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, 2018

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 every Interactive Data File required to be submitted 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 such files).   Yes  ☑  No  ☐

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

Large accelerated filer ☑ Accelerated filer ☐ Non-accelerated filer ☐ Smaller reporting company ☐ Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨☐

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 November 1, 2018 was 39,656,737.

LTC PROPERTIES, INC.

FORM 10-Q

September 30, 2018

INDEX

PART I -- Financial Information		Page
Item 1.	Financial Statements
	Consolidated Balance Sheets	3
	Consolidated Statements of Income and Comprehensive Income	4
	Consolidated Statements of Equity	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	39
Item 4.	Controls and Procedures	39
PART II -- Other Information
Item 1.	Legal Proceedings	40
Item 1A.	Risk Factors	40
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	40
Item 6.	Exhibits	41

LTC PROPERTIES, INC.

CONSOLIDATED BALANCE SHEETS

(amounts in thousands, except per share)

	September 30, 2018		December 31, 2017
	(unaudited)		(audited)
ASSETS
Investments:
Land	$	125,533	$	124,041
Buildings and improvements		1,280,491		1,262,335
Accumulated depreciation and amortization		(304,337)		(304,117)
Operating real estate property, net		1,101,687		1,082,259
Properties held-for-sale, net of accumulated depreciation: 2018—$2,887; 2017—$1,916		5,356		3,830
Real property investments, net		1,107,043		1,086,089
Mortgage loans receivable, net of loan loss reserve: 2018—$2,444; 2017—$2,255		242,609		223,907
Real estate investments, net		1,349,652		1,309,996
Notes receivable, net of loan loss reserve: 2018—$128; 2017—$166		12,642		16,402
Investments in unconsolidated joint ventures		30,511		29,898
Investments, net		1,392,805		1,356,296
Other assets:
Cash and cash equivalents		20,408		5,213
Restricted cash		2,163		—
Debt issue costs related to bank borrowings		3,202		810
Interest receivable		19,290		15,050
Straight-line rent receivable, net of allowance for doubtful accounts: 2018—$739; 2017—$814		73,114		64,490
Lease incentives		21,102		21,481
Prepaid expenses and other assets		3,767		2,230
Total assets	$	1,535,851	$	1,465,570
LIABILITIES
Bank borrowings	$	120,000	$	96,500
Senior unsecured notes, net of debt issue costs: 2018—$981; 2017—$1,131		550,986		571,002
Accrued interest		3,468		5,276
Accrued incentives and earn-outs		9,292		8,916
Accrued expenses and other liabilities		28,812		25,228
Total liabilities		712,558		706,922
EQUITY
Stockholders’ equity:
Common stock: $0.01 par value; 60,000 shares authorized; shares issued and outstanding:     2018—39,657; 2017—39,570		397		396
Capital in excess of par value		861,226		856,992
Cumulative net income		1,224,998		1,100,783
Cumulative distributions		(1,270,779)		(1,203,011)
Total LTC Properties, Inc. stockholders’ equity		815,842		755,160
Non-controlling interests		7,451		3,488
Total equity		823,293		758,648
Total liabilities and equity	$	1,535,851	$	1,465,570

See accompanying notes.

3

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME

(amounts in thousands, except per share, unaudited)

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2018		2017		2018		2017
Revenues:
Rental income	$	34,211	$	33,233	$	102,646	$	103,533
Interest income from mortgage loans		7,087		6,677		20,910		20,050
Interest and other income		478		1,336		1,502		2,753
Total revenues		41,776		41,246		125,058		126,336
Expenses:
Interest expense		7,497		7,644		22,981		22,266
Depreciation and amortization		9,447		9,519		28,159		28,186
Impairment charges		—		—		—		1,880
Provision (recovery) for doubtful accounts		106		(96)		76		(139)
Transaction costs		9		34		19		56
General and administrative expenses		4,879		4,144		14,392		13,270
Total expenses		21,938		21,245		65,627		65,519
Operating income		19,838		20,001		59,431		60,817
Income from unconsolidated joint ventures		746		615		2,103		1,635
Gain on sale of real estate, net		14,353		—		62,698		5,054
Net income		34,937		20,616		124,232		67,506
Income allocated to non-controlling interests		(17)		—		(17)		—
Net income attributable to LTC Properties, Inc.		34,920		20,616		124,215		67,506
Income allocated to participating securities		(138)		(80)		(504)		(281)
Net income available to common stockholders	$	34,782	$	20,536	$	123,711	$	67,225
Earnings per common share:
Basic	$	0.88	$	0.52	$	3.13	$	1.71
Diluted	$	0.88	$	0.52	$	3.12	$	1.70
Weighted average shares used to calculate earnings per common share:
Basic		39,487		39,428		39,470		39,403
Diluted		39,865		39,748		39,845		39,738
Dividends declared and paid per common share	$	0.57	$	0.57	$	1.71	$	1.71
Comprehensive Income:
Net income	$	34,937	$	20,616	$	124,232	$	67,506
Comprehensive income	$	34,937	$	20,616	$	124,232	$	67,506

See accompanying notes.

4

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF EQUITY

(In thousands)

					Capital in		Cumulative				Total		Non-
	Common Stock				Excess of		Net		Cumulative		Stockholder's		Controlling		Total
	Shares		Amount		Par Value		Income		Distributions		Equity		Interests		Equity
Balance—December 31, 2016	39,221	$	392	$	839,005	$	1,013,443	$	(1,112,792)	$	740,048	$	—	$	740,048
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,552)		(22,552)		—		(22,552)
Proceeds from common stock issued, net of issuance costs	313		3		14,526		—		—		14,529		—		14,529
Issuance of restricted stock	75		1		(7)		—		—		(6)		—		(6)
Stock-based compensation expense	—		—		1,259		—		—		1,259		—		1,259
Net income	—		—		—		21,513		—		21,513		—		21,513
Other	(36)		—		(1,651)		—		—		(1,651)		—		(1,651)
Balance—March 31, 2017	39,573	$	396	$	853,132	$	1,034,956	$	(1,135,344)	$	753,140	$	—	$	753,140
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,558)		(22,558)		—		(22,558)
Issuance of restricted stock	8		—		—		—		—		—		—		—
Cancelation of restricted stock	(14)		—		—		—		—		—		—		—
Stock option exercises	3		—		79		—		—		79		—		79
Stock-based compensation expense	—		—		1,425		—		—		1,425		—		1,425
Net income	—		—		—		25,377		—		25,377		—		25,377
Other	(6)		—		(296)		—		—		(296)		—		(296)
Balance—June 30, 2017	39,564	$	396	$	854,340	$	1,060,333	$	(1,157,902)	$	757,167	$	—	$	757,167
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,554)		(22,554)		—		(22,554)
Issuance of restricted stock	3		—		—		—		—		—		—		—
Cancelation of restricted stock	(1)		—		—		—		—		—		—		—
Stock option exercises	5		—		123		—		—		123		—		123
Stock-based compensation expense	—		—		1,283		—		—		1,283		—		1,283
Net income	—		—		—		20,616		—		20,616		—		20,616
Balance—September 30, 2017	39,571	$	396	$	855,746	$	1,080,949	$	(1,180,456)	$	756,635	$	—	$	756,635
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,555)		(22,555)		—		(22,555)
Issuance of restricted stock	—		—		(14)		—		—		(14)		—		(14)
Stock-based compensation expense	—		—		1,282		—		—		1,282		—		1,282
Net income	—		—		—		19,834		—		19,834		—		19,834
Non-controlling interest contributions	—		—		—		—		—		—		3,488		3,488
Other	(1)		—		(22)		—		—		(22)		—		(22)
Balance—December 31, 2017	39,570	$	396	$	856,992	$	1,100,783	$	(1,203,011)	$	755,160	$	3,488	$	758,648
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,578)		(22,578)		—		(22,578)
Issuance of restricted stock	82		—		—		—		—		—		—		—
Stock option exercises	5		—		123		—		—		123		—		123
Stock-based compensation expense	—		—		1,376		—		—		1,376		—		1,376
Net income	—		—		—		20,359		—		20,359		—		20,359
Other	(28)		—		(1,065)		—		—		(1,065)		—		(1,065)
Balance—March 31, 2018	39,629	$	396	$	857,426	$	1,121,142	$	(1,225,589)	$	753,375	$	3,488	$	756,863
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,590)		(22,590)		—		(22,590)
Issuance of restricted stock	9		—		(8)		—		—		(8)		—		(8)
Stock-based compensation expense	—		—		1,521		—		—		1,521		—		1,521
Net income	—		—		—		68,936		—		68,936		—		68,936
Non-controlling interest contributions	—		—		—		—		—		—		1,081		1,081
Other	(3)		—		(107)		—		—		(107)		—		(107)
Balance—June 30, 2018	39,635	$	396	$	858,832	$	1,190,078	$	(1,248,179)	$	801,127	$	4,569	$	805,696
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,600)		(22,600)		—		(22,600)
Proceeds from common stock issued, net of issuance costs	22		1		928		—		—		929		—		929
Stock-based compensation expense	—		—		1,487		—		—		1,487		—		1,487
Net income	—		—		—		34,920		—		34,920		17		34,937
Non-controlling interest contributions	—		—		—		—		—		—		2,882		2,882
Non-controlling interest distributions	—		—		—		—		—		—		(17)		(17)
Other	—		—		(21)		—		—		(21)		—		(21)
Balance—September 30, 2018	39,657	$	397	$	861,226	$	1,224,998	$	(1,270,779)	$	815,842	$	7,451	$	823,293

5

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Amounts in thousands, unaudited)

	Nine Months Ended September 30,
	2018		2017
OPERATING ACTIVITIES:
Net income	$	124,232	$	67,506
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		28,159		28,186
Stock-based compensation expense		4,384		3,967
Impairment charges		—		1,880
Gain on sale of real estate, net		(62,698)		(5,054)
Income from unconsolidated joint ventures		(2,103)		(1,635)
Income distributions from unconsolidated joint ventures		1,727		1,236
Insurance proceeds for damaged property		2,619		—
Payment for remediation of damaged property		(455)		—
Straight-line rental income		(8,629)		(7,362)
Lease incentives funded		(1,272)		(5,713)
Amortization of lease incentives		1,651		1,681
Provision for doubtful accounts		76		(139)
Non-cash interest related to contingent liabilities		377		476
Non-cash income related to earn-out and related lease inducement write-off		—		(842)
Other non-cash items, net		923		958
Increase in interest receivable		(4,240)		(3,967)
Decrease in accrued interest payable		(1,808)		(567)
Net change in other assets and liabilities		495		(4,477)
Net cash provided by operating activities		83,438		76,134
INVESTING ACTIVITIES:
Investment in real estate properties		(40,408)		(54,804)
Investment in real estate developments		(25,717)		(13,939)
Investment in real estate capital improvements		(2,063)		(2,308)
Capitalized interest		(850)		(627)
Proceeds from sale of real estate, net		82,340		14,106
Investment in real estate mortgage loans receivable		(20,530)		(9,333)
Principal payments received on mortgage loans receivable		1,636		17,351
Investments in unconsolidated joint ventures		(580)		(3,847)
Payment of working capital reserve		—		(439)
Advances and originations under notes receivable		(50)		—
Principal payments received on notes receivable		3,848		25
Net cash used in investing activities		(2,374)		(53,815)
FINANCING ACTIVITIES:
Bank borrowings		96,500		64,500
Repayment of bank borrowings		(73,000)		(116,600)
Proceeds from issuance of senior unsecured notes		—		100,000
Principal payments on senior unsecured notes		(20,166)		(19,167)
Proceeds from common stock issued		1,005		14,578
Stock option exercises		123		202
Distributions paid to stockholders		(67,768)		(67,664)
Contribution from non-controlling interests		3,963		—
Financing costs paid		(3,162)		(363)
Other		(1,201)		(1,954)
Net cash used in financing activities		(63,706)		(26,468)
Increase (decrease) in cash, cash equivalents and restricted cash		17,358		(4,149)
Cash, cash equivalents and restricted cash, beginning of period		5,213		7,991
Cash, cash equivalents and restricted cash, end of period	$	22,571	$	3,842
Supplemental disclosure of cash flow information:
Interest paid	$	23,869	$	21,877

See accompanying notes.

6

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1.General

LTC Properties, Inc., a health care real estate investment trust (“REIT”), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in seniors housing and health care properties primarily through sale-leaseback transactions, mortgage financing and structured finance solutions including mezzanine lending.  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 seniors housing and health care properties managed by experienced operators. Our primary seniors housing and health care property classifications include skilled nursing centers (“SNF”), assisted living communities (“ALF”), independent living communities (“ILF”), memory care communities (“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 classification 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 (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“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 and its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2018 and 2017 are not necessarily indicative of the results for a full year.

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.

Restricted Cash

During the third quarter of 2017, a 170-bed skilled nursing center in our portfolio was evacuated due to damages caused by Hurricane Harvey. This property is located in Texas and operated under a triple net master lease agreement. We periodically evaluate properties for impairment when events or changes in circumstances indicate that the asset may be impaired or the carrying amount of the asset may not be recoverable through future undiscounted cash flows. Based upon a quarterly assessment of this property using the recoverability test, we concluded the property has not been impaired.

As of September 30, 2018, the gross value and the carrying value of the property were $2,021,000 and $1,146,000, respectively.

The provisions of our triple net lease agreements impose certain obligations on our operators including:

· Acquire property insurance, subject to certain criteria;

· Continue paying rent in the event of any property damage or destruction; and

· Return the leased property back to us at the end of the lease term, in the same condition originally received.

7

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

During the second quarter of 2018, our operator provided us with insurance proceeds of $2,619,000 to be used for remediation of the property as noted in the provisions of our master lease agreement. Accordingly, we have classified the insurance proceeds as restricted cash on our consolidated financial statements.

New Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers, which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” While this ASU specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate. Additionally, the FASB has issued targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net), ASU 2016-10, Identifying Performance Obligations and Licensing, and ASU 2016-12, Narrow-Scope Improvements and Practical Expedients. The new standard and its amendments were effective on January 1, 2018 and permitted reporting entities to apply the standard using either a modified retrospective approach, by recording a cumulative-effect adjustment to equity as of the beginning of the fiscal year of adoption or full retrospective approach. We assessed our revenue streams to identify any differences in the timing, measurement or presentation of revenue recognition. We evaluated the provisions of ASU 2014-09 and its related additional guidance to determine the potential impact of the new standard. We concluded that adoption of this standard did not have an impact on our results of operations or financial condition, as our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09. We adopted this standard using the modified retrospective adoption method on January 1, 2018.

In February 2016, the FASB issued ASU No. 2016-02 (“ASU 2016-02”), Leases (Topic 842). The objective of this ASU is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. ASU 2016-02 modifies existing guidance by requiring lessees to record a right-of-use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with a term of 12 months or less will be accounted for similar to existing guidance of operating leases.ASU 2016-02 requires the lessors to identify lease and non-lease components of a lease agreement. ASU 2016-02 will govern the recognition of revenue for lease components. Revenue related to non-lease components under lease agreements will be subject to the revenue recognition standard, upon adoption of this ASU. Entities are required to use a modified retrospective approach for leases that exist or are entered into after January 1, 2017, the beginning of the earliest comparative period presented in the 2019 consolidated financial statements with a cumulative adjustment to the opening balance of retained earnings.

Additionally, in July 2018, the FASB issued ASU No. 2018-11, Leases - Targeted Improvements (“ASU 2018-11”), which provides lessors with the option to elect a practical expedient allowing them to not separate lease and non-lease components and instead, to account for those components as a single lease component. This practical expedient is limited to circumstances in which: (i) the timing and pattern of transfer are the same for the non-lease component and the related lease component and (ii) the lease

8

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

component, if accounted for separately, would be classified as an operating lease. This practical expedient causes an entity to assess whether a contract is predominantly lease-based or service-based and recognize the entire contract under the relevant accounting guidance (i.e., predominantly lease-based would be accounted for under ASU 2016-02 and predominantly service-based would be accounted for under the Revenue ASUs). This practical expedient option is available as a single election that must be consistently applied to all existing leases at the date of adoption. ASU 2018-11 also provides a practical expedient that allows companies to use an optional transition method. Under the optional transition method, a cumulative adjustment to retained earnings during the period of adoption is recorded and prior periods would not require restatement. Consequently, entities that elect both the practical expedient and the optional transitional method will apply the new lease ASU prospectively to leases commencing or modified after January 1, 2019, and will not be required to apply the disclosures under the new lease ASU to comparative periods.

Consistent with present standards, we will continue to account for lease revenue on a straight-line basis when applicable. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the impact of this guidance on our consolidated financial statements from both the lessee and lessor perspective. As a result of the adoption of this guidance, we may be required to increase our revenue and expense for lessor costs paid directly by lessees under triple-net leases, if the amount paid is readily determinable (i.e. real estate taxes). Additionally, we have begun our process for implementing this guidance, including identifying any non-lease components in our lease arrangements. We plan to finalize our assessment during the fourth quarter of 2018.

In August 2016, FASB issued ASU No. 2016-15 (“ASU 2016-15”), Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments (A Consensus of the Emerging Issues Task Force). ASU 2016-15 provides guidance that reduces the diversity in practice of the classification of certain cash receipts and cash payments within the statement of cash flows. This guidance is effective for fiscal periods beginning after December 15, 2017. We adopted this standard on January 1, 2018. The adoption of this guidance did not have a material impact on our financial statements.

In January 2017, the FASB issued ASU No. 2017-01(“ASU 2017-01”), Business Combinations (Topic 805): Clarifying Definition of a Business. ASU 2017-01 clarifies the framework for determining whether an integrated set of assets and activities meets the definition of a business. The revised framework establishes a screen for determining whether an integrated set of assets and activities is a business and narrows the definition of a business, which is expected to result in fewer transactions being accounted for as business combinations. Acquisitions of integrated sets of assets and activities that do not meet the definition of a business are accounted for as asset acquisitions. This update is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted for transactions that have not been reported in previously issued (or available to be issued) financial statements. We adopted ASU 2017-01 during the second quarter of 2017. Historically, our acquisitions qualified as either a business combination or asset acquisition. The adoption of this ASU did not have a material impact on the company’s results of operations or financial condition as most of our acquisitions of investment properties will continue to qualify as asset acquisitions.

In February 2017, the FASB issued ASU No. 2017-05 (“ASU 2017-05”), Other Income-Gains and Losses from the Derecognition of Nonfinancial Assets. ASU 2017-05 defines an in-substance nonfinancial asset and clarifies guidance related to partial sales of nonfinancial assets. This standard is

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effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

In 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). This standard requires a new forward looking “expected loss” model to be used for receivables, held-to-maturity debt, loans, and other instruments. ASU 2016-13 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019, and early adoption is permitted for fiscal years beginning after December 15, 2018. We are currently evaluating the impact that the standard will have on our consolidated financial statements.

.

2.Real Estate Investments

Assisted living communities, independent living communities, memory care communities and combinations thereof are included in the assisted living property classification (or collectively ALF).

Any reference to the number of properties or facilities, number of units, number of beds, number of operators 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, 2018 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	802,484	56.8	%	103	—	5,885	$	136.36
Skilled Nursing		569,141	40.2	%	73	8,919	261	$	62.00
Under Development (2)		31,602	2.2	%	—	—	—		—
Other (3)		11,040	0.8	%	1	118	—		—
Total	$	1,414,267	100.0	%	177	9,037	6,146

⁽¹⁾ We own properties in 28 states that are leased to 29 different operators.

⁽²⁾ Represents three development projects, consisting of a 143-bed SNF in Kentucky, a 78-unit ALF/MC located in Oregon and a 110-unit ILF/ALF/MC in Wisconsin.

⁽³⁾ Includes three parcels of land held-for-use, and one behavioral health care hospital.

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

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(Unaudited)

(iv) specific dollar increases.

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2018 and 2017 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2018	Assisted Living (2) (3)	$	39,600	$	65	$	39,665	3	177
	Land (3)		695		48		743	—	—
Total		$	40,295	$	113	$	40,408	3	177
2017	Assisted Living (4)	$	54,463	$	341	$	54,804	3	240
Total		$	54,463	$	341	$	54,804	3	240

⁽¹⁾ Represents cost associated with our acquisitions; however, upon adoption of ASU 2017-01, our acquisitions meet the definition of an asset acquisition resulting in capitalization of transaction costs to the properties’ basis. For our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Transaction costs per our consolidated statements of income and comprehensive income represents current and prior year transaction costs due to timing and terminated transactions.

⁽²⁾ We acquired two MC in Texas.

⁽³⁾ We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During the second quarter of 2018, the JV purchased land for the development of a 78-unit ALF/MC in Oregon for a total anticipated project cost of $18,108. The non-controlling partner contributed $1,081 of cash and we committed to fund the remaining $17,027 project cost. During the third quarter of 2018, in a sale-leaseback transaction, the JV purchased an existing operational 89-unit ILF adjacent to the 78-unit ALF/MC we are developing for $14,400. The non-controlling partner contributed $2,857 of equity and we contributed $11,543 in cash. Upon completion of the development project, our combined economic interest in the JV will be approximately 88%. We account for the JV on a consolidated basis. See Note 7. Equity for further discussion related to our partnerships and non-controlling interests.

⁽⁴⁾ We acquired an ALF and a MC in California. Additionally, we acquired a MC in Ohio.

During the nine months ended September 30, 2018 and 2017, we invested the following in development and improvement projects (in thousands):

	Nine months ended September 30, 2018				Nine months ended September 30, 2017
Type of Property	Developments		Improvements		Developments			Improvements
Assisted Living Communities	$	19,251	$	1,131	$	10,366	$	951
Skilled Nursing Centers		6,466		500		3,573		1,357
Other		—		432		—		—
Total	$	25,717	$	2,063	$	13,939	$	2,308

Completed Developments. The following table summarizes our completed developments during the nine months ended September 30, 2018 (dollar amounts in thousands):

	Number	Type	Number
	of	of	of			Total
Type of Project	Properties	Property	Beds/Units	State	Investment
Development	1	MC	66	Illinois	$	13,974

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Properties held-for-sale. The following table summarizes our properties held-for-sale as of September 30, 2018 (dollar amounts in thousands):

	Type	Number					Number
	of	of		Gross		Accumulated	of
State	Property	Properties		Investment		Depreciation	Beds/units
Florida (1)	SNF	1	$	2,497	$	971	60
Texas	ILF	1		5,746		1,916	140
Totals		2	$	8,243	$	2,887	200

⁽¹⁾ Subsequent to September 30, 2018, we sold this 60-bed SNF for $5,000 and will recognize a gain of approximately $3,400.

Properties sold. The following table summarizes property sales during the nine months ended September 30, 2018 and 2017(dollar amounts in thousands):

		Type		Number	Number
		of		of	of		Sales		Carrying		Net
Year	State	Properties		Properties	Beds		Price		Value		Gain
2018	Alabama	SNF		2	285	$	17,525	$	3,272	$	14,253
	Kansas	ALF	(1)	—	—		350		346		—
	Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,445
Total 2018				8	605	$	85,375	$	19,970	$	62,698
2017	Indiana and Iowa	ALF		4	175	$	14,250	$	8,726	$	5,054
Total 2017				4	175	$	14,250	$	8,726	$	5,054

⁽¹⁾ We sold land adjacent to an existing ALF community in Kansas.

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2018 (dollar amounts in thousands):

				Type	Percentage		Number of			Investment
		Gross		of	of				SNF	per
Interest Rate (1)	Maturity	Investment		Property	Investment		Loans (2)	Properties (3)	Beds	Bed/Unit
9.5%	2043	$	186,495	SNF	76.1	%	1	15	2,029	$	91.91
9.2%	2045		33,028	SNF	13.5	%	1	4	501	$	65.92
9.4%	2045		14,797	SNF	6.0	%	1	1	157	$	94.25
9.5%	2020		10,733	SNF	4.4	%	1	2	205	$	52.36
Total		$	245,053		100.0	%	4	22	2,892	$	84.73

⁽¹⁾ The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 2.25%.

⁽²⁾ Some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30-year term.

⁽³⁾ We have investments in properties located in one state that includes mortgages to one operator.

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The following table summarizes our mortgage loan activity for the nine months ended September 30, 2018 and 2017 (in thousands):

	Nine months ended September 30,
	2018			2017
Originations and funding under mortgage loans receivable	$	20,530	(1)	$	9,333
Pay-offs received		(1,086)			(16,665)
Scheduled principal payments received		(550)			(686)
Net increase (decrease) in mortgage loans receivable	$	18,894		$	(8,018)

⁽¹⁾ During 2018, we funded an additional $7,400 under an existing mortgage loan for the purchase of a 112-bed skilled nursing center in Michigan. The incremental funding bears interest at 8.7%, fixed for five years, and escalating by 2.25% thereafter. Also, we funded additional loan proceeds of $7,125 under an existing mortgage loan for the purchase of a 126-bed skilled nursing center in Michigan. This incremental funding bears interest at 9.41%, fixed for five years, and escalating by 2.25% thereafter.

3.Investment in Unconsolidated Joint Ventures

Our investment in unconsolidated joint ventures consists of a preferred equity investment and two mezzanine loans which are accounted for as unconsolidated joint ventures in accordance with GAAP. The following table summarizes our investment in unconsolidated joint ventures (dollar amounts in thousands):

	Type	Type		Total		Currently		Number
	of	of		Preferred		Paid in		of		Investment			Carrying
State	Properties	Investment		Return		Cash		Beds/ Units		Commitment			Value
Arizona	ALF/MC/ILF	Preferred Equity	(1)	15	%	7	%	585	$	25,650		$	23,942
Florida	ALF/IL/MC	Mezzanine	(2)	15	%	12	%	99		2,900	(3)		3,169	(3)
Florida	UDP-ALF/MC	Mezzanine	(2)	15	%	10	%	127		3,400			3,400
Total								811	$	31,950		$	30,511

⁽¹⁾ We have concluded that the JV is a variable interest entity (“VIE”) in accordance with GAAP. 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 the JV investment using the equity method.

⁽²⁾ We evaluated these acquisition, development and construction (“ADC”) arrangements and determined that the characteristics are similar to jointly-owned investments or partnerships, and accordingly, these investments are accounted for as unconsolidated joint ventures under the equity method of accounting instead of loan accounting.

⁽³⁾ Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance.

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(Unaudited)

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures (in thousands):

	Nine Months Ended September 30,
Type	2018							2017
of		Capital		Income		Cash Interest			Capital		Income		Cash Interest
Properties		Contribution		Recognized		Received			Contribution		Recognized		Received
ALF/MC/ILF	$	580	$	1,490	$	1,436		$	1,100	$	1,134	$	1,020
ALF/IL/MC		—		383		291			—		383		216
UDP-ALF/MC		—		230		—	(1)		2,747		118		—	(1)
Total	$	580	$	2,103	$	1,727		$	3,847	$	1,635	$	1,236

(1)   We withheld $653 at the time of loan origination which is being applied to interest. As of September 30, 2018, we still hold $257 which will be applied to future interest.

4.Notes Receivable

Notes receivable consists of mezzanine loans and other loan arrangements. The following table is a summary of our notes receivable components as of September 30, 2018 and December 31, 2017 (in thousands):

		At September 30, 2018		At December 31, 2017
Mezzanine loans	$	9,869	$	13,700
Other loans		2,901		2,868
Notes receivable reserve		(128)		(166)
Total	$	12,642	$	16,402

The following tables summarizes our notes receivable activity for the nine months ended September 30, 2018 and 2017 (dollar amounts in thousands):

	Nine months ended September 30,
		2018		2017
Advances under notes receivable	$	50	$	—
Principal payments received under notes receivable		(3,848)		(25)
Total	$	(3,798)	$	(25)

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(Unaudited)

5.Lease Incentives

The following summarizes lease incentives by component as of September 30, 2018 and December 31, 2017 (in thousands):

		At September 30, 2018		At December 31, 2017
Non-contingent lease incentives	$	14,883	$	14,904
Contingent lease incentives		6,219		6,577
Total	$	21,102	$	21,481

The following table summarizes our lease incentive activity for the nine months ended September 30, 2018 and 2017(in thousands):

	Nine months ended September 30,
	2018				2017
		Funding		Amortization		Funding		Amortization		Write off
Non-contingent lease incentives	$	1,272	$	(1,292)	$	5,713	$	(1,181)	$	(1,205)	(1)
Contingent lease incentives (3)		—		(359)		—		(500)		(2,634)	(2)
Total	$	1,272	$	(1,651)	$	5,713	$	(1,681)	$	(3,839)

⁽¹⁾ Represents the write-off of lease incentives related to two MC communities due to negotiations to transition these properties to another operator in our portfolio.

⁽²⁾ Represents the write-off of lease incentive related to an ALF community due to change to the business model at the property that resulted in lower net operating income and the improbability of paying the earn-out.

⁽³⁾ Subsequent to September 30, 2018, we entered into an amended master lease agreement with Senior Lifestyle Management, LLC (“Senior Lifestyle”). Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we will write-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which will result in income of approximately $3,000.

Non-contingent lease incentives represent payments made to our lessees for various reasons including entering into a new lease or lease amendments and extensions. Contingent lease incentives represent potential contingent earn-out payments that may be made to our lessees in the future, as part of our lease agreements. From time to time, we may commit to provide contingent payments to our lessees, upon our properties achieving certain rent coverage ratios. Once the contingent payment becomes probable and estimable, the contingent payment is recorded as a lease incentive. Lease incentives are amortized as a yield adjustment to rental income over the remaining life of the lease.

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6.Debt Obligations

Bank Borrowings.  During 2018, weamended and restated our unsecured credit agreement to replace the previous unsecured credit agreement, prior to its expiration on October 14, 2018. The amended credit agreement maintains the $600,000,000 aggregate commitment of the lenders under the prior agreement and provides for the opportunity to increase the commitment size of the credit agreement up to a total of $1,000,000,000. The amended credit agreement extends the maturity of the credit agreement to June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Additionally, the amended credit agreement decreases the interest rate margins and converts from the payment of unused commitment fees to a facility fee. Based on our leverage at September 30, 2018, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2018, we were in compliance with all covenants.

Senior Unsecured Notes. During 2017, we amended our shelf agreement with affiliates and managed accounts of Prudential Investment Management, Inc. (“Prudential”) to increase our shelf commitment to $337,500,000.

The debt obligations by component as of September 30, 2018 and December 31, 2017 are as follows (dollar amounts in thousands):

		At September 30, 2018				At December 31, 2017
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings (2)	3.38%	$	120,000	$	480,000	$	96,500	$	503,500
Senior unsecured notes, net of debt issue costs	4.49%		550,986		79,833		571,002		63,667
Total	4.29%	$	670,986	$	559,833	$	667,502	$	567,167

⁽¹⁾ Represents weighted average of interest rate as of September 30, 2018.

⁽²⁾ Subsequent to September 30, 2018, we paid down $20,000 under our unsecured revolving line of credit. Accordingly, we have $100,000 outstanding under our unsecured revolving line of credit with $500,000 available for borrowing.

Our borrowings and repayments are as follows (in thousands):

	Nine months ended September 30,
	2018				2017
Debt Obligations		Borrowings		Repayments	Borrowings			Repayments
Bank borrowings	$	96,500	$	(73,000)	$	64,500		$	(116,600)
Senior unsecured notes		—		(20,166)		100,000	(1)		(19,167)
Total	$	96,500	$	(93,166)	$	164,500		$	(135,767)

⁽¹⁾ During 2017, we sold 15-year senior unsecured notes in the aggregate amount of $100,000 to a group of investors, which included Prudential, in a private placement transaction. The notes bear interest at an annual rate of 4.5%, have scheduled principal payments and mature on February 16, 2032.

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(Unaudited)

7.Equity

Common Stock. We have an equity distribution agreement to issue and sell, from time to time, up to $200,000,000 in aggregate offering price of our company common shares. During the nine months ended September 30, 2018 and 2017, under our equity distribution agreement, we sold 22,244 shares of common stock for $1,005,000 in net proceeds and 312,881 shares of common stock for $14,578,000 in net proceeds, respectively. In conjunction with the sale of common stock, during the nine months ended September 30, 2018 and 2017, we paid $18,000 and $260,000, respectively, as compensation to our sales agents and we reclassified $76,000 and $49,000, respectively, of accumulated costs associated with this agreement to capital in excess of par value. At September 30, 2018, and 2017, we had $184,139,000 and $185,162,000, respectively, available under our equity distribution agreement.

During the nine months ended September 30, 2018 and 2017, we acquired 31,326 shares and 41,592 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Non-controlling Interests. During 2018 and 2017, we entered into partnerships to develop and/or own real estate. Given that our limited members do not have the substantive kick-out rights, liquidation rights, or participation rights, we have concluded that the partnerships are VIEs. And since we exercise power over and receive benefits from the VIEs, we are considered the primary beneficiary. Accordingly, we consolidate the VIEs and record the non-controlling interests at cost.

As of September 30, 2018, we have the following consolidated VIEs (dollar amounts in thousands):

					Gross
Investment		Property			Consolidated			Non-Controlling
Year	Purpose	Type	State		Assets			Interests
2018	Owned real estate	ILF	OR	$	14,400	(1)	$	2,857	(1)
2018	Owned real estate and development	UDP	OR		2,881	(1)		1,081	(1)
2017	Owned real estate and development	UDP	WI		10,316	(2)		2,272	(2)
2017	Owned real estate	ALF	SC		10,571			1,241
Total				$	38,168		$	7,451

⁽¹⁾ We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During the second quarter of 2018, the JV purchased land for the development of a 78-unit ALF/MC for a total anticipated project cost of $18,108. The non-controlling partner contributed $1,081 of cash and we committed to fund the remaining $17,027 project cost. During the third quarter of 2018, in a sale-leaseback transaction, the JV purchased an existing operational 89-unit ILF adjacent to the 78-unit ALF/MC we are developing for $14,400. The non-controlling partner contributed $2,857 of equity and we contributed $11,543 in cash. Upon completion of the development project, our combined economic interest in the JV will be approximately 88%. We account for the JV on a consolidated basis.  

⁽²⁾ We entered into a partnership to own the real estate and develop a 110-unit ILF/ALF/MC community in Wisconsin. The commitment totals approximately $22,471.

Available Shelf Registrations.We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic shelf registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering.

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

	Nine Months Ended September 30,
	2018						2017
	Declared			Paid			Declared			Paid
Common Stock	$	67,768	(1)	$	67,768	(1)	$	67,664	(1)	$	67,664	(1)

⁽¹⁾ Represents $0.19 per share per month for the nine months ended September 30, 2018 and 2017.

In October 2018, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2018, payable on October 31, November 30, and December 31, 2018, respectively, to stockholders of record on October 23, November 21, and December 21, 2018, respectively.

Stock-Based Compensation.  Under our 2015 Equity Participation Plan (“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.

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(Unaudited)

During the nine months ended September 30, 2018 and 2017, no stock options were granted. The stock options exercised during the nine months ended September 30, 2018 and 2017 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value (1)
2018	5,000	$	24.65	$	123,000	$	205,000
2017	8,334	$	24.31	$	202,566	$	410,797

⁽¹⁾ As of exercise date.

At September 30, 2018, we had 20,000 stock options outstanding and exercisable. Compensation expense related to the vesting of stock options was $0 and $2,000 for the nine months ended September 30, 2018 and 2017, respectively.

The following table summarizes our restricted stock and performance-based stock units activity for the nine months ended September 30, 2018 and 2017:

	Nine months ended September 30,
	2018		2017
Outstanding, January 1		244,181		210,573
Granted		156,718		143,057
Vested		(75,149)		(84,363)
Cancelled		—		(24,106)
Outstanding, September 30		325,750		245,161

During the nine months ended September 30, 2018 and 2017, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2018	81,819	$	38.18	ratably over 3 years
	66,171	$	38.18	TSR targets (1)
	8,728	$	41.25	ratably over 1 year
	156,718
2017	74,760	$	45.76	ratably over 3 years
	57,881	$	45.76	TSR targets (1)
	7,416	$	48.55	ratably over 1 year
	3,000	$	50.55	ratably over 3 years
	143,057

⁽¹⁾ Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

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(Unaudited)

Compensation expense recognized related to the vesting of restricted common stock and performance-based stock units for the nine months ended September 30, 2018 and 2017 were $4,384,000 and $3,965,000, respectively. At September 30, 2018, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows:

	Remaining
	Compensation
Vesting Date	Expense
2018	$	1,486,000
2019		4,250,000
2020		2,210,000
2021		238,000
Total	$	8,184,000

8.Commitments and Contingencies

At September 30, 2018, we had commitments as follows (in thousands):

						Total
	Investment			2018		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(Note 2. Real Estate Investments)	$	77,882	(1)	$	17,973	$	35,417	$	42,465
Accrued incentives and earn-out liabilities		23,000	(3)		—		—		23,000
Mortgage loans (Note 2. Real Estate Investments)		65,700	(2)		6,005		23,256		42,444
Joint venture investments (Note 3. Investments in Unconsolidated Joint Ventures)		25,650			580		23,594		2,056
Notes receivable (Note 4. Notes Receivable)		700			50		50		650
Total	$	192,932		$	24,608	$	82,317	$	110,615

⁽¹⁾ Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties.

⁽²⁾ $39,700 represents commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $26,000 represents contingent funding upon the borrower achieving certain coverage ratios.

⁽³⁾ Subsequent to September 30, 2018, we entered into an amended master lease agreement with Senior Lifestyle. Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we wrote-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which will result in income of approximately $3,000.

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.

20

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

9.Major Operators

We have four operators from each of which we derive approximately 10% or more of our combined rental revenue and interest income from mortgage loans. The following table sets forth information regarding our major operators as of September 30, 2018:

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets
Prestige Healthcare	24	—	3,010	93	18.0	%	16.4	%
Senior Lifestyle Corporation	—	23	—	1,457	11.9	%	10.4	%
Brookdale Senior Living	—	37	—	1,702	10.1	%	4.6	%
Senior Care Centers	11	—	1,444	—	9.8	%	7.1	%
Total	35	60	4,454	3,252	49.8	%	38.5	%

⁽¹⁾ Includes rental income and interest income from mortgage loans and excludes income from properties sold and mortgage loans paid off during 2018.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare, Senior Lifestyle Corporation, Brookdale Senior Living, Senior Care Centers, 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.

10.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,
	2018		2017		2018		2017
Net income	$	34,937	$	20,616	$	124,232	$	67,506
Less net income allocated to non-controlling interests		(17)		—		(17)		—
Less net income allocated to participating securities:
Non-forfeitable dividends on participating securities		(89)		(80)		(268)		(269)
Income allocated to participating securities		(49)		—		(236)		(12)
Total net income allocated to participating securities		(138)		(80)		(504)		(281)
Net income available to common stockholders		34,782		20,536		123,711		67,225
Effect of dilutive securities:
Participating securities		138		80		504		281
Net income for diluted net income per share	$	34,920	$	20,616	$	124,215	$	67,506
Shares for basic net income per share		39,487		39,428		39,470		39,403
Effect of dilutive securities:
Stock options		4		9		3		11
Performance-based stock units		217		170		217		170
Participating securities		157		141		155		154
Total effect of dilutive securities		378		320		375		335
Shares for diluted net income per share		39,865		39,748		39,845		39,738
Basic net income per share	$	0.88	$	0.52	$	3.13	$	1.71
Diluted net income per share	$	0.88	$	0.52	$	3.12	$	1.70

21

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

11.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 elect the fair value option for any of 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, 2018 and December 31, 2017 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2018					At December 31, 2017
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	242,609	$	274,698	(1)	$	223,907	$	278,224	(1)
Bank borrowings		120,000		120,000	(2)		96,500		96,500	(2)
Senior unsecured notes, net of debt issue costs		550,986		529,805	(3)		571,002		577,126	(3)
Accrued incentives and earn-outs		9,292		9,292	(4)		8,916		8,916	(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, 2018 and December 31, 2017 was 9.7% and 8.7%, respectively.

⁽²⁾ Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2018 and December 31, 2017 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, 2018, the discount rate used to value our future cash outflow of our senior unsecured notes was 5.00% for those maturing before year 2026 and 5.25% for those maturing at or beyond year 2026. At December 31, 2017, the discount rate used to value our future cash outflow of our senior unsecured notes was 4.10% for those maturing before year 2026 and 4.30% for those maturing at or beyond year 2026.

⁽⁴⁾ Our accrued incentives and earn-outs are classified as Level 3. We estimated the fair value of the accrued incentives and 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. The discount rate used to value our accrued incentives and earn-outs was 6.0% at September 30, 2018 and 6.2% at December 31, 2017.

12.Subsequent Events

Subsequent to September 30, 2018 the following events occurred:

Real Estate:We sold a 60-bed SNF in Florida for $5,000,000 with a net book value of $1,526,000 and will recognize a gain of approximately $3,400,000 in the fourth quarter.

Lease Incentives: We entered into an amended master lease agreement with Senior Lifestyle. Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was

22

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

removed. Therefore, subsequent to September 30, 2018, we will write-off the Senior Lifestyle contingent lease incentive of $6,219,000 and the related earn-out liability of $9,292,000 which will result in income of approximately $3,000,000.

Debt:  We paid down $20,000,000 under our unsecured revolving line of credit.  Accordingly, we have $100,000,000 outstanding under our unsecured revolving line of credit with $500,000,000 available for borrowing.

Equity: We declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2018, payable on October 31, November 30, and December 31, 2018, respectively to stockholders of record on October 23, November 21, and December 21, 2018, 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, 2017 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 and Investment Strategy

We are a self-administered health care real estate investment trust (“REIT”) that invests in seniors housing and health care properties primarily through sale-leaseback transactions, mortgage financing and structured finance solutions including mezzanine lending. 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 seniors housing and health care properties managed by experienced operators.

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The below graph summarizes our gross investments as of September 30, 2018:

Our seniors housing and health care property classifications include skilled nursing centers (“SNF”), assisted living communities (“ALF”), independent living communities (“ILF”), memory care communities (“MC”) and combinations thereof. ALF, ILF, MC, and combinations thereof are included in the ALF property classification. As of September 30, 2018, seniors housing and long-term health care properties comprised approximately 99.4% of our real estate investment portfolio. We have been operating since August 1992.

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 main 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 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 secured by multiple properties.

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Real Estate Portfolio Overview

The following tables summarize our real estate investment portfolio by owned properties and mortgage loans and by type, as of September 30, 2018 (dollar amounts in thousands):

					Nine Months Ended
			Percentage		September 30, 2018				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Owned Properties	Investments		Investments		Income (5)		Income (6)		Revenues		Properties (1)	Beds (2)	Units (2)
Assisted Living	$	802,484	48.4	%	$	49,053	$	—	40.6	%	103	—	5,885
Skilled Nursing		569,141	34.3	%		50,111		—	41.5	%	73	8,919	261
Under Development (3)		31,602	1.9	%		—		—	—	%	—	—	—
Other (4)		11,040	0.6	%		689		—	0.6	%	1	118	—
Total Owned Properties		1,414,267	85.2	%		99,853		—	82.7	%	177	9,037	6,146
Mortgage Loans
Skilled Nursing		245,053	14.8	%		—		20,853	17.3	%	22	2,892	—
Total Mortgage Loans		245,053	14.8	%		—		20,853	17.3	%	22	2,892	—
Total Portfolio	$	1,659,320	100.0	%	$	99,853	$	20,853	100.0	%	199	11,929	6,146

					Nine Months Ended
			Percentage		September 30, 2018				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Summary of Properties by Type	Investments		Investments		Income (5)		Income (6)		Revenues		Properties (1)	Beds (2)	Units (2)
Skilled Nursing	$	814,194	49.1	%	$	50,111	$	20,853	58.8	%	95	11,811	261
Assisted Living		802,484	48.4	%		49,053		—	40.6	%	103	—	5,885
Under Development (3)		31,602	1.9	%		—		—	—	%	—	—	—
Other (4)		11,040	0.6	%		689		—	0.6	%	1	118	—
Total Portfolio	$	1,659,320	100.0	%	$	99,853	$	20,853	100.0	%	199	11,929	6,146

⁽¹⁾ We have investments in 28 states leased or mortgaged to 29 different operators.

⁽²⁾ See Item 1. Financial Statements – Note 2. Real Estate Investments for discussion of bed/unit count.

⁽³⁾ Represents three development projects consisting of a 143-bed SNF located in Kentucky, a 78-unit ALF/MC located in Oregon and a 110-unit ILF/ALF/MC located in Wisconsin.

⁽⁴⁾ Includes three parcels of land held-for-use and one behavioral health care hospital.

⁽⁵⁾ Excludes rental income from properties sold.

⁽⁶⁾ Represents interest income from mortgage loans and excludes interest income from paid-off mortgage loans.

As of September 30, 2018, we had $1.3 billion in carrying value of net real estate investments, consisting of $1.1 billion or 82.0% invested in owned and leased properties and $0.2 billion or 18.0% invested in mortgage loans secured by first mortgages. Our investment in mortgage loans contain interest rates between 9.2% and 9.5%. Approximately 76.1% of those mortgage loans mature in 2043 and have an interest rate of 9.5%.

For the nine months ended September 30, 2018, rental income and interest income from mortgage loans represented 82.1% and 16.7%, 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.  For those certain leases, the revenue is not recognized until the appropriate contingencies have been resolved.

During the nine months ended September 30, 2018, there were no lease renewals. During 2018, we transitioned two operating skilled nursing centers to another operator in our portfolio. This transition had no economic impact on us. For the nine months ended September 30, 2018, we recorded $8.6 million in straight-line rental income and recovered a net of $0.1 million in straight-line rent receivable reserve. During the nine months ended September 30, 2018, we received $95.7 million of cash rental revenue and

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recorded amortization of lease incentives cost of $1.7 million. At September 30, 2018, the straight-line rent receivable balance, net of reserves, on the balance sheet was $73.1 million.

Update on Anthem Memory Care and Preferred Care

During 2017, we issued a notice of default to Anthem Memory Care (“Anthem”) resulting from Anthem’s partial payment of minimum rent. Anthem operates 11 operational memory care communities under a master lease. We are currently not pursuing enforcement of our rights and remedies pertaining to known events of default under the master lease and our guarantees, with the stipulation that Anthem Memory Care achieve certain level of performance and pay a minimum of $5.2 million of cash rent for these 11 properties through December 31, 2018. We receive regular financial performance updates from Anthem and continue to monitor Anthem’s performance obligations under the master lease agreement closely.

Also, during 2017, Preferred Care, Inc. (“Preferred Care”) and several affiliated entities filed for Chapter 11 bankruptcy as a result of a multi-million dollar judgement in a lawsuit in Kentucky against Preferred Care and certain affiliated entities. The affiliated entities named in the lawsuit operate properties in Kentucky and New Mexico. According to Preferred Care, it is subject to the judgement because it was included in the lawsuit. Preferred Care leases 24 properties under two master leases from us and none of the 24 properties are located in Kentucky or New Mexico. Those 24 properties are in Arizona, Colorado, Iowa, Kansas, Texas and Virginia. Additionally, the Preferred Care operating entities that sublease those properties did not file for bankruptcy. Our annual rental revenue from Preferred Care represented 6.5% of total rental and interest income as of September 30, 2018. Preferred Care is current on its rent due to us and provides us updates on the bankruptcy proceedings.

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2018 Activities Overview

The following tables summarize our transactions during the nine months ended September 30, 2018(dollar amounts in thousands):

Investment in Owned Properties

	Number		Type	Number	Initial					Total		Total
	of		of	of	Cash			Purchase		Transaction		Acquisition
State	Properties		Properties	Beds/Units	Yield			Price		Costs		Costs
Oregon	1	(1)	ILF	89	6.75	%	$	14,400	$	—	$	14,400
Oregon	—	(1)	UDP	—	—	%		600		36		636
Texas	2		MC	88	7.25	%		25,200		66		25,266
Wisconsin	—		UDP	—	—	%		95		11		106
Total	3			177			$	40,295	$	113	$	40,408

⁽¹⁾ During the second quarter of 2018, we entered into a partnership to develop and own real estate. Under the partnership agreement, we acquired a parcel of land to develop a 78-unit assisted living and memory care community in Medford, OR for a total commitment of $18,108, and an existing operational 89-unit independent living community in Oregon for $14,400, during the second and third quarter of 2018, respectively.

Investment in Development and Improvement projects

	Developments		Improvements
Assisted Living Communities	$	19,251	$	1,131
Skilled Nursing Centers		6,466		500
Other		—		432
Total	$	25,717	$	2,063

Completed Developments

	Number	Type	Number
	of	of	of			Total
Type of Project	Properties	Property	Beds/Units	State	Investment
Development	1	MC	66	Illinois	$	13,974

Properties Sold

	Type		Number	Number
	of		of	of		Sales		Carrying		Net
State	Properties		Properties	Beds/Units		Price		Value		Gain
Alabama	SNF		2	285	$	17,525	$	3,272	$	14,253
Kansas	ALF	(1)	—	—		350		346		—
Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,445
Total			8	605	$	85,375	$	19,970	$	62,698

⁽¹⁾ We sold land adjacent to an existing ALF community in Kansas.

Investment in Mortgage Loans

Originations and funding under mortgage loans receivable	$	20,530	(1)
Pay-offs received		(1,086)
Scheduled principal payments received		(550)
Net increase in mortgage loans receivable	$	18,894

⁽¹⁾ During 2018, we funded an additional $7,400 under an existing mortgage loan for the purchase of a 112-bed skilled nursing center in Michigan. The incremental funding bears interest at 8.7%, fixed for five years, and escalating by 2.25% thereafter. Also, we funded additional loan proceeds of $7,125 under an existing mortgage loan for the purchase of a 126-bed skilled nursing center in Michigan. This incremental funding bears interest at 9.41%, fixed for five years, and escalating by 2.25% thereafter.

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Investment in Unconsolidated Joint Ventures

	Type	Type	Total		Currently		Number												Cash
	of	of	Preferred		Paid in		of		Investment			Carrying			Capital		Income		Interest
State	Properties	Investment	Return		Cash		Beds/ Units		Commitment			Value			Contribution		Recognized		Received
Arizona	ALF/MC/ILF	Preferred Equity	15	%	7	%	585	$	25,650		$	23,942		$	580	$	1,490	$	1,436
Florida	ALF/IL/MC	Mezzanine	15	%	12	%	99		2,900	(1)		3,169	(1)		—		383		291
Florida	UDP-ALF/MC	Mezzanine	15	%	10	%	127		3,400			3,400			—		230		—	(2)
							811	$	31,950		$	30,511		$	580	$	2,103	$	1,727

⁽¹⁾ Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance.

⁽²⁾ We withheld $653 at the time of loan origination which is being applied to interest. As of September 30, 2018, we still hold $257 which will be applied to future interest.

Notes Receivable

Advances under notes receivable	$	50
Principal payments received under notes receivable		(3,848)
Total	$	(3,798)

Debt Obligations

During 2018, we amended and restated our unsecured credit agreement to replace the previous unsecured credit agreement, prior to its expiration on October 14, 2018. The amended credit agreement maintains the $600.0 million aggregate commitment of the lenders under the prior agreement and provides for the opportunity to increase the commitment size of the credit agreement up to a total of $1.0 billion. The amended credit agreement extends the maturity of the credit agreement to June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Additionally, the amended credit agreement decreases the interest rate margins and converts from the payment of unused commitment fees to a facility fee.

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Health Care Regulatory Climate

The Centers for Medicare & Medicaid Services (“CMS”) annually updates Medicare skilled nursing facility prospective payment system rates and other policies. On July 31, 2017, CMS released a final rule updating Medicare skilled nursing facility rates and policies for fiscal year 2018, which began on October 1, 2017. CMS expected the rule to increase overall payments to SNFs by $370 million in fiscal year 2018, or 1.0%, compared to fiscal year 2017 levels. The 1% update for fiscal year 2018 was set by Congress in 2015 legislation.

On April 27, 2018, CMS released its proposed update to Medicare skilled nursing facility rates for fiscal year 2019, which CMS projected would increase overall payments to skilled nursing facilities by $850 million in fiscal year 2019 relative to fiscal year 2018 levels. The proposed rate update for fiscal year 2019 was 2.4%, as mandated by the Bipartisan Budget Act of 2018. Furthermore, CMS proposed replacing the existing Resource Utilization Groups, Version IV (“RUG–IV”) case mix classification system with a new model beginning in fiscal year 2020. The new case mix classification system, called the “Patient-Driven Payment Model,” would base Medicare payment on resident needs rather than the amount of therapy a resident receives.

On July 31, 2018, CMS released a final rule updating skilled nursing facility rates and policies for fiscal year 2019. The final rule adopts the proposed 2.4% payment increase, which CMS projects will increase overall payments to skilled nursing facilities by $820 million in fiscal year 2019 as compared to fiscal year 2018 levels ($30 million less than projected in the proposed rule). CMS also finalized the Patient-Driven Payment Model, effective for fiscal year 2020. Finally, CMS confirm that, as required by statute, beginning October 1, 2018, the SNF Value-Based Purchasing (“VBP”) Program will go into effect. Under the VBP Program, CMS will reduce Medicare payments to skilled nursing facilities by 2%. CMS will then return approximately 60% of the withheld amount to skilled nursing facilities based on their relative performance on a readmission measure. The remaining portion of the withheld amount will be retained in the Medicare Trust Fund.

On September 28, 2016, CMS released a final rule revising the requirements that long-term care facilities must meet to participate in the Medicare and Medicaid programs. This major rule addresses requirements for improving quality of care and patient safety, nursing facility staffing, care planning, infection control, and residents’ rights and compliance and ethics programs, among other key provisions.  While the rule also banned pre-dispute arbitration agreements, that provision was stayed due to litigation challenging the requirement. On June 8, 2017, CMS published a proposed rule that would eliminate the prohibition on pre-dispute binding arbitration agreements and otherwise modify these requirements; this rule has not been finalized.  There can be no assurance that these rules or 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 and Medicaid policies, including legislation that could have the impact of reducing Medicare reimbursement for skilled nursing facilities and other Medicare providers, limiting state Medicaid funding allotments, 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. On February 9, 2018, President Trump signed into law the Bipartisan Budget Act of 2018, which, as noted, establishes a 2.4% increase to fiscal year 2019 Medicare skilled nursing facility rates; the update otherwise would have been based on the change in the skilled nursing facility market basket index, reduced by a productivity adjustment. 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 federal and 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 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 classifications. 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.

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

	9/30/18		6/30/18		3/31/18		12/31/17		9/30/17
Asset mix:
Real property	$	1,414,267	$	1,401,303	$	1,401,506	$	1,392,122	$	1,359,586
Loans receivable		245,053		236,178		235,734		226,162		224,095
Investment mix:
Skilled nursing centers	$	814,194	$	814,208	$	813,542	$	803,691	$	803,853
Assisted living communities		802,484		787,373		795,036		789,520		759,896
Under development		31,602		25,077		17,922		14,465		9,716
Other (1)		11,040		10,823		10,740		10,608		10,216
Operator mix:
Prestige Healthcare (1)	$	258,186	$	249,311	$	247,769	$	238,184	$	236,105
Senior Lifestyle Corporation		189,945		189,945		189,226		189,226		189,025
Senior Care Centers		138,109		138,109		138,109		138,109		138,109
Anthem Memory Care		135,946		135,342		131,527		126,120		121,138
Brookdale Senior Living		126,991		126,991		126,991		126,991		126,991
Remaining operators		810,143		797,783		803,618		799,654		772,313
Geographic mix:
Texas	$	292,317	$	292,317	$	267,051	$	267,051	$	269,279
Michigan		245,996		237,121		235,579		225,994		223,916
Wisconsin		137,056		133,794		130,941		129,398		126,313
Colorado		114,923		114,923		114,923		114,923		114,923
California		102,254		102,254		102,254		102,254		102,254
Remaining states		766,774		757,072		786,492		778,664		746,996

⁽¹⁾ We have three parcels of land as of September 30, 2018. These parcels are located adjacent to properties securing the Prestige Healthcare mortgage loan and are managed by Prestige.

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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). The coverage ratios are based on earnings before interest, taxes, depreciation and amortization for real estate (“EBITDAre”) as defined by National Association of Real Estate Investment Trusts (“NAREIT”). EBITDAre is calculated as net income available to common stockholders (computed in accordance with GAAP) excluding (i) interest expense, (ii) income tax expense, (iii) real estate depreciation and amortization, (iv) impairment write-downs of depreciable real estate, (v) gains or losses on the sale of depreciable real estate, and (vi) adjustments for unconsolidated partnerships and joint ventures. 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:

Balance Sheet Metrics

	Year to Date		Quarter Ended
	9/30/18		9/30/18		6/30/18			3/31/18			12/31/17			9/30/17
Debt to gross asset value	36.4	%	36.4	%	36.1	%	(1)	38.3	%	(3)	37.6	%	(3)	36.8	%
Debt to market capitalization ratio	27.7	%	27.7	%	27.8	%	(2)	31.4	%	(4)	27.9	%	(4)	25.5	%
Interest coverage ratio (5)	4.7	x	4.8	x	4.7	x		4.7	x		4.8	x		4.8	x
Fixed charge coverage ratio (5)	4.7	x	4.8	x	4.7	x		4.7	x		4.8	x		4.8	x

⁽¹⁾ Decreased due to decrease in outstanding debt and increase in gross asset value from acquisitions partially offset by sold properties and loan payoffs.

⁽²⁾ Decreased due to decrease in outstanding debt and increase in market capitalization.

⁽³⁾ Increased primarily due to increase in outstanding debt partially offset by the increase in gross asset value from acquisitions, additional development and capital improvement funding.

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

⁽⁵⁾ In calculating our interest coverage and fixed charge coverage ratios above, we use EBITDAre, which is a financial measure not derived in accordance with U.S. generally accepted accounting principles (“GAAP”) (non-GAAP financial measure). EBITDAre is not an alternative to net income, operating income or cash flows from operating activities as calculated and presented in accordance with GAAP. You should not rely on EBITDAre as a substitute for any such 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 EBITDAre.

	Year to Date			Quarter Ended
	9/30/18			9/30/18			6/30/18			3/31/18			12/31/17			9/30/17
Net income	$	124,232		$	34,937		$	68,936		$	20,359		$	19,834		$	20,616
(Less): gain on sale |Add: loss on sale		(62,698)			(14,353)			(48,345)			—			1,240			—
Add: Impairment charges		—			—			—			—			—			—
Add: Interest expense		22,981			7,497			7,655			7,829			7,683			7,644
Add: Depreciation and amortization		28,159			9,447			9,268			9,444			9,424			9,519
Total EBITDAre	$	112,674		$	37,528		$	37,514		$	37,632		$	38,181		$	37,779
Interest expense	$	22,981		$	7,497		$	7,655		$	7,829		$	7,683		$	7,644
Add: Capitalized interest		850			298			293			259			281			256
Interest incurred	$	23,831		$	7,795		$	7,948		$	8,088		$	7,964		$	7,900
Interest coverage ratio		4.7	x		4.8	x		4.7	x		4.7	x		4.8	x		4.8	x
Interest incurred	$	23,831		$	7,795		$	7,948		$	8,088		$	7,964		$	7,900
Total fixed charges	$	23,831		$	7,795		$	7,948		$	8,088		$	7,964		$	7,900
Fixed charge coverage ratio		4.7	x		4.8	x		4.7	x		4.7	x		4.8	x		4.8	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 seniors 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 (unaudited, in thousands)

	Three Months Ended
	September 30,
	2018		2017		Difference
Revenues:
Rental income	$	34,211	$	33,233	$	978	(1)
Interest income from mortgage loans		7,087		6,677		410	(2)
Interest and other income		478		1,336		(858)	(3)
Total revenues		41,776		41,246		530
Expenses:
Interest expense		7,497		7,644		147	(4)
Depreciation and amortization		9,447		9,519		72
Provision (recovery) for doubtful accounts		106		(96)		(202)	(5)
Transaction costs		9		34		25
General and administrative expenses		4,879		4,144		(735)	(6)
Total expenses		21,938		21,245		(693)
Operating income		19,838		20,001		(163)
Income from unconsolidated joint ventures		746		615		131	(7)
Gain on sale of real estate, net		14,353		—		14,353	(8)
Net income		34,937		20,616		14,321
Income allocated to non-controlling interests		(17)		—		(17)
Net income attributable to LTC Properties, Inc.		34,920		20,616		14,304
Income allocated to participating securities		(138)		(80)		(58)
Net income available to common stockholders	$	34,782	$	20,536	$	14,246

⁽¹⁾ Increased due to acquisitions, capital improvement investments and higher cash rental income from Anthem partially offset by a reduction related to properties sold during 2017 and 2018.

⁽²⁾ Increased primarily due to mortgage originations and capital improvement funding partially offset by payoffs.

⁽³⁾ Decreased due to the net write-off of an earn-out liability and the related lease incentive asset during the third quarter of 2017 resulting from the lessee’s business model change, which negatively impacted the lessee’s operating results and caused the payment of the earn-out within the exercisable window improbable.

⁽⁴⁾ Decreased due to scheduled principal payments under our senior unsecured notes and an increase in capitalized interest related to development projects partially offset by a higher average outstanding balance on our line of credit and an increase in LIBOR rates.

⁽⁵⁾ Increased primarily due to (2) above and the reversal of straight-line rent reserve in 2017.

⁽⁶⁾ Increased primarily due to lower incentive compensation in the prior year related to a previously disclosed defaulted master lease.

⁽⁷⁾ Increased primarily due to income generated from additional funding under a preferred capital contribution commitment and income from a mezzanine loan accounted for as an unconsolidated joint venture in accordance with GAAP which was previously deferred.

⁽⁸⁾ Represents the net gain on sale of two senior living centers in Alabama during the third quarter of 2018.

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	Nine Months Ended
	September 30,
	2018		2017		Difference
Revenues:
Rental income	$	102,646	$	103,533	$	(887)	(1)
Interest income from mortgage loans		20,910		20,050		860	(2)
Interest and other income		1,502		2,753		(1,251)	(3)
Total revenues		125,058		126,336		(1,278)
Expenses:
Interest expense		22,981		22,266		(715)	(4)
Depreciation and amortization		28,159		28,186		27
Impairment charges		—		1,880		1,880	(5)
Provision (recovery) for doubtful accounts		76		(139)		(215)	(6)
Transaction costs		19		56		37
General and administrative expenses		14,392		13,270		(1,122)	(7)
Total expenses		65,627		65,519		(108)
Operating income		59,431		60,817		(1,386)
Income from unconsolidated joint ventures		2,103		1,635		468	(8)
Gain on sale of real estate, net		62,698		5,054		57,644	(9)
Net income		124,232		67,506		56,726
Income allocated to non-controlling interests		(17)		—		(17)
Net income attributable to LTC Properties, Inc.		124,215		67,506		56,709
Income allocated to participating securities		(504)		(281)		(223)
Net income available to common stockholders	$	123,711	$	67,225	$	56,486

⁽¹⁾ Decreased due to Anthem’s default, as previously discussed, and the reduction of rent related to properties sold during 2017 and 2018, partially offset by acquisitions and capital improvement investments.

⁽²⁾ Increased primarily due to mortgage originations and capital improvement funding partially offset by payoffs.

⁽³⁾ Decreased due to non-accrual of interest on a loan to Anthem and the net write-off of an earn-out liability and the related lease incentive asset during the third quarter of 2017 resulting from the lessee’s business model change, which negatively impacted the lessee’s operating results and caused the payment of the earn-out within the exercisable window improbable, partially offset by interest income from mezzanine loans.

⁽⁴⁾ Increased primarily due to a higher average outstanding balance on our line of credit and an increase in LIBOR rates , partially offset by scheduled principal payments under our senior unsecured notes and an increase in capitalized interest related to development projects.

⁽⁵⁾ Represents the write-off of straight-line rent and other receivables in 2017 related to two properties due to negotiations to transition these properties to another operator in our portfolio.

⁽⁶⁾ Increased primarily due to (2) above and the reversal of straight-line rent reserve in 2017.

⁽⁷⁾ Increased primarily due to lower incentive compensation in the prior year related to a previously disclosed defaulted master lease.

⁽⁸⁾ Increased primarily due to income generated from additional funding under a preferred capital contribution commitment and income from a mezzanine loan accounted for as an unconsolidated joint venture in accordance with GAAP which was previously deferred.

⁽⁹⁾ Represents the net gain on sale of six assisted living communities in Ohio and Pennsylvania and net gain on sale of two skilled nursing centers in Alabama during 2018 partially offset by a net gain on sale of four assisted living communities in Indiana and Iowa during 2017.

Funds From Operations Available to Common Stockholders

Funds from Operations (“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 GAAP. Real estate values historically rise and fall with market conditions, but cost accounting for real estate assets in accordance with GAAP assumes that the value of real estate assets diminishes predictably over time.  We

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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.

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 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 NAREIT. FFO, as defined by NAREIT, means net income available to common stockholders (computed in accordance with 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,
	2018			2017			2018			2017
GAAP net income available to common stockholders	$	34,782		$	20,536		$	123,711		$	67,225
Add: Depreciation and amortization		9,447			9,519			28,159			28,186
Add: Impairment charges		—			—			—			1,880
Less: Gain on sale of real estate, net		(14,353)			—			(62,698)			(5,054)
NAREIT FFO attributable to common stockholders	$	29,876		$	30,055		$	89,172		$	92,237
NAREIT FFO attributable to common stockholders per share:
Basic	$	0.76		$	0.76		$	2.26		$	2.34
Diluted	$	0.75	(1)	$	0.76	(1)	$	2.25	(1)	$	2.33	(1)
Weighted average shares used to calculate NAREIT FFO per share:
Basic		39,487			39,428			39,470			39,403
Diluted		39,865	(2)		39,748	(2)		39,845	(2)		39,738	(2)

⁽¹⁾ Includes the effect of the participating securities.

⁽²⁾ Includes the effect of stock option equivalents, participating securities and performance-based stock units.

Liquidity and Capital Resources

Sources and Uses of Cash

As of September 30, 2018, we had a total of $20.4 million of cash and cash equivalents, $480.0 million available under our unsecured revolving line of credit, $79.8 million available under our senior unsecured note shelf agreement and the potential ability to access the capital markets through the issuance of $184.1 million of common stock under our equity distribution agreement. Subsequent to September 30, 2018, we paid down $20.0 million under our unsecured revolving line of credit. Accordingly, we have $500.0 million available under our unsecured line of credit. Furthermore, we have the ability to access the capital markets through the issuance of debt and/ or equity securities under an automatic shelf registration statement.

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 and pay common dividends

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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 used in financing and 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 2018 and 2019.

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 seniors housing and health care properties 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 seniors housing and health care facilities, ability to control rising operating costs, and the potential for significant reforms in the 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 health care industry. We cannot presently predict what impact these 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 seniors housing and 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.

Our primary sources of cash include rent and interest receipts, borrowings under our primary unsecured credit facility, public and private 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 Cash Flows as summarized below (in thousands):

	Nine months ended September 30,					Change
Cash provided by (used in):	2018		2017			$
Operating activities	$	83,438	$	76,134	$	7,304
Investing activities		(2,374)		(53,815)		51,441
Financing activities		(63,706)		(26,468)		(37,238)
Increase in cash and cash equivalents		17,358		(4,149)		21,507
Cash and cash equivalents, beginning of period		5,213		7,991		(2,778)
Cash and cash equivalents, end of period	$	22,571	$	3,842	$	18,729

Debt Obligations

Bank Borrowings. During 2018, weamended and restated our unsecured credit agreement to replace the previous unsecured credit agreement, prior to its expiration on October 14, 2018. The amended credit agreement maintains the $600.0 million aggregate commitment of the lenders under the prior agreement and provides for the opportunity to increase the commitment size of the credit agreement

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up to a total of $1.0 billion. The amended credit agreement extends the maturity of the credit agreement to June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Additionally, the amended credit agreement decreases the interest rate margins and converts from the payment of unused commitment fees to a facility fee. Based on our leverage at September 30, 2018, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2018, we were in compliance with all covenants.

Senior Unsecured Notes. We have a $337.5 million shelf agreement with affiliates and managed accounts of Prudential Investment Management, Inc. (“Prudential”) with $79.8 million available for borrowing.

The debt obligations by component as of September 30, 2018 are as follows (dollar amounts in thousands):

	Applicable			Available
	Interest	Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing
Bank borrowings (2)	3.38%	$	120,000	$	480,000
Senior unsecured notes, net of debt issue costs	4.49%		550,986		79,833
Total	4.29%	$	670,986	$	559,833

⁽¹⁾ Represents weighted average of interest rate as of September 30, 2018.

⁽²⁾ Subsequent to September 30, 2018, we paid down $20,000 under our unsecured revolving line of credit. Accordingly, we have $100,000 outstanding under our unsecured revolving line of credit with $500,000 available for borrowing.

Our debt borrowings and repayments during the nine months ended September 30, 2018 are as follows (in thousands):

Debt Obligations		Borrowings		Repayments
Bank borrowings	$	96,500	$	(73,000)
Senior unsecured notes		—		(20,167)
Total	$	96,500	$	(93,167)

Equity

At September 30, 2018, we had 39,656,737 shares of common stock outstanding, equity on our balance sheet totaled $823.3 million and our equity securities had a market value of $1.7 billion. During the nine months ended September 30, 2018, we declared and paid $67.8 million of cash dividends.

Subsequent to September 30, 2018, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2018, payable on October 31, November 30, and December 31, 2018, respectively, to stockholders of record on October 23, November 21, and December 21, 2018, respectively.

At-The-Market Program. We have an equity distribution agreement with sales agents to issue and sell, from time to time, up to $200.0 million in aggregate offering price of our common shares. The equity distribution agreement provides that sales of common shares are to be 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 months ended September 30, 2018, we sold 22,244 shares of common stock for $1.0 million in net proceeds under our equity distribution agreement. In conjunction with the sale of common stock, we paid $18,000 as compensation to our sales agents and we reclassified $76,000 of accumulated costs associated with this agreement to additional paid in capital. At September 30, 2018, we had $184.1 million available under our equity distribution agreement.

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Available Shelf Registrations.We have an automatic shelf registration statement on file with the SEC and currently have the ability to file additional automatic shelf registration statements to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering.

Stock-Based Compensation. During the nine months ended September 30, 2018, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

No. of	Price per
Shares	Share		Vesting Period
81,819	$	38.18	ratably over 3 years
66,171	$	38.18	TSR targets (1)
8,728	$	41.25	ratably over 1 year
156,718

⁽¹⁾ Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

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, 2017.

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, 2018. For additional information, refer to Item 7A as presented in our Annual Report on Form 10-K for the year ended December 31, 2017.

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.

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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, 2017.

Item 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

During the three months ended September 30, 2018, we did not make any unregistered sales of equity securities.

During the three months ended September 30, 2018, we acquired shares of common stock held by employees who tendered shares to satisfy tax withholding obligations. Specifically, the number of shares of common stock acquired from employees and the average prices paid per share for each month in the quarter ended September 30, 2018 are as follows:

				Total Number
				of Shares	Maximum
				Purchased as	Number of
		Average		Part of	Shares that May
	Total Number	Price		Publicly	Yet Be
	of Shares	Paid per		Announced	Purchased
Period	Purchased	Share		Plan	Under the Plan
July 1- July 31, 2018	—	$	—	—	—
August 1 - August 31, 2018	487	$	42.91	—	—
September 1 - September 30, 2018	—	$	—	—	—
Total	487			—	—

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Item 6. Exhibits

3.1	LTC Properties, Inc. Articles of Restatement (incorporated by reference to Exhibit 3.1.2 to LTC Properties Inc.’s Current Report on Form 8‑K (File No. 1‑11314) filed June 6, 2016)
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 (File No. 1-11314) filed June 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, 2018, formatted in XBRL (eXtensible Business Reporting Language): (i) Consolidated Balance Sheets at September 30, 2018 and December 31, 2017; (ii) Consolidated Statements of Income for the three and nine months ended September 30, 2018 and 2017; (iii) Consolidated Statements of Cash Flows for the nine months ended September 30, 2018 and 2017; and (iv) Notes to Consolidated Financial Statements

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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 5, 2018	By:	/s/ Pamela Kessler
		Pamela Kessler
		Executive Vice President, Chief Financial Officer and Corporate Secretary
		(Principal Financial and Accounting Officer)

42

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 5, 2018

EX-31.2

Exhibit 31.2

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER

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

I, Pam 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/ Pam Kessler

Pam Kessler

Executive Vice President, Chief Financial Officer

and Corporate Secretary

(Principal Financial and Accounting Officer)

November 5, 2018

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, 2018 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 5, 2018	/s/ Wendy L. Simpson
	Wendy L. Simpson Chairman, Chief Executive Officer and President
Date: November 5, 2018	/s/ Pam Kessler
	Pam 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

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2018	Nov. 01, 2018
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, 2018
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity Current Reporting Status	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Common Stock, Shares Outstanding		39,656,737
Document Fiscal Year Focus	2018
Document Fiscal Period Focus	Q3

XML

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Investments:
Land	$ 125,533	$ 124,041
Buildings and improvements	1,280,491	1,262,335
Accumulated depreciation and amortization	(304,337)	(304,117)
Operating real estate property, net	1,101,687	1,082,259
Properties held-for-sale, net of accumulated depreciation: 2018—$2,887; 2017—$1,916	5,356	3,830
Real property investments, net	1,107,043	1,086,089
Mortgage loans receivable, net of loan loss reserve: 2018—$2,444; 2017—$2,255	242,609	223,907
Real estate investments, net	1,349,652	1,309,996
Notes receivable, net of loan loss reserve: 2018—$128; 2017—$166	12,642	16,402
Investments in unconsolidated joint ventures	30,511	29,898
Investments, net	1,392,805	1,356,296
Other assets:
Cash and cash equivalents	20,408	5,213
Restricted cash	2,163
Debt issue costs related to bank borrowings	3,202	810
Interest receivable	19,290	15,050
Straight-line rent receivable, net of allowance for doubtful accounts: 2018—$739; 2017—$814	73,114	64,490
Lease incentives	21,102	21,481
Prepaid expenses and other assets	3,767	2,230
Total assets	1,535,851	1,465,570
LIABILITIES
Bank borrowings	120,000	96,500
Senior unsecured notes, net of debt issue costs: 2018—$981; 2017—$1,131	550,986	571,002
Accrued interest	3,468	5,276
Accrued incentives and earn-outs	9,292	8,916
Accrued expenses and other liabilities	28,812	25,228
Total liabilities	712,558	706,922
Stockholders’ equity:
Common stock: $0.01 par value; 60,000 shares authorized; shares issued and outstanding: 2018—39,657; 2017—39,570	397	396
Capital in excess of par value	861,226	856,992
Cumulative net income	1,224,998	1,100,783
Cumulative distributions	(1,270,779)	(1,203,011)
Total LTC Properties, Inc. stockholders’ equity	815,842	755,160
Non-controlling interests	7,451	3,488
Total equity	823,293	758,648
Total liabilities and equity	$ 1,535,851	$ 1,465,570

XML

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2018	Dec. 31, 2017
Properties held-for-sale, accumulated depreciation	$ 2,887	$ 1,916
Mortgage loans receivable, loan loss reserve	2,444	2,255
Notes receivable, loan loss reserve	128	166
Straight-line rent receivable, allowance for doubtful accounts	$ 739	$ 814
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	60,000	60,000
Common stock, shares issued	39,657	39,570
Common stock, shares outstanding	39,657	39,570
Senior Unsecured Notes
Debt issue costs, net	$ 981	$ 1,131

XML

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Revenues:
Rental income	$ 34,211	$ 33,233	$ 102,646	$ 103,533
Interest income from mortgage loans	7,087	6,677	20,910	20,050
Interest and other income	478	1,336	1,502	2,753
Total revenues	41,776	41,246	125,058	126,336
Expenses:
Interest expense	7,497	7,644	22,981	22,266
Depreciation and amortization	9,447	9,519	28,159	28,186
Impairment charges				1,880
Provision (recovery) for doubtful accounts	106	(96)	76	(139)
Transaction costs	9	34	19	56
General and administrative expenses	4,879	4,144	14,392	13,270
Total expenses	21,938	21,245	65,627	65,519
Operating income	19,838	20,001	59,431	60,817
Income from unconsolidated joint ventures	746	615	2,103	1,635
Gain on sale of real estate, net	14,353		62,698	5,054
Net income	34,937	20,616	124,232	67,506
Income allocated to non-controlling interests	(17)		(17)
Net income attributable to LTC Properties, Inc.	34,920	20,616	124,215	67,506
Income allocated to participating securities	(138)	(80)	(504)	(281)
Net income available to common stockholders	$ 34,782	$ 20,536	$ 123,711	$ 67,225
Earnings per common share:
Basic (in dollars per share)	$ 0.88	$ 0.52	$ 3.13	$ 1.71
Diluted (in dollars per share)	$ 0.88	$ 0.52	$ 3.12	$ 1.70
Weighted average shares used to calculate earnings per common share:
Basic (in shares)	39,487	39,428	39,470	39,403
Diluted (in shares)	39,865	39,748	39,845	39,738
Dividends declared and paid per common share (in dollars per share)	$ 0.57	$ 0.57	$ 1.71	$ 1.71
Comprehensive Income:
Net income	$ 34,937	$ 20,616	$ 124,232	$ 67,506
Comprehensive income	$ 34,937	$ 20,616	$ 124,232	$ 67,506

XML

CONSOLIDATED STATEMENTS OF EQUITY - USD ($) $ in Thousands	Parent	Common Stock	Capital in Excess of Par Value	Cumulative Net Income	Cumulative Distributions	Non-controlling Interests	Total
Balance at beginning of period at Dec. 31, 2016	$ 740,048	$ 392	$ 839,005	$ 1,013,443	$ (1,112,792)		$ 740,048
Balance (in shares) at Dec. 31, 2016		39,221,000
Equity activity
Common Stock cash distributions	(22,552)				(22,552)		(22,552)
Proceeds from common stock issued, net of issuance costs	14,529	$ 3	14,526				14,529
Proceeds from common stock issued, net of issuance costs (in shares)		313,000
Issuance of restricted stock	(6)	$ 1	(7)				(6)
Issuance of restricted stock (in shares)		75,000
Stock-based compensation expense	1,259		1,259				1,259
Net income	21,513			21,513			21,513
Other	(1,651)		(1,651)				(1,651)
Other (in shares)		(36,000)
Balance at end of period at Mar. 31, 2017	753,140	$ 396	853,132	1,034,956	(1,135,344)		753,140
Balance (in shares) at Mar. 31, 2017		39,573,000
Balance at beginning of period at Dec. 31, 2016	740,048	$ 392	839,005	1,013,443	(1,112,792)		$ 740,048
Balance (in shares) at Dec. 31, 2016		39,221,000
Equity activity
Stock option exercises (in shares)							8,334
Net income							$ 67,506
Balance at end of period at Sep. 30, 2017	756,635	$ 396	855,746	1,080,949	(1,180,456)		756,635
Balance (in shares) at Sep. 30, 2017		39,571,000
Balance at beginning of period at Mar. 31, 2017	753,140	$ 396	853,132	1,034,956	(1,135,344)		753,140
Balance (in shares) at Mar. 31, 2017		39,573,000
Equity activity
Common Stock cash distributions	(22,558)				(22,558)		(22,558)
Issuance of restricted stock (in shares)		8,000
Cancelation of restricted stock (in shares)		(14,000)
Stock option exercises	79		79				79
Stock option exercises (in shares)		3,000
Stock-based compensation expense	1,425		1,425				1,425
Net income	25,377			25,377			25,377
Other	(296)		(296)				(296)
Other (in shares)		(6,000)
Balance at end of period at Jun. 30, 2017	757,167	$ 396	854,340	1,060,333	(1,157,902)		757,167
Balance (in shares) at Jun. 30, 2017		39,564,000
Equity activity
Common Stock cash distributions	(22,554)				(22,554)		(22,554)
Issuance of restricted stock (in shares)		3,000
Cancelation of restricted stock (in shares)		(1,000)
Stock option exercises	123		123				123
Stock option exercises (in shares)		5,000
Stock-based compensation expense	1,283		1,283				1,283
Net income	20,616			20,616			20,616
Balance at end of period at Sep. 30, 2017	756,635	$ 396	855,746	1,080,949	(1,180,456)		756,635
Balance (in shares) at Sep. 30, 2017		39,571,000
Equity activity
Common Stock cash distributions	(22,555)				(22,555)		(22,555)
Issuance of restricted stock	(14)		(14)				(14)
Stock-based compensation expense	1,282		1,282				1,282
Net income	19,834			19,834			19,834
Non-controlling interests contribution						$ 3,488	3,488
Other	(22)		(22)				(22)
Other (in shares)		(1,000)
Balance at end of period at Dec. 31, 2017	755,160	$ 396	856,992	1,100,783	(1,203,011)	3,488	758,648
Balance (in shares) at Dec. 31, 2017		39,570,000
Equity activity
Common Stock cash distributions	(22,578)				(22,578)		(22,578)
Issuance of restricted stock (in shares)		82,000
Stock option exercises	123		123				123
Stock option exercises (in shares)		5,000
Stock-based compensation expense	1,376		1,376				1,376
Net income	20,359			20,359			20,359
Other	(1,065)		(1,065)				(1,065)
Other (in shares)		(28,000)
Balance at end of period at Mar. 31, 2018	753,375	$ 396	857,426	1,121,142	(1,225,589)	3,488	756,863
Balance (in shares) at Mar. 31, 2018		39,629,000
Balance at beginning of period at Dec. 31, 2017	755,160	$ 396	856,992	1,100,783	(1,203,011)	3,488	$ 758,648
Balance (in shares) at Dec. 31, 2017		39,570,000
Equity activity
Stock option exercises (in shares)							5,000
Net income							$ 124,232
Balance at end of period at Sep. 30, 2018	815,842	$ 397	861,226	1,224,998	(1,270,779)	7,451	823,293
Balance (in shares) at Sep. 30, 2018		39,657,000
Balance at beginning of period at Mar. 31, 2018	753,375	$ 396	857,426	1,121,142	(1,225,589)	3,488	756,863
Balance (in shares) at Mar. 31, 2018		39,629,000
Equity activity
Common Stock cash distributions	(22,590)				(22,590)		(22,590)
Issuance of restricted stock	(8)		(8)				(8)
Issuance of restricted stock (in shares)		9,000
Stock-based compensation expense	1,521		1,521				1,521
Net income	68,936			68,936			68,936
Non-controlling interests contribution						1,081	1,081
Other	(107)		(107)				(107)
Other (in shares)		(3,000)
Balance at end of period at Jun. 30, 2018	801,127	$ 396	858,832	1,190,078	(1,248,179)	4,569	805,696
Balance (in shares) at Jun. 30, 2018		39,635,000
Equity activity
Common Stock cash distributions	(22,600)				(22,600)		(22,600)
Proceeds from common stock issued, net of issuance costs	929	$ 1	928				929
Proceeds from common stock issued, net of issuance costs (in shares)		22,000
Stock-based compensation expense	1,487		1,487				1,487
Net income	34,920			34,920		17	34,937
Non-controlling interests contribution						2,882	2,882
Non-controlling interest distributions						17	17
Other	(21)		(21)				(21)
Balance at end of period at Sep. 30, 2018	$ 815,842	$ 397	$ 861,226	$ 1,224,998	$ (1,270,779)	$ 7,451	$ 823,293
Balance (in shares) at Sep. 30, 2018		39,657,000

XML

CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - $ / shares	1 Months Ended																		3 Months Ended
	Sep. 30, 2018	Aug. 31, 2018	Jul. 31, 2018	Jun. 30, 2018	May 31, 2018	Apr. 30, 2018	Mar. 31, 2018	Feb. 28, 2018	Jan. 31, 2018	Sep. 30, 2017	Aug. 31, 2017	Jul. 31, 2017	Jun. 30, 2017	May 31, 2017	Apr. 30, 2017	Mar. 31, 2017	Feb. 28, 2017	Jan. 31, 2017	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017
CONSOLIDATED STATEMENTS OF EQUITY
Dividends paid per common share (in dollars per share)	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57

XML

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	3 Months Ended					9 Months Ended		12 Months Ended
	Sep. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Mar. 31, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
OPERATING ACTIVITIES:
Net income	$ 34,937,000	$ 20,359,000	$ 19,834,000	$ 20,616,000	$ 21,513,000	$ 124,232,000	$ 67,506,000
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization						28,159,000	28,186,000
Stock-based compensation expense						4,384,000	3,967,000
Impairment charges							1,880,000
Gain on sale of real estate, net	(14,353,000)					(62,698,000)	(5,054,000)
Income from unconsolidated joint ventures	(746,000)			(615,000)		(2,103,000)	(1,635,000)
Income distributions from unconsolidated joint ventures						1,727,000	1,236,000
Insurance proceeds for damaged property						2,619,000
Payment for remediation of damaged property						(455,000)
Straight-line rental income						(8,629,000)	(7,362,000)
Lease incentives funded						(1,272,000)	(5,713,000)
Amortization of lease incentives						1,651,000	1,681,000
Provision for doubtful accounts	106,000			(96,000)		76,000	(139,000)
Non-cash interest related to contingent liabilities						377,000	476,000
Non-cash income related to earn-out and related lease inducement write-off							(842,000)
Other non-cash items, net						923,000	958,000
Increase in interest receivable						(4,240,000)	(3,967,000)
Decrease in accrued interest payable						(1,808,000)	(567,000)
Net change in other assets and liabilities						495,000	(4,477,000)
Net cash provided by operating activities						83,438,000	76,134,000
INVESTING ACTIVITIES:
Investment in real estate properties						(40,408,000)	(54,804,000)
Investment in real estate developments						(25,717,000)	(13,939,000)
Investment in real estate capital improvements						(2,063,000)	(2,308,000)
Capitalized interest						(850,000)	(627,000)
Proceeds from sale of real estate, net						82,340,000	14,106,000
Investment in real estate mortgage loans receivable						(20,530,000)	(9,333,000)
Principal payments received on mortgage loans receivable						1,636,000	17,351,000
Investments in unconsolidated joint ventures						(580,000)	(3,847,000)
Payment of working capital reserve							(439,000)
Advances and originations under notes receivable						(50,000)
Principal payments received on notes receivable						3,848,000	25,000
Net cash used in investing activities						(2,374,000)	(53,815,000)
FINANCING ACTIVITIES:
Bank borrowings						96,500,000	64,500,000
Repayment of bank borrowings						(73,000,000)	(116,600,000)
Proceeds from issuance of senior unsecured notes							100,000,000
Principal payments on senior unsecured notes						(20,166,000)	(19,167,000)
Proceeds from common stock issued						1,005,000	14,578,000
Stock option exercises						123,000	202,000
Distributions paid to stockholders						(67,768,000)	(67,664,000)
Contribution from non-controlling interests						3,963,000
Financing costs paid						(3,162,000)	(363,000)
Other						(1,201,000)	(1,954,000)
Net cash used in financing activities						(63,706,000)	(26,468,000)
Increase (decrease) in cash, cash equivalents and restricted cash						17,358,000	(4,149,000)
Cash, cash equivalents and restricted cash, beginning of period		$ 5,213,000	3,842,000		$ 7,991,000	5,213,000	7,991,000	$ 7,991,000
Cash, cash equivalents and restricted cash, end of period	$ 22,571,000		$ 5,213,000	$ 3,842,000		22,571,000	3,842,000	$ 5,213,000
Supplemental disclosure of cash flow information:
Interest paid						$ 23,869,000	$ 21,877,000

XML

General

9 Months Ended

Sep. 30, 2018

General

General

1.General

LTC Properties, Inc., a health care real estate investment trust (“REIT”), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in seniors housing and health care properties primarily through sale-leaseback transactions, mortgage financing and structured finance solutions including mezzanine lending.  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 seniors housing and health care properties managed by experienced operators. Our primary seniors housing and health care property classifications include skilled nursing centers (“SNF”), assisted living communities (“ALF”), independent living communities (“ILF”), memory care communities (“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 classification 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 (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“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 and its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2018 and 2017 are not necessarily indicative of the results for a full year.

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.

Restricted Cash

During the third quarter of 2017, a 170-bed skilled nursing center in our portfolio was evacuated due to damages caused by Hurricane Harvey. This property is located in Texas and operated under a triple net master lease agreement. We periodically evaluate properties for impairment when events or changes in circumstances indicate that the asset may be impaired or the carrying amount of the asset may not be recoverable through future undiscounted cash flows. Based upon a quarterly assessment of this property using the recoverability test, we concluded the property has not been impaired.

As of September 30, 2018, the gross value and the carrying value of the property were $2,021,000 and $1,146,000, respectively.

The provisions of our triple net lease agreements impose certain obligations on our operators including:

· Acquire property insurance, subject to certain criteria;

· Continue paying rent in the event of any property damage or destruction; and

· Return the leased property back to us at the end of the lease term, in the same condition originally received.

During the second quarter of 2018, our operator provided us with insurance proceeds of $2,619,000 to be used for remediation of the property as noted in the provisions of our master lease agreement. Accordingly, we have classified the insurance proceeds as restricted cash on our consolidated financial statements.

New Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers, which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” While this ASU specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate. Additionally, the FASB has issued targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net), ASU 2016-10, Identifying Performance Obligations and Licensing, and ASU 2016-12, Narrow-Scope Improvements and Practical Expedients. The new standard and its amendments were effective on January 1, 2018 and permitted reporting entities to apply the standard using either a modified retrospective approach, by recording a cumulative-effect adjustment to equity as of the beginning of the fiscal year of adoption or full retrospective approach. We assessed our revenue streams to identify any differences in the timing, measurement or presentation of revenue recognition. We evaluated the provisions of ASU 2014-09 and its related additional guidance to determine the potential impact of the new standard. We concluded that adoption of this standard did not have an impact on our results of operations or financial condition, as our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09. We adopted this standard using the modified retrospective adoption method on January 1, 2018.

In February 2016, the FASB issued ASU No. 2016-02 (“ASU 2016-02”), Leases (Topic 842). The objective of this ASU is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. ASU 2016-02 modifies existing guidance by requiring lessees to record a right-of-use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with a term of 12 months or less will be accounted for similar to existing guidance of operating leases.ASU 2016-02 requires the lessors to identify lease and non-lease components of a lease agreement. ASU 2016-02 will govern the recognition of revenue for lease components. Revenue related to non-lease components under lease agreements will be subject to the revenue recognition standard, upon adoption of this ASU. Entities are required to use a modified retrospective approach for leases that exist or are entered into after January 1, 2017, the beginning of the earliest comparative period presented in the 2019 consolidated financial statements with a cumulative adjustment to the opening balance of retained earnings.

Additionally, in July 2018, the FASB issued ASU No. 2018-11, Leases - Targeted Improvements (“ASU 2018-11”), which provides lessors with the option to elect a practical expedient allowing them to not separate lease and non-lease components and instead, to account for those components as a single lease component. This practical expedient is limited to circumstances in which: (i) the timing and pattern of transfer are the same for the non-lease component and the related lease component and (ii) the lease component, if accounted for separately, would be classified as an operating lease. This practical expedient causes an entity to assess whether a contract is predominantly lease-based or service-based and recognize the entire contract under the relevant accounting guidance (i.e., predominantly lease-based would be accounted for under ASU 2016-02 and predominantly service-based would be accounted for under the Revenue ASUs). This practical expedient option is available as a single election that must be consistently applied to all existing leases at the date of adoption. ASU 2018-11 also provides a practical expedient that allows companies to use an optional transition method. Under the optional transition method, a cumulative adjustment to retained earnings during the period of adoption is recorded and prior periods would not require restatement. Consequently, entities that elect both the practical expedient and the optional transitional method will apply the new lease ASU prospectively to leases commencing or modified after January 1, 2019, and will not be required to apply the disclosures under the new lease ASU to comparative periods.

Consistent with present standards, we will continue to account for lease revenue on a straight-line basis when applicable. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the impact of this guidance on our consolidated financial statements from both the lessee and lessor perspective. As a result of the adoption of this guidance, we may be required to increase our revenue and expense for lessor costs paid directly by lessees under triple-net leases, if the amount paid is readily determinable (i.e. real estate taxes). Additionally, we have begun our process for implementing this guidance, including identifying any non-lease components in our lease arrangements. We plan to finalize our assessment during the fourth quarter of 2018.

In August 2016, FASB issued ASU No. 2016-15 (“ASU 2016-15”), Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments (A Consensus of the Emerging Issues Task Force). ASU 2016-15 provides guidance that reduces the diversity in practice of the classification of certain cash receipts and cash payments within the statement of cash flows. This guidance is effective for fiscal periods beginning after December 15, 2017. We adopted this standard on January 1, 2018. The adoption of this guidance did not have a material impact on our financial statements.

In January 2017, the FASB issued ASU No. 2017-01(“ASU 2017-01”), Business Combinations (Topic 805): Clarifying Definition of a Business. ASU 2017-01 clarifies the framework for determining whether an integrated set of assets and activities meets the definition of a business. The revised framework establishes a screen for determining whether an integrated set of assets and activities is a business and narrows the definition of a business, which is expected to result in fewer transactions being accounted for as business combinations. Acquisitions of integrated sets of assets and activities that do not meet the definition of a business are accounted for as asset acquisitions. This update is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted for transactions that have not been reported in previously issued (or available to be issued) financial statements. We adopted ASU 2017-01 during the second quarter of 2017. Historically, our acquisitions qualified as either a business combination or asset acquisition. The adoption of this ASU did not have a material impact on the company’s results of operations or financial condition as most of our acquisitions of investment properties will continue to qualify as asset acquisitions.

In February 2017, the FASB issued ASU No. 2017-05 (“ASU 2017-05”), Other Income-Gains and Losses from the Derecognition of Nonfinancial Assets. ASU 2017-05 defines an in-substance nonfinancial asset and clarifies guidance related to partial sales of nonfinancial assets. This standard is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

In 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). This standard requires a new forward looking “expected loss” model to be used for receivables, held-to-maturity debt, loans, and other instruments. ASU 2016-13 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019, and early adoption is permitted for fiscal years beginning after December 15, 2018. We are currently evaluating the impact that the standard will have on our consolidated financial statements.

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Real Estate Investments

9 Months Ended

Sep. 30, 2018

Real Estate Investments

Real Estate Investments

2.Real Estate Investments

Assisted living communities, independent living communities, memory care communities and combinations thereof are included in the assisted living property classification (or collectively ALF).

Any reference to the number of properties or facilities, number of units, number of beds, number of operators 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, 2018 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	802,484	56.8	%	103	—	5,885	$	136.36
Skilled Nursing		569,141	40.2	%	73	8,919	261	$	62.00
Under Development (2)		31,602	2.2	%	—	—	—		—
Other (3)		11,040	0.8	%	1	118	—		—
Total	$	1,414,267	100.0	%	177	9,037	6,146

⁽¹⁾ We own properties in 28 states that are leased to 29 different operators.

⁽²⁾ Represents three development projects, consisting of a 143-bed SNF in Kentucky, a 78-unit ALF/MC located in Oregon and a 110-unit ILF/ALF/MC in Wisconsin.

⁽³⁾ Includes three parcels of land held-for-use, and one behavioral health care hospital.

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 Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2018 and 2017 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2018	Assisted Living (2) (3)	$	39,600	$	65	$	39,665	3	177
	Land (3)		695		48		743	—	—
Total		$	40,295	$	113	$	40,408	3	177
2017	Assisted Living (4)	$	54,463	$	341	$	54,804	3	240
Total		$	54,463	$	341	$	54,804	3	240

⁽¹⁾ Represents cost associated with our acquisitions; however, upon adoption of ASU 2017-01, our acquisitions meet the definition of an asset acquisition resulting in capitalization of transaction costs to the properties’ basis. For our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Transaction costs per our consolidated statements of income and comprehensive income represents current and prior year transaction costs due to timing and terminated transactions.

⁽²⁾ We acquired two MC in Texas.

⁽³⁾ We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During the second quarter of 2018, the JV purchased land for the development of a 78-unit ALF/MC in Oregon for a total anticipated project cost of $18,108. The non-controlling partner contributed $1,081 of cash and we committed to fund the remaining $17,027 project cost. During the third quarter of 2018, in a sale-leaseback transaction, the JV purchased an existing operational 89-unit ILF adjacent to the 78-unit ALF/MC we are developing for $14,400. The non-controlling partner contributed $2,857 of equity and we contributed $11,543 in cash. Upon completion of the development project, our combined economic interest in the JV will be approximately 88%. We account for the JV on a consolidated basis. See Note 7. Equity for further discussion related to our partnerships and non-controlling interests.

⁽⁴⁾ We acquired an ALF and a MC in California. Additionally, we acquired a MC in Ohio.

During the nine months ended September 30, 2018 and 2017, we invested the following in development and improvement projects (in thousands):

	Nine months ended September 30, 2018				Nine months ended September 30, 2017
Type of Property	Developments		Improvements		Developments			Improvements
Assisted Living Communities	$	19,251	$	1,131	$	10,366	$	951
Skilled Nursing Centers		6,466		500		3,573		1,357
Other		—		432		—		—
Total	$	25,717	$	2,063	$	13,939	$	2,308

Completed Developments. The following table summarizes our completed developments during the nine months ended September 30, 2018 (dollar amounts in thousands):

	Number	Type	Number
	of	of	of			Total
Type of Project	Properties	Property	Beds/Units	State	Investment
Development	1	MC	66	Illinois	$	13,974

Properties held-for-sale.  The following table summarizes our properties held-for-sale as of September 30, 2018 (dollar amounts in thousands):

	Type	Number					Number
	of	of		Gross		Accumulated	of
State	Property	Properties		Investment		Depreciation	Beds/units
Florida (1)	SNF	1	$	2,497	$	971	60
Texas	ILF	1		5,746		1,916	140
Totals		2	$	8,243	$	2,887	200

⁽¹⁾ Subsequent to September 30, 2018, we sold this 60-bed SNF for $5,000 and will recognize a gain of approximately $3,400.

Properties sold. The following table summarizes property sales during the nine months ended September 30, 2018 and 2017(dollar amounts in thousands):

		Type		Number	Number
		of		of	of		Sales		Carrying		Net
Year	State	Properties		Properties	Beds		Price		Value		Gain
2018	Alabama	SNF		2	285	$	17,525	$	3,272	$	14,253
	Kansas	ALF	(1)	—	—		350		346		—
	Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,445
Total 2018				8	605	$	85,375	$	19,970	$	62,698
2017	Indiana and Iowa	ALF		4	175	$	14,250	$	8,726	$	5,054
Total 2017				4	175	$	14,250	$	8,726	$	5,054

⁽¹⁾ We sold land adjacent to an existing ALF community in Kansas.

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2018 (dollar amounts in thousands):

				Type	Percentage		Number of			Investment
		Gross		of	of				SNF	per
Interest Rate (1)	Maturity	Investment		Property	Investment		Loans (2)	Properties (3)	Beds	Bed/Unit
9.5%	2043	$	186,495	SNF	76.1	%	1	15	2,029	$	91.91
9.2%	2045		33,028	SNF	13.5	%	1	4	501	$	65.92
9.4%	2045		14,797	SNF	6.0	%	1	1	157	$	94.25
9.5%	2020		10,733	SNF	4.4	%	1	2	205	$	52.36
Total		$	245,053		100.0	%	4	22	2,892	$	84.73

⁽¹⁾ The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 2.25%.

⁽²⁾ Some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30-year term.

⁽³⁾ We have investments in properties located in one state that includes mortgages to one operator.

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2018 and 2017 (in thousands):

	Nine months ended September 30,
	2018			2017
Originations and funding under mortgage loans receivable	$	20,530	(1)	$	9,333
Pay-offs received		(1,086)			(16,665)
Scheduled principal payments received		(550)			(686)
Net increase (decrease) in mortgage loans receivable	$	18,894		$	(8,018)

⁽¹⁾ During 2018, we funded an additional $7,400 under an existing mortgage loan for the purchase of a 112-bed skilled nursing center in Michigan. The incremental funding bears interest at 8.7%, fixed for five years, and escalating by 2.25% thereafter. Also, we funded additional loan proceeds of $7,125 under an existing mortgage loan for the purchase of a 126-bed skilled nursing center in Michigan. This incremental funding bears interest at 9.41%, fixed for five years, and escalating by 2.25% thereafter.

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Investment in Unconsolidated Joint Ventures

9 Months Ended

Sep. 30, 2018

Investment in Unconsolidated Joint Ventures

Investment in Unconsolidated Joint Ventures

3.Investment in Unconsolidated Joint Ventures

Our investment in unconsolidated joint ventures consists of a preferred equity investment and two mezzanine loans which are accounted for as unconsolidated joint ventures in accordance with GAAP. The following table summarizes our investment in unconsolidated joint ventures (dollar amounts in thousands):

	Type	Type		Total		Currently		Number
	of	of		Preferred		Paid in		of		Investment			Carrying
State	Properties	Investment		Return		Cash		Beds/ Units		Commitment			Value
Arizona	ALF/MC/ILF	Preferred Equity	(1)	15	%	7	%	585	$	25,650		$	23,942
Florida	ALF/IL/MC	Mezzanine	(2)	15	%	12	%	99		2,900	(3)		3,169	(3)
Florida	UDP-ALF/MC	Mezzanine	(2)	15	%	10	%	127		3,400			3,400
Total								811	$	31,950		$	30,511

⁽¹⁾ We have concluded that the JV is a variable interest entity (“VIE”) in accordance with GAAP. 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 the JV investment using the equity method.

⁽²⁾ We evaluated these acquisition, development and construction (“ADC”) arrangements and determined that the characteristics are similar to jointly-owned investments or partnerships, and accordingly, these investments are accounted for as unconsolidated joint ventures under the equity method of accounting instead of loan accounting.

⁽³⁾ Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance.

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures (in thousands):

	Nine Months Ended September 30,
Type	2018							2017
of		Capital		Income		Cash Interest			Capital		Income		Cash Interest
Properties		Contribution		Recognized		Received			Contribution		Recognized		Received
ALF/MC/ILF	$	580	$	1,490	$	1,436		$	1,100	$	1,134	$	1,020
ALF/IL/MC		—		383		291			—		383		216
UDP-ALF/MC		—		230		—	(1)		2,747		118		—	(1)
Total	$	580	$	2,103	$	1,727		$	3,847	$	1,635	$	1,236

(1)   We withheld $653 at the time of loan origination which is being applied to interest. As of September 30, 2018, we still hold $257 which will be applied to future interest. 

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Notes Receivable

9 Months Ended

Sep. 30, 2018

Notes Receivable.

Notes Receivable

4.Notes Receivable

Notes receivable consists of mezzanine loans and other loan arrangements. The following table is a summary of our notes receivable components as of September 30, 2018 and December 31, 2017 (in thousands):

		At September 30, 2018		At December 31, 2017
Mezzanine loans	$	9,869	$	13,700
Other loans		2,901		2,868
Notes receivable reserve		(128)		(166)
Total	$	12,642	$	16,402

The following tables summarizes our notes receivable activity for the nine months ended September 30, 2018 and 2017 (dollar amounts in thousands):

	Nine months ended September 30,
		2018		2017
Advances under notes receivable	$	50	$	—
Principal payments received under notes receivable		(3,848)		(25)
Total	$	(3,798)	$	(25)

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Lease Incentives

9 Months Ended

Sep. 30, 2018

Lease Incentives

Lease Incentives

5.Lease Incentives

The following summarizes lease incentives by component as of September 30, 2018 and December 31, 2017 (in thousands):

		At September 30, 2018		At December 31, 2017
Non-contingent lease incentives	$	14,883	$	14,904
Contingent lease incentives		6,219		6,577
Total	$	21,102	$	21,481

The following table summarizes our lease incentive activity for the nine months ended September 30, 2018 and 2017(in thousands):

	Nine months ended September 30,
	2018				2017
		Funding		Amortization		Funding		Amortization		Write off
Non-contingent lease incentives	$	1,272	$	(1,292)	$	5,713	$	(1,181)	$	(1,205)	(1)
Contingent lease incentives (3)		—		(359)		—		(500)		(2,634)	(2)
Total	$	1,272	$	(1,651)	$	5,713	$	(1,681)	$	(3,839)

⁽¹⁾ Represents the write-off of lease incentives related to two MC communities due to negotiations to transition these properties to another operator in our portfolio.

⁽²⁾ Represents the write-off of lease incentive related to an ALF community due to change to the business model at the property that resulted in lower net operating income and the improbability of paying the earn-out.

⁽³⁾ Subsequent to September 30, 2018, we entered into an amended master lease agreement with Senior Lifestyle Management, LLC (“Senior Lifestyle”). Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we will write-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which will result in income of approximately $3,000.

Non-contingent lease incentives represent payments made to our lessees for various reasons including entering into a new lease or lease amendments and extensions. Contingent lease incentives represent potential contingent earn-out payments that may be made to our lessees in the future, as part of our lease agreements. From time to time, we may commit to provide contingent payments to our lessees, upon our properties achieving certain rent coverage ratios. Once the contingent payment becomes probable and estimable, the contingent payment is recorded as a lease incentive. Lease incentives are amortized as a yield adjustment to rental income over the remaining life of the lease.

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Debt Obligations

9 Months Ended

Sep. 30, 2018

Debt Obligations

Debt Obligations

6.Debt Obligations

Bank Borrowings.  During 2018, weamended and restated our unsecured credit agreement to replace the previous unsecured credit agreement, prior to its expiration on October 14, 2018. The amended credit agreement maintains the $600,000,000 aggregate commitment of the lenders under the prior agreement and provides for the opportunity to increase the commitment size of the credit agreement up to a total of $1,000,000,000. The amended credit agreement extends the maturity of the credit agreement to June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Additionally, the amended credit agreement decreases the interest rate margins and converts from the payment of unused commitment fees to a facility fee. Based on our leverage at September 30, 2018, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2018, we were in compliance with all covenants.

Senior Unsecured Notes. During 2017, we amended our shelf agreement with affiliates and managed accounts of Prudential Investment Management, Inc. (“Prudential”) to increase our shelf commitment to $337,500,000.

The debt obligations by component as of September 30, 2018 and December 31, 2017 are as follows (dollar amounts in thousands):

		At September 30, 2018				At December 31, 2017
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings (2)	3.38%	$	120,000	$	480,000	$	96,500	$	503,500
Senior unsecured notes, net of debt issue costs	4.49%		550,986		79,833		571,002		63,667
Total	4.29%	$	670,986	$	559,833	$	667,502	$	567,167

⁽¹⁾ Represents weighted average of interest rate as of September 30, 2018.  

⁽²⁾ Subsequent to September 30, 2018, we paid down $20,000 under our unsecured revolving line of credit. Accordingly, we have $100,000 outstanding under our unsecured revolving line of credit with $500,000 available for borrowing.

Our borrowings and repayments are as follows (in thousands):

	Nine months ended September 30,
	2018				2017
Debt Obligations		Borrowings		Repayments	Borrowings			Repayments
Bank borrowings	$	96,500	$	(73,000)	$	64,500		$	(116,600)
Senior unsecured notes		—		(20,166)		100,000	(1)		(19,167)
Total	$	96,500	$	(93,166)	$	164,500		$	(135,767)

⁽¹⁾ During 2017, we sold 15-year senior unsecured notes in the aggregate amount of $100,000 to a group of investors, which included Prudential, in a private placement transaction. The notes bear interest at an annual rate of 4.5%, have scheduled principal payments and mature on February 16, 2032.

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Equity

9 Months Ended

Sep. 30, 2018

Equity

Equity

7.Equity

Common Stock. We have an equity distribution agreement to issue and sell, from time to time, up to $200,000,000 in aggregate offering price of our company common shares. During the nine months ended September 30, 2018 and 2017, under our equity distribution agreement, we sold 22,244 shares of common stock for $1,005,000 in net proceeds and 312,881 shares of common stock for $14,578,000 in net proceeds, respectively. In conjunction with the sale of common stock, during the nine months ended September 30, 2018 and 2017, we paid $18,000 and $260,000, respectively, as compensation to our sales agents and we reclassified $76,000 and $49,000, respectively, of accumulated costs associated with this agreement to capital in excess of par value. At September 30, 2018, and 2017, we had $184,139,000 and $185,162,000, respectively, available under our equity distribution agreement.

During the nine months ended September 30, 2018 and 2017, we acquired 31,326 shares and 41,592 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Non-controlling Interests. During 2018 and 2017, we entered into partnerships to develop and/or own real estate. Given that our limited members do not have the substantive kick-out rights, liquidation rights, or participation rights, we have concluded that the partnerships are VIEs. And since we exercise power over and receive benefits from the VIEs, we are considered the primary beneficiary. Accordingly, we consolidate the VIEs and record the non-controlling interests at cost.

As of September 30, 2018, we have the following consolidated VIEs (dollar amounts in thousands):

					Gross
Investment		Property			Consolidated			Non-Controlling
Year	Purpose	Type	State		Assets			Interests
2018	Owned real estate	ILF	OR	$	14,400	(1)	$	2,857	(1)
2018	Owned real estate and development	UDP	OR		2,881	(1)		1,081	(1)
2017	Owned real estate and development	UDP	WI		10,316	(2)		2,272	(2)
2017	Owned real estate	ALF	SC		10,571			1,241
Total				$	38,168		$	7,451

⁽¹⁾ We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During the second quarter of 2018, the JV purchased land for the development of a 78-unit ALF/MC for a total anticipated project cost of $18,108. The non-controlling partner contributed $1,081 of cash and we committed to fund the remaining $17,027 project cost. During the third quarter of 2018, in a sale-leaseback transaction, the JV purchased an existing operational 89-unit ILF adjacent to the 78-unit ALF/MC we are developing for $14,400. The non-controlling partner contributed $2,857 of equity and we contributed $11,543 in cash. Upon completion of the development project, our combined economic interest in the JV will be approximately 88%. We account for the JV on a consolidated basis.  

⁽²⁾ We entered into a partnership to own the real estate and develop a 110-unit ILF/ALF/MC community in Wisconsin. The commitment totals approximately $22,471.  

Available Shelf Registrations.We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic shelf registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering.

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

	Nine Months Ended September 30,
	2018						2017
	Declared			Paid			Declared			Paid
Common Stock	$	67,768	(1)	$	67,768	(1)	$	67,664	(1)	$	67,664	(1)

⁽¹⁾ Represents $0.19 per share per month for the nine months ended September 30, 2018 and 2017.

In October 2018, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October,  November and December 2018, payable on October 31,  November 30, and December 31, 2018, respectively, to stockholders of record on October 23,  November 21, and December 21, 2018, respectively.

Stock-Based Compensation.  Under our 2015 Equity Participation Plan (“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, 2018 and 2017,  no stock options were granted. The stock options exercised during the nine months ended September 30, 2018 and 2017 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value (1)
2018	5,000	$	24.65	$	123,000	$	205,000
2017	8,334	$	24.31	$	202,566	$	410,797

⁽¹⁾ As of exercise date.

At September 30, 2018, we had 20,000 stock options outstanding and exercisable. Compensation expense related to the vesting of stock options was $0 and $2,000 for the nine months ended September 30, 2018 and 2017, respectively.

The following table summarizes our restricted stock and performance-based stock units activity for the nine months ended September 30, 2018 and 2017:

	Nine months ended September 30,
	2018		2017
Outstanding, January 1		244,181		210,573
Granted		156,718		143,057
Vested		(75,149)		(84,363)
Cancelled		—		(24,106)
Outstanding, September 30		325,750		245,161

During the nine months ended September 30, 2018 and 2017, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2018	81,819	$	38.18	ratably over 3 years
	66,171	$	38.18	TSR targets (1)
	8,728	$	41.25	ratably over 1 year
	156,718
2017	74,760	$	45.76	ratably over 3 years
	57,881	$	45.76	TSR targets (1)
	7,416	$	48.55	ratably over 1 year
	3,000	$	50.55	ratably over 3 years
	143,057

⁽¹⁾ Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

Compensation expense recognized related to the vesting of restricted common stock and performance-based stock units for the nine months ended September 30, 2018 and 2017 were $4,384,000 and $3,965,000, respectively. At September 30, 2018, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows:

	Remaining
	Compensation
Vesting Date	Expense
2018	$	1,486,000
2019		4,250,000
2020		2,210,000
2021		238,000
Total	$	8,184,000

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2018

Commitments and Contingencies

Commitments and Contingencies

8.Commitments and Contingencies

At September 30, 2018, we had commitments as follows (in thousands):

						Total
	Investment			2018		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(Note 2. Real Estate Investments)	$	77,882	(1)	$	17,973	$	35,417	$	42,465
Accrued incentives and earn-out liabilities		23,000	(3)		—		—		23,000
Mortgage loans (Note 2. Real Estate Investments)		65,700	(2)		6,005		23,256		42,444
Joint venture investments (Note 3. Investments in Unconsolidated Joint Ventures)		25,650			580		23,594		2,056
Notes receivable (Note 4. Notes Receivable)		700			50		50		650
Total	$	192,932		$	24,608	$	82,317	$	110,615

⁽¹⁾ Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties.

⁽²⁾ $39,700 represents commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $26,000 represents contingent funding upon the borrower achieving certain coverage ratios.

⁽³⁾ Subsequent to September 30, 2018, we entered into an amended master lease agreement with Senior Lifestyle. Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we wrote-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which will result in income of approximately $3,000.

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, 2018

Major Operators

Major Operators

9.Major Operators

We have four operators from each of which we derive approximately 10% or more of our combined rental revenue and interest income from mortgage loans. The following table sets forth information regarding our major operators as of September 30, 2018:

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets
Prestige Healthcare	24	—	3,010	93	18.0	%	16.4	%
Senior Lifestyle Corporation	—	23	—	1,457	11.9	%	10.4	%
Brookdale Senior Living	—	37	—	1,702	10.1	%	4.6	%
Senior Care Centers	11	—	1,444	—	9.8	%	7.1	%
Total	35	60	4,454	3,252	49.8	%	38.5	%

⁽¹⁾ Includes rental income and interest income from mortgage loans and excludes income from properties sold and mortgage loans paid off during 2018.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare, Senior Lifestyle Corporation, Brookdale Senior Living, Senior Care Centers, 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.

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Earnings per share

9 Months Ended

Sep. 30, 2018

Earnings per share

Earnings per share

10.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,
	2018		2017		2018		2017
Net income	$	34,937	$	20,616	$	124,232	$	67,506
Less net income allocated to non-controlling interests		(17)		—		(17)		—
Less net income allocated to participating securities:
Non-forfeitable dividends on participating securities		(89)		(80)		(268)		(269)
Income allocated to participating securities		(49)		—		(236)		(12)
Total net income allocated to participating securities		(138)		(80)		(504)		(281)
Net income available to common stockholders		34,782		20,536		123,711		67,225
Effect of dilutive securities:
Participating securities		138		80		504		281
Net income for diluted net income per share	$	34,920	$	20,616	$	124,215	$	67,506
Shares for basic net income per share		39,487		39,428		39,470		39,403
Effect of dilutive securities:
Stock options		4		9		3		11
Performance-based stock units		217		170		217		170
Participating securities		157		141		155		154
Total effect of dilutive securities		378		320		375		335
Shares for diluted net income per share		39,865		39,748		39,845		39,738
Basic net income per share	$	0.88	$	0.52	$	3.13	$	1.71
Diluted net income per share	$	0.88	$	0.52	$	3.12	$	1.70

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Fair Value Measurements

9 Months Ended

Sep. 30, 2018

Fair Value Measurements

Fair Value Measurements

11.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 elect the fair value option for any of 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, 2018 and December 31, 2017 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2018					At December 31, 2017
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	242,609	$	274,698	(1)	$	223,907	$	278,224	(1)
Bank borrowings		120,000		120,000	(2)		96,500		96,500	(2)
Senior unsecured notes, net of debt issue costs		550,986		529,805	(3)		571,002		577,126	(3)
Accrued incentives and earn-outs		9,292		9,292	(4)		8,916		8,916	(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, 2018 and December 31, 2017 was 9.7% and 8.7%, respectively.

⁽²⁾ Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2018 and December 31, 2017 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, 2018, the discount rate used to value our future cash outflow of our senior unsecured notes was 5.00% for those maturing before year 2026 and 5.25% for those maturing at or beyond year 2026. At December 31, 2017, the discount rate used to value our future cash outflow of our senior unsecured notes was 4.10% for those maturing before year 2026 and 4.30% for those maturing at or beyond year 2026.

⁽⁴⁾ Our accrued incentives and earn-outs are classified as Level 3. We estimated the fair value of the accrued incentives and 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. The discount rate used to value our accrued incentives and earn-outs was 6.0% at September 30, 2018 and 6.2% at December 31, 2017.

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Subsequent Events

9 Months Ended

Sep. 30, 2018

Subsequent Events

Subsequent Events

12.Subsequent Events

Subsequent to September 30, 2018 the following events occurred:

Real Estate:We sold a 60-bed SNF in Florida for $5,000,000 with a net book value of $1,526,000 and will recognize a gain of approximately $3,400,000 in the fourth quarter.

Lease Incentives: We entered into an amended master lease agreement with Senior Lifestyle. Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we will write-off the Senior Lifestyle contingent lease incentive of $6,219,000 and the related earn-out liability of $9,292,000 which will result in income of approximately $3,000,000.

Debt:  We paid down $20,000,000 under our unsecured revolving line of credit.  Accordingly, we have $100,000,000 outstanding under our unsecured revolving line of credit with $500,000,000 available for borrowing.

Equity: We declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2018, payable on October 31, November 30, and December 31, 2018, respectively to stockholders of record on October 23, November 21, and December 21, 2018, respectively.

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General (Policies)

9 Months Ended

Sep. 30, 2018

General

Basis of Presentation

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 (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“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 and its wholly-owned subsidiaries.

Reclassifications

All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2018 and 2017 are not necessarily indicative of the results for a full year.

Income taxes

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.

Restricted Cash

Restricted Cash

During the third quarter of 2017, a 170-bed skilled nursing center in our portfolio was evacuated due to damages caused by Hurricane Harvey. This property is located in Texas and operated under a triple net master lease agreement. We periodically evaluate properties for impairment when events or changes in circumstances indicate that the asset may be impaired or the carrying amount of the asset may not be recoverable through future undiscounted cash flows. Based upon a quarterly assessment of this property using the recoverability test, we concluded the property has not been impaired.

As of September 30, 2018, the gross value and the carrying value of the property were $2,021,000 and $1,146,000, respectively.

The provisions of our triple net lease agreements impose certain obligations on our operators including:

· Acquire property insurance, subject to certain criteria;

· Continue paying rent in the event of any property damage or destruction; and

· Return the leased property back to us at the end of the lease term, in the same condition originally received.

During the second quarter of 2018, our operator provided us with insurance proceeds of $2,619,000 to be used for remediation of the property as noted in the provisions of our master lease agreement. Accordingly, we have classified the insurance proceeds as restricted cash on our consolidated financial statements.

New Accounting Pronouncement

New Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) 2014-09, Revenue from Contracts with Customers, which outlines a comprehensive model for entities to use in accounting for revenue arising from contracts with customers. ASU 2014-09 states that “an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.” While this ASU specifically references contracts with customers, it may apply to certain other transactions such as the sale of real estate. Additionally, the FASB has issued targeted updates to clarify specific implementation issues of ASU 2014-09. These updates include ASU 2016-08, Principal versus Agent Considerations (Reporting Revenue Gross versus Net), ASU 2016-10, Identifying Performance Obligations and Licensing, and ASU 2016-12, Narrow-Scope Improvements and Practical Expedients. The new standard and its amendments were effective on January 1, 2018 and permitted reporting entities to apply the standard using either a modified retrospective approach, by recording a cumulative-effect adjustment to equity as of the beginning of the fiscal year of adoption or full retrospective approach. We assessed our revenue streams to identify any differences in the timing, measurement or presentation of revenue recognition. We evaluated the provisions of ASU 2014-09 and its related additional guidance to determine the potential impact of the new standard. We concluded that adoption of this standard did not have an impact on our results of operations or financial condition, as our revenue consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09. We adopted this standard using the modified retrospective adoption method on January 1, 2018.

In February 2016, the FASB issued ASU No. 2016-02 (“ASU 2016-02”), Leases (Topic 842). The objective of this ASU is to establish the principles that lessees and lessors shall apply to report useful information to users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. ASU 2016-02 modifies existing guidance by requiring lessees to record a right-of-use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with a term of 12 months or less will be accounted for similar to existing guidance of operating leases.ASU 2016-02 requires the lessors to identify lease and non-lease components of a lease agreement. ASU 2016-02 will govern the recognition of revenue for lease components. Revenue related to non-lease components under lease agreements will be subject to the revenue recognition standard, upon adoption of this ASU. Entities are required to use a modified retrospective approach for leases that exist or are entered into after January 1, 2017, the beginning of the earliest comparative period presented in the 2019 consolidated financial statements with a cumulative adjustment to the opening balance of retained earnings.

Additionally, in July 2018, the FASB issued ASU No. 2018-11, Leases - Targeted Improvements (“ASU 2018-11”), which provides lessors with the option to elect a practical expedient allowing them to not separate lease and non-lease components and instead, to account for those components as a single lease component. This practical expedient is limited to circumstances in which: (i) the timing and pattern of transfer are the same for the non-lease component and the related lease component and (ii) the lease component, if accounted for separately, would be classified as an operating lease. This practical expedient causes an entity to assess whether a contract is predominantly lease-based or service-based and recognize the entire contract under the relevant accounting guidance (i.e., predominantly lease-based would be accounted for under ASU 2016-02 and predominantly service-based would be accounted for under the Revenue ASUs). This practical expedient option is available as a single election that must be consistently applied to all existing leases at the date of adoption. ASU 2018-11 also provides a practical expedient that allows companies to use an optional transition method. Under the optional transition method, a cumulative adjustment to retained earnings during the period of adoption is recorded and prior periods would not require restatement. Consequently, entities that elect both the practical expedient and the optional transitional method will apply the new lease ASU prospectively to leases commencing or modified after January 1, 2019, and will not be required to apply the disclosures under the new lease ASU to comparative periods.

Consistent with present standards, we will continue to account for lease revenue on a straight-line basis when applicable. ASU 2016-02 is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating the impact of this guidance on our consolidated financial statements from both the lessee and lessor perspective. As a result of the adoption of this guidance, we may be required to increase our revenue and expense for lessor costs paid directly by lessees under triple-net leases, if the amount paid is readily determinable (i.e. real estate taxes). Additionally, we have begun our process for implementing this guidance, including identifying any non-lease components in our lease arrangements. We plan to finalize our assessment during the fourth quarter of 2018.

In August 2016, FASB issued ASU No. 2016-15 (“ASU 2016-15”), Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments (A Consensus of the Emerging Issues Task Force). ASU 2016-15 provides guidance that reduces the diversity in practice of the classification of certain cash receipts and cash payments within the statement of cash flows. This guidance is effective for fiscal periods beginning after December 15, 2017. We adopted this standard on January 1, 2018. The adoption of this guidance did not have a material impact on our financial statements.

In January 2017, the FASB issued ASU No. 2017-01(“ASU 2017-01”), Business Combinations (Topic 805): Clarifying Definition of a Business. ASU 2017-01 clarifies the framework for determining whether an integrated set of assets and activities meets the definition of a business. The revised framework establishes a screen for determining whether an integrated set of assets and activities is a business and narrows the definition of a business, which is expected to result in fewer transactions being accounted for as business combinations. Acquisitions of integrated sets of assets and activities that do not meet the definition of a business are accounted for as asset acquisitions. This update is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted for transactions that have not been reported in previously issued (or available to be issued) financial statements. We adopted ASU 2017-01 during the second quarter of 2017. Historically, our acquisitions qualified as either a business combination or asset acquisition. The adoption of this ASU did not have a material impact on the company’s results of operations or financial condition as most of our acquisitions of investment properties will continue to qualify as asset acquisitions.

In February 2017, the FASB issued ASU No. 2017-05 (“ASU 2017-05”), Other Income-Gains and Losses from the Derecognition of Nonfinancial Assets. ASU 2017-05 defines an in-substance nonfinancial asset and clarifies guidance related to partial sales of nonfinancial assets. This standard is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

In 2016, the FASB issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). This standard requires a new forward looking “expected loss” model to be used for receivables, held-to-maturity debt, loans, and other instruments. ASU 2016-13 is effective for fiscal years, and interim periods within those years, beginning after December 15, 2019, and early adoption is permitted for fiscal years beginning after December 15, 2018. We are currently evaluating the impact that the standard will have on our consolidated financial statements.

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Real Estate Investments (Tables)

9 Months Ended

Sep. 30, 2018

Real Estate Investments

Summary of investments in owned properties

Owned Properties. The following table summarizes our investments in owned properties at September 30, 2018 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	802,484	56.8	%	103	—	5,885	$	136.36
Skilled Nursing		569,141	40.2	%	73	8,919	261	$	62.00
Under Development (2)		31,602	2.2	%	—	—	—		—
Other (3)		11,040	0.8	%	1	118	—		—
Total	$	1,414,267	100.0	%	177	9,037	6,146

⁽¹⁾ We own properties in 28 states that are leased to 29 different operators.

⁽²⁾ Represents three development projects, consisting of a 143-bed SNF in Kentucky, a 78-unit ALF/MC located in Oregon and a 110-unit ILF/ALF/MC in Wisconsin.

⁽³⁾ Includes three parcels of land held-for-use, and one behavioral health care hospital.

Summary of investments acquired

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2018 and 2017 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2018	Assisted Living (2) (3)	$	39,600	$	65	$	39,665	3	177
	Land (3)		695		48		743	—	—
Total		$	40,295	$	113	$	40,408	3	177
2017	Assisted Living (4)	$	54,463	$	341	$	54,804	3	240
Total		$	54,463	$	341	$	54,804	3	240

⁽¹⁾ Represents cost associated with our acquisitions; however, upon adoption of ASU 2017-01, our acquisitions meet the definition of an asset acquisition resulting in capitalization of transaction costs to the properties’ basis. For our land purchases with forward development commitments, transaction costs are capitalized as part of construction in progress. Transaction costs per our consolidated statements of income and comprehensive income represents current and prior year transaction costs due to timing and terminated transactions.

⁽²⁾ We acquired two MC in Texas.

⁽³⁾ We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During the second quarter of 2018, the JV purchased land for the development of a 78-unit ALF/MC in Oregon for a total anticipated project cost of $18,108. The non-controlling partner contributed $1,081 of cash and we committed to fund the remaining $17,027 project cost. During the third quarter of 2018, in a sale-leaseback transaction, the JV purchased an existing operational 89-unit ILF adjacent to the 78-unit ALF/MC we are developing for $14,400. The non-controlling partner contributed $2,857 of equity and we contributed $11,543 in cash. Upon completion of the development project, our combined economic interest in the JV will be approximately 88%. We account for the JV on a consolidated basis. See Note 7. Equity for further discussion related to our partnerships and non-controlling interests.

⁽⁴⁾ We acquired an ALF and a MC in California. Additionally, we acquired a MC in Ohio.

Schedule of investment in development and improvement projects

During the nine months ended September 30, 2018 and 2017, we invested the following in development and improvement projects (in thousands):

	Nine months ended September 30, 2018				Nine months ended September 30, 2017
Type of Property	Developments		Improvements		Developments			Improvements
Assisted Living Communities	$	19,251	$	1,131	$	10,366	$	951
Skilled Nursing Centers		6,466		500		3,573		1,357
Other		—		432		—		—
Total	$	25,717	$	2,063	$	13,939	$	2,308

Schedule of completed projects

Completed Developments. The following table summarizes our completed developments during the nine months ended September 30, 2018 (dollar amounts in thousands):

	Number	Type	Number
	of	of	of			Total
Type of Project	Properties	Property	Beds/Units	State	Investment
Development	1	MC	66	Illinois	$	13,974

Summary of properties held-for-sale

Properties held-for-sale.  The following table summarizes our properties held-for-sale as of September 30, 2018 (dollar amounts in thousands):

	Type	Number					Number
	of	of		Gross		Accumulated	of
State	Property	Properties		Investment		Depreciation	Beds/units
Florida (1)	SNF	1	$	2,497	$	971	60
Texas	ILF	1		5,746		1,916	140
Totals		2	$	8,243	$	2,887	200

⁽¹⁾ Subsequent to September 30, 2018, we sold this 60-bed SNF for $5,000 and will recognize a gain of approximately $3,400.

Schedule of real estate investment property sold

Properties sold. The following table summarizes property sales during the nine months ended September 30, 2018 and 2017(dollar amounts in thousands):

		Type		Number	Number
		of		of	of		Sales		Carrying		Net
Year	State	Properties		Properties	Beds		Price		Value		Gain
2018	Alabama	SNF		2	285	$	17,525	$	3,272	$	14,253
	Kansas	ALF	(1)	—	—		350		346		—
	Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,445
Total 2018				8	605	$	85,375	$	19,970	$	62,698
2017	Indiana and Iowa	ALF		4	175	$	14,250	$	8,726	$	5,054
Total 2017				4	175	$	14,250	$	8,726	$	5,054

⁽¹⁾ We sold land adjacent to an existing ALF community in Kansas.

Schedule of mortgage loans secured by first mortgage

The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2018 (dollar amounts in thousands):

				Type	Percentage		Number of			Investment
		Gross		of	of				SNF	per
Interest Rate (1)	Maturity	Investment		Property	Investment		Loans (2)	Properties (3)	Beds	Bed/Unit
9.5%	2043	$	186,495	SNF	76.1	%	1	15	2,029	$	91.91
9.2%	2045		33,028	SNF	13.5	%	1	4	501	$	65.92
9.4%	2045		14,797	SNF	6.0	%	1	1	157	$	94.25
9.5%	2020		10,733	SNF	4.4	%	1	2	205	$	52.36
Total		$	245,053		100.0	%	4	22	2,892	$	84.73

⁽¹⁾ The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 2.25%.

⁽²⁾ Some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30-year term.

⁽³⁾ We have investments in properties located in one state that includes mortgages to one operator.

Schedule of mortgage loan activity

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2018 and 2017 (in thousands):

	Nine months ended September 30,
	2018			2017
Originations and funding under mortgage loans receivable	$	20,530	(1)	$	9,333
Pay-offs received		(1,086)			(16,665)
Scheduled principal payments received		(550)			(686)
Net increase (decrease) in mortgage loans receivable	$	18,894		$	(8,018)

During 2018, we funded an additional $7,400 under an existing mortgage loan for the purchase of a 112-bed skilled nursing center in Michigan. The incremental funding bears interest at 8.7%, fixed for five years, and escalating by 2.25% thereafter. Also, we funded additional loan proceeds of $7,125 under an existing mortgage loan for the purchase of a 126-bed skilled nursing center in Michigan. This incremental funding bears interest at 9.41%, fixed for five years, and escalating by 2.25% thereafter.

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Investment in Unconsolidated Joint Ventures (Tables)

9 Months Ended

Sep. 30, 2018

Investment in Unconsolidated Joint Ventures

Summary of investments in unconsolidated joint ventures

The following table summarizes our investment in unconsolidated joint ventures (dollar amounts in thousands):

	Type	Type		Total		Currently		Number
	of	of		Preferred		Paid in		of		Investment			Carrying
State	Properties	Investment		Return		Cash		Beds/ Units		Commitment			Value
Arizona	ALF/MC/ILF	Preferred Equity	(1)	15	%	7	%	585	$	25,650		$	23,942
Florida	ALF/IL/MC	Mezzanine	(2)	15	%	12	%	99		2,900	(3)		3,169	(3)
Florida	UDP-ALF/MC	Mezzanine	(2)	15	%	10	%	127		3,400			3,400
Total								811	$	31,950		$	30,511

⁽¹⁾ We have concluded that the JV is a variable interest entity (“VIE”) in accordance with GAAP. 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 the JV investment using the equity method.

⁽²⁾ We evaluated these acquisition, development and construction (“ADC”) arrangements and determined that the characteristics are similar to jointly-owned investments or partnerships, and accordingly, these investments are accounted for as unconsolidated joint ventures under the equity method of accounting instead of loan accounting.

⁽³⁾ Since interest payments were deferred and no interest was recorded for the first twelve months of the loan, we used the effective interest method in accordance with GAAP to recognize interest income and recorded the difference between the effective interest income and cash interest income to the loan principal balance.

Summary of capital contributions, income recognized and cash interest received from investments in unconsolidated joint ventures

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures (in thousands):

	Nine Months Ended September 30,
Type	2018							2017
of		Capital		Income		Cash Interest			Capital		Income		Cash Interest
Properties		Contribution		Recognized		Received			Contribution		Recognized		Received
ALF/MC/ILF	$	580	$	1,490	$	1,436		$	1,100	$	1,134	$	1,020
ALF/IL/MC		—		383		291			—		383		216
UDP-ALF/MC		—		230		—	(1)		2,747		118		—	(1)
Total	$	580	$	2,103	$	1,727		$	3,847	$	1,635	$	1,236

(1)   We withheld $653 at the time of loan origination which is being applied to interest. As of September 30, 2018, we still hold $257 which will be applied to future interest. 

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Notes Receivable (Tables)

9 Months Ended

Sep. 30, 2018

Notes Receivable.

Summary of mezzanine loans and other loan arrangements

The following table is a summary of our notes receivable components as of September 30, 2018 and December 31, 2017 (in thousands):

		At September 30, 2018		At December 31, 2017
Mezzanine loans	$	9,869	$	13,700
Other loans		2,901		2,868
Notes receivable reserve		(128)		(166)
Total	$	12,642	$	16,402

Summary of notes receivable activity

The following tables summarizes our notes receivable activity for the nine months ended September 30, 2018 and 2017 (dollar amounts in thousands):

	Nine months ended September 30,
		2018		2017
Advances under notes receivable	$	50	$	—
Principal payments received under notes receivable		(3,848)		(25)
Total	$	(3,798)	$	(25)

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Lease Incentives (Tables)

9 Months Ended

Sep. 30, 2018

Lease Incentives

Summary of lease incentives by component

The following summarizes lease incentives by component as of September 30, 2018 and December 31, 2017 (in thousands):

		At September 30, 2018		At December 31, 2017
Non-contingent lease incentives	$	14,883	$	14,904
Contingent lease incentives		6,219		6,577
Total	$	21,102	$	21,481

Summary of lease incentive activity

	Nine months ended September 30,
	2018				2017
		Funding		Amortization		Funding		Amortization		Write off
Non-contingent lease incentives	$	1,272	$	(1,292)	$	5,713	$	(1,181)	$	(1,205)	(1)
Contingent lease incentives (3)		—		(359)		—		(500)		(2,634)	(2)
Total	$	1,272	$	(1,651)	$	5,713	$	(1,681)	$	(3,839)

⁽¹⁾ Represents the write-off of lease incentives related to two MC communities due to negotiations to transition these properties to another operator in our portfolio.

⁽²⁾ Represents the write-off of lease incentive related to an ALF community due to change to the business model at the property that resulted in lower net operating income and the improbability of paying the earn-out.

⁽³⁾ Subsequent to September 30, 2018, we entered into an amended master lease agreement with Senior Lifestyle Management, LLC (“Senior Lifestyle”). Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we will write-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which will result in income of approximately $3,000.

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Debt Obligations (Tables)

9 Months Ended

Sep. 30, 2018

Debt Obligations

Schedule of Debt Obligations

The debt obligations by component as of September 30, 2018 and December 31, 2017 are as follows (dollar amounts in thousands):

		At September 30, 2018				At December 31, 2017
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings (2)	3.38%	$	120,000	$	480,000	$	96,500	$	503,500
Senior unsecured notes, net of debt issue costs	4.49%		550,986		79,833		571,002		63,667
Total	4.29%	$	670,986	$	559,833	$	667,502	$	567,167

⁽¹⁾ Represents weighted average of interest rate as of September 30, 2018.  

⁽²⁾ Subsequent to September 30, 2018, we paid down $20,000 under our unsecured revolving line of credit. Accordingly, we have $100,000 outstanding under our unsecured revolving line of credit with $500,000 available for borrowing.

Schedule of borrowings and repayments

Our borrowings and repayments are as follows (in thousands):

	Nine months ended September 30,
	2018				2017
Debt Obligations		Borrowings		Repayments	Borrowings			Repayments
Bank borrowings	$	96,500	$	(73,000)	$	64,500		$	(116,600)
Senior unsecured notes		—		(20,166)		100,000	(1)		(19,167)
Total	$	96,500	$	(93,166)	$	164,500		$	(135,767)

⁽¹⁾ During 2017, we sold 15-year senior unsecured notes in the aggregate amount of $100,000 to a group of investors, which included Prudential, in a private placement transaction. The notes bear interest at an annual rate of 4.5%, have scheduled principal payments and mature on February 16, 2032.

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Equity (Tables)

9 Months Ended

Sep. 30, 2018

Equity

Schedule of consolidated VIEs

As of September 30, 2018, we have the following consolidated VIEs (dollar amounts in thousands):

					Gross
Investment		Property			Consolidated			Non-Controlling
Year	Purpose	Type	State		Assets			Interests
2018	Owned real estate	ILF	OR	$	14,400	(1)	$	2,857	(1)
2018	Owned real estate and development	UDP	OR		2,881	(1)		1,081	(1)
2017	Owned real estate and development	UDP	WI		10,316	(2)		2,272	(2)
2017	Owned real estate	ALF	SC		10,571			1,241
Total				$	38,168		$	7,451

⁽¹⁾ We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During the second quarter of 2018, the JV purchased land for the development of a 78-unit ALF/MC for a total anticipated project cost of $18,108. The non-controlling partner contributed $1,081 of cash and we committed to fund the remaining $17,027 project cost. During the third quarter of 2018, in a sale-leaseback transaction, the JV purchased an existing operational 89-unit ILF adjacent to the 78-unit ALF/MC we are developing for $14,400. The non-controlling partner contributed $2,857 of equity and we contributed $11,543 in cash. Upon completion of the development project, our combined economic interest in the JV will be approximately 88%. We account for the JV on a consolidated basis.  

⁽²⁾ We entered into a partnership to own the real estate and develop a 110-unit ILF/ALF/MC community in Wisconsin. The commitment totals approximately $22,471.  

Schedule of cash dividends declared and paid

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

	Nine Months Ended September 30,
	2018						2017
	Declared			Paid			Declared			Paid
Common Stock	$	67,768	(1)	$	67,768	(1)	$	67,664	(1)	$	67,664	(1)

⁽¹⁾ Represents $0.19 per share per month for the nine months ended September 30, 2018 and 2017.

Schedule of options exercised

During the nine months ended September 30, 2018 and 2017,  no stock options were granted. The stock options exercised during the nine months ended September 30, 2018 and 2017 were as follows:

		Weighted
		Average
	Options	Exercise		Option		Market
	Exercised	Price		Value		Value (1)
2018	5,000	$	24.65	$	123,000	$	205,000
2017	8,334	$	24.31	$	202,566	$	410,797

⁽¹⁾ As of exercise date.

Schedule of restricted common stock and performance-based stock unit scheduled to vest and remaining compensation expense

The following table summarizes our restricted stock and performance-based stock units activity for the nine months ended September 30, 2018 and 2017:

	Nine months ended September 30,
	2018		2017
Outstanding, January 1		244,181		210,573
Granted		156,718		143,057
Vested		(75,149)		(84,363)
Cancelled		—		(24,106)
Outstanding, September 30		325,750		245,161

Schedule of restricted stock activity

During the nine months ended September 30, 2018 and 2017, we granted restricted stock and performance-based stock units under the 2015 Plan as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2018	81,819	$	38.18	ratably over 3 years
	66,171	$	38.18	TSR targets (1)
	8,728	$	41.25	ratably over 1 year
	156,718
2017	74,760	$	45.76	ratably over 3 years
	57,881	$	45.76	TSR targets (1)
	7,416	$	48.55	ratably over 1 year
	3,000	$	50.55	ratably over 3 years
	143,057

⁽¹⁾ Vesting is based on achieving certain total shareholder return (“TSR”) targets in 4 years with acceleration opportunity in 3 years.

Schedule of unrecognized compensation

	Remaining
	Compensation
Vesting Date	Expense
2018	$	1,486,000
2019		4,250,000
2020		2,210,000
2021		238,000
Total	$	8,184,000

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2018

Commitments and Contingencies

Schedule of commitments

At September 30, 2018, we had commitments as follows (in thousands):

						Total
	Investment			2018		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(Note 2. Real Estate Investments)	$	77,882	(1)	$	17,973	$	35,417	$	42,465
Accrued incentives and earn-out liabilities		23,000	(3)		—		—		23,000
Mortgage loans (Note 2. Real Estate Investments)		65,700	(2)		6,005		23,256		42,444
Joint venture investments (Note 3. Investments in Unconsolidated Joint Ventures)		25,650			580		23,594		2,056
Notes receivable (Note 4. Notes Receivable)		700			50		50		650
Total	$	192,932		$	24,608	$	82,317	$	110,615

⁽¹⁾ Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties.

⁽²⁾ $39,700 represents commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $26,000 represents contingent funding upon the borrower achieving certain coverage ratios.

⁽³⁾ Subsequent to September 30, 2018, we entered into an amended master lease agreement with Senior Lifestyle. Among the provisions of the amendment, the contingent lease incentive payable to Senior Lifestyle was removed. Therefore, subsequent to September 30, 2018, we wrote-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which will result in income of approximately $3,000.

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Major Operators (Tables)

9 Months Ended

Sep. 30, 2018

Major Operators

Schedule of concentration of risk by major operators

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets
Prestige Healthcare	24	—	3,010	93	18.0	%	16.4	%
Senior Lifestyle Corporation	—	23	—	1,457	11.9	%	10.4	%
Brookdale Senior Living	—	37	—	1,702	10.1	%	4.6	%
Senior Care Centers	11	—	1,444	—	9.8	%	7.1	%
Total	35	60	4,454	3,252	49.8	%	38.5	%

⁽¹⁾ Includes rental income and interest income from mortgage loans and excludes income from properties sold and mortgage loans paid off during 2018.

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Earnings per share (Tables)

9 Months Ended

Sep. 30, 2018

Earnings per 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,
	2018		2017		2018		2017
Net income	$	34,937	$	20,616	$	124,232	$	67,506
Less net income allocated to non-controlling interests		(17)		—		(17)		—
Less net income allocated to participating securities:
Non-forfeitable dividends on participating securities		(89)		(80)		(268)		(269)
Income allocated to participating securities		(49)		—		(236)		(12)
Total net income allocated to participating securities		(138)		(80)		(504)		(281)
Net income available to common stockholders		34,782		20,536		123,711		67,225
Effect of dilutive securities:
Participating securities		138		80		504		281
Net income for diluted net income per share	$	34,920	$	20,616	$	124,215	$	67,506
Shares for basic net income per share		39,487		39,428		39,470		39,403
Effect of dilutive securities:
Stock options		4		9		3		11
Performance-based stock units		217		170		217		170
Participating securities		157		141		155		154
Total effect of dilutive securities		378		320		375		335
Shares for diluted net income per share		39,865		39,748		39,845		39,738
Basic net income per share	$	0.88	$	0.52	$	3.13	$	1.71
Diluted net income per share	$	0.88	$	0.52	$	3.12	$	1.70

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Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2018

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, 2018 and December 31, 2017 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2018					At December 31, 2017
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	242,609	$	274,698	(1)	$	223,907	$	278,224	(1)
Bank borrowings		120,000		120,000	(2)		96,500		96,500	(2)
Senior unsecured notes, net of debt issue costs		550,986		529,805	(3)		571,002		577,126	(3)
Accrued incentives and earn-outs		9,292		9,292	(4)		8,916		8,916	(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, 2018 and December 31, 2017 was 9.7% and 8.7%, respectively.

⁽²⁾ Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2018 and December 31, 2017 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, 2018, the discount rate used to value our future cash outflow of our senior unsecured notes was 5.00% for those maturing before year 2026 and 5.25% for those maturing at or beyond year 2026. At December 31, 2017, the discount rate used to value our future cash outflow of our senior unsecured notes was 4.10% for those maturing before year 2026 and 4.30% for those maturing at or beyond year 2026.

⁽⁴⁾ Our accrued incentives and earn-outs are classified as Level 3. We estimated the fair value of the accrued incentives and 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. The discount rate used to value our accrued incentives and earn-outs was 6.0% at September 30, 2018 and 6.2% at December 31, 2017.

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General (Details)	3 Months Ended	9 Months Ended
	Jun. 30, 2018 USD ($)	Sep. 30, 2018 USD ($) segment	Sep. 30, 2017 item
General
Number of operating segments | segment		1
Provision for federal or state income taxes		$ 0
Number of beds damaged | item			170
Gross value of damaged property		2,021,000
Carrying value of damaged property		1,146,000
Insurance proceeds	$ 2,619,000	$ 2,619,000

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Real Estate Investments - Owned Properties (Details) - Real Estate Investment $ in Thousands	9 Months Ended
	Sep. 30, 2018 USD ($) state item property $ / item
Real Estate Investments
Gross Investment | $	$ 1,414,267
Percentage of Investment	100.00%
Number of properties | property	177
Number of states | state	28
Number of operators	29
Operating leases
Number of ways to compute annual rent increases	4
Minimum
Operating leases
Initial lease term	10 years
Specified annual increase over the prior year's rent (as a percent)	2.00%
Maximum
Operating leases
Initial lease term	15 years
Specified annual increase over the prior year's rent (as a percent)	3.00%
SNF Beds
Real Estate Investments
Number of beds/units	9,037
ALF Units
Real Estate Investments
Number of beds/units	6,146
ALF
Real Estate Investments
Gross Investment | $	$ 802,484
Percentage of Investment	56.80%
Number of properties | property	103
Investment per Bed/Unit | $ / item	136.36
ALF | ALF Units
Real Estate Investments
Number of beds/units	5,885
SNF
Real Estate Investments
Gross Investment | $	$ 569,141
Percentage of Investment	40.20%
Number of properties | property	73
Investment per Bed/Unit | $ / item	62.00
SNF | SNF Beds
Real Estate Investments
Number of beds/units	8,919
SNF | ALF Units
Real Estate Investments
Number of beds/units	261
Properties under Development
Real Estate Investments
Gross Investment | $	$ 31,602
Percentage of Investment	2.20%
Properties under Development | Developments
Real Estate Investments
Number of developments	3
Properties under Development | SNF Beds | Developments
Real Estate Investments
Number of beds/units under development	143
Properties under Development | Combination ALF and MC community | Developments
Real Estate Investments
Number of beds/units under development	78
Properties under Development | Combination ALF, MC and ILF community | Developments
Real Estate Investments
Number of beds/units under development	110
Other
Real Estate Investments
Gross Investment | $	$ 11,040
Percentage of Investment	0.80%
Number of properties | property	1
Number of parcels of land	3
Other | SNF Beds
Real Estate Investments
Number of beds/units	118
Hospital
Real Estate Investments
Number of properties | property	1

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Real Estate Investments - Acquisitions (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018 USD ($) item	Jun. 30, 2018 USD ($) item	Sep. 30, 2018 USD ($) item property	Sep. 30, 2017 USD ($) item property	Dec. 31, 2017 USD ($)
Real estate investments
Investment Commitment	$ 192,932		$ 192,932
Non-controlling interests	7,451		7,451		$ 3,488
2018 Acquisitions
Real estate investments
Purchase Price			40,295
Transaction Costs			113
Total Acquisition Costs			$ 40,408
Number of properties acquired | property			3
Number of beds/units acquired | item			177
Economic interest in joint venture			88.00%
2018 Acquisitions | ALF
Real estate investments
Purchase Price			$ 39,600
Transaction Costs			65
Total Acquisition Costs			$ 39,665
Number of properties acquired | property			3
Number of beds/units acquired | item			177
2018 Acquisitions | ILF | 89-unit ILF
Real estate investments
Purchase Price	$ 14,400
Number of units under development | item	89
Investment Commitment	$ 11,543		$ 11,543
Non-controlling interests	$ 2,857		$ 2,857
2018 Acquisitions | MC
Real estate investments
Number of properties acquired | property			2
2018 Acquisitions | ALF and MC | 78-unit ALF/MC
Real estate investments
Purchase Price		$ 18,108
Number of units under development | item		78
Investment Commitment		$ 17,027
Non-controlling interests		$ 1,081
2018 Acquisitions | Land
Real estate investments
Purchase Price			$ 695
Transaction Costs			48
Total Acquisition Costs			$ 743
2017 Acquisitions
Real estate investments
Purchase Price				$ 54,463
Transaction Costs				341
Total Acquisition Costs				$ 54,804
Number of properties acquired | property				3
Number of beds/units acquired | item				240
2017 Acquisitions | ALF
Real estate investments
Purchase Price				$ 54,463
Transaction Costs				341
Total Acquisition Costs				$ 54,804
Number of properties acquired | property				3
Number of beds/units acquired | item				240

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Real Estate Investments - Development and Improvement Projects (Details) - USD ($)	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Real estate investments
Invested in projects	$ 24,608,000
Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	25,717,000	$ 13,939,000
Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	2,063,000	2,308,000
ALF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	19,251,000	10,366,000
ALF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	1,131,000	951,000
SNF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	6,466,000	3,573,000
SNF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	500,000	$ 1,357,000
Other | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	$ 432,000

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Real Estate Investments - Development and Improvement Projects (Details) - MC Units - Developments - Real Estate Development Commitments - Real Estate Investment Completed Projects - Illinois $ in Thousands	9 Months Ended
	Sep. 30, 2018 USD ($) item property
Completed development and improvement projects
Number of Properties | property	1
Number of Beds/Units | item	66
Total Investment | $	$ 13,974

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Real Estate Investments - Properties held-for-sale (Details)	1 Months Ended	3 Months Ended	9 Months Ended
	Oct. 31, 2018 USD ($) item	Sep. 30, 2018 USD ($) $ / item property	Sep. 30, 2018 USD ($) $ / item property	Sep. 30, 2017 USD ($)	Dec. 31, 2017 USD ($)
Real estate investments
Accumulated depreciation		$ 304,337,000	$ 304,337,000		$ 304,117,000
Gain on sale of real estate, net		$ 14,353,000	$ 62,698,000	$ 5,054,000
Properties held-for-sale
Real estate investments
Number of properties | property		2	2
Gross Investment		$ 8,243,000	$ 8,243,000
Accumulated depreciation		$ 2,887,000	$ 2,887,000
Number of beds/units | $ / item		200	200
SNF | Florida | Subsequent Event
Real estate investments
Number of beds or units in property sold | item	60
Sales price	$ 5,000,000
Gain on sale of real estate, net	$ 3,400,000
SNF | Properties held-for-sale | Florida
Real estate investments
Number of properties | property		1	1
Gross Investment		$ 2,497,000	$ 2,497,000
Accumulated depreciation		$ 971,000	$ 971,000
Number of beds/units | $ / item		60	60
ILF | Properties held-for-sale | Texas
Real estate investments
Number of properties | property		1	1
Gross Investment		$ 5,746,000	$ 5,746,000
Accumulated depreciation		$ 1,916,000	$ 1,916,000
Number of beds/units | $ / item		140	140

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Real Estate Investments - Properties sold (Details) $ in Thousands	3 Months Ended	9 Months Ended		12 Months Ended
	Sep. 30, 2018 USD ($)	Sep. 30, 2018 USD ($) item property	Sep. 30, 2017 USD ($)	Dec. 31, 2017 USD ($) item property
Disposals and other
Carrying value	$ 1,107,043	$ 1,107,043		$ 1,086,089
Net gain	14,353	$ 62,698	$ 5,054
Properties sold
Disposals and other
Number of properties sold | property		8		4
Number of beds or units in property sold | item		605		175
Sales price		$ 85,375		$ 14,250
Carrying value	19,970	19,970		8,726
Net gain		$ 62,698		$ 5,054
ALF | Ohio and Pennsylvania | Properties sold
Disposals and other
Number of properties sold | property		6
Number of beds or units in property sold | item		320
Sales price		$ 67,500
Carrying value	16,352	16,352
Net gain		48,445
ALF | Kansas | Properties sold
Disposals and other
Sales price		350
Carrying value	346	$ 346
ALF | Indiana and Iowa | Properties sold
Disposals and other
Number of properties sold | property				4
Number of beds or units in property sold | item				175
Sales price				$ 14,250
Carrying value				8,726
Net gain				$ 5,054
SNF | Alabama | Properties sold
Disposals and other
Number of properties sold | property		2
Number of beds or units in property sold | item		285
Sales price		$ 17,525
Carrying value	$ 3,272	3,272
Net gain		$ 14,253

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Real Estate Investments - Mortgage Loan Activity (Details) - Mortgage Loans $ in Thousands	9 Months Ended
	Sep. 30, 2018 USD ($) loan state item property $ / item	Sep. 30, 2017 USD ($)
Mortgage Loans
Gross Investment	$ 245,053
Percentage of Investment	100.00%
Number of Loans | loan	4
Number of properties | property	22
Investment per Bed/Unit | $ / item	84.73
Specified basis points for annual increase in interest rate (as a percent)	2.25%
General amortization schedule of mortgage loans	30 years
Originations and fundings under mortgage loans receivable	$ 20,530	$ 9,333
Pay-offs received	(1,086)	(16,665)
Scheduled principal payments received	(550)	(686)
Net (decrease) increase in mortgage loans receivable	$ 18,894	$ (8,018)
SNF
Mortgage Loans
Number of states | state	1
Number of operators | state	1
Mortgage loans with 9.50% Interest Maturing 2043 | SNF
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.50%
Gross Investment	$ 186,495
Percentage of Investment	76.10%
Number of Loans | loan	1
Number of properties | property	15
Investment per Bed/Unit | $ / item	91.91
Mortgage loans with 9.20% Interest Maturing 2045 | SNF
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.20%
Gross Investment	$ 33,028
Percentage of Investment	13.50%
Number of Loans | loan	1
Number of properties | property	4
Investment per Bed/Unit | $ / item	65.92
Mortgage loans with 9.40% Interest Maturing 2045 | SNF
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.40%
Gross Investment	$ 14,797
Percentage of Investment	6.00%
Number of Loans | loan	1
Number of properties | property	1
Investment per Bed/Unit | $ / item	94.25
Mortgages With 9.50 Percent Interest Maturing 2020 | SNF
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.50%
Gross Investment	$ 10,733
Percentage of Investment	4.40%
Number of Loans | loan	1
Number of properties | property	2
Investment per Bed/Unit | $ / item	52.36
SNF Beds
Mortgage Loans
Number of beds/units | item	2,892
SNF Beds | Mortgage loans with 9.50% Interest Maturing 2043 | SNF
Mortgage Loans
Number of beds/units | item	2,029
SNF Beds | Mortgage loans with 9.20% Interest Maturing 2045 | SNF
Mortgage Loans
Number of beds/units | item	501
SNF Beds | Mortgage loans with 9.40% Interest Maturing 2045 | SNF
Mortgage Loans
Number of beds/units | item	157
SNF Beds | Mortgages With 9.50 Percent Interest Maturing 2020 | SNF
Mortgage Loans
Number of beds/units | item	205
Michigan | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF
Mortgage Loans
Interest rate for mortgage loan (as a percent)	8.70%
Specified basis points for annual increase in interest rate (as a percent)	2.25%
General amortization schedule of mortgage loans	5 years
Additions to mortgage loans	$ 7,400
Michigan | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.41%
Specified basis points for annual increase in interest rate (as a percent)	2.25%
General amortization schedule of mortgage loans	5 years
Additions to mortgage loans	$ 7,125
Michigan | SNF Beds | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF
Mortgage Loans
Number of beds/units | item	112
Michigan | SNF Beds | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF
Mortgage Loans
Number of beds/units | item	126

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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2018 USD ($) item	Sep. 30, 2017 USD ($)	Sep. 30, 2018 USD ($) loan item	Sep. 30, 2017 USD ($)	Dec. 31, 2017 USD ($)
Investment in Unconsolidated Joint Ventures
Carrying Value	$ 30,511		$ 30,511		$ 29,898
Capital Contribution			24,608
Income Recognized	$ 746	$ 615	2,103	$ 1,635
Cash Interest Received			$ 1,727	1,236
Joint Venture
Investment in Unconsolidated Joint Ventures
Number of Loans | loan			2
Number of beds/units | item	811		811
Investment commitment			$ 31,950
Carrying Value	$ 30,511		30,511
Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions			580	3,847
Income Recognized			2,103	1,635
Cash Interest Received			$ 1,727	1,236
Combination ALF, MC and ILF community | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
Currently paid in cash as a percentage			7.00%
Number of beds/units | item	585		585
Investment commitment			$ 25,650
Carrying Value	$ 23,942		23,942
Capital Contributions			580	1,100
Income Recognized			1,490	1,134
Cash Interest Received			1,436	1,020
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized			383	383
Cash Interest Received			$ 291	216
Combination ALF/IL/MC | Mezzanine Loans | ADC Arrangement
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
Currently paid in cash as a percentage			12.00%
Number of beds/units | item	99		99
Investment commitment			$ 2,900
Carrying Value	$ 3,169		3,169
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions				2,747
Income Recognized			230	$ 118
Amount withheld for interest			$ 257		$ 653
Combination UDP-ALF/MC | Mezzanine Loans | ADC Arrangement
Investment in Unconsolidated Joint Ventures
Preferred return percentage			15.00%
Currently paid in cash as a percentage			10.00%
Number of beds/units | item	127		127
Investment commitment			$ 3,400
Carrying Value	$ 3,400		$ 3,400

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Notes Receivable - Components (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Notes Receivable
Notes receivable reserve	$ (128)	$ (166)
Total	12,642	16,402
Mezzanine loans
Notes Receivable
Notes receivable, gross	9,869	13,700
Other loans
Notes Receivable
Notes receivable, gross	$ 2,901	$ 2,868

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Notes Receivable - Notes Receivable Activity (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Notes receivable activities
Advances under notes receivable	$ 50
Principal payments received under notes receivable	(3,848)	$ (25)
Total	$ (3,798)	$ (25)

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Lease Incentives (Details)	1 Months Ended	3 Months Ended		9 Months Ended
	Oct. 31, 2018 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2017 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2017 USD ($) property	Dec. 31, 2017 USD ($)
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Non-contingent lease incentives		$ 14,883,000		$ 14,883,000		$ 14,904,000
Contingent lease incentives		6,219,000		6,219,000		6,577,000
Total		21,102,000		21,102,000		21,481,000
Non-contingent lease incentives, funding				1,272,000	$ 5,713,000
Total funding				1,272,000	5,713,000
Non-contingent lease incentives, Amortization				(1,292,000)	(1,181,000)
Contingent lease incentives, Amortization				(359,000)	(500,000)
Total amortization				(1,651,000)	(1,681,000)
Non-contingent lease incentives, Write off					(1,205,000)
Contingent lease incentives, Write off					(2,634,000)
Total Write off					$ (3,839,000)
Number of properties with lease incentives write-offs | property					2
Fair value of earn-out liability		9,292,000		9,292,000		$ 8,916,000
Operating Leases, Income Statement, Lease Revenue		$ 34,211,000	$ 33,233,000	$ 102,646,000	$ 103,533,000
Master lease agreement | Subsequent Event | Senior Lifestyle
Collaborative Arrangements and Non-collaborative Arrangement Transactions [Line Items]
Contingent lease incentives, Write off	$ (6,219,000)
Earn-out liability, Write off	9,292,000
Operating Leases, Income Statement, Lease Revenue	$ 3,000,000

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Debt Obligations - Bank Borrowings Terms (Details) - Bank Borrowings - USD ($)	9 Months Ended
	Sep. 30, 2018	Dec. 31, 2017
Debt Obligations
Maximum available under facility	$ 1,000,000,000	$ 600,000,000
Additional extension period option	1 year
Unused commitment fee (as a percent)	0.20%
LIBOR
Debt Obligations
Basis spread over base rate (as a percent)	1.15%

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Debt Obligations - Senior Unsecured Notes, Net (Details)	Dec. 31, 2017 USD ($)
Private Shelf Agreement Prudential | Senior Unsecured Notes
Debt Obligations
Maximum available under facility	$ 337,500,000

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Debt Obligations - By Component (Details) - USD ($)	1 Months Ended	9 Months Ended
	Oct. 31, 2018	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Debt Obligations
Outstanding Balance		$ 670,986,000		$ 667,502,000
Available for borrowing		559,833,000		567,167,000
Proceeds from debt			$ 100,000,000
Payments on debt		$ 93,166,000	$ 135,767,000
Weighted Average
Debt Obligations
Applicable Interest Rate (as a percent)		4.29%
Bank Borrowings
Debt Obligations
Outstanding Balance		$ 120,000,000		96,500,000
Available for borrowing		$ 480,000,000		503,500,000
Bank Borrowings | Weighted Average
Debt Obligations
Applicable Interest Rate (as a percent)		3.38%
Senior Unsecured Notes
Debt Obligations
Outstanding Balance		$ 550,986,000		571,002,000
Available for borrowing		$ 79,833,000		$ 63,667,000
Senior Unsecured Notes | Weighted Average
Debt Obligations
Applicable Interest Rate (as a percent)		4.49%
Subsequent Event | Bank Borrowings
Debt Obligations
Outstanding Balance	$ 100,000,000
Available for borrowing	500,000,000
Payments on debt	$ 20,000,000

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Debt Obligations - Borrowings and Repayments (Details) - USD ($) $ in Thousands	9 Months Ended		12 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Borrowings
Bank borrowings	$ 96,500	$ 64,500
Proceeds from issuance of senior unsecured notes		100,000
Total	96,500	164,500
Repayments
Repayment of bank borrowings	(73,000)	(116,600)
Principal payments on senior unsecured notes	(20,166)	(19,167)
Total	$ (93,166)	$ (135,767)
Private Shelf Agreement Prudential | Senior Unsecured Notes
Repayments
Debt instrument term			15 years
Face amount of debt			$ 100,000
Fixed interest rate (as a percent)			4.50%

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Equity - Rollforward (Details) - USD ($) $ in Thousands	3 Months Ended							9 Months Ended
	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Sep. 30, 2018	Sep. 30, 2017
Equity activity
Balance at beginning of period	$ 805,696	$ 756,863	$ 758,648	$ 756,635	$ 757,167	$ 753,140	$ 740,048	$ 758,648	$ 740,048
Common Stock cash distributions	(22,600)	(22,590)	(22,578)	(22,555)	(22,554)	(22,558)	(22,552)
Proceeds from common stock issued, net of issuance costs	929						14,529
Stock-based compensation expense	1,487	1,521	1,376	1,282	1,283	1,425	1,259
Net income	34,937	68,936	20,359	19,834	20,616	25,377	21,513	124,232	67,506
Non-controlling interests contribution	2,882	1,081		3,488
Non-controlling interest distributions	(17)
Other	(21)	(107)	(1,065)	(22)		(296)	(1,651)
Balance at end of period	823,293	805,696	756,863	758,648	756,635	757,167	753,140	823,293	756,635
Parent
Equity activity
Balance at beginning of period	801,127	753,375	755,160	756,635	757,167	753,140	740,048	755,160	740,048
Common Stock cash distributions	(22,600)	(22,590)	(22,578)	(22,555)	(22,554)	(22,558)	(22,552)
Proceeds from common stock issued, net of issuance costs	929						14,529
Stock-based compensation expense	1,487	1,521	1,376	1,282	1,283	1,425	1,259
Net income	34,920	68,936	20,359	19,834	20,616	25,377	21,513
Other	(21)	(107)	(1,065)	(22)		(296)	(1,651)
Balance at end of period	815,842	801,127	753,375	755,160	756,635	757,167	753,140	815,842	756,635
Common Stock
Equity activity
Balance at beginning of period	396	396	396	396	396	396	392	396	392
Proceeds from common stock issued, net of issuance costs	1						3
Balance at end of period	397	396	396	396	396	396	396	397	396
Capital in Excess of Par Value
Equity activity
Balance at beginning of period	858,832	857,426	856,992	855,746	854,340	853,132	839,005	856,992	839,005
Proceeds from common stock issued, net of issuance costs	928						14,526
Stock-based compensation expense	1,487	1,521	1,376	1,282	1,283	1,425	1,259
Other	(21)	(107)	(1,065)	(22)		(296)	(1,651)
Balance at end of period	861,226	858,832	857,426	856,992	855,746	854,340	853,132	861,226	855,746
Cumulative Net Income
Equity activity
Balance at beginning of period	1,190,078	1,121,142	1,100,783	1,080,949	1,060,333	1,034,956	1,013,443	1,100,783	1,013,443
Net income	34,920	68,936	20,359	19,834	20,616	25,377	21,513
Balance at end of period	1,224,998	1,190,078	1,121,142	1,100,783	1,080,949	1,060,333	1,034,956	1,224,998	1,080,949
Cumulative Distributions
Equity activity
Balance at beginning of period	(1,248,179)	(1,225,589)	(1,203,011)	(1,180,456)	(1,157,902)	(1,135,344)	(1,112,792)	(1,203,011)	(1,112,792)
Common Stock cash distributions	(22,600)	(22,590)	(22,578)	(22,555)	(22,554)	(22,558)	(22,552)
Balance at end of period	(1,270,779)	(1,248,179)	(1,225,589)	(1,203,011)	$ (1,180,456)	$ (1,157,902)	$ (1,135,344)	(1,270,779)	$ (1,180,456)
Non-controlling Interests
Equity activity
Balance at beginning of period	4,569	3,488	3,488					3,488
Net income	17
Non-controlling interests contribution	2,882	1,081		3,488
Non-controlling interest distributions	(17)
Balance at end of period	$ 7,451	$ 4,569	$ 3,488	$ 3,488				$ 7,451

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Equity - Class of Stock Disclosures - Common Stock and Shelf Registrations (Details) - USD ($)	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Equity
Proceeds from common stock issued, net of issuance costs	$ 1,005,000	$ 14,578,000
Common Stock
Equity
Number of shares repurchased	31,326	41,592
Common Stock | Equity Distribution Agreements
Equity
Maximum offering capacity under shelf registration statement	$ 200,000,000
Shares common stock sold	22,244	312,881
Proceeds from common stock issued, net of issuance costs	$ 1,005,000	$ 14,578,000
Compensation paid to sales agents	18,000	260,000
Reclassification of accumulated costs to additional paid in capital	76,000	49,000
Amount available under effective shelf registration statement	$ 184,139,000	$ 185,162,000

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Equity - Noncontrolling Interest (Details)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2018 USD ($) item	Jun. 30, 2018 USD ($) item	Sep. 30, 2018 USD ($) item	Sep. 30, 2017 USD ($) item	Dec. 31, 2017 USD ($) item
Noncontrolling interest
Non-controlling interests	$ 7,451,000		$ 7,451,000		$ 3,488,000
Investment Commitment	192,932,000		192,932,000
Non-controlling interests	7,451,000		7,451,000		3,488,000
Partnership
Noncontrolling interest
Gross Consolidated Assets	38,168,000		38,168,000
Non-controlling interests	7,451,000		7,451,000
Non-controlling interests	7,451,000		$ 7,451,000
2017 Acquisitions
Noncontrolling interest
Number of beds/units acquired | item				240
Purchase Price				$ 54,463,000
2017 Acquisitions | ALF
Noncontrolling interest
Number of beds/units acquired | item				240
Purchase Price				$ 54,463,000
2018 Acquisitions
Noncontrolling interest
Number of beds/units acquired | item			177
Purchase Price			$ 40,295,000
Economic interest in joint venture			88.00%
2018 Acquisitions | ALF
Noncontrolling interest
Number of beds/units acquired | item			177
Purchase Price			$ 39,600,000
Oregon | 2018 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets	2,881,000		2,881,000
Non-controlling interests	1,081,000		1,081,000
Non-controlling interests	1,081,000		1,081,000
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets	14,400,000		14,400,000
Non-controlling interests	2,857,000		2,857,000
Non-controlling interests	2,857,000		2,857,000
Wisconsin | 2017 Acquisitions | Partnership | Properties under Development
Noncontrolling interest
Gross Consolidated Assets	10,316,000		10,316,000
Non-controlling interests	2,272,000		2,272,000
Non-controlling interests	2,272,000		2,272,000
South Carolina | 2017 Acquisitions | Partnership | ALF
Noncontrolling interest
Gross Consolidated Assets	10,571,000		10,571,000
Non-controlling interests	1,241,000		1,241,000
Non-controlling interests	1,241,000		1,241,000
110-unit ILF/ALF/MC | Wisconsin | 2017 Acquisitions | ALF/ILF/MC
Noncontrolling interest
Investment Commitment					$ 22,471
Number of beds/units under development | item					110
89-unit ILF | 2018 Acquisitions | ILF
Noncontrolling interest
Non-controlling interests	2,857,000		2,857,000
Purchase Price	14,400,000
Investment Commitment	$ 11,543,000		11,543,000
Number of beds/units under development | item	89
Non-controlling interests	$ 2,857,000		$ 2,857,000
78-unit ALF/MC | 2018 Acquisitions | ALF and MC
Noncontrolling interest
Non-controlling interests		$ 1,081,000
Purchase Price		18,108,000
Investment Commitment		$ 17,027,000
Number of beds/units under development | item		78
Non-controlling interests		$ 1,081,000

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Equity - Class of Stock Disclosures - Dividends and AOCI (Details) - USD ($) $ / shares in Units, $ in Thousands	1 Months Ended																			3 Months Ended							9 Months Ended
	Oct. 31, 2018	Sep. 30, 2018	Aug. 31, 2018	Jul. 31, 2018	Jun. 30, 2018	May 31, 2018	Apr. 30, 2018	Mar. 31, 2018	Feb. 28, 2018	Jan. 31, 2018	Sep. 30, 2017	Aug. 31, 2017	Jul. 31, 2017	Jun. 30, 2017	May 31, 2017	Apr. 30, 2017	Mar. 31, 2017	Feb. 28, 2017	Jan. 31, 2017	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Sep. 30, 2018	Sep. 30, 2017
Dividend Distributions
Paid																											$ 67,768	$ 67,664
Dividends declared and paid per common share (in dollars per share)																				$ 0.57				$ 0.57			$ 1.71	$ 1.71
Dividends paid per common share (in dollars per share)		$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57
Common Stock
Dividend Distributions
Declared		$ 67,768									$ 67,664									$ 67,768				$ 67,664			$ 67,768	$ 67,664
Paid																											$ 67,768	$ 67,664
Common Stock | Subsequent Event | Dividend Payable, October 2018
Dividend Distributions
Dividends declared and paid per common share (in dollars per share)	$ 0.19
Common Stock | Subsequent Event | Dividend Payable, November 2018
Dividend Distributions
Dividends declared and paid per common share (in dollars per share)	0.19
Common Stock | Subsequent Event | Dividend Payable, December 2018 28, 2018
Dividend Distributions
Dividends declared and paid per common share (in dollars per share)	$ 0.19

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Equity - Options (Details) - USD ($)	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Stock Based Compensation Plans
Options exercised (in shares)	5,000	8,334
Weighted Average Exercise Price (in dollars per share)	$ 24.65	$ 24.31
Value of options exercised	$ 123,000	$ 202,566
Market value of options on the date of exercise	$ 205,000	$ 410,797
Options outstanding at end of the period (in shares)	20,000
Options exercisable at end of the period (in shares)	20,000
2015 Plan
Stock Based Compensation Plans
Total shares reserved for issuance of common stock related to the conversion of preferred stock	1,400,000
Stock options granted (in shares)	0	0
Stock options
Stock Based Compensation Plans
Compensation expense related to share-based award	$ 0	$ 2,000

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Equity - Restricted Stock and performance-based stock units (Details) - Restricted stock and performance-based stock units - shares	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	244,181	210,573
Granted (in shares)	156,718	143,057
Vested (in shares)	(75,149)	(84,363)
Canceled (in shares)		(24,106)
Outstanding at the end of the year (in shares)	325,750	245,161

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Equity - Restricted Stock (Details) - Restricted stock and performance-based stock units - USD ($)	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Restricted stock awards
Number of shares granted	156,718	143,057
Compensation expense related to share-based award	$ 4,384,000	$ 3,965,000
Nonvested awards
Remaining compensation expense	8,184,000
2018
Nonvested awards
Remaining compensation expense	1,486,000
2019
Nonvested awards
Remaining compensation expense	4,250,000
2020
Nonvested awards
Remaining compensation expense	2,210,000
2021
Nonvested awards
Remaining compensation expense	$ 238,000
Grant Date Price $38.18 | Three year vesting
Restricted stock awards
Number of shares granted	81,819
Granted (in dollars per share)	$ 38.18
Vesting period	3 years
Grant Date Price $38.18 | TSR Targets
Restricted stock awards
Number of shares granted	66,171
Granted (in dollars per share)	$ 38.18
Grant Date Price $41.25 | One year Vesting
Restricted stock awards
Number of shares granted	8,728
Granted (in dollars per share)	$ 41.25
Vesting period	1 year
Grant Date Price $45.76 | Three year vesting
Restricted stock awards
Number of shares granted		74,760
Granted (in dollars per share)		$ 45.76
Vesting period		3 years
Grant Date Price $45.76 | TSR Targets
Restricted stock awards
Number of shares granted		57,881
Granted (in dollars per share)		$ 45.76
Vesting period		4 years
Grant Date Price $45.76 | Accelerated TSR Targets
Restricted stock awards
Vesting period		3 years
Grant Date Price $48.55 | One year Vesting
Restricted stock awards
Number of shares granted		7,416
Granted (in dollars per share)		$ 48.55
Vesting period		1 year
Grant Date Price $50.55 [ Member] | Three year vesting
Restricted stock awards
Number of shares granted		3,000
Granted (in dollars per share)		$ 50.55
Vesting period		3 years

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Commitments and Contingencies - Summary of Commitments (Details) - USD ($)	1 Months Ended	3 Months Ended		9 Months Ended
	Oct. 31, 2018	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Commitments and Contingencies
Investment Commitment		$ 192,932,000		$ 192,932,000
2018 Funding				24,608,000
Commitments funded		82,317,000		82,317,000
Remaining commitment		110,615,000		110,615,000
Contingent lease incentives, Write off					$ (2,634,000)
Fair value of earn-out liability		9,292,000		9,292,000		$ 8,916,000
Operating Leases, Income Statement, Lease Revenue		34,211,000	$ 33,233,000	102,646,000	$ 103,533,000
Subsequent Event | Master lease agreement | Senior Lifestyle
Commitments and Contingencies
Contingent lease incentives, Write off	$ (6,219,000)
Earn-out liability, Write off	9,292,000
Operating Leases, Income Statement, Lease Revenue	$ 3,000,000
Real estate properties
Commitments and Contingencies
Investment Commitment		77,882,000		77,882,000
2018 Funding				17,973,000
Commitments funded		35,417,000		35,417,000
Remaining commitment		42,465,000		42,465,000
Accrued incentives and earn-out liabilities
Commitments and Contingencies
Investment Commitment		23,000,000		23,000,000
Remaining commitment		23,000,000		23,000,000
Mortgage loans
Commitments and Contingencies
Investment Commitment		65,700,000		65,700,000
2018 Funding				6,005,000
Commitments funded		23,256,000		23,256,000
Remaining commitment		42,444,000		42,444,000
Commitments To Expand and Renovate Properties
Commitments and Contingencies
Investment Commitment		39,700,000		39,700,000
Contingent Funding Commitments
Commitments and Contingencies
Investment Commitment		26,000,000		26,000,000
Joint venture investments
Commitments and Contingencies
Investment Commitment		25,650,000		25,650,000
2018 Funding				580,000
Commitments funded		23,594,000		23,594,000
Remaining commitment		2,056,000		2,056,000
Notes receivable
Commitments and Contingencies
Investment Commitment		700,000		700,000
2018 Funding				50,000
Commitments funded		50,000		50,000
Remaining commitment		$ 650,000		$ 650,000

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Major Operators (Details)	9 Months Ended
	Sep. 30, 2018 property item
Major Operators
Number of major operators	4
Prestige Healthcare | SNF
Major Operators
Number of beds | property	24
Number of beds/units	3,010
Prestige Healthcare | ALF
Major Operators
Number of beds/units	93
Senior Lifestyle Corporation | ALF
Major Operators
Number of beds | property	23
Number of beds/units	1,457
Brookdale Senior Living | ALF
Major Operators
Number of beds | property	37
Number of beds/units	1,702
Senior Care Centers | SNF
Major Operators
Number of beds | property	11
Number of beds/units	1,444
Operator Concentration Risk | SNF
Major Operators
Number of beds | property	35
Number of beds/units	4,454
Operator Concentration Risk | ALF
Major Operators
Number of beds | property	60
Number of beds/units	3,252
Total Revenue | Operator Concentration Risk
Major Operators
Concentration risk (as a percent)	49.80%
Total Revenue | Operator Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)	18.00%
Total Revenue | Operator Concentration Risk | Senior Lifestyle Corporation
Major Operators
Concentration risk (as a percent)	11.90%
Total Revenue | Operator Concentration Risk | Brookdale Senior Living
Major Operators
Concentration risk (as a percent)	10.10%
Total Revenue | Operator Concentration Risk | Senior Care Centers
Major Operators
Concentration risk (as a percent)	9.80%
Total Assets | Operator Concentration Risk
Major Operators
Concentration risk (as a percent)	38.50%
Total Assets | Credit Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)	16.40%
Total Assets | Credit Concentration Risk | Senior Lifestyle Corporation
Major Operators
Concentration risk (as a percent)	10.40%
Total Assets | Credit Concentration Risk | Brookdale Senior Living
Major Operators
Concentration risk (as a percent)	4.60%
Total Assets | Credit Concentration Risk | Senior Care Centers
Major Operators
Concentration risk (as a percent)	7.10%

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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, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Sep. 30, 2018	Sep. 30, 2017
Net income	$ 34,937	$ 68,936	$ 20,359	$ 19,834	$ 20,616	$ 25,377	$ 21,513	$ 124,232	$ 67,506
Less net income allocated to non-controlling interests	(17)							(17)
Less net income allocated to participating securities:
Nonforfeitable dividends on participating securities	(89)				(80)			(268)	(269)
Income allocated to participating securities	(49)							(236)	(12)
Total net income allocated to participating securities	(138)				(80)			(504)	(281)
Net income available to common stockholders	34,782				20,536			123,711	67,225
Effect of dilutive securities:
Participating securities	138				80			504	281
Net income for diluted net income per share	$ 34,920				$ 20,616			$ 124,215	$ 67,506
Reconciliation of shares
Shares for basic net income per share	39,487				39,428			39,470	39,403
Effect of dilutive securities: (Shares)
Total effect of dilutive securities (in shares)	378				320			375	335
Shares for diluted net income per share	39,865				39,748			39,845	39,738
Basic (in dollars per share)	$ 0.88				$ 0.52			$ 3.13	$ 1.71
Diluted (in dollars per share)	$ 0.88				$ 0.52			$ 3.12	$ 1.70
Stock options
Effect of dilutive securities: (Shares)
Stock options and performance-based stock units (in shares)	4				9			3	11
Performance-based stock units
Effect of dilutive securities: (Shares)
Stock options and performance-based stock units (in shares)	217				170			217	170
Participating Securities
Effect of dilutive securities: (Shares)
Participating securities	157				141			155	154

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Fair Value Measurements (Details) $ in Thousands	Sep. 30, 2018 USD ($) item	Dec. 31, 2017 USD ($) item
Fair value measurements
Mortgage loans receivable	$ 242,609	$ 223,907
Senior unsecured notes, net of debt issue costs	550,986	571,002
Accrued incentives and earn-outs	$ 9,292	$ 8,916
Level 3 | Senior Unsecured Notes maturing before 2026 | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	0.05	4.10
Level 3 | Senior Unsecured Notes maturing 2026 and after | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	5.25	4.30
Level 3 | Accrued incentives and earn-out liabilities | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	0.06	6.2
Level 3 | Mortgage Loans Receivable | Discount Rate
Fair value measurements
Future cash inflows discount rate (as a percent) | item	9.7	8.70
Carrying Value
Fair value measurements
Mortgage loans receivable	$ 242,609	$ 223,907
Bank borrowings	120,000	96,500
Senior unsecured notes, net of debt issue costs	550,986	571,002
Accrued incentives and earn-outs	9,292	8,916
Fair Value
Fair value measurements
Bank borrowings	120,000	96,500
Fair Value | Level 3
Fair value measurements
Mortgage loans receivable	274,698	278,224
Senior unsecured notes, net of debt issue costs	529,805	577,126
Accrued incentives and earn-outs	$ 9,292	$ 8,916

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Subsequent Events - Real Estate (Details)	1 Months Ended	3 Months Ended		9 Months Ended
	Oct. 31, 2018 USD ($) item $ / shares	Sep. 30, 2018 USD ($) $ / shares	Sep. 30, 2017 USD ($) $ / shares	Sep. 30, 2018 USD ($) $ / shares	Sep. 30, 2017 USD ($) $ / shares	Dec. 31, 2017 USD ($)
Real Estate Investments
Net gain		$ 14,353,000		$ 62,698,000	$ 5,054,000
Real property investments, net		1,107,043,000		1,107,043,000		$ 1,086,089,000
Contingent lease incentives, Write off					2,634,000
Operating Leases, Income Statement, Lease Revenue		34,211,000	$ 33,233,000	102,646,000	103,533,000
Payments on debt				20,166,000	$ 19,167,000
Outstanding Balance		670,986,000		670,986,000		667,502,000
Available for borrowing		$ 559,833,000		$ 559,833,000		567,167,000
Dividends declared and paid per common share (in dollars per share) | $ / shares		$ 0.57	$ 0.57	$ 1.71	$ 1.71
Florida | Subsequent Event | SNF
Real Estate Investments
Number of beds or units in property sold | item	60
Sales price	$ 5,000,000
Net gain	3,400,000
Real property investments, net	1,526,000
Bank Borrowings
Real Estate Investments
Outstanding Balance		$ 120,000,000		$ 120,000,000		96,500,000
Available for borrowing		$ 480,000,000		$ 480,000,000		$ 503,500,000
Bank Borrowings | Subsequent Event
Real Estate Investments
Payments on debt	20,000,000
Outstanding Balance	100,000,000
Available for borrowing	$ 500,000,000
Common Stock | Dividend Payable, October 2018 | Subsequent Event
Real Estate Investments
Dividends declared and paid per common share (in dollars per share) | $ / shares	$ 0.19
Common Stock | Dividend Payable, November 2018 | Subsequent Event
Real Estate Investments
Dividends declared and paid per common share (in dollars per share) | $ / shares	0.19
Common Stock | Dividend Payable, December 2018 28, 2018 | Subsequent Event
Real Estate Investments
Dividends declared and paid per common share (in dollars per share) | $ / shares	$ 0.19
Senior Lifestyle | Master lease agreement | Subsequent Event
Real Estate Investments
Contingent lease incentives, Write off	$ 6,219,000
Earn-out liability, Write off	9,292,000
Operating Leases, Income Statement, Lease Revenue	$ 3,000,000