress periodically considers legislation revising Medicare policies, including legislation that could have the impact of reducing Medicare reimbursement for skilled nursing facilities and other Medicare providers, encouraging home and community-based long term care services as an alternative to institutional settings, or otherwise reforming payment policy for post-acute care services. There can be no assurances that enacted or future legislation will not have an adverse impact on the financial condition of our borrowers and lessees, which subsequently could materially adversely impact our company.

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Additional reforms affecting the payment for and availability of health care services have been proposed at the state level and adopted by certain states. Increasingly state Medicaid programs are providing coverage through managed care programs under contracts with private health plans, which is intended to decrease state Medicaid costs. Congress and state legislatures can be expected to continue to review and assess alternative health care delivery systems and payment methodologies. Changes in the law, new interpretations of existing laws, or changes in payment methodologies may have a dramatic effect on the definition of permissible or impermissible activities, the relative costs associated with doing business and the amount of reimbursement by the government and other third party payors.

Key Transactions during the Quarter

During the three months ended September 30, 2015, we completed the acquisition of a portfolio of 10 independent, assisted living and memory care properties totaling 891 units. Nine of the properties are located in Wisconsin and one is located in Illinois. The aggregate purchase price paid at closing was $142.0 million. Simultaneously upon closing, we entered into a 15‐year triple‐net master lease agreement with an existing operator at an initial cash yield of 6.5% escalating by 25 basis points upon each of the first and second anniversaries and annually thereafter by 2.75%. The master lease agreement includes a commitment to the lessee that we will fund a contingent earn-out payment up to $10.0 million upon the portfolio achieving a sustainable stipulated rent coverage ratio and when the contingent payments are funded cash rent will increase by the amount funded multiplied by the lease rate in effect at the time.

Additionally, we acquired a newly constructed 60-unit memory care property located in Florida for $14.3 million including a $2.0 million working capital reserve which is recorded similarly to an earn‐out and valued using a discounted cash flow analysis. Concurrently with the purchase, we entered into lease agreement at an initial cash yield of 8.0% escalating annually by 2.5% %. The lease agreement also includes a commitment to the lessee that we will fund a $0.3 million contingent earn-out payment upon the property achieving a sustainable stipulated rent coverage ratio. When the working capital reserve and earn-out payments are funded, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time.

Also, during the quarter ended September 30, 2015, we purchased a parcel of land in California for $2.0 million and entered into a development commitment to construct and equip a 66‐unit memory care property. Our total commitment for the project is $12.6 million including the land purchase. Simultaneously with the acquisition, we added this property to an existing master lease agreement at an initial incremental cash yield of 9.0%. Furthermore, we acquired a parcel of land in Oregon for $0.5 million, which we had previously leased pursuant to a ground lease which was terminated as of the closing.

Subsequent to September 30, 2015, we purchased a parcel of land in Illinois for $2.8 million and entered into a development commitment to construct a 66-unit memory care facility. The commitment totals $14.8 million, including the land purchase. The property will be added to a master lease with an existing operator. Rent will commence at an initial annual rate of 9.0% upon completion of construction. Also, we purchased a behavioral health care hospital in Nevada comprised of 116 medical hospital beds and 2 skilled nursing beds for $9.3 million. The property was added to an existing master lease at an initial lease rate of 8.5%. Additionally, we committed up to $3.0 million for approved capital improvements. We also originated a $20.0 million, 30-year term mortgage loan, funding $9.5 million at closing, with a commitment to fund $5.5 million within 180 days. The $5.0 million remaining commitment is available for approved capital improvement projects. The loan is secured by two skilled nursing properties in Michigan and bears interest at 9.41% for five years, escalating annually thereafter by

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2.25%. The loan agreement also provides, under certain conditions and based on certain operating metrics and valuation thresholds, for additional loan proceeds of up to $8.0 million.

During the three months ended September 30, 2015, we paid $25.0 million in principal under our senior unsecured notes. Additionally, we sold $100.0 million aggregate principal amount of 4.5% senior unsecured notes due August 31, 2030 to affiliates, subsidiaries or managed accounts of Prudential Investment Management, Inc. Also, we entered into an agreement with AIG which provides for the possible issuance of up to $100.0 million of senior unsecured fixed interest rate term notes. Subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100.0 million senior unsecured notes with a coupon of 4.26% and anticipate selling the notes on or about November 20, 2015.

Subsequent to September 30, 2015, we exercised the $200.0 million accordion feature of our $400.0 million unsecured revolving line of credit increasing commitments under our credit facility to $600.0 million and we borrowed $22.0 million under our unsecured revolving line of credit. Accordingly, we have $187.5 million outstanding under our unsecured revolving line of credit with $412.5 million remaining for borrowing.

During the three months ended September 30, 2015, we entered into equity distribution agreements to issue and sell, from time to time, up to $200.0 million in aggregate offering price of our common shares. Sales of common shares are made by means of ordinary brokers’ transactions, which may include block trades, or transactions that are deemed to be “at the market” offerings. During the three month ended September 30, 2015, we did not sell shares of common stock under our equity distribution agreement. At September 30, 2015, we had $200.0 million available under this agreement.

Key Performance Indicators, Trends and Uncertainties

We utilize several key performance indicators to evaluate the various aspects of our business.  These indicators are discussed below and relate to concentration risk and credit strength. Management uses these key performance indicators to facilitate internal and external comparisons to our historical operating results in making operating decisions and for budget planning purposes.

Concentration Risk. We evaluate by gross investment our concentration risk in terms of asset mix, investment mix, operator mix and geographic mix. Concentration risk is valuable to understand what portion of our investments could be at risk if certain sectors were to experience downturns. Asset mix measures the portion of our investments that are real property or mortgage loans. In order to qualify as an equity REIT, at least 75 percent of our total assets must be represented by real estate assets, cash, cash items and government securities. Investment mix measures the portion of our investments that relate to our various property types. Operator mix measures the portion of our investments that relate to our top five operators. Geographic mix measures the portion of our investment that relate to our top five states.

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The following table reflects our recent historical trends of concentration risk (gross investment, in thousands):

	9/30/15		6/30/15		3/31/15		12/31/14		9/30/14
Asset mix:
Real property	$	1,154,649	$	989,163	$	983,585	$	949,838	$	966,012
Loans receivable		206,541		206,092		165,300		167,329		173,051
Investment mix:
Skilled nursing properties	$	692,971	$	692,135	$	650,932	$	633,052	$	632,547
Assisted living properties(1)		587,424		430,926		430,027		424,940		449,340
Range of care properties		43,907		43,907		43,907		46,217		46,293
Under development(1)		26,675		17,404		13,136		2,075		—
Other(2)		10,213		10,883		10,883		10,883		10,883
Operator mix:
Senior Lifestyle Corporation(3)	$	199,349	$	57,349	$	57,349	$	24,300	$	14,500
Prestige Healthcare(2)		194,725		194,145		152,885		141,527		139,702
Brookdale Communities		126,991		126,991		126,991		123,984		123,229
Senior Care Centers, LLC		115,039		115,039		115,039		115,039		114,539
Juniper Communities, LLC		86,767		87,082		87,088		87,088		87,088
Remaining operators		638,319		614,649		609,533		625,229		660,005
Geographic mix:
Texas	$	248,186	$	247,168	$	246,756	$	239,539	$	239,926
Michigan		182,535		181,955		140,696		129,338		127,513
Wisconsin(3)		125,680		13,946		13,946		10,600		10,600
Colorado		114,924		114,924		114,701		109,859		94,598
Ohio		98,647		98,647		98,647		98,647		98,647
Remaining states		591,218		538,615		534,139		529,184		567,779

(1) During the nine months ended September 30, 2015, we completed the construction of a 60-unit memory care property. Accordingly, this property was reclassified from “Under development” to “Assisted living property” for all periods presented.

(2) We have one school property and three parcels of land as of September 30, 2015. The parcels of land are located adjacent to properties securing the Prestige mortgage loan and are managed by Prestige. During the nine months ended September 30, 2015, we conveyed to Prestige two parcels of land adjacent to two of the 15 properties secured under a mortgage loan and committed to provide additional loan proceeds for the expansion those two properties.

(3) During the three months ended September 30, 2015 we completed the acquisition of a 10-property senior housing portfolio comprised of independent, assisted living and memory care properties for an aggregate purchase price of $142,000. Nine of the properties are located in Wisconsin and one is located in Illinois. Simultaneously upon closing, we entered into a master lease agreement with Senior Lifestyle Corporation. Accordingly, the properties operated by “Senior Lifestyle Corporation” were reclassified from “Remaining Operators” for all periods presented. Also, our “Wisconsin” properties were reclassified from “Remaining states” for all periods presented.

Credit Strength. We measure our credit strength both in terms of leverage ratios and coverage ratios. Our leverage ratios include debt to gross asset value and debt to market capitalization. The leverage ratios indicate how much of our consolidated balance sheet capitalization is related to long term obligations. Our coverage ratios include interest coverage ratio and fixed charge coverage ratio. The coverage ratios indicate our ability to service interest and fixed charges (interest plus preferred dividends). The coverage ratios are based on adjusted earnings before gain on sale of real estate, interest, taxes, depreciation and amortization (or Adjusted EBITDA). Leverage ratios and coverage ratios are widely used by investors, analysts and rating agencies in the valuation, comparison, rating and investment recommendations of companies. The following table reflects the recent historical trends for our credit strength measures:

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Balance Sheet Metrics

	YTD		Quarter Ended
	9/30/15		9/30/15			6/30/15			3/31/15			12/31/14			9/30/14
Debt to gross asset value	35.4	%	35.4	%	(1)	27.9	%	(1)	25.6	%	(1)	23.7	%	(7)	25.4	%
Debt & preferred stock to gross asset value	38.0	%	38.0	%	(1)	30.9	%	(1)	28.7	%	(1)	26.9	%	(7)	28.7	%
Debt to market capitalization ratio	25.0	%	25.0	%	(2)	19.1	%	(4)	15.8	%	(5)	15.2	%	(8)	18.6	%
Debt & preferred stock to market capitalization ratio	26.8	%	26.8	%	(2)	21.1	%	(4)	17.7	%	(5)	17.3	%	(8)	21.0	%
Interest coverage ratio(10)	7.1	x	7.0	x	(3)	7.2	x		7.2	x	(6)	6.9	x	(9)	7.3	x
Fixed charge coverage ratio(10)	5.9	x	5.9	x	(3)	6.0	x		5.9	x	(6)	5.7	x	(9)	6.0	x

(1) Increased primarily due to the increase in outstanding debt partially offset by the increase in gross asset value from acquisitions, additional development and capital improvement funding.

(2) Increased primarily due to the increase in outstanding debt partially offset by increase in market capitalization.

(3) Decrease primarily due to increase in interest expense resulting from the sale of senior unsecured notes.

(4) Increased primarily due to decrease in market capitalization and increase in outstanding debt.

(5) Increase primarily due to increase in outstanding debt.

(6) Increased primarily due to revenue from the new investment in an unconsolidated joint venture and higher effective interest income from the forfeiture of a mortgage loan prepayment option.

(7) Decrease primarily due to debt pay down from proceeds from the sale of 16 properties to Enlivant and proceeds from the sale of 600,000 shares of common stock in a registered direct placement partially offset by a decrease in gross asset value related to the sale of properties.

(8) Decrease primarily due to the decrease in outstanding debt and the increase in market capitalization resulting from the sale of 600,000 shares of common stock in a registered direct placement and increase in stock price.

(9) Decrease primarily due to increase in interest expense resulting from the sale of senior unsecured notes and increased availability under our expanded unsecured revolving line of credit.

(10) In calculating our interest coverage and fixed charge coverage ratios above, we use Adjusted EBITDA, which is a financial measure not derived in accordance with U.S. generally accepted accounting principles (non-GAAP financial measure). Adjusted EBITDA is not an alternative to net income, operating income or cash flows from operating activities as calculated and presented in accordance with U.S. GAAP. You should not rely on Adjusted EBITDA as a substitute for any such U.S. GAAP financial measures or consider it in isolation, for the purpose of analyzing our financial performance, financial position or cash flows. Net income is the most directly comparable GAAP measure to Adjusted EBITDA.

	Year to Date			Quarter Ended
	9/30/15			9/30/15			6/30/15			3/31/15			12/31/14			9/30/14
Net income	$	55,127		$	19,647		$	17,928		$	17,552		$	21,000		$	17,122
Less: Gain on sale		—			—			—			—			(3,819)			—
Add: Interest expense		11,916			4,296			3,854			3,766			3,683			3,170
Add: Depreciation and amortization		21,121			7,365			6,977			6,779			6,594			6,335
Total adjusted EBITDA	$	88,164		$	31,308		$	28,759		$	28,097		$	27,458		$	26,627
Interest expense	$	11,916		$	4,296		$	3,854		$	3,766		$	3,683		$	3,170
Add: Capitalized interest		481			184			150			147			290			474
Interest incurred	$	12,397		$	4,480		$	4,004		$	3,913		$	3,973		$	3,644
Interest coverage ratio		7.1	x		7.0	x		7.2	x		7.2	x		6.9	x		7.3	x
Interest incurred	$	12,397		$	4,480		$	4,004		$	3,913		$	3,973		$	3,644
Preferred stock dividends		2,454			818			818			818			819			818
Total fixed charges	$	14,851		$	5,298		$	4,822		$	4,731		$	4,792		$	4,462
Fixed charge coverage ratio		5.9	x		5.9	x		6.0	x		5.9	x		5.7	x		6.0	x

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We evaluate our key performance indicators in conjunction with current expectations to determine if historical trends are indicative of future results. Our expected results may not be achieved and actual results may differ materially from our expectations. This may be a result of various factors, including, but not limited to

· The status of the economy;

· The status of capital markets, including prevailing interest rates;

· Compliance with and changes to regulations and payment policies within the health care industry;

· Changes in financing terms;

· Competition within the health care and senior housing industries; and

· Changes in federal, state and local legislation.

Management regularly monitors the economic and other factors listed above. We develop strategic and tactical plans designed to improve performance and maximize our competitive position. Our ability to achieve our financial objectives is dependent upon our ability to effectively execute these plans and to appropriately respond to emerging economic and company-specific trends.

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Operating Results

Three months ended September 30, 2015 compared to three months ended September 30, 2014 (amounts in thousands)

	Three Months Ended
	September 30,
	2015		2014		Difference
Revenues:
Rental income	$	28,531	$	25,098	$	3,433	(1)
Interest income from mortgage loans		6,117		4,213		1,904	(2)
Interest and other income		295		230		65	(3)
Total revenues		34,943		29,541		5,402
Expenses:
Interest expense		4,296		3,170		(1,126)	(4)
Depreciation and amortization		7,365		6,335		(1,030)	(1)
Provision for doubtful accounts		31		40		9
Acquisition costs		539		2		(537)	(5)
General and administrative expenses		3,739		2,872		(867)	(6)
Total expenses		15,970		12,419		(3,551)
Operating income		18,973		17,122		1,851
Income from unconsolidated joint ventures		674		—		674	(7)
Gain on sale of real estate, net		—		—		—
Net income		19,647		17,122		2,525
Income allocated to participating securities		(121)		(123)		2
Income allocated to preferred stockholders		(818)		(818)		—
Net income available to common stockholders	$	18,708	$	16,181	$	2,527

(1) Increased due to acquisitions, development and capital improvement investments.

(2) Increased primarily due to increase in effective interest income from a mortgage loan resulting from the borrower’s forfeiture of its prepayment option, a mortgage origination and additional funding for capital improvement commitments under certain mortgage loans partially offset by normal amortization of existing mortgage loans.

(3) Increased primarily due to additional funding under our notes receivable.

(4) Increased primarily due to the sale of senior unsecured notes, increased borrowing under our unsecured revolving line of credit and decrease in capitalized interest related to development projects.

(5) Increased primarily due to costs associated with the acquisition of the 10-property senior housing portfolio.

(6) Increased primarily due to additional expenditures related to increased investment activity and restricted stock vesting.

(7) Represents our preferred return from our investment in an unconsolidated joint venture entered into during the first quarter of 2015.

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Nine months ended September 30, 2015 compared to nine months ended September 30, 2014 (amounts in thousands)

	Nine Months Ended
	September 30,
	2015		2014			Difference
Revenues:
Rental income	$	82,325	$	75,375		$	6,950	(1)
Interest income from mortgage loans		15,777		12,445			3,332	(2)
Interest and other income		708		386			322	(3)
Total revenues		98,810		88,206			10,604
Expenses:
Interest expense		11,916		9,445			(2,471)	(4)
Depreciation and amortization		21,121		18,935			(2,186)	(1)
Provision for doubtful accounts		463		77			(386)	(5)
Acquisition costs		564		22			(542)	(6)
General and administrative expenses		11,162		8,468			(2,694)	(7)
Total expenses		45,226		36,947			(8,279)
Operating income		53,584		51,259			2,325
Income from unconsolidated joint ventures		1,543		—			1,543	(8)
Gain on sale of real estate, net		—		1,140			(1,140)	(9)
Net income		55,127		52,399			2,728
Income allocated to participating securities		(370)		(343)	(7)		(27)
Income allocated to preferred stockholders		(2,454)		(2,454)	(8)		—
Net income available to common stockholders	$	52,303	$	49,602		$	2,701

(1) Increased due to acquisitions, development and capital improvement investments.

(2) Increased primarily due to increase in effective interest income from a mortgage loan resulting from the borrower’s forfeiture of its prepayment option, a mortgage origination and additional funding for capital improvement commitments under certain mortgage loans partially offset by normal amortization of existing mortgage loans.

(3) Increased primarily due to additional funding under our notes receivable.

(4) Increased primarily due to the sale of senior unsecured notes, increased borrowing under our unsecured revolving line of credit and decrease in capitalized interest related to development projects.

(5) Increased primarily due to mortgage origination and additional funding for capital improvement commitments under certain mortgage loans partially offset by normal amortization of existing mortgage loans.

(6) Increased primarily due to costs associated with the acquisition of the 10-property senior housing portfolio.

(7) Increased primarily due to additional expenditures related to increased investment activity and restricted stock vesting.

(8) Represents our preferred return from our investment in an unconsolidated joint venture entered into during the first quarter of 2015.

(9) Represents the net gain on sale of two assisted living properties and a school.

Funds From Operations Available to Common Stockholders

Funds from Operations (or FFO) available to common stockholders, basic FFO available to common stockholders per share and diluted FFO available to common stockholders per share are supplemental measures of a REIT’s financial performance that are not defined by U.S. GAAP. Real estate values historically rise and fall with market conditions, but cost accounting for real estate assets in accordance with U.S. GAAP assumes that the value of real estate assets diminishes predictably over time.  We believe that by excluding the effect of historical cost depreciation, which may be of limited relevance in evaluating current performance, FFO facilitates comparisons of operating performance between periods.

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We use FFO as a supplemental performance measurement of our cash flow generated by operations. FFO does not represent cash generated from operating activities in accordance with U.S. GAAP, and is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income available to common stockholders.

We calculate and report FFO in accordance with the definition and interpretive guidelines issued by the National Association of Real Estate Investment Trusts (or NAREIT). FFO, as defined by NAREIT, means net income available to common stockholders (computed in accordance with U.S. GAAP) excluding gains or losses on the sale of real estate and impairment write-downs of depreciable real estate plus real estate depreciation and amortization, and after adjustments for unconsolidated partnerships and joint ventures. Our calculation of FFO may not be comparable to FFO reported by other REITs that do not define the term in accordance with the current NAREIT definition or that have a different interpretation of the current NAREIT definition from us; therefore, caution should be exercised when comparing our FFO to that of other REITs.

The following table reconciles GAAP net income available to common stockholders to NAREIT FFO available to common stockholders (unaudited, amounts in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2015		2014		2015		2014
GAAP net income available to common stockholders	$	18,708	$	16,181	$	52,203	$	49,602
Add: Depreciation and amortization		7,365		6,335		21,121		18,935
Less: Gain on sale of real estate, net		—		—		—		(1,140)
NAREIT FFO available to common stockholders	$	26,073	$	22,516	$	73,324	$	67,397
NAREIT FFO available to common stockholders per share:
Basic	$	0.74	$	0.65	$	2.08	$	1.95
Diluted(1)	$	0.72	$	0.64	$	2.03	$	1.91
Weighted average shares used to calculate NAREIT FFO per share:
Basic		35,341		34,605		35,306		34,596
Diluted(2)		37,581		36,869		37,558		36,841

(1) Diluted FFO available to common stockholders per share includes the effect of the participating securities and the convertible preferred securities.

(2) Diluted weighted average shares used to calculate FFO per share includes the effect of stock option equivalents, participating securities and convertible preferred securities.

Liquidity and Capital Resources

Our primary sources of cash include rent and interest receipts, borrowings under our primary unsecured credit facility, public issuances of debt and equity securities, proceeds from investment dispositions and principal payments on loans receivable. Our primary uses of cash include dividend distributions, debt service payments (including principal and interest), real property investments (including acquisitions, capital expenditures and construction advances), loan advances and general and administrative expenses. These sources and uses of cash are reflected in our Consolidated Statements of

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Cash Flows and are discussed in further detail below. The following is a summary of our sources and uses of cash flows for the nine months ended September 30, 2015 (in thousands):

Cash provided by (used in):
Operating activities	$	70,534
Investing activities		(263,071)
Financing activities		179,029
Decrease in cash and cash equivalents		(13,508)
Cash and cash equivalents, beginning of period		25,237
Cash and cash equivalents, end of period	$	11,729

Operating Activities. At September 30, 2015, our gross real estate investment portfolio (before accumulated depreciation and amortization) consisted of $1,154.6 million invested primarily in owned long-term health care properties and mortgage loans of approximately $206.5 million (prior to deducting a $2.1 million reserve). Our portfolio consists of direct investments (properties that we either own or on which we hold promissory notes secured by first mortgages) in 97 skilled nursing properties, 104 assisted living properties, 7 range of care properties, one school, six parcels of land under development and three parcels of land held-for-use. These properties are located in 29 states. Assisted living properties, independent living properties, memory care properties and combinations thereof are included in the assisted living property type. Range of care properties consist of properties providing skilled nursing and any combination of assisted living, independent living and/or memory care services.

For the nine months ended September 30, 2015, we recorded $7.1 million in straight-line rental income and a reserve of $70,000 on our straight-line rent receivable. During the nine months ended September 30, 2015, we received $76.4 million of cash rental revenue and recorded amortization of lease inducement cost of $1.2 million. During the nine months ended September 30, 2015, an existing master lease was amended to extend the term an additional three years and increase rent by 3%. Additionally, during the nine months ended September 30, 2015, an operator exercised its first option to extend an existing lease with original maturity date at July 2016, for an additional 5 years, resulting in an annual increase of 2.5% in rent. At September 30, 2015, the straight-line rent receivable balance, net of reserves, on the balance sheet was $39.6 million.

As part of our acquisitions, we may commit to provide contingent payments to our sellers or lessees, upon the properties achieving certain rent coverage ratios, and when the contingent payments are funded cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. The contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is provided to the seller, the estimated fair value is capitalized to the properties’ basis.If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease inducement included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease. During the nine months ended September 30, 2015, we recorded non‑cash interest expense of $0.2 million related to our contingent liabilities and the fair value of our contingent payments was $13.3 million at September 30, 2015.

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Investing Activities. For the nine months ended September 30, 2015, our investing activities were as follows:

Real Estate Investments – Owned Properties. For the nine months ended September 31, 2015, the aggregate purchase price of the acquired properties was $183.7 million which is an increase of $183.2 million compared to the same period in 2014. The following table summarizes our acquisitions during the nine months ended September 30, 2015 (dollar amounts in thousands):

					Total		Number	Number
	Purchase		Transaction		Acquisition		of	of
Type of Property	Price(1)		Costs(2)		Costs		Properties	Beds/Units
Skilled Nursing(3)	$	13,946	$	—	$	13,946	1	106
Assisted Living(4)		156,097		325		156,422	11	951
Land(5)		13,533		97		13,630	—	—
Totals	$	183,576	$	422	$	183,998	12	1,057

(1) As part of our acquisitions, we may commit to provide contingent payments to our sellers or lessees, upon properties achieving certain rent coverage ratios, and when the contingent payments are funded cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. The contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is provided to the seller, the estimated fair value is capitalized to the properties’ basis. If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease inducement included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease.

(2) Represents cost associated with our acquisitions; however, depending on the accounting treatment of our acquisitions, transaction costs may be capitalized to the properties’ basis and, for our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Additionally, transaction costs in the table above may differ from the acquisition costs line item in our consolidated statement of income as a result of transaction costs from prior year’s acquisitions.

(3) We purchased the property by exercising our purchase option under a $10,600 mortgage and construction loan and equipped the property for $3,346. The property was added to an existing master lease at a lease rate equivalent to the interest rate in effect on the loan at the time the purchase option was exercised. Additionally, we paid the lessee a $1,054 lease inducement and will amortize as a yield adjustment over the life of the lease term. See Mortgage Loans below for further discussion of the loan agreement.

(4) We acquired a newly constructed 60-unit MC property for $14,250 including a $2,000 working capital reserve which is recorded similarly to an earn-out and valued at $1,847 using a discounted cash flow analysis. As a result, our basis in the property was recorded at $14,132 which includes capitalized transaction costs. Additionally, we agreed to provide the lessee an earn-out up to $300 upon the property achieving a sustainable stipulated rent coverage ratio. Upon funding of the working capital reserve and earn-out payments, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time. We also acquired a portfolio comprised of 10 independent, assisted living and memory care properties for $142,000 and agreed to provide the lessee an earn-out up to $10,000, upon the portfolio achieving a sustainable stipulated rent coverage ratio, which will increase cash rent by the amount funded multiplied by the lease rate in effect at the time.

(5) We acquired parcels of land and entered into four development commitments up to a total of $55,529, including the land purchases, for the development of two MC properties totaling 132 units, a 108-unit IL property and an 89-unit combination AL and MC property. Additionally, we acquired land and existing improvements on a 56-unit MC property and entered a development commitment up to a total of $12,182, including the land purchase, to complete the development of the MC property. Also, we purchased a parcel of land we previously leased pursuant to a ground lease.

Subsequent to September 30, 2015, we purchased a parcel of land in Illinois for $2.8 million and entered into a development commitment to construct a 66-unit memory care facility. The commitment totals $14.8 million, including the land purchase. The property will be added to a master lease with an existing operator. Rent will commence at an initial annual rate of 9.0% upon completion of construction. Also, we purchased a behavioral health care hospital in Nevada comprised of 116 medical hospital beds and 2 skilled nursing beds for $9.3 million. The property was added to an existing master lease at an initial lease rate of 8.5%. Additionally, we committed up to $3.0 million for approved capital improvements.

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During the nine months ended September 30, 2015, we funded $20.7 million on our completed and on-going development and improvement projects, including the final funding on a 60-unit memory care property in Colorado for an aggregate cost of $10.7 million, including the land purchase. The following table summarizes our on-going investment commitments as of September 30, 2015, and amounts funded exclusively under these projects (excludes capitalized interest, dollar amounts in thousands):

				Total			Number	Number
	Investment		Commitment		Remaining		of	of
Type of Property	Commitment		Funded		Commitment		Properties	Beds/Units
Skilled Nursing(1)	$	6,000	$	17	$	5,983	2	314
Assisted Living(2)		84,758		26,465		58,293	36	2,097
Totals	$	90,758	$	26,482	$	64,276	38	2,411

(1) Includes two commitments for renovation projects.

(2) Includes the development of an IL property for $14,500, four MC properties for a total of $48,923 and one ALF/MC property for $16,536. Also, includes three commitments for renovation projects on 30 ALFs totaling $4,800.

Real Estate Investments – Mortgage Loans. During the nine months ended September 30, 2015, we received $2.5 million plus accrued interest related to the payoff of two mortgage loans secured by a range of care property located in California and a skilled nursing property located in Texas. Additionally, we received $1.8 million in regularly scheduled principal payments.

During the nine months ended September 30, 2015, we amended an existing mortgage loan secured by a 100-unit independent living property in Arizona to provide up to $0.5 million of additional proceeds for capital improvements. During the quarter ended September 30, 2015, we funded $0.2 million under this amended mortgage loan and have a remaining commitment of $0.3 million.

During 2013, we funded the initial amount of $124.4 million under a mortgage loan with a third‑party borrower secured by 15 skilled nursing properties with a total of 2,058 beds in Michigan. The loan agreement provided for additional commitments of $12.0 million for capital improvements and up to $40.0 million of additional proceeds, for a total loan commitment of up to $176.4 million. During the nine months ended September 30, 2015, we funded the $40.0 million of additional proceeds and $3.7 million under the $12.0 million capital improvement commitment with $5.0 million remaining as of September 30, 2015.

In addition, this mortgage loan provided the borrower a one‑time option to prepay up to 50% of the then outstanding loan balance without penalty. During the nine months ended September 30, 2015, we amended this mortgage loan to provide up to an additional $20.0 million in loan proceeds for the expansion of two properties securing the loan (increasing the total capital improvement commitment to $32.0 million and the total loan commitment to $196.4 million). As a result, our remaining commitment under the aggregate $32.0 million capital improvement commitment was $25.0 million. Also, we conveyed, to the borrower, two parcels of land held-for-use adjacent to these properties to facilitate the projects. As partial consideration for the increased commitment and associated conveyance, the borrower forfeited their prepayment option. 

Additionally, during the nine months ended September 30, 2015, we originated an $11.0 million mortgage loan with the same borrower, funding $9.5 million with a commitment to fund the balance for approved capital improvement projects. The loan is secured by a 157-bed skilled nursing property in Michigan and bears interest at 9.41% for five years, escalating annually thereafter by 2.25%. The term is

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30 years with interest-only payments for the initial three years. Additionally, we have the option to purchase the property under certain circumstances, including a change in regulatory provisions.

Subsequent to September 30, 2015, we originated a $20.0 million, 30-year term mortgage loan, funding $9.5 million at closing, with a commitment to fund $5.5 million within 180 days. The $5.0 million remaining commitment is available for approved capital improvement projects. The loan is secured by two skilled nursing properties in Michigan and bears interest at 9.41% for five years, escalating annually thereafter by 2.25%. The loan agreement also provides, under certain conditions and based on certain operating metrics and valuation thresholds, for additional loan proceeds of up to $8.0 million.

The following table summarizes our additional loan commitments as of September 30, 2015, and amounts funded under these mortgage loans (dollar amounts in thousands):

	Additional								Number	Number
	Loan		2015		Commitment		Remaining		of	of
Type of Property	Commitment		Funding		Funded		Commitment		Properties	Beds/Units
Skilled Nursing	$	33,500	$	3,697	$	7,035	$	26,465	16	2,215
Assisted Living		490		230		230		260	1	100
Totals	$	33,990	$	3,927	$	7,265	$	26,725	17	2,315

Investment in Unconsolidated Joint Ventures. During the nine months ended September 30, 2015, we made a preferred equity investment in an entity (the JV) that owns four properties providing independent, assisted living and memory care services. These properties are located in Arizona. At closing, we provided an initial preferred capital contribution of $20.1 million and have committed to provide an additional preferred capital contribution of $5.5 million for a total preferred capital contribution of $25.6 million. As the preferred member of the JV, we are not entitled to share in the JV’s earnings or losses. Rather, we are entitled to receive a 15% preferred return, a portion of which is paid in cash and a portion of which is deferred if the cash flow of the JV is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return will be added to the balance of the preferred equity investment up to estimated economic outcome assuming liquidation of the JV. As of September 30, 2015, we have accrued up to the estimated economic outcome assuming liquidation of the JV and will continue to evaluate the estimated economic outcome quarterly. Any unpaid accrued preferred return, whether recorded or unrecorded by us, will be paid upon redemption.

In addition, we have the option to purchase either the properties owned by the JV or 100% of the common membership interest in the JV, which is exercisable between April 2018 and September 2019. If we elect not to exercise our purchase option, we have the right to put our preferred equity interest to the common member after September 2019 for an amount equal to the unpaid preferred equity investment balance and accrued preferred return thereon. The common equity member has the right to call our preferred interest at any time for an amount equal to the preferred equity investment balance and accrued preferred return thereon that would be due for the first 36 months, less amounts paid to us prior to the redemption date. During the nine months ended September 30, 2015, we recognized $1.5 million in income and received $0.3 million from our preferred equity investment in the JV.

Notes Receivable. The following table summarizes our notes receivable activities for the nine months ended September 30, 2015 (dollar amounts in thousands):

Advances under notes receivable	$	1,464
Reclassed to real estate under development		(716)	(1)
Net increase in notes receivable	$	748

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(1) Represents a pre-development loan which matured due to the acquisition of land and commencement of a development project.

At September 30, 2015, we had 8 loans and line of credit agreements with commitments totaling $2.7 million and a weighted average interest rate of 9.8%. As of September 30, 2015, we funded $1.5 million under these commitments and we have a remaining commitment of $2.0 million.

Financing Activities. For the nine months ended September 30, 2015, our financing activities were as follows:

Debt Obligations. The following table sets forth information regarding debt obligations by component as of September 30, 2015 (dollar amounts in thousands):

	Applicable			Available
	Interest	Outstanding		for
Debt Obligations	Rate(1)	Balance		Borrowing
Bank Borrowings(2)	1.51%	$	165,500	$	234,500
Senior Unsecured Notes(3)	4.67%		352,467		n.a.
Total	3.66%	$	517,967

(1) Represents weighted average of interest rate as of September 30, 2015.

(2) Subsequent to September 30, 2015, we exercised the $200,000 accordion feature of our $400,000 unsecured revolving line of credit increasing commitments under the credit facility to $600,000 and we borrowed $22,000 under our unsecured revolving line of credit. Accordingly, we have $187,500 outstanding under our unsecured revolving line of credit with $412,500 remaining for borrowing.

(3) Subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100,000 senior unsecured notes with a coupon of 4.26% and anticipate selling the notes on or about November 20, 2015.

During the nine months ended September 30, 2015, we borrowed $267.0 million and repaid $101.5 million under our Unsecured Credit Agreement. At September 30, 2015, we were in compliance with all covenants. During the nine months ended September 30, 2015, we paid $29.2 million in regular scheduled principal payments under our Senior Unsecured Notes. Subsequent to September 30, 2015, we exercised the $200.0 million accordion feature of our $400.0 million unsecured revolving line of credit. The exercise of this feature increases commitments under our credit facility to $600.0 million and does not impact any other terms or conditions within the credit facility including the term or covenant requirements of the agreement. Also, subsequent to September 30, 2015, we borrowed $22.0 million under our unsecured revolving line of credit. Accordingly, we have $187.5 million outstanding under our unsecured revolving line of credit with $412.5 million remaining for borrowing.

During the nine months ended September 30, 2015, we entered into a third amended and restated $200.0 million private shelf agreement with Prudential Investment Management, Inc. (or Prudential) for a three-year term. The agreement provides for the possible issuance of up to an additional $102.0 million of senior unsecured fixed interest rate term notes. After July 14, 2015 and for the balance of the term, the agreement provides for the possible issuance of additional senior unsecured fixed interest rate term notes up to the maximum availability upon us making our scheduled principal payments on existing notes then outstanding. Interest rates on any issuance under the shelf agreement will be set at a spread over applicable Treasury rates. Maturities of each issuance are at our election for up to 15 years from the date of issuance with a maximum average life of 12 years from the date of original issuance. During the nine months ended September 30, 2015, we sold $100.0 million senior unsecured notes with an annual fixed rate of 4.5% under our Prudential shelf agreement. These notes have periodic scheduled principal repayments with a 15-year final maturity.

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Also, during the nine months ended September 30, 2015, we entered into a $100.0 million private shelf agreement with AIG for a three-year term. Interest rates on any issuance under the shelf agreement will be set at a spread over applicable Treasury rates. Maturities of each issuance are at our election for up to 15 years from the date of issuance with a maximum average life of 12 years from the date of original issuance. Subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100.0 million senior unsecured notes with a coupon of 4.26% and anticipate selling the notes on or about November 20, 2015. These notes have periodic scheduled principal repayments with a 13-year final maturity.

Equity. During the nine months ended September 30, 2015, we entered into equity distribution agreements to issue and sell, from time to time, up to $200 million in aggregate offering price of our common shares. Sales of common shares are made by means of ordinary brokers’ transactions, which may include block trades, or transactions that are deemed to be “at the market” offerings. During the nine month ended September 30, 2015, we did not sell shares of common stock under our equity distribution agreement. Additionally, we acquired 4,609 shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations. During the nine months ended September 30, 2015, we declared and paid the following cash dividends (in thousands):

	Declared		Paid
Preferred Stock Series C	$	2,454	$	2,454
Common Stock(1)		54,388		54,388
Total	$	56,842	$	56,842

(1) Represents $0.17 per share per month for the nine months ended September 30, 2015.

In October 2015, we increased our monthly cash dividend on our common stock approximately 5.9% from $0.17 per share to $0.18 per share for the fourth quarter of 2015 and declared a monthly cash dividend on our common stock for the months of October, November and December, payable on October 30, November 30, and December 31, 2015, respectively, to stockholders of record on October 22, November 20, and December 23, 2015, respectively.

During the nine months ended September 30, 2015, we adopted and our shareholders approved the 2015 Equity Participation Plan (or the 2015 Plan) which replaces the 2008 Equity Participation Plan (or the 2008 Plan). Under the 2015 Plan, 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion. During the nine months ended September 30, 2015, no stock options or restricted stock were granted under this plan.

During the nine months ended September 30, 2015, no stock options were granted under the 2008 Plan. Additionally, 3,333 stock options were exercised at a total option value of $79,000 and a total market value on the date of exercise of $0.1 million.

At September 30, 2015, we had 40,001 stock options outstanding of which 30,001 stock options are exercisable. Compensation expense related to the vesting of stock options for the nine months ended September 30, 2015, was $11,000. The following table summarizes our scheduled number of stock option

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vesting and remaining compensation expense to be recognized related to the future service period of unvested outstanding stock options:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	—	$	4,000
2016	5,000		15,000
2017	5,000		3,000
	10,000	$	22,000

During the nine months ended September 30, 2015, we cancelled 640 shares of restricted common stock under the 2008 Plan. Additionally, during the nine months ended September 30, 2015, we granted 92,150 shares of restricted common stock under the 2008 Plan as follows:

	Price per
No. of Shares	Share		Vesting Period
65,750	$	44.45	ratably over 3 years
18,000	$	42.30	ratably over 3 years
8,400	$	42.30	June 2, 2016
92,150

Compensation expense recognized related to the vesting of restricted common stock for the nine months ended September 30, 2015 was $3.1 million. At September 30, 2015, the total number of restricted common shares that are scheduled to vest and remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock are as follows:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	41,200	$	910,000
2016	102,060		2,618,000
2017	57,367		1,416,000
2018	27,920		187,000
	228,547	$	5,131,000

Available Shelf Registrations. Our shelf registration statement provides us with the capacity to offer up to $800 million in common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under this current shelf registration in amounts, at prices, and on terms to be announced when and if the securities are offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. At September 30, 2015, we had availability of $575.1 million under our effective shelf registration which expires on July 19, 2016.

Liquidity. We expect our future income and ability to make distributions from cash flows from operations to depend on the collectibility of our rents and mortgage loans receivable. The collection of these loans and rents will be dependent, in large part, upon the successful operation by the operators of the skilled nursing properties, assisted living properties, independent living properties, memory care properties, range of care properties and school we own or that are pledged to us. The operating results of the facilities will be impacted by various factors over which the operators/owners may have no control.  Those factors include, without limitation, the status of the economy, changes in supply of or demand for competing long-term health care facilities, ability to control rising operating costs, and the potential for significant reforms in the long-term health care industry. In addition, our future growth in net income and cash flow may be adversely impacted by various proposals for changes in the governmental regulations and financing of the long-term health care industry. We cannot presently predict what impact these

41

proposals may have, if any. We believe that an adequate provision has been made for the possibility of loans proving uncollectible but we will continually evaluate the financial status of the operations of the senior housing and long-term health care properties. In addition, we will monitor our borrowers and the underlying collateral for mortgage loans and will make future revisions to the provision, if considered necessary.

Our investments, principally our investments in mortgage loans and owned properties, are subject to the possibility of loss of their carrying values as a result of changes in market prices, interest rates and inflationary expectations. The effects on interest rates may affect our costs of financing our operations and the fair market value of our financial assets. Generally our loans have predetermined increases in interest rates and our leases have agreed upon annual increases. Inasmuch as we may initially fund some of our investments with variable interest rate debt, we would be at risk of net interest margin deterioration if medium and long-term rates were to increase. 

At September 30, 2015, we had $11.7 million of cash on hand, $234.5 million available under our unsecured revolving line of credit, with the opportunity to increase the commitments up to an additional $200.0 million, and $100.0 million available under the private shelf agreement with AIG Asset Management (U.S.) LLC (or AIG). Subsequent to September 30, 2015, we exercised the $200.0 million accordion feature of our $400.0 million unsecured revolving line of credit increasing commitments under our credit facility to $600.0 million and we borrowed $22.0 million under our unsecured revolving line of credit. Accordingly, we have $412.5 million available under our unsecured revolving line of credit. Also, subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100.0 million senior unsecured notes with a coupon of 4.26% and anticipate selling notes to AIG on or around November 20, 2015. At September 30, 2015, we also have the potential ability to access the capital markets through the issuance of $200.0 million of common stock under our Amended Equity Distribution Agreement and through the issuance of debt and/or equity securities under our $575.1 million effective shelf registration.

We believe that our current cash balance, cash flow from operations available for distribution or reinvestment, our borrowing capacity and our potential ability to access the capital markets are sufficient to provide for payment of our current operating costs, meet debt obligations, provide funds for distribution to the holders of our preferred stock and pay common dividends at least sufficient to maintain our REIT status and repay borrowings at, or prior to, their maturity. The timing, source and amount of cash flows provided by financing activities and used in investing activities are sensitive to the capital markets environment, especially to changes in interest rates. We continuously evaluate the availability of cost-effective capital and believe we have sufficient liquidity for additional capital investments in 2015 and 2016.

Critical Accounting Policies

There have been no material changes from the critical accounting policies as previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2014.

Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

There were no material changes in our market risk during the nine months ended September 30, 2015. For additional information, refer to Item 7A as presented in our Annual Report on Form 10-K for the year ended December 31, 2014.

42

Item 4. CONTROLS AND PROCEDURES

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as such term is defined in Rules 13a-15(e) and 15d-15(e) under the Securities and Exchange Act of 1934, as amended). As of the end of the period covered by this report based on such evaluation our Chief Executive Officer and Chief Financial Officer have concluded that, as of the end of such period, our disclosure controls and procedures were effective.

There has been no change in our internal control over financial reporting during the period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

43

PART II

OTHER INFORMATION

Item 1. Legal Proceedings

We are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of business, which in our opinion are not singularly or in the aggregate anticipated to be material to our results of operations or financial condition. Claims and lawsuits may include matters involving general or professional liability asserted against the lessees or borrowers related to our properties, which we believe under applicable legal principles are not our responsibility as a non-possessory landlord or mortgage holder. We believe that these matters are the responsibility of our lessees and borrowers pursuant to general legal principles and pursuant to insurance and indemnification provisions in the applicable leases or mortgages. We intend to continue to vigorously defend such claims and lawsuits.

Item 1A. Risk Factors

There have been no material changes from the risk factors as previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2014.

44

Item 6. Exhibits

3.1	LTC Properties, Inc. Articles of Restatement (incorporated by reference to Exhibit 3.2 to LTC Properties Inc.’s Current Report on Form 8-K filed September 14, 2012)
3.2	Bylaws of LTC Properties, Inc., as restated June 2, 2015 (incorporated by reference to Exhibit 3.2 to LTC Properties Inc.’s Current Report on Form 8-K filed on June 5, 2015)
10.1	Fourth Amended and Restated Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and Prudential Investment Management, Inc. dated August 4, 2015 (incorporated by reference to Exhibit 10.2 to LTC Properties Inc.’s Form 10-Q for the quarter ended June 30, 2015)
10.2	First Amendment to Amended and Restated Credit Agreement dated as of August 4, 2015 (incorporated by reference to Exhibit 10.3 to LTC Properties Inc.’s Form 10-Q for the quarter ended June 30, 2015)
10.3	Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and AIG Asset Management (U.S.) LLC dated August 4, 2015 (incorporated by reference to Exhibit 10.4 to LTC Properties Inc.’s Form 10-Q for the quarter ended June 30, 2015)
10.4	Equity Distribution Agreement, dated August 5, 2015, by and between LTC Properties, Inc. and JMP Securities LLC (incorporated by reference to Exhibit 1.1 to LTC Properties Inc.’s Current Report on Form 8-K filed August 5, 2015)
10.5	Equity Distribution Agreement, dated August 5, 2015, by and between LTC Properties, Inc. and Canaccord Genuity Inc. (incorporated by reference to Exhibit 1.2 to LTC Properties Inc.’s Current Report on Form 8-K filed August 5, 2015)
10.6	Equity Distribution Agreement, dated August 5, 2015, by and between LTC Properties, Inc. and Mizuho Securities USA Inc. (incorporated by reference to Exhibit 1.3 to LTC Properties Inc.’s Current Report on Form 8-K filed on August 5, 2015)
31.1	Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2	Certification of the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32	Certifications pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101	The following materials from LTC Properties, Inc.’s Form 10-Q for the quarter ended September 30, 2015, formatted in XBRL (eXtensible Business Reporting Language): (i) Consolidated Balance Sheets at September 30, 2015 and December 31, 2014; (ii) Consolidated Statements of Income for the three and nine months ended September 30, 2015 and 2014; (iii) Consolidated Statements of Cash Flows for the nine months ended September 30, 2015 and 2014; and (iv) Notes to Consolidated Financial Statements

45

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.

	LTC PROPERTIES, INC.
	Registrant
Dated:  November 2, 2015	By:	/s/ Pamela Kessler
		Pamela Kessler
		Executive Vice President, Chief Financial Officer and Corporate Secretary
		(Principal Financial and Accounting Officer)

46

EX-31.1

Exhibit 31.1

CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Wendy L. Simpson, certify that:

1. I have reviewed this quarterly report on Form 10‑Q of LTC Properties, Inc.;

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 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 quarterly 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 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.

/s/ Wendy L. Simpson

Wendy L. Simpson

Chairman, Chief Executive Officer and President

(Principal Executive Officer)

November 2, 2015

EX-31.2

Exhibit 31.2

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER

PURSUANT TO SECTION 302 OF THE SARBANES‑OXLEY ACT OF 2002

I, Pamela Kessler, certify that:

1. I have reviewed this quarterly report on Form 10‑Q of LTC Properties, Inc.;

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 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 quarterly 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 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.

/s/ Pamela Kessler

Pamela Kessler

Executive Vice President, Chief Financial Officer

and Corporate Secretary

(Principal Financial and Accounting Officer)

November2,  2015

EX-32

Exhibit 32

CERTIFICATIONS PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES‑OXLEY ACT OF 2002

Pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, each of the undersigned officers of LTC Properties, Inc. (the “Company”) hereby certifies with respect to the Quarterly Report on Form 10-Q of the Company for the quarter ended September 30,2015 as filed with the Securities and Exchange Commission (the “Report”) that to her knowledge:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; 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: November 2, 2015	/s/ Wendy L. Simpson
	Wendy L. Simpson Chairman, Chief Executive Officer and President
Date: November 2, 2015	/s/ Pamela Kessler
	Pamela Kessler Executive Vice President, Chief Financial Officer and Corporate Secretary

This certification is not deemed filed with the Securities and Exchange Commission and is not to be incorporated by reference into any filing of the Company under the Securities Act of 1933 or the Securities Act of 1934 (whether made before or after the date of the Report), irrespective of any general incorporation language contained in such filing.

XML

Commitments and Contingencies (Details)	3 Months Ended	9 Months Ended
	Sep. 30, 2015 USD ($) property item	Sep. 30, 2015 USD ($) property item	Dec. 31, 2014 USD ($)
Commitments and Contingencies
Contingent liabilities	$ 13,323,000	$ 13,323,000	$ 3,258,000
Investment Commitment	173,550,000	173,550,000
Amount Funded		49,490,000
Commitments funded	55,054,000	55,054,000
Remaining commitment	118,496,000	118,496,000
Real estate properties
Commitments and Contingencies
Investment Commitment	90,758,000	90,758,000
Amount Funded		24,425,000
Commitments funded	26,482,000	26,482,000
Remaining commitment	64,276,000	64,276,000
Earn-out liabilities
Commitments and Contingencies
Investment Commitment	16,300,000	16,300,000
Remaining commitment	16,300,000	16,300,000
Lease incentives
Commitments and Contingencies
Investment Commitment	4,202,000	4,202,000
Amount Funded		493,000
Commitments funded	527,000	527,000
Remaining commitment	3,675,000	3,675,000
Mortgage loans
Commitments and Contingencies
Investment Commitment	33,990,000	33,990,000
Amount Funded		3,927,000
Commitments funded	7,265,000	7,265,000
Remaining commitment	26,725,000	26,725,000
Joint venture investments
Commitments and Contingencies
Investment Commitment	25,650,000	25,650,000
Amount Funded		20,143,000
Commitments funded	20,143,000	20,143,000
Remaining commitment	5,507,000	5,507,000
Notes receivable
Commitments and Contingencies
Investment Commitment	2,650,000	2,650,000
Amount Funded		502,000
Commitments funded	637,000	637,000
Remaining commitment	2,013,000	2,013,000
Real Estate Investment
Commitments and Contingencies
Non-cash interest expense	96,000	205,000
Investment Commitment	90,758,000	90,758,000
Commitments funded	26,482,000	26,482,000
Remaining commitment	$ 64,276,000	$ 64,276,000
Number of Properties | property	38	38
Number of Beds/Units | item	2,411	2,411
Maximum | Real Estate Investment
Commitments and Contingencies
Initial term of lease		15 years
Memory Care | Real Estate Investment
Commitments and Contingencies
Investment Commitment	$ 48,923,000	$ 48,923,000
Number of Properties | property	4	4
ALF & MC | Real Estate Investment
Commitments and Contingencies
Investment Commitment	$ 16,535,000	$ 16,535,000
Number of Properties | property	1	1
Fair Value | Real Estate Investment
Commitments and Contingencies
Contingent liabilities	$ 13,323,000	$ 13,323,000

XML

Earnings per Share (Tables)

9 Months Ended

Sep. 30, 2015

Net Income Per Common Share

Schedule of basic and diluted net income per share

The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2015		2014		2015		2014
Net income	$	19,647	$	17,122	$	55,127	$	52,399
Less net income allocated to participating securities:
Non-forfeitable dividends on participating securities		(117)		(123)		(366)		(343)
Income allocated to participating securities		(4)		—		(4)		—
Total net income allocated to participating securities		(121)		(123)		(370)		(343)
Less net income allocated to preferred stockholders:
Preferred stock dividends		(818)		(818)		(2,454)		(2,454)
Total net income allocated to preferred stockholders		(818)		(818)		(2,454)		(2,454)
Net income available to common stockholders		18,708		16,181		52,303		49,602
Effect of dilutive securities:
Convertible preferred securities		818		818		2,454		2,454
Total effect of dilutive securities		818		818		2,454		2,454
Net income for diluted net income per share	$	19,526	$	16,999	$	54,757	$	52,056
Shares for basic net income per share		35,341		34,605		35,306		34,596
Effect of dilutive securities:
Stock options		11		24		13		24
Convertible preferred securities		2,000		2,000		2,000		2,000
Total effect of dilutive securities		2,011		2,024		2,013		2,024
Shares for diluted net income per share		37,352		36,629		37,319		36,620
Basic net income per share	$	0.53	$	0.47	$	1.48	$	1.43
Diluted net income per share	$	0.52	$	0.46	$	1.47	$	1.42

XML

Fair Value Measurements (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2015	Dec. 31, 2014
Fair value measurements
Mortgage loans receivable	$ 204,476	$ 165,656
Senior unsecured notes	352,467	281,633
Contingent liabilities	$ 13,323	$ 3,258
Level 3 | Senior Unsecured Notes Maturing Prior To 2020 Member
Fair value measurements
Discount rate (as a percent)	4.25%	3.80%
Level 3 | Senior Unsecured Notes Maturing Beyond 2020 [Member]
Fair value measurements
Discount rate (as a percent)	4.45%	4.55%
Level 3 | Earn-out liabilities
Fair value measurements
Discount rate (as a percent)	5.90%	6.20%
Level 3 | Mortgage Receivable [Member]
Fair value measurements
Discount rate (as a percent)	8.80%	8.60%
Carrying Value
Fair value measurements
Bank borrowings	$ 165,500
Carrying Value | Level 3
Fair value measurements
Mortgage loans receivable	204,476	$ 165,656
Senior unsecured notes	352,467	281,633
Contingent liabilities	13,323	3,258
Fair Value
Fair value measurements
Bank borrowings	165,500
Fair Value | Level 3
Fair value measurements
Mortgage loans receivable	244,363	198,977
Senior unsecured notes	355,679	283,933
Contingent liabilities	$ 13,323	$ 3,258

XML

Equity - Class of Stock Disclosures (Details) - USD ($)		3 Months Ended		9 Months Ended
	Oct. 01, 2015	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2015	Sep. 30, 2014	Aug. 05, 2015	Jul. 01, 2015	Dec. 31, 2014
Equity
Preferred shares outstanding		2,000,000		2,000,000				2,000,000
Dividend Distributions
Declared		$ 56,842,000	$ 55,729,000	$ 56,842,000	$ 55,729,000
Paid				$ 56,842,000	$ 55,729,000
Dividends declared and paid per common share per month (in dollars per share)					$ 0.17
Dividends declared and paid per common share (in dollars per share)		$ 0.51	$ 0.51	$ 1.53	$ 1.53
Accumulated other comprehensive income
Accumulated other comprehensive income		$ 56,000		$ 56,000				$ 82,000
Dividend Declared
Dividend Distributions
Cash dividend declared per common share per month (in dollars per share)							$ 0.17
Subsequent Event | Dividend Declared
Dividend Distributions
Per share percentage increase in dividends declared	5.90%
Cash dividend declared per common share per month (in dollars per share)	$ 0.18
Shelf Registration
Equity
Maximum offering capacity under shelf registration statement		800,000,000		800,000,000
Amount available under effective shelf registration statement		$ 575,100,000		$ 575,100,000
Series C Preferred Stock
Equity
Preferred shares outstanding		2,000,000		2,000,000
Dividend Rate (as a percent)				8.50%
Number of shares of common stock to be issued upon conversion				2,000,000
Conversion price per share				$ 19.25
Total shares reserved for issuance of common stock related to the conversion of preferred stock		2,000,000		2,000,000
Dividend Distributions
Declared		$ 2,454,000	$ 2,454,000	$ 2,454,000	$ 2,454,000
Paid				$ 2,454,000	$ 2,454,000
Common Stock
Equity
Number of shares repurchased				4,609	200
Dividend Distributions
Declared		$ 54,388,000	$ 53,275,000	$ 54,388,000	$ 53,275,000
Paid				$ 54,388,000	$ 53,275,000
Common Stock | Equity Distribution Agreement
Equity
Maximum offering capacity under shelf registration statement						$ 200,000,000
Amount available under effective shelf registration statement						$ 200,000,000

XML

Investment in Unconsolidated Joint Ventures

9 Months Ended

Sep. 30, 2015

Investment in Unconsolidated Joint Ventures

Investment in Unconsolidated Joint Ventures

3.Investment in Unconsolidated Joint Ventures

During the nine months ended September 30, 2015, we made a preferred equity investment in an entity (the JV) that owns four properties providing independent, assisted living and memory care services. These properties are located in Arizona. At closing, we provided an initial preferred capital contribution of $20,143,000 and have committed to provide an additional preferred capital contribution of $5,507,000 for a total preferred capital contribution of $25,650,000. As the preferred member of the JV, we are not entitled to share in the JV’s earnings or losses. Rather, we are entitled to receive a 15% preferred return, a portion of which is paid in cash and a portion of which is deferred if the cash flow of the JV is insufficient to pay all of the accrued preferred return. The unpaid accrued preferred return will be added to the balance of the preferred equity investment up to the estimated economic outcome assuming liquidation of the JV. As of September 30, 2015, we have accrued up to the estimated economic outcome assuming liquidation of the JV and will continue to evaluate the estimated economic outcome quarterly. Any unpaid accrued preferred return, whether recorded or unrecorded by us, will be repaid upon redemption.

In addition, we have the option to purchase either the properties owned by the JV or 100% of the common membership interest in the JV, which is exercisable between April 2018 and September 2019. If we elect not to exercise our purchase option, we have the right to put our preferred equity interest to the common member after September 2019 for an amount equal to the unpaid preferred equity investment balance and accrued preferred return thereon. The common equity member has the right to call our preferred interest at any time for an amount equal to the preferred equity investment balance and accrued preferred return thereon that would be due for the first 36 months, less amounts paid to us prior to the redemption date.

The JV is intended to be self-financing, other than our preferred capital contributions, no direct support will be provided by us. As a result, we believe our maximum exposure to loss due to our investment in the JV would be limited to our preferred capital contributions plus any unpaid accrued preferred return. We have concluded that the JV meets the accounting criteria to be considered as a variable interest entity (or VIE). However, because we do not control the entity, nor do we have any role in the day-to-day management, we are not the primary beneficiary of the JV. Therefore, we account for our JV investment using the equity method. During the three and nine months ended September 30, 2015, we recognized $674,000 and $1,544,000, respectively, in income from our preferred equity investment in the JV.

XML

Subsequent Events - Real Estate Investments (Details)	1 Months Ended	9 Months Ended
	Oct. 31, 2015 USD ($) item	Sep. 30, 2015 USD ($) item
Real Estate Investments
Investment Commitment		$ 173,550,000
Remaining loan commitments		2,013,000
Loan Commitments		2,650,000
Commitments funded		49,490,000
Real Estate Investment
Real Estate Investments
Investment Commitment		90,758,000
Real Estate Investment | Subsequent Event
Real Estate Investments
Term of mortgage loan receivable	30 years
Mortgage Loans on Real Estate
Real Estate Investments
Investment Commitment		33,990,000
Remaining loan commitments		26,725,000
Commitments funded		3,927,000
Mortgage Loans on Real Estate | Subsequent Event
Real Estate Investments
Remaining loan commitments	$ 10,500,000
Loan Commitments	$ 20,000,000
Term of mortgage loan receivable	30 years
Commitments funded	$ 9,500,000
Memory Care | Real Estate Investment
Real Estate Investments
Investment Commitment		48,923,000
2015 Acquisitions
Real Estate Investments
Purchase Price		$ 183,576,000
Number of beds/units acquired | item		1,057
2015 Acquisitions | Memory Care | Illinois | Subsequent Event
Real Estate Investments
Purchase Price	2,800,000
2015 Acquisitions | Memory Care | Illinois | Real Estate Investment | Subsequent Event
Real Estate Investments
Purchase Price	2,800,000
2015 Acquisitions | Memory Care | Illinois | Development Project | Real Estate Development Commitments | Subsequent Event
Real Estate Investments
Investment Commitment	$ 14,769,000
Number of beds/units acquired | item	66
2015 Acquisitions | Hospital | Nevada | Real Estate Investment | Subsequent Event
Real Estate Investments
Purchase Price	$ 9,250,000

XML

Real Estate Investments - Acquisitions (Details)	1 Months Ended	3 Months Ended		9 Months Ended
	Oct. 31, 2015 USD ($) item	Sep. 30, 2015 USD ($) property item	Sep. 30, 2014 USD ($)	Sep. 30, 2015 USD ($) property item	Sep. 30, 2014 USD ($)
Real estate investments
Transaction Costs		$ 539,000	$ 2,000	$ 564,000	$ 22,000
Investment Commitment		173,550,000		173,550,000
Funding				49,490,000
2015 Acquisitions
Real estate investments
Purchase Price				183,576,000
Transaction Costs				422,000
Total Acquisition Costs				$ 183,998,000
Number of properties acquired | property				12
Number of beds/units acquired | item				1,057
Skilled Nursing Property Acquisition
Real estate investments
Lease inducement fee payments				$ 1,054,000
Wisconsin | Skilled Nursing Property Acquisition
Real estate investments
Purchase Price				13,946,000
Real Estate Investment
Real estate investments
Investment Commitment		90,758,000		90,758,000
Real Estate Investment | Oregon | Land Acquisition | 2015 Acquisitions
Real estate investments
Purchase Price		500,000
Mortgage Loans on Real Estate
Real estate investments
Investment Commitment		33,990,000		33,990,000
Funding				3,927,000
Mortgage Loans on Real Estate | Subsequent Event
Real estate investments
Funding	$ 9,500,000
Mortgage and Construction Loans on Real Estate | Skilled Nursing Property Acquisition
Real estate investments
Loan commitment under which the purchase option was exercised		10,600,000		10,600,000
Payments to equip property				$ 3,346,000
Maximum | Real Estate Investment
Real estate investments
Initial term of operating lease				15 years
Real Estate Development Commitments One | Real Estate Investment
Real estate investments
Number of development commitments | item				4
Real Estate Development Commitments One | Maximum | Real Estate Investment
Real estate investments
Investment Commitment		55,529,000		$ 55,529,000
Skilled Nursing | 2015 Acquisitions
Real estate investments
Purchase Price				13,946,000
Total Acquisition Costs				$ 13,946,000
Number of properties acquired | property				1
Number of beds/units acquired | item				106
Skilled Nursing | Real Estate Investment
Real estate investments
Investment Commitment		6,000,000		$ 6,000,000
Skilled Nursing | Real Estate Investment | 2015 Acquisitions
Real estate investments
Purchase Price				$ 13,946,000
Number of beds/units acquired | item				106
Loan commitment under which the purchase option was exercised		10,600,000		$ 10,600,000
Skilled Nursing | Mortgage Loans on Real Estate
Real estate investments
Investment Commitment		33,500,000		33,500,000
Funding				3,697,000
ALF & MC | Real Estate Investment
Real estate investments
Investment Commitment		$ 16,535,000		$ 16,535,000
ALF & MC | Real Estate Investment | 2015 Acquisitions
Real estate investments
Number of properties acquired | property		10
ALF & MC | Real Estate Development Commitments One | Real Estate Investment
Real estate investments
Number of beds/units under development | item				89
Assisted Living | 2015 Acquisitions
Real estate investments
Purchase Price				$ 156,097,000
Transaction Costs				325,000
Total Acquisition Costs				$ 156,422,000
Number of properties acquired | property				11
Number of beds/units acquired | item				951
Assisted Living | Real Estate Investment
Real estate investments
Investment Commitment		$ 84,758,000		$ 84,758,000
Assisted Living | Real Estate Investment | 2015 Acquisitions
Real estate investments
Purchase Price				142,000,000
Assisted Living | Real Estate Investment | 2015 Acquisitions | Rent coverage ratio stipulation
Real estate investments
Contingent consideration		10,000,000		$ 10,000,000
Assisted Living | Real Estate Investment | Land Acquisition | 2015 Acquisitions
Real estate investments
Number of properties acquired | property				5
Number of beds/units acquired | item				385
Assisted Living | Mortgage Loans on Real Estate
Real estate investments
Investment Commitment		490,000		$ 490,000
Funding				230,000
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions
Real estate investments
Purchase Price				14,250,000
Total Acquisition Costs				$ 14,132,000
Number of beds/units acquired | item				60
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions | Working capital reserve
Real estate investments
Contingent consideration		2,000,000		$ 2,000,000
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions | Rent coverage ratio stipulation
Real estate investments
Contingent consideration		300,000		300,000
Assisted Living | Memory Care Property with 60 Units | Real Estate Investment | 2015 Acquisitions | Fair Value | Working capital reserve
Real estate investments
Contingent consideration		1,847,000		1,847,000
Memory Care | Illinois | 2015 Acquisitions | Subsequent Event
Real estate investments
Purchase Price	2,800,000
Memory Care | Real Estate Investment
Real estate investments
Investment Commitment		48,923,000		48,923,000
Memory Care | Real Estate Investment | Florida | 2015 Acquisitions
Real estate investments
Purchase Price		$ 14,250,000
Number of beds/units acquired | item		60
Contingent consideration		$ 2,000,000		2,000,000
Memory Care | Real Estate Investment | Florida | 2015 Acquisitions | Fair Value
Real estate investments
Contingent consideration		1,847,000		$ 1,847,000
Memory Care | Real Estate Investment | Illinois | 2015 Acquisitions | Subsequent Event
Real estate investments
Purchase Price	2,800,000
Memory Care | Real Estate Development Commitments One | Real Estate Investment
Real estate investments
Number of properties acquired | property				2
Number of beds/units under development | item				132
Memory Care | Real Estate Development Commitments Two | Real Estate Investment
Real estate investments
Investment Commitment		12,182,000		$ 12,182,000
Number of beds/units under development | item				56
Land | 2015 Acquisitions
Real estate investments
Purchase Price				$ 13,533,000
Transaction Costs				97,000
Total Acquisition Costs				$ 13,630,000
Independent Living | Real Estate Development Commitments One | Real Estate Investment
Real estate investments
Number of beds/units under development | item				108
Independent, ALF, and MC properties | Real Estate Investment | 2015 Acquisitions
Real estate investments
Purchase Price		$ 142,000,000
Number of properties acquired | property				10
Number of beds/units acquired | item		891
Independent, ALF, and MC properties | Real Estate Investment | Wisconsin | 2015 Acquisitions
Real estate investments
Number of properties acquired | property		9
Independent, ALF, and MC properties | Real Estate Investment | Illinois | 2015 Acquisitions
Real estate investments
Number of properties acquired | property		1
Hospital | Real Estate Investment | Nevada | 2015 Acquisitions | Subsequent Event
Real estate investments
Purchase Price	$ 9,250,000
Development Project | Real Estate Investment | California | Land Acquisition | 2015 Acquisitions
Real estate investments
Purchase Price		$ 2,022,000
Development Project | ALF & MC
Real estate investments
Number of beds/units under development | item				89
Development Project | Memory Care
Real estate investments
Number of beds/units under development | item				254
Development Project | Memory Care | Real Estate Investment | California | 2015 Acquisitions
Real estate investments
Investment Commitment		$ 12,606,000		$ 12,606,000
Number of beds/units under development | item		66
Development Project | Memory Care | Real Estate Development Commitments | Illinois | 2015 Acquisitions | Subsequent Event
Real estate investments
Number of beds/units acquired | item	66
Investment Commitment	$ 14,769,000
Development Project | Independent Living
Real estate investments
Investment Commitment		$ 14,500,000		$ 14,500,000
Number of beds/units under development | item				108
Master Lease Agreement | Memory Care | Real Estate Investment | Florida | 2015 Acquisitions
Real estate investments
Initial cash yield (as a percent)		8.00%		8.00%
Annual cash yield percentage increase		2.50%
Contingent consideration		$ 300,000		$ 300,000
Master Lease Agreement | Independent, ALF, and MC properties | 2015 Acquisitions
Real estate investments
Term of lease agreement		15 years
Initial cash yield (as a percent)		6.50%		6.50%
Increase in basis points on the cash yield for each of the first and second year anniversaries under the master lease agreement (as a percent)		0.25%		0.25%
Increase in the cash yield percentage rate in year three and thereafter under the master lease agreement (as a percent)		2.75%		2.75%
Contingent consideration		$ 10,000,000		$ 10,000,000
Master Lease Agreement | Development Project | Memory Care | Real Estate Investment | California | 2015 Acquisitions
Real estate investments
Initial cash yield (as a percent)		9.00%		9.00%

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Real Estate Investments - Owned Properties (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2015 USD ($) state property item $ / item
Real Estate Investment
Real Estate Investments
Gross Investments | $	$ 1,154,649
Percentage of Investments	100.00%
Number of properties | property	173
Number of states | state	27
Number of operators	30
Operating leases
Number of ways to compute annual rent increases	4
Real Estate Investment | Minimum
Operating leases
Initial term of operating lease	10 years
Specified annual increase over the prior year's rent (as a percent)	2.00%
Real Estate Investment | Maximum
Operating leases
Initial term of operating lease	15 years
Specified annual increase over the prior year's rent (as a percent)	3.00%
SNF Beds | Real Estate Investment
Real Estate Investments
Number of Beds/Units	9,147
ALF Units | Real Estate Investment
Real Estate Investments
Number of Beds/Units	5,461
Skilled Nursing
Real Estate Investments
Number of Beds/Units	3,405
Skilled Nursing | Real Estate Investment
Real Estate Investments
Gross Investments | $	$ 500,161
Percentage of Investments	43.30%
Number of properties | property	69
Average Investment per Bed/Unit | $ / item	58.75
Skilled Nursing | SNF Beds | Real Estate Investment
Real Estate Investments
Number of Beds/Units	8,513
Assisted Living
Real Estate Investments
Number of Beds/Units	3,546
Assisted Living | Real Estate Investment
Real Estate Investments
Gross Investments | $	$ 573,693
Percentage of Investments	49.70%
Number of properties | property	96
Average Investment per Bed/Unit | $ / item	110.60
Assisted Living | ALF Units | Real Estate Investment
Real Estate Investments
Number of Beds/Units	5,187
Range of Care | Real Estate Investment
Real Estate Investments
Gross Investments | $	$ 43,907
Percentage of Investments	3.80%
Number of properties | property	7
Average Investment per Bed/Unit | $ / item	48.36
Range of Care | SNF Beds | Real Estate Investment
Real Estate Investments
Number of Beds/Units	634
Range of Care | ALF Units | Real Estate Investment
Real Estate Investments
Number of Beds/Units	274
Properties under Development | Real Estate Investment
Real Estate Investments
Gross Investments | $	$ 26,675
Percentage of Investments	2.30%
Other | Real Estate Investment
Real Estate Investments
Gross Investments | $	$ 10,213
Percentage of Investments	0.90%
Number of properties | property	1
Number of parcels of land	3
Schools | Real Estate Investment
Real Estate Investments
Number of properties | property	1
Development Project | Properties under Development
Real Estate Investments
Number of developments	6
Development Project | Memory Care
Real Estate Investments
Number of properties under development | property	4
Number of beds/units under development	254
Development Project | Independent Living
Real Estate Investments
Number of beds/units under development	108
Development Project | ALF & MC
Real Estate Investments
Number of beds/units under development	89

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Subsequent Events - Debt Obligations (Details) - USD ($)	1 Months Ended	3 Months Ended	9 Months Ended
	Oct. 31, 2015	Sep. 30, 2015	Sep. 30, 2015	Sep. 30, 2014	Dec. 31, 2014
Debt Obligations
Amount outstanding		$ 517,967,000	$ 517,967,000		$ 281,633,000
Senior Unsecured Debt
Debt Obligations
Amount outstanding		352,467,000	352,467,000		281,633,000
Senior Unsecured Debt | Note Purchase and Private Shelf Agreement AIG
Debt Obligations
Debt Instrument, Maximum Authorized for Issuance under Private Shelf Agreement		100,000,000
Senior Unsecured Debt | Subsequent Event | Note Purchase and Private Shelf Agreement AIG
Debt Obligations
Debt Instrument, Maximum Authorized for Issuance under Private Shelf Agreement	$ 100,000,000
Fixed interest rate (as a percent)	4.26%
Bank Borrowings - Line of Credit
Debt Obligations
Maximum availability under Unsecured Credit Agreement		400,000,000	400,000,000
Amount borrowed			267,000,000	$ 28,500,000
Amount outstanding		165,500,000	165,500,000
Remaining borrowing capacity		$ 234,500,000	$ 234,500,000		$ 400,000,000
Bank Borrowings - Line of Credit | Subsequent Event
Debt Obligations
Increase in maximum borrowing capacity due to exercise of accordion feature	$ 200,000,000
Maximum availability under Unsecured Credit Agreement	600,000,000
Amount borrowed	22,000,000
Amount outstanding	187,500,000
Remaining borrowing capacity	$ 412,500,000

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Real Estate Investments - Commitments (Details)	9 Months Ended
	Sep. 30, 2015 USD ($) property item	Sep. 30, 2014 property	Sep. 30, 2014 item	Sep. 30, 2014 USD ($)
Investment commitments
Investment Commitment	$ 173,550,000
Funding	49,490,000
Commitment Funded	55,054,000
Remaining Commitment	118,496,000
Pre-development loan balance reclassified to real estate under development	716,000
Real estate investment disposal activity
Proceeds from sale of real estate investments, net				$ 7,707,000
Gain on sale of properties				1,140,000
Georgia Florida And Minnesota
Real estate investment disposal activity
Sales price				7,850,000
Proceeds from sale of real estate investments, net				$ 7,707,000
Georgia And Florida
Real estate investment disposal activity
Gain on sale of properties	1,140,000
Real Estate Investment
Investment commitments
Investment Commitment	90,758,000
Commitment Funded	26,482,000
Remaining Commitment	$ 64,276,000
Number of Properties | property	38
Number of Beds/Units | item	2,411
Real Estate Investment Development Redevelopment Renovation and Expansion Projects
Development, redevelopment, renovation, and expansion activity
CIP, Balance at the beginning of the period	$ 8,671,000
Funded	19,711,000
Capitalized Interest	481,000
Conversions out of CIP	(10,268,000)
CIP, Balance at the end of the period	18,595,000
Amount funded during the period for commitments on completed capital projects capitalized directly into building	7,972,000
Two Assisted Living Properties Florida and Georgia | Georgia And Florida
Real estate investment disposal activity
Number of properties sold		2	133
School Property Minnesota | Minnesota
Real estate investment disposal activity
Number of properties sold | property		1
Skilled Nursing | Real Estate Investment
Investment commitments
Investment Commitment	6,000,000
Commitment Funded	17,000
Remaining Commitment	$ 5,983,000
Number of Properties | property	2
Number of Beds/Units | item	314
Skilled Nursing | Real Estate Investment Development Redevelopment Renovation and Expansion Projects
Development, redevelopment, renovation, and expansion activity
CIP, Balance at the beginning of the period
Funded	$ 414,000
Conversions out of CIP	(397,000)
CIP, Balance at the end of the period	17,000
ALF & MC | Real Estate Investment
Investment commitments
Investment Commitment	$ 16,535,000
Number of Properties | property	1
Assisted Living | Real Estate Investment
Investment commitments
Investment Commitment	$ 84,758,000
Commitment Funded	26,465,000
Remaining Commitment	$ 58,293,000
Number of Properties | property	36
Number of Beds/Units | item	2,097
Assisted Living | Real Estate Investment Development Redevelopment Renovation and Expansion Projects
Development, redevelopment, renovation, and expansion activity
CIP, Balance at the beginning of the period	$ 8,671,000
Funded	19,297,000
Capitalized Interest	481,000
Conversions out of CIP	(9,871,000)
CIP, Balance at the end of the period	18,578,000
Memory Care
Investment commitments
Pre-development loan balance reclassified to real estate under development	$ 716,000
Development, redevelopment, renovation, and expansion activity
Number of beds or units relating to the acquisition of existing improvements | item	56
Amount relating to the existing improvements acquired	$ 6,315,000
Memory Care | Real Estate Investment
Investment commitments
Investment Commitment	$ 48,923,000
Number of Properties | property	4
Development and Improvement Projects | Real Estate Investment | Colorado
Investment commitments
Funding	$ 20,652,000
Development Project | Real Estate Investment | Colorado
Investment commitments
Number of Beds/Units | item	60
Development Project | Memory Care | Real Estate Investment | Colorado
Investment commitments
Commitment Funded	$ 10,703,000
Development Project | Properties under Development
Investment commitments
Number of developments | item	6
Development Project | Independent Living
Investment commitments
Investment Commitment	$ 14,500,000
Renovation Project | Skilled Nursing | Real Estate Investment
Investment commitments
Number of investment commitments | item	2
Renovation Project | Assisted Living | Real Estate Investment
Investment commitments
Number of Properties | property	30
Number of investment commitments | item	3
Amount invested for expansion, renovation and construction of properties	$ 4,800,000

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Real Estate Investments - Mortgage Loans (Details)	1 Months Ended	3 Months Ended	9 Months Ended		12 Months Ended
	Oct. 31, 2015 USD ($)	Sep. 30, 2015 USD ($) state property item $ / item	Sep. 30, 2015 USD ($) state loan property item $ / item	Sep. 30, 2014 USD ($) item	Dec. 31, 2013 USD ($) property item
Mortgage Loans
Scheduled principal payments received			$ 4,281,000	$ 1,609,000
Amount Funded			49,490,000
Loan commitment		$ 2,650,000	2,650,000
Remaining loan commitments		2,013,000	2,013,000
Investment Commitment		173,550,000	173,550,000
Remaining Commitment		118,496,000	118,496,000
Commitments funded		55,054,000	55,054,000
Real Estate Investment
Mortgage Loans
Gross Investments		$ 1,154,649,000	$ 1,154,649,000
Percentage of Investments		100.00%	100.00%
Number of Properties | property		173	173
Number of states | state		27	27
Number of operators | item		30	30
Investment Commitment		$ 90,758,000	$ 90,758,000
Remaining Commitment		64,276,000	64,276,000
Commitments funded		26,482,000	26,482,000
Real Estate Investment | Subsequent Event
Mortgage Loans
Term of mortgage loan receivable	30 years
Mortgage Loans on Real Estate
Mortgage Loans
Gross Investments		$ 206,541,000	$ 206,541,000
Percentage of Investments		100.00%	100.00%
Number of Loans | loan			17
Number of Properties | property		36	36
Number of Beds/Units | item		2,315	2,315
Number of states | state		7	7
Number of operators | item		10	10
Interest rate for mortgage loans, low end of range (as a percent)			7.30%
Interest rate for mortgage loans, high end of range (as a percent)			13.80%
Scheduled principal payments received			$ 1,794,000
Amount Funded			3,927,000
Remaining loan commitments		$ 26,725,000	26,725,000
Investment Commitment		33,990,000	33,990,000
Commitments funded		7,265,000	7,265,000
Fair value of land conveyed		$ 670,000	$ 670,000
Mortgage Loans on Real Estate | Subsequent Event
Mortgage Loans
Amount Funded	$ 9,500,000
Loan commitment	20,000,000
Remaining loan commitments	$ 10,500,000
Term of mortgage loan receivable	30 years
Mortgage Loans on Real Estate | Minimum
Mortgage Loans
General amortization schedule of mortgage loans			20 years
Specified basis points for annual increase in interest rate (as a percent)			0.10%
Mortgage Loans on Real Estate | Maximum
Mortgage Loans
General amortization schedule of mortgage loans			30 years
Specified basis points for annual increase in interest rate (as a percent)			0.25%
Mortgage Loans on Real Estate One
Mortgage Loans
Number of properties securing loan | property		2	2
Number of parcels of land | item			2
Remaining Commitment		$ 24,965,000	$ 24,965,000
Mortgage Loans on Real Estate One | Michigan
Mortgage Loans
Loan commitment		$ 196,387,000	$ 196,387,000
Mortgage and Construction Loans on Real Estate | Wisconsin
Mortgage Loans
Number of Beds/Units | item				106
Scheduled principal payments received				$ 1,609,000
Amount funded under loan				3,010,000
Loan commitment				10,600,000
SNF Beds | Real Estate Investment
Mortgage Loans
Number of Beds/Units | item		9,147	9,147
SNF Beds | Mortgage Loans on Real Estate
Mortgage Loans
Number of Beds/Units | item		3,621	3,621
ALF Units | Real Estate Investment
Mortgage Loans
Number of Beds/Units | item		5,461	5,461
ALF Units | Mortgage Loans on Real Estate
Mortgage Loans
Number of Beds/Units | item		270	270
Skilled Nursing
Mortgage Loans
Number of Beds/Units | item		3,405	3,405
Skilled Nursing | Real Estate Investment
Mortgage Loans
Gross Investments		$ 500,161,000	$ 500,161,000
Percentage of Investments		43.30%	43.30%
Number of Properties | property		69	69
Investment per Bed/Unit | $ / item		58.75	58.75
Investment Commitment		$ 6,000,000	$ 6,000,000
Remaining Commitment		5,983,000	5,983,000
Commitments funded		17,000	17,000
Skilled Nursing | Mortgage Loans on Real Estate
Mortgage Loans
Gross Investments		$ 192,810,000	$ 192,810,000
Percentage of Investments		93.40%	93.40%
Number of Loans | loan			14
Number of Properties | property		28	28
Number of Beds/Units | item		2,215	2,215
Investment per Bed/Unit | $ / item		53.25	53.25
Amount Funded			$ 3,697,000
Remaining loan commitments		$ 26,465,000	26,465,000
Investment Commitment		33,500,000	33,500,000
Commitments funded		7,035,000	7,035,000
Skilled Nursing | Mortgage Loans on Real Estate One
Mortgage Loans
Amount funded under loan					$ 124,387,000
Skilled Nursing | Mortgage Loans on Real Estate One | Michigan
Mortgage Loans
Amount Funded			40,000,000
Loan commitment					$ 176,387,000
Number of properties securing loan | property					15
Number of beds or units securing loan | item					2,058
Additional commitments for capital improvements					$ 12,000,000
Additional loan proceeds committed					$ 40,000,000
Skilled Nursing | Mortgage Loans on Real Estate One | Capital Improvement Loan Investment
Mortgage Loans
Amended loan commitment for capital improvements		32,000,000	32,000,000
Skilled Nursing | Mortgage Loans on Real Estate One | Capital Improvement Loan Investment | Michigan
Mortgage Loans
Amount Funded			3,697,000	$ 1,512,000
Loan commitment		12,000,000	12,000,000
Remaining loan commitments		4,965,000	$ 4,965,000
Skilled Nursing | Mortgage Loans on Real Estate One | Capital Improvement Loan Investment | Maximum | Michigan
Mortgage Loans
Percentage of outstanding mortgage loan balance that may be prepaid without penalty			50.00%
Additional loan proceeds available for expansion and renovation			$ 20,000,000
Skilled Nursing | Mortgage Loans on Real Estate Two | Michigan
Mortgage Loans
Amount Funded			9,500,000
Loan commitment		$ 11,000,000	$ 11,000,000
Number of beds or units securing loan | item			157
Interest rate for first five years			9.41%
Period during which loan bears the initial specified interest rate			5 years
Annual increase in interest rate (as percent)			2.25%
Term of mortgage loan receivable			30 years
Period of interest-only payments			3 years
Skilled Nursing | SNF Beds | Real Estate Investment
Mortgage Loans
Number of Beds/Units | item		8,513	8,513
Skilled Nursing | SNF Beds | Mortgage Loans on Real Estate
Mortgage Loans
Number of Beds/Units | item		3,621	3,621
Assisted Living
Mortgage Loans
Number of Beds/Units | item		3,546	3,546
Assisted Living | Real Estate Investment
Mortgage Loans
Gross Investments		$ 573,693,000	$ 573,693,000
Percentage of Investments		49.70%	49.70%
Number of Properties | property		96	96
Investment per Bed/Unit | $ / item		110.60	110.60
Investment Commitment		$ 84,758,000	$ 84,758,000
Remaining Commitment		58,293,000	58,293,000
Commitments funded		26,465,000	26,465,000
Assisted Living | Mortgage Loans on Real Estate
Mortgage Loans
Gross Investments		$ 13,731,000	$ 13,731,000
Percentage of Investments		6.60%	6.60%
Number of Loans | loan			3
Number of Properties | property		8	8
Number of Beds/Units | item		100	100
Investment per Bed/Unit | $ / item		50.86	50.86
Amount Funded			$ 230,000
Remaining loan commitments		$ 260,000	260,000
Investment Commitment		490,000	490,000
Commitments funded		$ 230,000	$ 230,000
Assisted Living | ALF Units | Real Estate Investment
Mortgage Loans
Number of Beds/Units | item		5,187	5,187
Assisted Living | ALF Units | Mortgage Loans on Real Estate
Mortgage Loans
Number of Beds/Units | item		270	270
Range of Care | California
Mortgage Loans
Proceeds received from the payoff of a mortgage loan			$ 2,487,000
Range of Care | California and Texas
Mortgage Loans
Number of Loans | loan			2
Range of Care | Real Estate Investment
Mortgage Loans
Gross Investments		$ 43,907,000	$ 43,907,000
Percentage of Investments		3.80%	3.80%
Number of Properties | property		7	7
Investment per Bed/Unit | $ / item		48.36	48.36
Range of Care | SNF Beds | Real Estate Investment
Mortgage Loans
Number of Beds/Units | item		634	634
Range of Care | ALF Units | Real Estate Investment
Mortgage Loans
Number of Beds/Units | item		274	274
Independent Living | Mortgage Loans on Real Estate
Mortgage Loans
Funding		$ 230,000
Independent Living | Mortgage Loans on Real Estate | Arizona
Mortgage Loans
Number of properties securing loan | item		100	100
Remaining Commitment		$ 260,000	$ 260,000
Independent Living | Mortgage Loans on Real Estate | Maximum | Arizona
Mortgage Loans
Additional Loan Commitment		$ 490,000	$ 490,000

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Real Estate Investments

9 Months Ended

Sep. 30, 2015

Real Estate Investments

Real Estate Investments

2.Real Estate Investments

Assisted living properties, independent living properties, memory care properties and combinations thereof are included in the assisted living property type (or collectively ALF). Range of care properties (or ROC) property type consists of properties providing skilled nursing and any combination of assisted living, independent living and/or memory care services.

Any reference to the number of properties, number of units, number of beds, and yield on investments in real estate are unaudited and outside the scope of our independent registered public accounting firm’s review of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Owned Properties.The following table summarizes our investments in owned properties at September 30, 2015(dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investments		Investments		Properties(1)	Beds	Units	Bed/Unit
Assisted Living	$	573,693	49.7	%	96	—	5,187	$	110.60
Skilled Nursing		500,161	43.3	%	69	8,513	—	$	58.75
Range of Care		43,907	3.8	%	7	634	274	$	48.36
Under Development(2)		26,675	2.3	%	—	—	—		—
Other(3)		10,213	0.9	%	1	—	—		—
Totals	$	1,154,649	100.0	%	173	9,147	5,461

(1) We own properties in 27 states that are leased to 30 different operators.

(2) Represents six development projects consisting of four MC properties with a total of 254 units, a 108-unit independent living property and an 89-unit combination ALF and MC property.

(3) Represents one school property and three parcels of land held-for-use.

Owned properties are leased pursuant to non-cancelable operating leases generally with an initial term of 10 to 15 years. Each lease is a triple net lease which requires the lessee to pay all taxes, insurance, maintenance and repairs, capital and non-capital expenditures and other costs necessary in the operations of the facilities. Many of the leases contain renewal options. The leases provide for fixed minimum base rent during the initial and renewal periods. The majority of our leases contain provisions for specified annual increases over the rents of the prior year that are generally computed in one of four ways depending on specific provisions of each lease:

(i) a specified percentage increase over the prior year’s rent, generally between 2.0% and 3.0%;

(ii) a calculation based on the Consumer Price Index;

(iii) as a percentage of facility net patient revenues in excess of base amounts; or

(iv) specific dollar increases.

Acquisitions and Development. During the three months ended September 30, 2015, we completed the acquisition of a portfolio of 10 independent, assisted living and memory care properties totaling 891 units. Nine of the properties are located in Wisconsin and one is located in Illinois. The aggregate purchase price paid at closing was $142,000,000. Simultaneously upon closing, we entered into a 15-year triple‐net master lease agreement with an existing operator at an initial cash yield of 6.5% escalating by 25 basis points upon each of the first and second anniversaries and annually thereafter by 2.75%. The master lease agreement includes a commitment up to $10,000,000 to the lessee, upon the portfolio achieving a sustainable stipulated rent coverage ratio, and when funded, cash rent will increase by the amount funded multiplied by the lease rate in effect at the time.

Additionally, during the three months ended September 30, 2015, we acquired a newly constructed 60-unit memory care property located in Florida for $14,250,000 including a $2,000,000 working capital reserve which is recorded similarly to an earn‐out and valued using a discounted cash flow analysis. The estimated fair value of the working capital reserve was $1,847,000 which will be accreted up to the settlement amount as of the estimated payment date. Concurrently with the purchase, we entered into a lease agreement at an initial cash yield of 8.0% escalating annually by 2.5%. The lease agreement includes a commitment to the lessee that we will fund a contingent earn-out payment up to $300,000, upon the property achieving a sustainable stipulated rent coverage ratio. When the working capital reserve and earn-out payments are funded, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time.

During the third quarter of 2015, we purchased a parcel of land in California for $2,022,000 and entered into a development commitment to construct and equip a 66-unit memory care property. Our total commitment for the project is $12,606,000 including the land purchase. Simultaneously with the acquisition, we added this property to a master lease agreement with an existing operator at an initial cash yield of 9.0%. Also, we acquired a parcel of land in Oregon, which we previously leased pursuant to a ground lease. The purchase price was $500,000 and the ground lease was terminated as of the closing.

During the nine months ended September 30, 2015, we purchased and equipped a 106-bed skilled nursing property for a total of $13,946,000 by exercising our purchase option under a $10,600,000 mortgage and construction loan. Additionally, we purchased five parcels of land (including the acquired parcel of land in California and excluding the purchase of parcel of land in Oregon discussed above) to build and equip assisted living facilities totaling 385 units.

The following table summarizes our investments for the nine months ended September 30, 2015(dollar amounts in thousands):

					Total		Number	Number
	Purchase		Transaction		Acquisition		of	of
Type of Property	Price(1)		Costs(2)		Costs		Properties	Beds/Units
Skilled Nursing(3)	$	13,946	$	—	$	13,946	1	106
Assisted Living(4)		156,097		325		156,422	11	951
Land(5)		13,533		97		13,630	—	—
Totals	$	183,576	$	422	$	183,998	12	1,057

(1) Represents cost associated with our acquisitions; however, depending on the accounting treatment of our acquisitions, transaction costs may be capitalized to the properties’ basis and, for our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Additionally, transaction costs in the table above may differ from the acquisition costs line item in our consolidated statement of income as a result of transaction costs from prior year’s acquisitions.

(2) We purchased the property by exercising our purchase option under a $10,600 mortgage and construction loan and equipped the property for $3,346. The property was added to an existing master lease at a lease rate equivalent to the interest rate in effect on the loan at the time the purchase option was exercised. Additionally, we paid the lessee a $1,054 lease inducement and will amortize as a yield adjustment over the life of the lease term. See Mortgage Loans below for further discussion of the loan agreement.

(3) We acquired a newly constructed 60-unit MC property for $14,250 including a $2,000 working capital reserve which is recorded similarly to an earn-out and valued at $1,847 using a discounted cash flow analysis. As a result, our basis in the property was recorded at $14,132 which includes capitalized transaction costs. Additionally, we agreed to provide the lessee an earn-out up to $300 upon the property achieving a sustainable stipulated rent coverage ratio. When the working capital reserve and earn-out payments are funded, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time. We also acquired a portfolio comprised of 10 independent, assisted living and memory care properties for $142,000 and agreed to provide the lessee an earn-out up to $10,000, upon the portfolio achieving a sustainable stipulated rent coverage ratio, which will increase cash rent by the amount funded multiplied by the lease rate in effect at the time.

(4) We acquired parcels of land and entered into four development commitments up to a total of $55,529, including the land purchases, for the development of two MC properties totaling 132 units, a 108-unit IL property and an 89-unit combination AL and MC property. Additionally, we acquired land and existing improvements on a 56-unit MC property and entered a development commitment up to a total of $12,182, including the land purchase, to complete the development of the MC property. Also, we purchased a parcel of land we previously leased pursuant to a ground lease.

Subsequent to September 30, 2015, we purchased a parcel of land in Illinois for $2,800,000 and entered into a development commitment up to $14,769,000 (including the land purchase) to construct a 66-unit memory care facility. Also, subsequent to September 30, 2015, we purchased a behavioral health care hospital in Nevada for $9,250,000.

During the nine months ended September 30, 2015, we funded $20,652,000 on our completed and on-going development and improvement projects, including the final funding on a  60-unit memory care property in Colorado for an aggregate cost of $10,703,000, including the land purchase. The following table summarizes our on-going investment commitments as of September 30, 2015, and amounts funded exclusively under these projects (excludes capitalized interest, dollar amounts in thousands):

				Total			Number	Number
	Investment		Commitment		Remaining		of	of
Type of Property	Commitment		Funded		Commitment		Properties	Beds/Units
Skilled Nursing(1)	$	6,000	$	17	$	5,983	2	314
Assisted Living(2)		84,758		26,465		58,293	36	2,097
Totals	$	90,758	$	26,482	$	64,276	38	2,411

(1) Includes two commitments for renovation and expansion projects.

(2) Includes the development of an IL property for $14,500,  four MC properties for a total of $48,923 andone ALF/MC property for $16,535. Also, includes three commitments for renovation projects on 30 ALFs totaling $4,800.

Our construction in progress (or CIP) activity during the nine months ended September 30, 2015 for our development, redevelopment, renovation, and expansion projects is as follows (dollar amounts in thousands):

	CIP								CIP
	Balance at				Capitalized		Conversions		Balance at
Type of Property	12/31/2014		Funded(1)		Interest		out of CIP		9/30/2015
Skilled nursing	$	—	$	414	$	—	$	(397)	$	17
Assisted living		8,671		19,297		481		(9,871)		18,578
Total	$	8,671	$	19,711	$	481	$	(10,268)	$	18,595

(1) Excludes $7,972of funding directly capitalized into building and includes the previously discussed acquisition of the existing improvements of a 56-unit MC property for $6,315 and pre-development loan reclass totaling $716.

During the nine months ended September 30, 2014, we sold two assisted living properties located in Florida and Georgia with a total of 133 units and one school property located in Minnesota for a combined sales price of $7,850,000, resulting in net sales proceeds of $7,707,000, and a net gain on sale of $1,140,000. 

Mortgage Loans.The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2015(dollar amounts in thousands):

			Percentage		Number	Number	Number of		Investment
	Gross		of		of	of	SNF	ALF	per
Type of Property	Investments		Investments		Loans	Properties(1)	Beds	Units	Bed/Unit
Skilled Nursing	$	192,810	93.4	%	14	28	3,621	—	$	53.25
Assisted Living		13,731	6.6	%	3	8	—	270	$	50.86
Totals	$	206,541	100.0	%	17	36	3,621	270

(1) We have investments in properties located in 7 states that include mortgages to 10 different operators.

At September 30, 2015, the mortgage loans had interest rates ranging from 7.3% to 13.8% and maturities ranging from 2016 to 2045. In addition, some loans contain certain guarantees, provide for certain facility fees and generally have 20-year to 30-year amortization schedules. The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 10 to 25 basis points. During the nine months ended September 30, 2015, we received $2,487,000 plus accrued interest related to the payoff of two mortgage loans secured by a range of care property located in California and a skilled nursing property located in Texas. During the nine months ended September 30, 2015 and 2014, we received $1,794,000 and $1,609,000, respectively, in regularly scheduled principal payments.

During the nine months ended September 30, 2015, we amended an existing mortgage loan secured by a 100-unit independent living property in Arizona to provide up to $490,000 of additional proceeds for capital improvements. Also, during the nine months ended September 30, 2015, we funded $230,000 under this amended mortgage loan and have a remaining commitment of $260,000.

During 2013, we funded the initial amount of $124,387,000 under a mortgage loan with a third‑party borrower secured by 15 skilled nursing properties with a total of 2,058 beds in Michigan. The loan agreement provided for additional commitments of $12,000,000 for capital improvements and up to $40,000,000 of additional proceeds, for a total loan commitment of up to $176,387,000. During the nine months ended September 30, 2015, we funded the $40,000,000 of additional proceeds. During the nine months ended September 30, 2015 and 2014, we funded $3,697,000 and $1,512,000, respectively, under the $12,000,000 capital improvement commitment with $4,965,000 remaining as of September 30, 2015.  

In addition, this mortgage loan provided the borrower a one‑time option to prepay up to 50% of the then outstanding loan balance without penalty. During the nine months ended September 30, 2015, we amended this mortgage loan to provide up to an additional $20,000,000 in loan proceeds for the expansion of two properties securing the loan (increasing the total capital improvement commitment to $32,000,000 and the total loan commitment to $196,387,000). As a result, our remaining commitment under the aggregate $32,000,000 capital improvement commitment was $24,965,000 at September 30, 2015. Also, we conveyed, to the borrower, two parcels of land held-for-use adjacent to these properties to facilitate the projects. The estimated fair value of these parcels of $670,000, based upon third-party appraisals, was added to the outstanding mortgage loan receivable. As partial consideration for the increased commitment and associated conveyance, the borrower forfeited their prepayment option. 

Additionally, during the nine months ended September 30, 2015, we originated an $11,000,000 mortgage loan with the same borrower, funding $9,500,000 with a commitment to fund the balance for approved capital improvement projects. The loan is secured by a 157-bed skilled nursing property in Michigan and bears interest at 9.41% for five years, escalating annually thereafter by 2.25%. The term is 30 years with interest-only payments for the initial three years. Additionally, we have the option to purchase the property under certain circumstances, including a change in regulatory provisions.

Subsequent to September 30, 2015, we originated a $20,000,000,  30-year term mortgage loan, funding $9,500,000 at closing, with a commitment to fund $10,500,000.

The following table summarizes our additional loan commitments as of September 30, 2015, and amounts funded under these mortgage loans (dollar amounts in thousands):

	Additional								Number	Number
	Loan		2015		Commitment		Remaining		of	of
Type of Property	Commitment		Funding		Funded		Commitment		Properties	Beds/Units
Skilled Nursing	$	33,500	$	3,697	$	7,035	$	26,465	16	2,215
Assisted Living		490		230		230		260	1	100
Totals	$	33,990	$	3,927	$	7,265	$	26,725	17	2,315

During the nine months ended September 30, 2014, we funded the remaining $3,010,000 balance on a $10,600,000 mortgage and construction loan to develop a new 106-bed skilled nursing property in Wisconsin to replace an old existing skilled nursing property. Upon completion of construction and relocation of the residents from the old property to the replacement property in 2014, the old property was sold and released as collateral. During the nine months ended September 30, 2015, we purchased and equipped the replacement property for a total of $13,946,000 by exercising our right under the agreement including applying amounts otherwise due to us under the underlying loan as a closing adjustment. See Owned Properties above for further discussion of the property purchase.

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Real Estate Investments - Additional Commitments and Future Minimum Payments (Details)	1 Months Ended	9 Months Ended
	Oct. 31, 2015 USD ($)	Sep. 30, 2015 USD ($) property item	Sep. 30, 2014 USD ($) item
Additional Loan Commitments
Investment Commitment		$ 173,550,000
Funding		49,490,000
Commitment Funded		55,054,000
Remaining Commitment		2,013,000
Loan Commitments		2,650,000
Mortgage Loans on Real Estate
Additional Loan Commitments
Investment Commitment		33,990,000
Funding		3,927,000
Commitment Funded		7,265,000
Remaining Commitment		$ 26,725,000
Number of Properties | property		17
Number of Beds/Units | item		2,315
Mortgage and Construction Loans on Real Estate | Wisconsin
Additional Loan Commitments
Number of Beds/Units | item			106
Loan Commitments Principal Advanced			$ 3,010,000
Loan Commitments			$ 10,600,000
Skilled Nursing
Additional Loan Commitments
Number of Beds/Units | item		3,405
Skilled Nursing | Mortgage Loans on Real Estate
Additional Loan Commitments
Investment Commitment		$ 33,500,000
Funding		3,697,000
Commitment Funded		7,035,000
Remaining Commitment		$ 26,465,000
Number of Properties | property		16
Number of Beds/Units | item		2,215
Assisted Living
Additional Loan Commitments
Number of Beds/Units | item		3,546
Assisted Living | Mortgage Loans on Real Estate
Additional Loan Commitments
Investment Commitment		$ 490,000
Funding		230,000
Commitment Funded		230,000
Remaining Commitment		$ 260,000
Number of Properties | property		1
Number of Beds/Units | item		100
Skilled Nursing Property Acquisition | Wisconsin
Additional Loan Commitments
Business Combination, Consideration Transferred		$ 13,946,000
Subsequent Event | Mortgage Loans on Real Estate
Additional Loan Commitments
Term of mortgage loan receivable	30 years
Funding	$ 9,500,000
Remaining Commitment	10,500,000
Loan Commitments	$ 20,000,000

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Major Operators (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2015 USD ($) property item	Sep. 30, 2014 USD ($)	Dec. 31, 2014 USD ($)
Major Operators
Number of major operators | item	3
Total assets | $	$ 1,216,915		$ 965,819
Gain on sale of properties | $		$ 1,140
2015 Acquisitions
Major Operators
Number of properties acquired	12
Skilled Nursing
Major Operators
Number of properties leased	25
Number of beds/units | item	3,405
Skilled Nursing | 2015 Acquisitions
Major Operators
Number of properties acquired	1
Assisted Living
Major Operators
Number of properties leased	64
Number of beds/units | item	3,546
Assisted Living | 2015 Acquisitions
Major Operators
Number of properties acquired	11
Assisted Living | 2015 Acquisitions | Pro Forma
Major Operators
Number of properties acquired	10
Range of Care
Major Operators
Number of properties leased	2
Prestige | Skilled Nursing
Major Operators
Number of properties leased	16
Number of beds/units | item	2,215
Prestige | Assisted Living
Major Operators
Number of beds/units | item	211
Prestige | Range of Care
Major Operators
Number of properties leased	2
Brookdale | Assisted Living
Major Operators
Number of properties leased	37
Number of beds/units | item	1,704
Senior Care | Skilled Nursing
Major Operators
Number of properties leased	9
Number of beds/units | item	1,190
Senior Lifestyle | Assisted Living
Major Operators
Number of properties leased	27
Number of beds/units | item	1,631
Total Assets | Credit Concentration Risk
Major Operators
Concentration risk (as a percent)	44.10%
Total Assets | Credit Concentration Risk | Prestige
Major Operators
Concentration risk (as a percent)	14.90%
Total Assets | Credit Concentration Risk | Brookdale
Major Operators
Concentration risk (as a percent)	11.90%
Total Assets | Credit Concentration Risk | Senior Care
Major Operators
Concentration risk (as a percent)	9.40%
Total Assets | Credit Concentration Risk | Senior Lifestyle
Major Operators
Concentration risk (as a percent)	7.90%
Rental Revenue and Interest Income from Mortgage Loans | Operator Concentration Risk
Major Operators
Concentration risk (as a percent)	45.40%
Rental Revenue and Interest Income from Mortgage Loans | Operator Concentration Risk | Prestige
Major Operators
Concentration risk (as a percent)	15.70%
Rental Revenue and Interest Income from Mortgage Loans | Operator Concentration Risk | Brookdale
Major Operators
Concentration risk (as a percent)	6.60%
Rental Revenue and Interest Income from Mortgage Loans | Operator Concentration Risk | Senior Care
Major Operators
Concentration risk (as a percent)	8.20%
Rental Revenue and Interest Income from Mortgage Loans | Operator Concentration Risk | Senior Lifestyle
Major Operators
Concentration risk (as a percent)	14.90%
Rental Revenue and Interest Income from Mortgage Loans | Credit Concentration Risk | Mortgage Loans on Real Estate
Major Operators
Concentration risk (as a percent)	10.00%
Rental Revenue and Interest Income from Mortgage Loans | Credit Concentration Risk | Mortgage Loans on Real Estate | Pro Forma
Major Operators
Number of major operators | item	1
Rental Revenue and Interest Income from Mortgage Loans | Credit Concentration Risk | Minimum | Mortgage Loans on Real Estate | Pro Forma
Major Operators
Concentration risk (as a percent)	10.00%

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CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Sep. 30, 2015	Dec. 31, 2014
Real estate investments:
Land	$ 98,486	$ 80,024
Buildings and improvements	1,056,163	869,814
Accumulated depreciation and amortization	(244,361)	(223,315)
Real property investments, net	910,288	726,523
Mortgage loans receivable, net of loan loss reserve: 2015—$2,065; 2014—$1,673	204,476	165,656
Real estate investments, net	1,114,764	892,179
Investment in unconsolidated joint ventures	21,143
Investments, net	1,135,907	892,179
Other assets:
Cash and cash equivalents	11,729	25,237
Debt issue costs, net	3,289	3,782
Interest receivable	3,384	597
Straight-line rent receivable, net of allowance for doubtful accounts: 2015—$802; 2014—$731	39,641	32,651
Prepaid expenses and other assets	20,775	9,931
Notes receivable	2,190	1,442
Total assets	1,216,915	965,819
LIABILITIES
Bank borrowings	165,500
Senior unsecured notes	352,467	281,633
Accrued interest	2,554	3,556
Accrued incentives and earn-outs	13,323	3,258
Accrued expenses and other liabilities	21,865	17,251
Total liabilities	555,709	305,698
Stockholders' equity:
Preferred stock $0.01 par value; 15,000 shares authorized; shares issued and outstanding: 2015—2,000; 2014—2,000	38,500	38,500
Common stock: $.01 par value; 60,000 shares authorized; shares issued and outstanding: 2015—35,570; 2014—35,480	356	355
Capital in excess of par value	720,221	717,396
Cumulative net income	910,374	855,247
Accumulated other comprehensive income	56	82
Cumulative distributions	(1,008,301)	(951,459)
Total equity	661,206	660,121
Total liabilities and equity	$ 1,216,915	$ 965,819

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Subsequent Events - Equity (Details) - Dividend Declared - $ / shares	Oct. 01, 2015	Jul. 01, 2015
Equity
Cash dividend declared per common share per month (in dollars per share)		$ 0.17
Subsequent Event
Equity
Per share percentage increase in dividends declared	5.90%
Cash dividend declared per common share per month (in dollars per share)	$ 0.18

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014
OPERATING ACTIVITIES:
Net income	$ 55,127	$ 52,399
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	21,121	18,935
Stock-based compensation expense	3,093	2,326
Gain on sale of real estate, net		(1,140)
Income from unconsolidated joint ventures	(1,543)
Distribution from unconsolidated joint ventures	289
Straight-line rental income	(7,060)	(1,921)
Amortization of lease inducement	1,163
Provision for doubtful accounts	463	77
Non-cash interest related to earn-out liabilities	205
Other non-cash items, net	670	1,151
(Increase) decrease in interest receivable	(2,787)	3
Decrease in accrued interest payable	(1,002)	(1,000)
Net change in other assets and liabilities	795	(1,545)
Net cash provided by operating activities	70,534	69,285
INVESTING ACTIVITIES:
Investment in real estate properties	(171,185)	(450)
Investment in real estate developments	(14,460)	(23,922)
Investment in real estate capital improvements	(6,192)	(12,178)
Capitalized interest	(481)	(1,216)
Proceeds from sale of real estate investments, net		7,707
Advances under mortgage loans receivable	(3,927)	(7,549)
Origination of real estate mortgages	(49,500)
Principal payments received on mortgage loans receivable	4,281	1,609
Investment in unconsolidated joint ventures	(20,143)
Advances under notes receivable	(1,464)	(664)
Principal payments received on notes receivable		112
Net cash used in investing activities	(263,071)	(36,551)
FINANCING ACTIVITIES:
Bank borrowings	267,000	28,500
Repayment of bank borrowings	(101,500)	(30,000)
Proceeds from issuance of senior unsecured notes	100,000	30,000
Principal payments on senior unsecured notes	(29,167)	(4,167)
Principal payments on bonds payable		(635)
Stock option exercises	79	277
Distributions paid to stockholders	(56,842)	(55,729)
Financing costs paid	(195)	(162)
Other	(346)	(7)
Net cash (used in) provided by financing activities	179,029	(31,923)
(Decrease) increase in cash and cash equivalents	(13,508)	811
Cash and cash equivalents, beginning of period	25,237	6,778
Cash and cash equivalents, end of period	11,729	7,589
Supplemental disclosure of cash flow information:
Interest paid	12,230	$ 11,077
Non-cash investing and financing transactions:
Mortgage loan receivable applied against purchase price to acquire real estate (Note 2)	10,600
Reclassification of pre-development loans (Note 4)	716
Land conveyance applied to a mortgage and construction loan receivable (Note 2)	$ 670

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Debt Obligations (Details)		1 Months Ended		3 Months Ended	6 Months Ended	9 Months Ended		12 Months Ended
	Aug. 31, 2015 USD ($)	Oct. 31, 2015 USD ($)	Apr. 30, 2015 USD ($)	Sep. 30, 2015 USD ($)	Sep. 30, 2015 USD ($)	Sep. 30, 2015 USD ($)	Sep. 30, 2014 USD ($)	Dec. 31, 2014 USD ($) property
Debt Obligations
Outstanding Balance				$ 517,967,000	$ 517,967,000	$ 517,967,000		$ 281,633,000
Amount outstanding Senior Unsecured Notes				$ 352,467,000	$ 352,467,000	352,467,000		281,633,000
Amount borrowed						$ 100,000,000	$ 30,000,000
Weighted Average
Debt Obligations
Applicable Interest Rate (as a percent)				3.66%	3.66%	3.66%
Bank Borrowings - Line of Credit
Debt Obligations
Outstanding Balance				$ 165,500,000	$ 165,500,000	$ 165,500,000
Available for Borrowing				234,500,000	234,500,000	234,500,000		400,000,000
Maximum availability under Unsecured Credit Agreement				$ 400,000,000	$ 400,000,000	400,000,000
Possible total maximum availability under Unsecured Credit Agreement						$ 600,000,000
Additional extension period option						1 year
Unused commitment fee (as a percent)						0.30%
Amount borrowed						$ 267,000,000	28,500,000
Repayments of debt						$ 101,500,000	30,000,000
Bank Borrowings - Line of Credit | LIBOR
Debt Obligations
Description of interest rate						LIBOR
Basis spread over base rate (as a percent)						1.25%
Bank Borrowings - Line of Credit | Weighted Average
Debt Obligations
Applicable Interest Rate (as a percent)				1.51%	1.51%	1.51%
Senior Unsecured Debt
Debt Obligations
Outstanding Balance				$ 352,467,000	$ 352,467,000	$ 352,467,000		$ 281,633,000
Repayments of debt						$ 29,167,000	4,167,000
Senior Unsecured Debt | Weighted Average
Debt Obligations
Applicable Interest Rate (as a percent)				4.67%	4.67%	4.67%
Bonds
Debt Obligations
Repayments of debt							$ 635,000
Number of assisted living properties securing debt instruments | property								5
Subsequent Event | Bank Borrowings - Line of Credit
Debt Obligations
Outstanding Balance		$ 187,500,000
Available for Borrowing		412,500,000
Increase in maximum borrowing capacity due to exercise of accordion feature		200,000,000
Maximum availability under Unsecured Credit Agreement		600,000,000
Amount borrowed		$ 22,000,000
Private Shelf Agreement Prudential
Debt Obligations
Debt instrument term			3 years
Maximum available for issuance			$ 200,000,000
Maximum availability under the private shelf agreement for senior unsecured term note issuances			$ 102,000,000
Maximum average life of the loan from the date of original issuance					12 years
Private Shelf Agreement Prudential | Maximum
Debt Obligations
Maximum maturity period of each debt issuance under the shelf agreement					15 years
Private Shelf Agreement Prudential | Senior Unsecured Debt
Debt Obligations
Debt instrument term	15 years
Face amount of debt	$ 100,000,000
Fixed interest rate (as a percent)	4.50%
Note Purchase and Private Shelf Agreement AIG
Debt Obligations
Debt instrument term				3 years
Note Purchase and Private Shelf Agreement AIG | Senior Unsecured Debt
Debt Obligations
Maximum available for issuance				$ 100,000,000
Note Purchase and Private Shelf Agreement AIG | Subsequent Event | Senior Unsecured Debt
Debt Obligations
Debt instrument term		13 years
Maximum available for issuance		$ 100,000,000
Fixed interest rate (as a percent)		4.26%

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Equity (Tables)

9 Months Ended

Sep. 30, 2015

Equity

Schedule of equity

Equity activity was as follows (in thousands):

	Total
	Equity
Balance at December 31, 2014	$	660,121
Net income		55,127
Vesting of stock option and restricted common stock		3,093
Stock option exercise		79
Reclassification adjustment		(26)
Preferred stock dividends		(2,454)
Common stock dividends		(54,388)
Other		(346)
Balance at September 30, 2015	$	661,206

Schedule of cash dividends declared and paid

We declared and paid the following cash dividends (in thousands):

	Nine Months Ended
	September 30, 2015				September 30, 2014
	Declared		Paid		Declared		Paid
Preferred Stock Series C	$	2,454	$	2,454	$	2,454	$	2,454
Common Stock(1)		54,388		54,388		53,275		53,275
Total	$	56,842	$	56,842	$	55,729	$	55,729

(1) Represents $0.17per share per month for each of the nine months ended September 30, 2015 and 2014, respectively.

Schedule of restricted stock granted

		Price per
Year	No. of Shares	Share		Vesting Period
2015	65,750	$	44.45	ratably over 3 years
	18,000	$	42.30	ratably over 3 years
	8,400	$	42.30	June 2, 2016
	92,150
2014	59,000	$	36.81	ratably over 3 years
	3,000	$	38.43	ratably over 3 years
	15,000	$	40.05	ratably over 3 years
	10,500	$	40.05	June 9, 2015
	87,500

Schedule of options exercised

The options exercised during the nine months ended September 30, 2015 and 2014 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value(1)
2015	3,333	$	23.79	$	79,000	$	140,000
2014	11,666	$	23.79	$	277,000	$	455,000

(1) As of the exercise dates.

Summary of scheduled number of stock option vesting and remaining compensation expense

The following table summarizes our scheduled number of stock option vesting and remaining compensation expense to be recognized related to the future service period of unvested outstanding stock options:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	—	$	4,000
2016	5,000		15,000
2017	5,000		3,000
	10,000	$	22,000

Summary of the total number of restricted common shares scheduled to vest and remaining compensation expense

At September 30, 2015, the total number of restricted common shares that are scheduled to vest and remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock are as follows:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	41,200	$	910,000
2016	102,060		2,618,000
2017	57,367		1,416,000
2018	27,920		187,000
	228,547	$	5,131,000

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Equity - Rollforward (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2015	Sep. 30, 2014
Equity activity
Beginning balance			$ 660,121
Net income	$ 19,647	$ 17,122	55,127	$ 52,399
Vesting of stock option and restricted common stock			3,093	2,326
Stock option exercise			79
Reclassification adjustment	(9)	$ (9)	(26)	$ (27)
Preferred stock dividends			(2,454)
Common stock dividends			(54,388)
Other			(346)
Ending balance	$ 661,206		$ 661,206

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Major Operators (Tables)

9 Months Ended

Sep. 30, 2015

Major Operators

Schedule of concentration of risk by major operators

	Number of			Number of		Percentage of
	SNF	ALF	ROC	SNF	ALF	Total		Total
Operator	Properties	Properties	Properties	Beds	Units	revenue (1)		assets
Prestige (2)	16	—	2	2,215	211	14.9	%	15.7	%
Brookdale (3)	—	37	—	—	1,704	11.9	%	6.6	%
Senior Care (2)	9	—	—	1,190	—	9.4	%	8.2	%
Senior Lifestyle	—	27	—	—	1,631	7.9	%	14.9	%
Totals	25	64	2	3,405	3,546	44.1	%	45.4	%

(1) Includes rental income and interest income from mortgage loans.

(2) A privately held company.

(3) A subsidiary of Brookdale Senior Living, Inc.

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General

9 Months Ended

Sep. 30, 2015

General

General

1.General

LTC Properties, Inc., a health care real estate investment trust (or REIT), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in senior housing and long-term health care properties through acquisitions, development, mortgage loans and other investments. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision making purposes.   Our primary objectives are to create, sustain and enhance stockholder equity value and provide current income for distribution to stockholders through real estate investments in senior housing and long-term health care properties managed by experienced operators. Our primary senior housing and long-term health care property types include skilled nursing properties (or SNF), assisted living properties (or ALF), independent living properties (or ILF), memory care properties (or MC) and combinations thereof. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property type and form of investment.

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (or SEC). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (or GAAP) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company, its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the nine months ended September 30, 2015 and 2014 are not necessarily indicative of the results for a full year.

Certain reclassifications have been made to the prior period consolidated financial statements to conform to the current period presentation, including changes in presentation of Provision for doubtful accounts as a result of the application of accounting guidance for presentation of each major income statement caption prescribed by Regulation S-X. These adjustments are normal and recurring in nature.

No provision has been made for federal or state income taxes. Our company qualifies as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended. As such, we generally are not taxed on income that is distributed to our stockholders.

Investments in unconsolidated joint ventures

From time to time, the Company may make investments in unconsolidated entities, which may be in the form of common equity, preferred equity, or debt (in the form of an acquisition, development or construction or “ADC” loan, or similar arrangement). The Company evaluates each investment pursuant to ASC 805, Consolidation, to determine whether it meets the definition of a variable interest entity (or VIE) and whether the Company is the primary beneficiary. If the entity is deemed to be a VIE but the Company is not the primary beneficiary, or if the entity is deemed to be a voting interest entity but the Company does not have a controlling financial interest, it accounts for its investment using the equity method. Under the equity method, the Company initially records its investment at cost and subsequently recognizes the Company’s share of net earnings or losses and other comprehensive income or loss, cash contributions made and distributions received, and other adjustments, as appropriate. Allocations of net income or loss may be subject to preferred returns or allocation formulas defined in operating agreements and may not be according to percentage interests of the members. In certain circumstances where the Company has a substantive profit-sharing arrangement which provides a priority return on its investment, a portion of its equity in earnings may consist of a change in its claim on the net assets of the underlying joint venture. Distributions of operating profit from the joint ventures are reported as part of operating cash flows, while distributions related to a capital transaction, such as a refinancing transaction or sale, are reported as investing activities.

The Company performs a quarterly evaluation of its investments in unconsolidated joint ventures to determine whether the fair value of each investment is less than the carrying value, and, if such decrease in value is deemed to be other-than-temporary, writes the investment down to its estimated fair value as of the measurement date.

Impact of New Accounting Pronouncements.

In May 2014, the FASB issued Accounting Standards Update (or ASU) No. 2014-09 (or ASU 2014-09), Revenue from Contracts with Customers: Topic 606. ASU 2014-09 provides for a single comprehensive principles based standard for the recognition of revenue across all industries. ASU 2014-09 requires expanded disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. ASU 2014-09 is effective for annual reporting periods (including interim reporting periods within those periods) beginning after December 15, 2016. In July 2015, FASB approved a one-year deferral of the effective date to December 2017. However, the FASB will permit public companies to adopt the amendment as of the original effective date. Early adoption prior to the original effective date is not permitted. We are currently evaluating the effects of this adoption on our consolidated financial statements.

In January 2015, FASB issued ASU No. 2015-01 (or ASU 2015-01), Income Statement – Extraordinary and Unusual Items (Subtopic 225-20): Simplifying Income Statement Presentation by Eliminating the Concept of Extraordinary Items. ASU 2015-01 eliminates the separate classification, presentation and disclosure of extraordinary events and transactions. ASU 2015-01 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2015. Early adoption is permitted provided that the guidance is applied from the beginning of the fiscal year of adoption. We elected early adoption of ASU 2015-01 as of January 1, 2015. The adoption did not have a material impact on our consolidated financial statements.

In February 2015, FASB issued ASU No. 2015-02 (or ASU 2015-02), Consolidation (Topic 810): Amendments to the Consolidation Analysis. ASU 2015-02 amends the consolidation guidance for variable interest entities and voting interest entities, among other items, by eliminating the consolidation model previously applied to limited partnerships, emphasizing the risk of loss when determining a controlling financial interest and reducing the frequency of the application of related-party guidance when determining a controlling financial interest. ASU 2015-02 is effective for periods beginning after December 15, 2015, for public companies. Early adoption is permitted, including adoption in an interim period. We are currently evaluating the effects of this ASU on our consolidated financial statements.

In April 2015, FASB issued ASU No. 2015-03 (ASU 2015-03), Interest – Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. ASU 2015-03 requires debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct reduction from the carrying amount of the debt liability, consistent with debt discounts. ASU 2015-03 is effective for fiscal years beginning after December 15, 2015, and interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the effects of this ASU on our consolidated financial statements.

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CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2015	Dec. 31, 2014
CONSOLIDATED BALANCE SHEETS
Mortgage loans receivable, loan loss reserve	$ 2,065	$ 1,673
Straight-line rent receivable, allowance for doubtful accounts	$ 802	$ 731
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized	15,000,000	15,000,000
Preferred stock, shares issued	2,000,000	2,000,000
Preferred stock, shares outstanding	2,000,000	2,000,000
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	60,000,000	60,000,000
Common stock, shares issued	35,570,000	35,480,000
Common stock, shares outstanding	35,570,000	35,480,000

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Subsequent Events

9 Months Ended

Sep. 30, 2015

Subsequent Events

Subsequent Events

11.Subsequent Events

Subsequent to September 30, 2015 the following events occurred.

Real Estate Investments: We purchased a parcel of land in Illinois for $2,800,000 and entered into a development commitment to construct a 66-unit memory care facility. The commitment totals $14,769,000, including the land purchase. Also, we purchased a behavioral health care hospital in Nevada for $9,250,000 and we originated a $20,000,000,  30-year term mortgage loan, funding $9,500,000 at closing, with a commitment to fund $10,500,000.

Debt Obligations: We locked rate under our AIG shelf agreement on $100,000,000 senior unsecured notes with a coupon of 4.26% and anticipate selling notes to AIG on or around November 20, 2015. Additionally, we exercised the $200,000,000 accordion feature of our $400,000,000 unsecured revolving line of credit increasing commitments under our credit facility to $600,000,000 and we borrowed $22,000,000 under our unsecured revolving line of credit. Accordingly, we have $187,500,000 outstanding under our unsecured revolving line of credit with $412,500,000 remaining for borrowing. See Note 5. Debt Obligations for further discussion.

Equity: We increased our common stock monthly cash dividend approximately 5.9% from $0.17 per share to $0.18 per share and declared monthly cash dividends on our common stock for the months of October, November and December, payable on October 30, November 30, and December 31, 2015, respectively, to stockholders of record on October 22, November 20, and December 23, 2015, respectively.

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Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2015	Oct. 26, 2015
Document and Entity Information
Entity Registrant Name	LTC PROPERTIES INC
Entity Central Index Key	0000887905
Document Type	10-Q
Document Period End Date	Sep. 30, 2015
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity Current Reporting Status	Yes
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		35,570,495
Document Fiscal Year Focus	2015
Document Fiscal Period Focus	Q3

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General (Policies)

9 Months Ended

Sep. 30, 2015

General

Impact of New Accounting Pronouncement

Impact of New Accounting Pronouncements.

In May 2014, the FASB issued Accounting Standards Update (or ASU) No. 2014-09 (or ASU 2014-09), Revenue from Contracts with Customers: Topic 606. ASU 2014-09 provides for a single comprehensive principles based standard for the recognition of revenue across all industries. ASU 2014-09 requires expanded disclosures about the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. ASU 2014-09 is effective for annual reporting periods (including interim reporting periods within those periods) beginning after December 15, 2016. In July 2015, FASB approved a one-year deferral of the effective date to December 2017. However, the FASB will permit public companies to adopt the amendment as of the original effective date. Early adoption prior to the original effective date is not permitted. We are currently evaluating the effects of this adoption on our consolidated financial statements.

In January 2015, FASB issued ASU No. 2015-01 (or ASU 2015-01), Income Statement – Extraordinary and Unusual Items (Subtopic 225-20): Simplifying Income Statement Presentation by Eliminating the Concept of Extraordinary Items. ASU 2015-01 eliminates the separate classification, presentation and disclosure of extraordinary events and transactions. ASU 2015-01 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2015. Early adoption is permitted provided that the guidance is applied from the beginning of the fiscal year of adoption. We elected early adoption of ASU 2015-01 as of January 1, 2015. The adoption did not have a material impact on our consolidated financial statements.

In February 2015, FASB issued ASU No. 2015-02 (or ASU 2015-02), Consolidation (Topic 810): Amendments to the Consolidation Analysis. ASU 2015-02 amends the consolidation guidance for variable interest entities and voting interest entities, among other items, by eliminating the consolidation model previously applied to limited partnerships, emphasizing the risk of loss when determining a controlling financial interest and reducing the frequency of the application of related-party guidance when determining a controlling financial interest. ASU 2015-02 is effective for periods beginning after December 15, 2015, for public companies. Early adoption is permitted, including adoption in an interim period. We are currently evaluating the effects of this ASU on our consolidated financial statements.

In April 2015, FASB issued ASU No. 2015-03 (ASU 2015-03), Interest – Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. ASU 2015-03 requires debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct reduction from the carrying amount of the debt liability, consistent with debt discounts. ASU 2015-03 is effective for fiscal years beginning after December 15, 2015, and interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the effects of this ASU on our consolidated financial statements.

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CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2015	Sep. 30, 2014
Revenues:
Rental income	$ 28,531	$ 25,098	$ 82,325	$ 75,375
Interest income from mortgage loans	6,117	4,213	15,777	12,445
Interest and other income	295	230	708	386
Total revenues	34,943	29,541	98,810	88,206
Expenses:
Interest expense	4,296	3,170	11,916	9,445
Depreciation and amortization	7,365	6,335	21,121	18,935
Provision for doubtful accounts	31	40	463	77
Acquisition costs	539	2	564	22
General and administrative expenses	3,739	2,872	11,162	8,468
Total expenses	15,970	12,419	45,226	36,947
Operating income	18,973	17,122	53,584	51,259
Income from unconsolidated joint ventures	(674)		(1,543)
Gain on sale of real estate, net				1,140
Net income	19,647	17,122	55,127	52,399
Income allocated to participating securities	(121)	(123)	(370)	(343)
Preferred stock dividends	(818)	(818)	(2,454)	(2,454)
Net income available to common stockholders	$ 18,708	$ 16,181	$ 52,303	$ 49,602
Earnings per common share
Basic (in dollars per share)	$ 0.53	$ 0.47	$ 1.48	$ 1.43
Diluted (in dollars per share)	$ 0.52	$ 0.46	$ 1.47	$ 1.42
Weighted average shares used to calculate earnings per common share
Basic (in shares)	35,341	34,605	35,306	34,596
Diluted (in shares)	37,352	36,629	37,319	36,620
Dividends declared and paid per common share (in dollars per share)	$ 0.51	$ 0.51	$ 1.53	$ 1.53

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Equity

9 Months Ended

Sep. 30, 2015

Equity

Equity

6.Equity

Equity activity was as follows (in thousands):

	Total
	Equity
Balance at December 31, 2014	$	660,121
Net income		55,127
Vesting of stock option and restricted common stock		3,093
Stock option exercise		79
Reclassification adjustment		(26)
Preferred stock dividends		(2,454)
Common stock dividends		(54,388)
Other		(346)
Balance at September 30, 2015	$	661,206

Preferred Stock. At September 30, 2015, we had 2,000,000 shares of our 8.5% Series C Cumulative Convertible Preferred Stock (or Series C preferred stock) outstanding. Our Series C preferred stock is convertible into 2,000,000 shares of our common stock at $19.25 per share. Total shares reserved for issuance of common stock related to the conversion of Series C preferred stock were 2,000,000 shares at September 30, 2015.  

Common Stock. During the three months ended September 30, 2015, we entered into equity distribution agreements to issue and sell, from time to time, up to $200,000,000 in aggregate offering price of our common shares. Sales of common shares are made by means of ordinary brokers’ transactions, which may include block trades, or transactions that are deemed to be “at the market” offerings. During the three month ended September 30, 2015, we did not sell shares of common stock under our equity distribution agreement. At September 30, 2015, we had $200,000,000 available under this agreement. Also,during the nine months ended September 30, 2015 and 2014, we acquired 4,609 shares and 200 shares respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Available Shelf Registrations. Our shelf registration statement provides us with the capacity to offer up to $800,000,000 in common stock, preferred stock, warrants, debt, depositary shares, or units.  We may from time to time raise capital under this current shelf registration in amounts, at prices, and on terms to be announced when and if the securities are offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. At September 30, 2015, we had availability of $575,100,000 under our effective shelf registration which expires on July 19, 2016.

Distributions. We declared and paid the following cash dividends (in thousands):

	Nine Months Ended
	September 30, 2015				September 30, 2014
	Declared		Paid		Declared		Paid
Preferred Stock Series C	$	2,454	$	2,454	$	2,454	$	2,454
Common Stock(1)		54,388		54,388		53,275		53,275
Total	$	56,842	$	56,842	$	55,729	$	55,729

(1) Represents $0.17per share per month for each of the nine months ended September 30, 2015 and 2014, respectively.

In October2015, we increased our common stock monthly cash dividend approximately 5.9% from $0.17 per share to $0.18 per share and declared monthly cash dividends on our common stock for the months of October,  November and December, payable on October 30,  November 30, and December 31, 2015, respectively, to stockholders of record on October 22,  November 20, and December 23, 2015, respectively.

Accumulated Other Comprehensive Income.At September 30, 2015 and December 31, 2014, accumulated comprehensive income of $56,000 and $82,000, respectively, represents the net unrealized holding gains on available-for-sale REMIC Certificates recorded in 2005 when we repurchased the loans in the underlying loan pool. This amount is being amortized to increase interest income over the remaining life of the loans that we repurchased from the REMIC Pool.

Stock-Based Compensation.  During the nine months ended September 30, 2015, we adopted and our shareholders approved the 2015 Equity Participation Plan (or the 2015 Plan) which replaces the 2008 Equity Participation Plan (or the 2008 Plan). Under the 2015 Plan, 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion. During the nine months ended September 30, 2015,  no stock options or restricted stock were granted under this plan. 

During the nine months ended September 30, 2015,  no stock options were granted under the 2008 Plan. In the comparable 2014 period, we granted 15,000 options under the 2008 Plan to purchase common stock at an exercise price of $38.43 per share. These stock options vest ratably over a three-year period from the grant date. The options exercised during the nine months ended September 30, 2015 and 2014 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value(1)
2015	3,333	$	23.79	$	79,000	$	140,000
2014	11,666	$	23.79	$	277,000	$	455,000

(1) As of the exercise dates.

At September 30, 2015, we had 40,001 stock options outstanding of which 30,001 stock options are exercisable. Compensation expense related to the vesting of stock options for the three and nine months ended September 30, 2015, was $3,000 and $11,000, respectively, compared to $4,000 and $9,000 for the same periods in 2014. The following table summarizes our scheduled number of stock option vesting and remaining compensation expense to be recognized related to the future service period of unvested outstanding stock options:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	—	$	4,000
2016	5,000		15,000
2017	5,000		3,000
	10,000	$	22,000

During the nine months ended September 30, 2015, we cancelled 640 shares of restricted stock under the 2008 Plan. During the nine months ended September 30, 2015 and 2014, we granted 92,150 and 87,500 shares of restricted common stock, respectively, under the 2008 Plan as follows:

		Price per
Year	No. of Shares	Share		Vesting Period
2015	65,750	$	44.45	ratably over 3 years
	18,000	$	42.30	ratably over 3 years
	8,400	$	42.30	June 2, 2016
	92,150
2014	59,000	$	36.81	ratably over 3 years
	3,000	$	38.43	ratably over 3 years
	15,000	$	40.05	ratably over 3 years
	10,500	$	40.05	June 9, 2015
	87,500

Compensation expense recognized related to the vesting of restricted common stock for the three and nine months ended September 30, 2015 were $1,009,000 and $3,082,000, respectively, compared to $873,000 and $2,317,000 for the same period in 2014.  At September 30, 2015, the total number of restricted common shares that are scheduled to vest and remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock are as follows:

	Number	Remaining
	of	Compensation
Vesting Date	Awards	Expense
2015	41,200	$	910,000
2016	102,060		2,618,000
2017	57,367		1,416,000
2018	27,920		187,000
	228,547	$	5,131,000

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Debt Obligations

9 Months Ended

Sep. 30, 2015

Debt Obligations

Debt Obligations

5.Debt Obligations

The following table sets forth information regarding debt obligations by component as of September 30, 2015 and December 31, 2014  (dollar amounts in thousands):

		At September 30, 2015				At December 31, 2014
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate(1)	Balance		Borrowing		Balance		Borrowing
Bank Borrowings(2)	1.51%	$	165,500	$	234,500	$	—	$	400,000
Senior Unsecured Notes(3)	4.67%		352,467		n.a.		281,633		n.a.
Total	3.66%	$	517,967			$	281,633

(1) Represents weighted average of interest rate as of September 30, 2015.

(2) Subsequent to September 30, 2015, we exercised the $200,000 accordion feature of our $400,000 unsecured revolving line of credit increasing commitments under the credit facility to $600,000 and we borrowed $22,000 under our unsecured revolving line of credit. Accordingly, we have $187,500 outstanding under our unsecured revolving line of credit with $412,500 remaining for borrowing.

(3) Subsequent to September 30, 2015, we locked rate on our AIG shelf agreement on $100,000 senior unsecured notes with a coupon of 4.26% and anticipates selling notes to AIG on or around November 20, 2015.

Bank Borrowings. We have an Unsecured Credit Agreement that provides for a revolving line of credit up to $400,000,000 with the opportunity to increase the credit amount up to a total of $600,000,000.  The Unsecured Credit Agreement matures on October 14, 2018 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2015, the facility provides for interest annually at LIBOR plus 125 basis points and an unused commitment fee of 30 basis points. During the nine months ended September 30, 2015 and 2014 we borrowed $267,000,000 and $28,500,000, respectively, under our Unsecured Credit Agreement. Additionally, during the nine months ended September 30, 2015 and 2014, we repaid $101,500,000 and $30,000,000, respectively, under our Unsecured Credit Agreement. At September 30, 2015, we were in compliance with all covenants.

Subsequent to September 30, 2015, we exercised the $200,000,000 accordion feature of our $400,000,000 unsecured revolving line of credit. The exercise of this feature increases the commitments under our credit facility to $600,000,000 and does not impact any other terms or conditions within the credit facility including the term or covenant requirements of the agreement. Also, subsequent to September 30, 2015, we borrowed $22,000,000 under our unsecured revolving line of credit. Accordingly, we have $187,500,000 outstanding under our unsecured revolving line of credit with $412,500,000 remaining for borrowing.

Senior Unsecured Notes. During the nine months ended September 30, 2015 and 2014, we paid $29,167,000 and $4,167,000 in regular scheduled principal payments. In April 2015, we entered into a third amended and restated $200,000,000 private shelf agreement with Prudential for a three-year term. The agreement provides for the possible issuance of up to an additional $102,000,000 of senior unsecured fixed interest rate term notes. After July 14, 2015 and for the balance of the term, the agreement provides for the possible issuance of additional senior unsecured fixed interest rate term notes up to the maximum availability upon us making our scheduled principal payments on existing notes then outstanding. Interest rates on any issuance under the shelf agreement will be set at a spread over applicable Treasury rates. Maturities of each issuance are at our election for up to 15 years from the date of issuance with a maximum average life of 12 years from the date of original issuance. During the three months ended September 30, 2015, we sold $100,000,000 senior unsecured notes with an annual fixed rate of 4.5% under our Prudential shelf agreement. These notes have periodic scheduled principal repayments with a 15-year final maturity.

Also, during the three months ended September 30, 2015, we entered into a $100,000,000 note purchase and private shelf agreement with AIG Asset Management (U.S.) LLC (or AIG) for a three-year term. Subsequent to September 30, 2015, we locked rate under our AIG shelf agreement on $100,000,000 senior unsecured notes with a coupon of 4.26% and anticipate selling notes to AIG on or around November 20, 2015. These notes have periodic scheduled principal repayments with a 13-year final maturity.

Bonds Payable. We had a multifamily tax-exempt revenue bond that was secured by five assisted living properties in Washington which was paid off during 2014. During the nine months ended September 30, 2014, we paid $635,000 in regularly scheduled principal payments.

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2015

Commitments and Contingencies

Schedule of commitments

At September 30, 2015, we had commitments as follows (in thousands):

	Investment			2015		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(See Note 2)	$	90,758	(2)	$	24,425	$	26,482	$	64,276
Earn-out liabilities		16,300			—		—		16,300
Lease incentives (1)		4,202			493		527		3,675
Mortgage loans (See Note 2)		33,990	(2)		3,927		7,265		26,725
Joint venture investments (See Note 3)		25,650			20,143		20,143		5,507
Notes receivable (See Note 4)		2,650	(3)		502		637		2,013
Totals	$	173,550		$	49,490	$	55,054	$	118,496

(1) As part of our lease originations or amendments, we may provide lease incentive payments to or on behalf of our lessees.  These payments may either be one-time payments or commitments to fund at a future date, as presented above. Lease inducement payments are amortized as a yield adjustment over the term of the lease on a straight line basis.

(2) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand senior housing and long term care properties.

(3) Represents loan and line of credit commitments.

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Real Estate Investments (Tables)

9 Months Ended

Sep. 30, 2015

Summary of investments in owned properties

The following table summarizes our investments in owned properties at September 30, 2015(dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investments		Investments		Properties(1)	Beds	Units	Bed/Unit
Assisted Living	$	573,693	49.7	%	96	—	5,187	$	110.60
Skilled Nursing		500,161	43.3	%	69	8,513	—	$	58.75
Range of Care		43,907	3.8	%	7	634	274	$	48.36
Under Development(2)		26,675	2.3	%	—	—	—		—
Other(3)		10,213	0.9	%	1	—	—		—
Totals	$	1,154,649	100.0	%	173	9,147	5,461

(1) We own properties in 27 states that are leased to 30 different operators.

(2) Represents six development projects consisting of four MC properties with a total of 254 units, a 108-unit independent living property and an 89-unit combination ALF and MC property.

(3) Represents one school property and three parcels of land held-for-use.

Summary of investments acquired

The following table summarizes our investments for the nine months ended September 30, 2015(dollar amounts in thousands):

					Total		Number	Number
	Purchase		Transaction		Acquisition		of	of
Type of Property	Price(1)		Costs(2)		Costs		Properties	Beds/Units
Skilled Nursing(3)	$	13,946	$	—	$	13,946	1	106
Assisted Living(4)		156,097		325		156,422	11	951
Land(5)		13,533		97		13,630	—	—
Totals	$	183,576	$	422	$	183,998	12	1,057

(1) Represents cost associated with our acquisitions; however, depending on the accounting treatment of our acquisitions, transaction costs may be capitalized to the properties’ basis and, for our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Additionally, transaction costs in the table above may differ from the acquisition costs line item in our consolidated statement of income as a result of transaction costs from prior year’s acquisitions.

(2) We purchased the property by exercising our purchase option under a $10,600 mortgage and construction loan and equipped the property for $3,346. The property was added to an existing master lease at a lease rate equivalent to the interest rate in effect on the loan at the time the purchase option was exercised. Additionally, we paid the lessee a $1,054 lease inducement and will amortize as a yield adjustment over the life of the lease term. See Mortgage Loans below for further discussion of the loan agreement.

(3) We acquired a newly constructed 60-unit MC property for $14,250 including a $2,000 working capital reserve which is recorded similarly to an earn-out and valued at $1,847 using a discounted cash flow analysis. As a result, our basis in the property was recorded at $14,132 which includes capitalized transaction costs. Additionally, we agreed to provide the lessee an earn-out up to $300 upon the property achieving a sustainable stipulated rent coverage ratio. When the working capital reserve and earn-out payments are funded, cash rent will increase by the amounts funded multiplied by the lease rate in effect at the time. We also acquired a portfolio comprised of 10 independent, assisted living and memory care properties for $142,000 and agreed to provide the lessee an earn-out up to $10,000, upon the portfolio achieving a sustainable stipulated rent coverage ratio, which will increase cash rent by the amount funded multiplied by the lease rate in effect at the time.

(4) We acquired parcels of land and entered into four development commitments up to a total of $55,529, including the land purchases, for the development of two MC properties totaling 132 units, a 108-unit IL property and an 89-unit combination AL and MC property. Additionally, we acquired land and existing improvements on a 56-unit MC property and entered a development commitment up to a total of $12,182, including the land purchase, to complete the development of the MC property. Also, we purchased a parcel of land we previously leased pursuant to a ground lease.

Schedule of commitments

At September 30, 2015, we had commitments as follows (in thousands):

	Investment			2015		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(See Note 2)	$	90,758	(2)	$	24,425	$	26,482	$	64,276
Earn-out liabilities		16,300			—		—		16,300
Lease incentives (1)		4,202			493		527		3,675
Mortgage loans (See Note 2)		33,990	(2)		3,927		7,265		26,725
Joint venture investments (See Note 3)		25,650			20,143		20,143		5,507
Notes receivable (See Note 4)		2,650	(3)		502		637		2,013
Totals	$	173,550		$	49,490	$	55,054	$	118,496

(1) As part of our lease originations or amendments, we may provide lease incentive payments to or on behalf of our lessees.  These payments may either be one-time payments or commitments to fund at a future date, as presented above. Lease inducement payments are amortized as a yield adjustment over the term of the lease on a straight line basis.

(2) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand senior housing and long term care properties.

(3) Represents loan and line of credit commitments.

Schedule of development, redevelopment, renovation, and expansion activity

Our construction in progress (or CIP) activity during the nine months ended September 30, 2015 for our development, redevelopment, renovation, and expansion projects is as follows (dollar amounts in thousands):

	CIP								CIP
	Balance at				Capitalized		Conversions		Balance at
Type of Property	12/31/2014		Funded(1)		Interest		out of CIP		9/30/2015
Skilled nursing	$	—	$	414	$	—	$	(397)	$	17
Assisted living		8,671		19,297		481		(9,871)		18,578
Total	$	8,671	$	19,711	$	481	$	(10,268)	$	18,595

(1) Excludes $7,972of funding directly capitalized into building and includes the previously discussed acquisition of the existing improvements of a 56-unit MC property for $6,315 and pre-development loan reclass totaling $716.

Schedule of additional loan commitments and amounts funded under the mortgage loans

The following table summarizes our additional loan commitments as of September 30, 2015, and amounts funded under these mortgage loans (dollar amounts in thousands):

	Additional								Number	Number
	Loan		2015		Commitment		Remaining		of	of
Type of Property	Commitment		Funding		Funded		Commitment		Properties	Beds/Units
Skilled Nursing	$	33,500	$	3,697	$	7,035	$	26,465	16	2,215
Assisted Living		490		230		230		260	1	100
Totals	$	33,990	$	3,927	$	7,265	$	26,725	17	2,315

Summary of investments in mortgage loans secured by first mortgages

The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2015(dollar amounts in thousands):

			Percentage		Number	Number	Number of		Investment
	Gross		of		of	of	SNF	ALF	per
Type of Property	Investments		Investments		Loans	Properties(1)	Beds	Units	Bed/Unit
Skilled Nursing	$	192,810	93.4	%	14	28	3,621	—	$	53.25
Assisted Living		13,731	6.6	%	3	8	—	270	$	50.86
Totals	$	206,541	100.0	%	17	36	3,621	270

(1) We have investments in properties located in 7 states that include mortgages to 10 different operators.

Real estate properties

Schedule of completed development, improvement and construction projects

The following table summarizes our on-going investment commitments as of September 30, 2015, and amounts funded exclusively under these projects (excludes capitalized interest, dollar amounts in thousands):

				Total			Number	Number
	Investment		Commitment		Remaining		of	of
Type of Property	Commitment		Funded		Commitment		Properties	Beds/Units
Skilled Nursing(1)	$	6,000	$	17	$	5,983	2	314
Assisted Living(2)		84,758		26,465		58,293	36	2,097
Totals	$	90,758	$	26,482	$	64,276	38	2,411

(1) Includes two commitments for renovation and expansion projects.

(2) Includes the development of an IL property for $14,500,  four MC properties for a total of $48,923 andone ALF/MC property for $16,535. Also, includes three commitments for renovation projects on 30 ALFs totaling $4,800.

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Earnings per Share

9 Months Ended

Sep. 30, 2015

Net Income Per Common Share

Net Income Per Common Share

9.Earnings per Share

The following table sets forth the computation of basic and diluted net income per share (in thousands, except per share amounts):

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2015		2014		2015		2014
Net income	$	19,647	$	17,122	$	55,127	$	52,399
Less net income allocated to participating securities:
Non-forfeitable dividends on participating securities		(117)		(123)		(366)		(343)
Income allocated to participating securities		(4)		—		(4)		—
Total net income allocated to participating securities		(121)		(123)		(370)		(343)
Less net income allocated to preferred stockholders:
Preferred stock dividends		(818)		(818)		(2,454)		(2,454)
Total net income allocated to preferred stockholders		(818)		(818)		(2,454)		(2,454)
Net income available to common stockholders		18,708		16,181		52,303		49,602
Effect of dilutive securities:
Convertible preferred securities		818		818		2,454		2,454
Total effect of dilutive securities		818		818		2,454		2,454
Net income for diluted net income per share	$	19,526	$	16,999	$	54,757	$	52,056
Shares for basic net income per share		35,341		34,605		35,306		34,596
Effect of dilutive securities:
Stock options		11		24		13		24
Convertible preferred securities		2,000		2,000		2,000		2,000
Total effect of dilutive securities		2,011		2,024		2,013		2,024
Shares for diluted net income per share		37,352		36,629		37,319		36,620
Basic net income per share	$	0.53	$	0.47	$	1.48	$	1.43
Diluted net income per share	$	0.52	$	0.46	$	1.47	$	1.42

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2015

Commitments and Contingencies

Commitments and Contingencies

7.Commitments and Contingencies

As part of our acquisitions, we may commit to provide contingent payments to our sellers or lessees, upon the properties achieving certain rent coverage ratios, and when the contingent payments are funded cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. The contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is provided to the seller, the estimated fair value is capitalized to the properties’ basis.If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease inducement included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease. This fair value measurement is based on significant input not observable in the market and thus represents a Level 3 measurement. The fair value of these contingent liabilities are evaluated on a quarterly basis based on changes in estimates of future operating results and changes in market discount rates. During the three and nine months ended September 30, 2015, we recorded non‑cash interest expense of $96,000 and $205,000, respectively, related to these contingent liabilities and the fair value of our contingent payments was $13,323,000, at September 30, 2015.

At September 30, 2015, we had commitments as follows (in thousands):

	Investment			2015		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(See Note 2)	$	90,758	(2)	$	24,425	$	26,482	$	64,276
Earn-out liabilities		16,300			—		—		16,300
Lease incentives (1)		4,202			493		527		3,675
Mortgage loans (See Note 2)		33,990	(2)		3,927		7,265		26,725
Joint venture investments (See Note 3)		25,650			20,143		20,143		5,507
Notes receivable (See Note 4)		2,650	(3)		502		637		2,013
Totals	$	173,550		$	49,490	$	55,054	$	118,496

(1) As part of our lease originations or amendments, we may provide lease incentive payments to or on behalf of our lessees.  These payments may either be one-time payments or commitments to fund at a future date, as presented above. Lease inducement payments are amortized as a yield adjustment over the term of the lease on a straight line basis.

(2) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand senior housing and long term care properties.

(3) Represents loan and line of credit commitments.

We are a party from time to time to various general and professional liability claims and lawsuits asserted against the lessees or borrowers of our properties, which in our opinion are not singularly or in the aggregate material to our results of operations or financial condition. These types of claims and lawsuits may include matters involving general or professional liability, which we believe under applicable legal principles are not our responsibility as a non-possessory landlord or mortgage holder. We believe that these matters are the responsibility of our lessees and borrowers pursuant to general legal principles and pursuant to insurance and indemnification provisions in the applicable leases or mortgages. We intend to continue to vigorously defend such claims.

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Major Operators

9 Months Ended

Sep. 30, 2015

Major Operators

Major Operators

8.Major Operators

We have three operators from each of which we derive approximately 10% of our combined rental revenue and interest income from mortgage loans. Additionally, we have one operator from which we would have derived over 10% of our combined rental revenue and interest income from mortgage loans if we had acquired the portfolio of 10 assisted living properties at the beginning of 2015. The following table sets forth information regarding our major operators as of September 30, 2015:

	Number of			Number of		Percentage of
	SNF	ALF	ROC	SNF	ALF	Total		Total
Operator	Properties	Properties	Properties	Beds	Units	revenue (1)		assets
Prestige (2)	16	—	2	2,215	211	14.9	%	15.7	%
Brookdale (3)	—	37	—	—	1,704	11.9	%	6.6	%
Senior Care (2)	9	—	—	1,190	—	9.4	%	8.2	%
Senior Lifestyle	—	27	—	—	1,631	7.9	%	14.9	%
Totals	25	64	2	3,405	3,546	44.1	%	45.4	%

(1) Includes rental income and interest income from mortgage loans.

(2) A privately held company.

(3) A subsidiary of Brookdale Senior Living, Inc.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare, Brookdale Communities, Senior Care, Senior Lifestyle, or any of our lessees and borrowers face financial difficulties, including any bankruptcies, inability to emerge from bankruptcy, insolvency or general downturn in business of any such operator, or in the event any such operator does not renew and/or extend its relationship with us or our borrowers when it expires.

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Fair Value Measurements

9 Months Ended

Sep. 30, 2015

Fair Value Measurements

Fair Value Measurements

10.Fair Value Measurements

In accordance with the accounting guidance regarding the fair value option for financial assets and financial liabilities, entities are permitted to choose to measure certain financial assets and liabilities at fair value, with the change in unrealized gains and losses reported in earnings. We did not adopt the elective fair value option for our financial assets and financial liabilities.

The carrying amount of cash and cash equivalents approximates fair value because of the short-term maturity of these instruments. We do not invest our cash in auction rate securities.  The carrying value and fair value of our financial instruments as of September 30, 2015 and December 31, 2014 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2015					At December 31, 2014
	Carrying					Carrying
	Value		Fair Value			Value		Fair Value
Mortgage loans receivable	$	204,476	$	244,363	(1)	$	165,656	$	198,977	(1)
Bank borrowings		165,500		165,500	(2)		—		—	(2)
Senior unsecured notes		352,467		355,679	(3)		281,633		283,933	(3)
Contingent liabilities		13,323		13,323	(4)		3,258		3,258	(4)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2015 and December 31, 2014 was 8.8% and 8.6%, respectively.

(2) Our bank borrowings are at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2015 and December 31, 2014 based upon prevailing market interest rates for similar debt arrangements.

(3) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2015, the discount rate used to value our future cash outflow of our senior unsecured notes was 4.25% for those maturing before year 2020 and 4.45% for those maturing beyond year 2020. At December 31, 2014, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.8% for those maturing before year 2020 and 4.55% for those maturing beyond year 2020.

(4) Our contingent liabilities are classified as Level 3. We estimated the fair value of the contingent earn‑out payments using a discounted cash flow analysis. The discount rate that we use consists of a risk‑free U.S. Treasury rate plus a company specific credit spread which we believe is acceptable by willing market participants. At September 30, 2015 and December 31, 2014, the discount rate used to value our contingent liabilities was 5.9% and 6.2%, respectively.

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Notes Receivable - Components (Details)	9 Months Ended
	Sep. 30, 2015 USD ($) loan	Sep. 30, 2014 USD ($)
Notes receivable activities
Advances under notes receivable	$ 1,464,000	$ 664,000
Principal payments received under notes receivable		(112,000)
Reclassed to real estate under development	(716,000)
Net increase in notes receivable	$ 748,000	$ 552,000
Number of Loans | loan	8
Loan commitment	$ 2,650,000
Weighted average interest rate (as a percent)	9.80%
Remaining loan commitments	$ 2,013,000
Memory Care
Notes receivable activities
Reclassed to real estate under development	$ (716,000)

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Debt Obligations (Tables)

9 Months Ended

Sep. 30, 2015

Debt Obligations

Schedule of Debt Obligations

The following table sets forth information regarding debt obligations by component as of September 30, 2015 and December 31, 2014  (dollar amounts in thousands):

		At September 30, 2015				At December 31, 2014
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate(1)	Balance		Borrowing		Balance		Borrowing
Bank Borrowings(2)	1.51%	$	165,500	$	234,500	$	—	$	400,000
Senior Unsecured Notes(3)	4.67%		352,467		n.a.		281,633		n.a.
Total	3.66%	$	517,967			$	281,633

(1) Represents weighted average of interest rate as of September 30, 2015.

(2) Subsequent to September 30, 2015, we exercised the $200,000 accordion feature of our $400,000 unsecured revolving line of credit increasing commitments under the credit facility to $600,000 and we borrowed $22,000 under our unsecured revolving line of credit. Accordingly, we have $187,500 outstanding under our unsecured revolving line of credit with $412,500 remaining for borrowing.

(3) Subsequent to September 30, 2015, we locked rate on our AIG shelf agreement on $100,000 senior unsecured notes with a coupon of 4.26% and anticipates selling notes to AIG on or around November 20, 2015.

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Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2015

Fair Value Measurements

Schedule of carrying value and fair value of the entity's financial instruments

The carrying value and fair value of our financial instruments as of September 30, 2015 and December 31, 2014 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2015					At December 31, 2014
	Carrying					Carrying
	Value		Fair Value			Value		Fair Value
Mortgage loans receivable	$	204,476	$	244,363	(1)	$	165,656	$	198,977	(1)
Bank borrowings		165,500		165,500	(2)		—		—	(2)
Senior unsecured notes		352,467		355,679	(3)		281,633		283,933	(3)
Contingent liabilities		13,323		13,323	(4)		3,258		3,258	(4)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2015 and December 31, 2014 was 8.8% and 8.6%, respectively.

(2) Our bank borrowings are at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2015 and December 31, 2014 based upon prevailing market interest rates for similar debt arrangements.

(3) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2015, the discount rate used to value our future cash outflow of our senior unsecured notes was 4.25% for those maturing before year 2020 and 4.45% for those maturing beyond year 2020. At December 31, 2014, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.8% for those maturing before year 2020 and 4.55% for those maturing beyond year 2020.

(4) Our contingent liabilities are classified as Level 3. We estimated the fair value of the contingent earn‑out payments using a discounted cash flow analysis. The discount rate that we use consists of a risk‑free U.S. Treasury rate plus a company specific credit spread which we believe is acceptable by willing market participants. At September 30, 2015 and December 31, 2014, the discount rate used to value our contingent liabilities was 5.9% and 6.2%, respectively.

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Earnings per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2015	Sep. 30, 2014
Net Income Per Common Share
Net income	$ 19,647	$ 17,122	$ 55,127	$ 52,399
Less net income allocated to participating securities:
Nonforfeitable dividends on participating securities	(117)	(123)	(366)	(343)
Income allocated to participating securities	(4)		(4)
Total net income allocated to participating securities	(121)	(123)	(370)	(343)
Less net income allocated to preferred stockholders:
Preferred stock dividends	(818)	(818)	(2,454)	(2,454)
Net income available to common stockholders	18,708	16,181	52,303	49,602
Discontinued operations:
Gain on sale of properties				1,140
Effect of dilutive securities:
Convertible preferred securities	818	818	2,454	2,454
Total effect of dilutive securities	818	818	2,454	2,454
Net income for diluted net income per share	$ 19,526	$ 16,999	$ 54,757	$ 52,056
Shares for basic net income per share	35,341	34,605	35,306	34,596
Effect of dilutive securities:
Stock options (in shares)	11	24	13	24
Convertible preferred securities (in shares)	2,000	2,000	2,000	2,000
Total effect of dilutive securities (in shares)	2,011	2,024	2,013	2,024
Shares for diluted net income per share	37,352	36,629	37,319	36,620
Basic (in dollars per share)	$ 0.53	$ 0.47	$ 1.48	$ 1.43
Diluted (in dollars per share)	$ 0.52	$ 0.46	$ 1.47	$ 1.42

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2015	Sep. 30, 2014
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Net income	$ 19,647	$ 17,122	$ 55,127	$ 52,399
Reclassification adjustment (Note 6)	(9)	(9)	(26)	(27)
Comprehensive income	$ 19,638	$ 17,113	$ 55,101	$ 52,372

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Notes Receivable

9 Months Ended

Sep. 30, 2015

Notes Receivable

Notes Receivable

4.Notes Receivable

Notes receivable consists of various loans and line of credit agreements. The following table summarizes our notes receivable activities for the nine months ended September 30, 2015 and 2014 as follows (dollar amounts in thousands):

	Nine months ended September 30,
	2015			2014
Advances under notes receivable	$	1,464		$	664
Principal payments received under notes receivable		—			(112)
Reclassed to real estate under development		(716)	(1)		—
Net increase in notes receivable	$	748		$	552

(1) Represents two pre-development loans which matured due to land acquisitions and commencement of two development projects.

At September 30, 2015, we had 8 loans and line of credit agreements with on-going commitments totaling $2,650,000 and weighted average interest rate of 9.8%. As of September 30, 2015, we have a remaining commitment of $2,013,000.  

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General (Details)	9 Months Ended
	Sep. 30, 2015 USD ($) segment
General
Number of operating segments | segment	1
Provision for federal or state income taxes	$ 0

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Equity - Share-based payments (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2015	Sep. 30, 2014
Restricted stock activity
Granted (in shares)			92,150
2015 Plan
Stock Based Compensation Plans
Number of shares of common stock that have been reserved for awards (in shares)	1,400,000		1,400,000
Options granted (in shares)			0
2008 Plan
Restricted stock activity
Granted (in shares)				87,500
2008 Plan | Grant Date Price 42.30 | Vesting Date 2 June 2016 [Member]
Restricted stock activity
Granted (in shares)			8,400
Price per share			$ 42.30
Stock options
Stock Based Compensation Plans
Vesting period				3 years
Option exercised (in shares)			3,333	11,666
Weighted Average Exercise Price (in dollars per share)			$ 23.79	$ 23.79
Value of options exercised	$ 79,000	$ 277,000	$ 79,000	$ 277,000
Market value of options on the date of exercise	$ 140,000	455,000	$ 140,000	455,000
Options outstanding at end of the period (in shares)	40,001		40,001
Options exercisable at end of the period (in shares)	30,001		30,001
Compensation expense related to the vesting of stock awards	$ 3,000	4,000	$ 11,000	$ 9,000
Remaining compensation expense to be recognized related to the future service period
Options scheduled to vest (in shares)	10,000		10,000
Remaining compensation expense	$ 22,000		$ 22,000
Stock options | Vesting Through December 31 2015 [Member]
Remaining compensation expense to be recognized related to the future service period
Remaining compensation expense	$ 4,000		$ 4,000
Stock options | Vesting Through December 31 2016 [Member]
Remaining compensation expense to be recognized related to the future service period
Options scheduled to vest (in shares)	5,000		5,000
Remaining compensation expense	$ 15,000		$ 15,000
Stock options | Vesting Through December 31 2017 [Member]
Remaining compensation expense to be recognized related to the future service period
Options scheduled to vest (in shares)	5,000		5,000
Remaining compensation expense	$ 3,000		$ 3,000
Stock options | 2008 Plan
Stock Based Compensation Plans
Options granted (in shares)				15,000
Options granted (in dollars per share)				$ 38.43
Restricted stock
Stock Based Compensation Plans
Compensation expense related to the vesting of stock awards	$ 1,009,000	$ 873,000	$ 3,082,000	$ 2,317,000
Remaining compensation expense to be recognized related to the future service period
Restricted common stock scheduled to vest (in shares)	228,547		228,547
Remaining compensation expense	$ 5,131,000		$ 5,131,000
Restricted stock | Vesting Through December 31 2015 [Member]
Remaining compensation expense to be recognized related to the future service period
Restricted common stock scheduled to vest (in shares)	41,200		41,200
Remaining compensation expense	$ 910,000		$ 910,000
Restricted stock | Vesting Through December 31 2016 [Member]
Remaining compensation expense to be recognized related to the future service period
Restricted common stock scheduled to vest (in shares)	102,060		102,060
Remaining compensation expense	$ 2,618,000		$ 2,618,000
Restricted stock | Vesting Through December 31 2017 [Member]
Remaining compensation expense to be recognized related to the future service period
Restricted common stock scheduled to vest (in shares)	57,367		57,367
Remaining compensation expense	$ 1,416,000		$ 1,416,000
Restricted stock | Vesting Through December 31, 2018 [Member]
Remaining compensation expense to be recognized related to the future service period
Restricted common stock scheduled to vest (in shares)	27,920		27,920
Remaining compensation expense	$ 187,000		$ 187,000
Restricted stock | 2015 Plan
Restricted stock activity
Granted (in shares)			0
Restricted stock | 2008 Plan
Restricted stock activity
Number of shares cancelled (in shares)			640
Granted (in shares)				87,500
Restricted stock | 2008 Plan | Grant Date Price 44.45 | Vesting over Three Year Period from Grant Date [Member]
Stock Based Compensation Plans
Vesting period			3 years
Restricted stock activity
Granted (in shares)			65,750
Price per share			$ 44.45
Restricted stock | 2008 Plan | Grant Date Price 42.30 | Vesting over Three Year Period from Grant Date [Member]
Stock Based Compensation Plans
Vesting period			3 years
Restricted stock activity
Granted (in shares)			18,000
Price per share			$ 42.30
Restricted stock | 2008 Plan | Grant Date Price 36.81 | Vesting over Three Year Period from Grant Date [Member]
Stock Based Compensation Plans
Vesting period				3 years
Restricted stock activity
Granted (in shares)				59,000
Price per share				$ 36.81
Restricted stock | 2008 Plan | Grant Date Price 38.43 | Vesting over Three Year Period from Grant Date [Member]
Stock Based Compensation Plans
Vesting period				3 years
Restricted stock activity
Granted (in shares)				3,000
Price per share				$ 38.43
Restricted stock | 2008 Plan | Grant Date Price 40.05 | Vesting over Three Year Period from Grant Date [Member]
Stock Based Compensation Plans
Vesting period				3 years
Restricted stock activity
Granted (in shares)				15,000
Price per share				$ 40.05
Restricted stock | 2008 Plan | Grant Date Price 40.05 | Vesting Date 9 June2015 [Member]
Restricted stock activity
Granted (in shares)				10,500
Price per share				$ 40.05

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Notes Receivable (Tables)

9 Months Ended

Sep. 30, 2015

Notes Receivable

Summary of notes receivable activities

The following table summarizes our notes receivable activities for the nine months ended September 30, 2015 and 2014 as follows (dollar amounts in thousands):

	Nine months ended September 30,
	2015			2014
Advances under notes receivable	$	1,464		$	664
Principal payments received under notes receivable		—			(112)
Reclassed to real estate under development		(716)	(1)		—
Net increase in notes receivable	$	748		$	552

(1) Represents two pre-development loans which matured due to land acquisitions and commencement of two development projects.