10-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10‑K

(Mark One)
☒	ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES AND EXCHANGE ACT OF 1934
For the fiscal year ended December 31, 2018
OR
☐	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission file number: 1‑11314

LTC PROPERTIES, INC.

(Exact name of Registrant as specified in its charter)

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

2829 Townsgate Road, Suite 350

Westlake Village, California 91361

(Address of principal executive offices)

Registrant’s telephone number, including area code: (805) 981‑8655

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

Title of Each Class	Name of Each Exchange on Which Registered
Common stock, $.01 Par Value	New York Stock Exchange

Securities registered pursuant to Section 12(g) of the Act: NONE

Indicate by checkmark if the Registrant is a well‑known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☒  No ☐

Indicate by checkmark if the Registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes ☐  No ☒

Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒   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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S‑K is not contained herein, and will not be contained, to the best of the Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10‑K or any amendment to this Form 10‑K. ☒

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 the definitions of “large accelerated filer,” “accelerated filer,” and “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 Act). Yes ☐  No ☒

The aggregate market value of voting and non‑voting common equity held by non‑affiliates of the Registrant was approximately $1,667,067,000 as of June 30, 2018 (the last business day of the Registrant’s most recently completed second fiscal quarter).

The number of shares of common stock outstanding as of February 25, 2019 was 39,713,946.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the Registrant’s definitive proxy statement relating to its 2018 Annual Meeting of Stockholders are incorporated by reference into Part III of this Annual Report on Form 10‑K where indicated.

CAUTIONARY STATEMENT

This Annual Report on Form 10-K 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,” “could,” “would,” “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; our dependence on operators for revenue and cash flow; the bankruptcy, insolvency or financial deterioration of our lessees; potential limitations on our remedies when mortgage loans default; 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; 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 this report and in other information contained in this report and 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.

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LTC Properties, Inc.

Table of Contents

		Page
Part I
Item 1.	Business	4
Item 1A.	Risk Factors	13
Item 1B.	Unresolved Staff Comments	19
Item 2.	Properties	20
Item 3.	Legal Proceedings	21
Item 4.	Mine Safety Disclosures	21
Part II
Item 5.	Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities	22
Item 6.	Selected Financial Data	24
Item 7.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	25
Item 7A.	Quantitative and Qualitative Disclosures About Market Risk	39
Item 8.	Financial Statements	41
Item 9.	Changes in and Disagreements with Accountants on Accounting and Financial Disclosure	84
Item 9A.	Controls and Procedures	84
Item 9B.	Other Information	87
Part III
Item 10.	Directors, Executive Officers and Corporate Governance	87
Item 11.	Executive Compensation	87
Item 12.	Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters	87
Item 13.	Certain Relationships and Related Transactions, and Director Independence	87
Item 14.	Principal Accountant Fees and Services	87
Part IV
Item 15.	Exhibits and Financial Statement Schedules	88
Item 16.	Form 10-K Summary	89
SIGNATURES		90

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PART I

Item 1.  BUSINESS

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 through sale-leaseback transactions, mortgage financing, joint ventures and structured finance solutions including mezzanine lending. 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. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property type and form of investment.

We primarily invest in the following type of properties:

· Skilled nursing centers (“SNF”)provide restorative, rehabilitative and nursing care for people not requiring the more extensive and sophisticated treatment available at acute care hospitals. Many skilled nursing facilities provide ancillary services that include occupational, speech, physical, respiratory and IV therapies, as well as sub‑acute care services which are paid either by the patient, the patient’s family, private health insurance, or through the federal Medicare or state Medicaid programs.

· Assisted living communities (“ALF”)serve people who require assistance with activities of daily living, but do not require the constant supervision that skilled nursing facilities provide. Services are usually available 24 hours a day and include personal supervision and assistance with eating, bathing, grooming and administering medication. The facilities provide a combination of housing, supportive services, personalized assistance and health care designed to respond to individual needs.

· Independent living communities (“ILF”), also known as retirement communities or senior apartments, offer a sense of community and numerous levels of service, such as laundry, housekeeping, dining options/meal plans, exercise and wellness programs, transportation, social, cultural and recreational activities, on‑site security and emergency response programs. Many offer on‑site conveniences like beauty/barber shops, fitness facilities, game rooms, libraries and activity centers.

· Memory care communities (“MC”) offer specialized options for people with Alzheimer’s disease and other forms of dementia. Purpose built, free‑standing memory care facilities offer an attractive alternative for private‑pay residents affected by memory loss in comparison to other accommodations that typically have been provided within a secured unit of an assisted living or skilled nursing facility. These facilities offer dedicated care and specialized programming for various conditions relating to memory loss in a secured environment that is typically smaller in scale and more residential in nature than traditional assisted living facilities. Residents require a higher level of care and more assistance with activities of daily living than in assisted living facilities. Therefore, these facilities have staff available 24 hours a day to respond to the unique needs of their residents.

We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision making purposes. We include ALF, ILF, MC, and combinations thereof in the ALF property classification.

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Portfolio

The following table summarizes our real estate investment portfolio as of December 31, 2018 (dollar amounts in thousands):

					Twelve Months Ended
			Percentage		December 31, 2018				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Owned Properties	Investments		Investments		Income (1)		Income (2)		Revenues		Properties (3)	Beds (4)	Units (4)
Assisted Living (5)	$	804,021	48.2	%	$	66,305	$	—	41.4	%	103	—	5,885
Skilled Nursing		565,184	33.9	%		64,911		—	40.5	%	71	8,750	261
Under Development (6)		41,186	2.5	%		—		—	—	%	—	—	—
Other (7)		11,065	0.7	%		924		—	0.6	%	1	118	—
Total Owned Properties		1,421,456	85.3	%		132,140		—	82.5	%	175	8,868	6,146
Mortgage Loans
Skilled Nursing		245,386	14.7	%		—		28,143	17.5	%	22	2,892	—
Total Mortgage Loans		245,386	14.7	%		—		28,143	17.5	%	22	2,892	—
Total Portfolio	$	1,666,842	100.0	%	$	132,140	$	28,143	100.0	%	197	11,760	6,146

					Twelve Months Ended
			Percentage		December 31, 2018				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Summary of Properties by Type	Investments		Investments		Income (1)		Income (2)		Revenues		Properties (3)	Beds (4)	Units (4)
Skilled Nursing	$	810,570	48.6	%	$	64,911	$	28,143	58.0	%	93	11,642	261
Assisted Living (5)		804,021	48.2	%		66,305		—	41.4	%	103	—	5,885
Under Development (6)		41,186	2.5	%		—		—	—	%	—	—	—
Other (7)		11,065	0.7	%		924		—	0.6	%	1	118	—
Total Portfolio	$	1,666,842	100.0	%	$	132,140	$	28,143	100.0	%	197	11,760	6,146

(1) Excludes rental income from properties sold during 2018.

(2) Excludes interest income from mortgage loans paid off during 2018.

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

(4) See Item 2. Properties for discussion of bed/unit count.

(5) Includes ALF, ILF, MC, and combinations thereof.

(6) 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.

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

In addition to the information in the table above, see Item 2. Properties for more information about our portfolio.

As of December 31, 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.

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Owned Properties.  The following table summarizes our investment in owned properties at December 31, 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 (3)	Units (3)	Bed/Unit
Assisted Living (2)	$	804,021	56.5	%	103	—	5,885	$	136.62
Skilled Nursing		565,184	39.8	%	71	8,750	261	$	62.72
Under Development (4)		41,186	2.9	%	—	—	—		—
Other (5)		11,065	0.8	%	1	118	—		—
Total	$	1,421,456	100.0	%	175	8,868	6,146

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

(2) Includes ALF, ILF, MC, and combinations thereof.

(3) See Item 2. Properties for discussion of bed/unit count.

(4) 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.

(5) 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. 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 and that increase is 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 revenues in excess of base amounts; or

(iv) specific dollar increases.

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. Generally our leases provide for one or more of the following: security deposits, property tax impounds, and credit enhancements such as corporate or personal guarantees or letters of credit. In addition, our leases are typically structured as master leases and multiple master leases with one operator, and are generally cross defaulted. The following table summarizes the concentration of our top ten operators of owned properties for 2018 and percentage of rental revenue, excluding rental income from properties sold, for those operators for 2018 and 2017:

		Percent of
		Rental Revenue
Lessee	Property Type	2018		2017
Senior Lifestyle	ALF/ILF/MC/SNF	14.6	%	13.8	%
Brookdale Senior Living Communities, Inc.	ALF/ILF/MC	12.3	%	11.7	%
Senior Care Centers, LLC	ALF/ILF/MC/SNF	10.9	%	11.5	%
Preferred Care, Inc.	SNF/ALF/ILF	7.9	%	8.2	%
Fundamental Long Term Care Company	SNF/MC	6.3	%	6.1	%
Genesis Healthcare	SNF/ALF	6.2	%	6.2	%
Traditions Senior Management, Inc.	SNF/ALF/ILF	6.0	%	5.2	%
Carespring Healthcare Management, LLC	SNF/ALF/ILF	5.8	%	5.6	%
Juniper Communities, LLC	ALF/MC	5.0	%	4.9	%
Thrive Senior Living, LLC	ALF	5.0	%	3.4	%

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Mortgage Loans.  As part of our strategy of making long-term investments in properties used in the provision of long-term health care services, we provide mortgage financing on such properties based on our established investment underwriting criteria. We have also provided construction loans that by their terms convert into purchase/lease transactions or permanent financing mortgage loans upon completion of construction. Substantially all of our mortgage loan investments currently relate to skilled nursing facilities. The following table summarizes our investments in mortgage loans secured by first mortgages at December 31, 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
9.7%	2043	$	186,013	SNF	75.8	%	1	15	2,029	$	91.68
9.2%	2045		33,317	SNF	13.6	%	1	4	501	$	66.50
9.4%	2045		14,975	SNF	6.1	%	1	1	157	$	95.38
9.4%	2020		11,081	SNF	4.5	%	1	2	205	$	54.05
Total		$	245,386		100.0	%	4	22	2,892	$	84.85

(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) Our mortgage loans are secured by properties located in one state and are with one borrower.

In general, the mortgage loans may not be prepaid except in the event of the sale of the collateral property to a third-party that is not affiliated with the borrower, although partial prepayments (including the prepayment premium) are often permitted where a mortgage loan is secured by more than one property upon a sale of one or more, but not all, of the collateral properties to a third-party which is not an affiliate of the borrower. The terms of the mortgage loans generally impose a premium upon prepayment of the loans depending upon the period in which the prepayment occurs, whether such prepayment was permitted or required, and certain other conditions such as upon the sale of the property under a pre‑existing purchase option, destruction or condemnation, or other circumstances as approved by us. The prepayment premium is based on a yield maintenance formula. In addition to a lien on the mortgaged property, the loans are generally secured by certain non‑real estate assets of the properties and contain certain other security provisions in the form of letters of credit and/or security deposits.

Investment Policies and Strategies

Our investment policy is to invest primarily in income‑producing seniors housing and health care properties. Over the past three years, we have underwritten SNF, ALF, ILF, MC and combinations thereof and 4 parcels of land for a total of approximately $325.0 million.

Historically our investments have consisted of:

· fee ownership of seniors housing and skilled nursing properties that are leased to operators;

· mortgage loans secured by seniors housing and skilled nursing properties; or

· participation in such investments indirectly through investments in mezzanine loans and real estate partnerships or other entities that themselves make direct investments in such loans or properties.

In evaluating potential investments, we consider factors such as:

· type of property;

· location;

· competition within the local market and evaluation of the impact resulting from any potential new development projects in construction or anticipated to be approved by local authorities;

· construction quality, condition and design of the property;

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· current and anticipated cash flow of the property and its adequacy to meet operational needs and lease obligations or debt service obligations;

· experience, reputation and solvency of the operating companies providing services;

· payor mix of private, managed care, Medicare and Medicaid patients;

· growth, tax and regulatory environments of the communities in which the properties are located;

· occupancy and demand for similar properties in the area surrounding the property; and

· Medicaid reimbursement policies and plans of the state in which the property is located.

Prior to an investment, we conduct a property site review to assess the general physical condition of the property and the potential of additional services. In addition, we review third-party environmental reports, land surveys, and market studies (if applicable) as well as conduct a financial due diligence review of the property before the investment is made.

We believe skilled nursing centers are the lowest cost provider for certain levels of acuity; therefore, such facilities play a vital role in our nation’s health care delivery system. Our investments include direct ownership, development, first and second mortgages secured by skilled nursing centers and mezzanine loans. We prefer to invest in a property that has a significant market presence in its community and where state certificate of need and/or licensing procedures limit the entry of competing properties.

We believe that assisted living, independent living and memory care communities are an important sector in the seniors housing and health care industry and our investments include direct ownership, development, real estate joint ventures, mezzanine loans and mortgages secured by assisted living, independent living and/or memory care communities.

We may incur additional indebtedness when, in the opinion of our Board of Directors, it is advisable. We may incur such indebtedness to make investments in additional seniors housing and health care properties or to meet the distribution requirements imposed upon REITs under the Internal Revenue Code of 1986, as amended. For other short‑term purposes, we may, from time to time, negotiate lines of credit, or arrange for other short‑term borrowings from banks or otherwise. We may also arrange for long-term borrowings through public or private offerings or from institutional investors.

In addition, we may incur mortgage indebtedness on real estate which we have acquired through purchase, foreclosure or otherwise. We may also obtain mortgage financing for unleveraged or underleveraged properties in which we have invested or may refinance properties acquired on a leveraged basis.

We have attempted to diversify our portfolio by operator, by property type, and geographically. Our primary marketing and business development strategy is to increase awareness of our presence and build long-term relationships in the seniors housing and health care industry by supporting targeted industry trade organizations, attending industry specific conferences and events attended by seniors housing and care providers, and seeking out speaking engagements at industry related events as well as interviews in industry publications. We believe this targeted marketing and business development effort has provided deal flow opportunities and will continue to provide opportunities for new investments in 2019. Since competition from investors as well as other capital providers for large transactions consisting of fully-marketed, multi-property portfolios generally result in valuations above our targeted investment criteria, our marketing and business development efforts focus on sourcing relationships with regionally based operating companies to execute on single property transactions (for acquisition, mortgage financing or development), or smaller multi-property portfolios that are not broadly marketed by third-party intermediaries which complement our historic investment execution and are priced at yields that are accretive to our stockholders.

Competition

In the health care industry, we compete for real property investments with health care providers, other health care related REITs, real estate partnerships, banks, private equity funds, venture capital funds and other investors. Many

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of our competitors are significantly larger and have greater financial resources and lower cost of capital than we have available to us. Our ability to compete successfully for real property investments will be determined by numerous factors, including our ability to identify suitable acquisition targets, our ability to negotiate acceptable terms for any such acquisition and the availability and our cost of capital.

The lessees and borrowers of our properties compete on a local, regional and, in some instances, national basis with other health care providers. The ability of the lessee or borrower to compete successfully for patients or residents at our properties depends upon several factors, including the levels of care and services provided by the lessees or borrowers, the reputation of the providers, physician referral patterns, physical appearances of the properties, family preferences, financial condition of the operator and other competitive systems of health care delivery within the community, population and demographics.

REIT Tax Status

We have elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended, or the Code. To maintain our qualification as a REIT, we must meet a number of organizational and operational requirements, including a requirement that we annually distribute to our shareholders at least 90% of our REIT taxable income, determined without regard to the dividends paid deduction and excluding net capital gains. As a REIT, we generally are not subject to U.S. federal income tax on the taxable income we distribute to our shareholders. If we fail to qualify as a REIT in any taxable year, we will be subject to U.S. federal income tax at the generally applicable corporate tax rate. Even if we qualify for taxation as a REIT, we may be subject to certain state and local taxes on our income, property or net worth and U.S. federal income and excise taxes on our undistributed income.

Health Care Regulation

Overview

The health care industry is heavily regulated by the government. Our borrowers and lessees who operate health care facilities are subject to extensive regulation by federal, state and local governments. These laws and regulations are subject to frequent and substantial changes resulting from legislation, adoption of rules and regulations, and administrative and judicial interpretations of existing law. These changes 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 both government and other third-party payors. These changes may be applied retroactively. The ultimate timing or effect of these changes cannot be predicted. The failure of any borrower of funds from us or lessee of any of our properties to comply with such laws, requirements and regulations could result in sanctions or remedies such as denials of payment for new Medicare and Medicaid admissions, civil monetary penalties, state oversight and loss of Medicare and Medicaid participation or licensure. Such action could affect our borrower’s or lessee’s ability to operate its facility or facilities and could adversely affect such borrower’s or lessee’s ability to make debt or lease payments to us.

The properties we own and the manner in which they are operated are affected by changes in the reimbursement, licensing and certification policies of federal, state and local governments. Properties may also be affected by changes in accreditation standards or procedures of accrediting agencies. In addition, expansion (including the addition of new beds or services or acquisition of medical equipment) and occasionally the discontinuation of services of health care facilities are, in some states, subjected to state and regulatory approval through “certificate of need” laws and regulations.

Health Care Reform and Other Legislative Developments

In March 2010, President Obama signed into law the Patient Protection and Affordable Care Act, as amended (the “Affordable Care Act”). The Affordable Care Act is designed to expand access to affordable health insurance, contain health care costs, and institute a variety of health policy reforms. This sweeping law expanded the insured population, but also reduced federal health care spending and imposed additional requirements on our lessees and borrowers. Among other things, the Affordable Care Act: reduced Medicare skilled nursing facility reimbursement by a so-called “productivity adjustment” based on economy-wide productivity gains; required the development of a value-

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based purchasing program for Medicare skilled nursing facility services; authorized bundled payment programs, which can include post-acute services; and provided incentives to state Medicaid programs to promote community-based care as an alternative to institutional long-term care services. In addition, the Affordable Care Act impacts both us and our lessees and borrowers as employers, including requirements related to the health insurance we offer to our respective employees. Many aspects of the Affordable Care Act have been implemented through regulations and subregulatory guidance, as discussed further below. President Trump and some members of Congress have called for repeal of the Affordable Care Act and replacement with alternative reforms. In December 2017, the President signed into law a tax reform bill that repeals the Affordable Care Act’s penalty for individuals who fail to maintain health coverage meeting certain minimum standards. Additional revisions of the Affordable Care Act could be made in future, although the details and timing of any such actions are unknown at this time. There can be no assurance that the implementation of the Affordable Care Act or any subsequent modifications will not adversely impact the operations, cash flows or financial condition of our lessees and borrowers, which subsequently could materially adversely impact our revenue and operations. 

Under the sequestration provisions of the Budget Control Act of 2011, as amended, a 2% cut to Medicare payments to providers and health plans cuts generally has applied to Medicare fee-for-service claims on or after April 1, 2013. As further amended by subsequent legislation, the Medicare sequestration cuts are currently scheduled to be applied through fiscal year 2025, although Congress and the Administration could enact legislation to extend or modify sequestration at any time. There can be no assurances that enacted or future budget control mechanisms will not have an adverse impact on the financial condition of our borrowers and lessees, which subsequently could materially adversely impact our company.

The Protecting Access to Medicare Act of 2014 required the Secretary of the Department of Health and Human Services to develop a skilled nursing facility “value-based purchasing program” tying Medicare payments to skilled nursing facilities to their performance on certain new readmissions measures, applicable to services furnished beginning October 1, 2018. The Medicare Access and CHIP Reauthorization Act of 2015 set the annual skilled nursing facility prospective payment system update for fiscal year 2018 at 1%, and the Bipartisan Budget Act of 2018 established an update of 2.4% for fiscal year 2019. Additional reforms affecting the payment for and availability of health care services have been proposed at the state level and adopted by certain states.

Congress and state legislatures can be expected to continue to review and assess alternative health care delivery systems and payment methodologies, including potential changes in Medicare and Medicaid payment policy for skilled nursing facility services and other types of post-acute care. Additional changes in laws, new interpretations of existing laws, or other 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. 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.

Reimbursement

The ability of our borrowers and lessees to generate revenue and profit determines the underlying value of that property to us. Revenues of our borrowers and lessees of skilled nursing centers are generally derived from payments for patient care. Sources of such payments for skilled nursing facilities include the federal Medicare program, state Medicaid programs, private insurance carriers, managed care organizations, preferred provider arrangements, and self-insured employers, as well as the patients themselves.

A significant portion of the revenue of our skilled nursing center borrowers and lessees is derived from governmentally-funded reimbursement programs, such as Medicare and Medicaid. Because of significant health care costs paid by such government programs, both federal and state governments have adopted and continue to consider various health care reform proposals to control health care costs. In many instances, revenues from Medicaid programs are insufficient to cover the actual costs incurred in providing care to Medicaid patients. In addition, all states have been making changes to their long-term care delivery systems that emphasize home and community-based long-term care services, in some cases coupled with cost-controls for institutional providers. Increasingly, state Medicaid programs are providing coverage through managed care programs under contracts with private health plans, which is intended to

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decrease state Medicaid costs. The federal government also has adopted various policies to promote community-based alternatives to institutional services. The Trump Administration and Congress are also considering revising federal payments to state Medicaid programs to establish block grants or impose per capita limits on federal Medicaid payments to states. As states and the federal government continue to respond to budget pressures, future reduction in Medicaid payments for skilled nursing facility services could 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. 

With regard to the Medicare program, over the years there have been efforts to contain Medicare fee-for-service spending, promote Medicare managed care, and, more recently, tie reimbursement to quality of care. 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 skilled nursing facilities by $370 million in fiscal year 2018, or 1%, compared to fiscal year 2017 levels. The 1% update for fiscal year 2018 was set by Congress in 2015 legislation. On July 31, 2018, CMS issued a final rule updating skilled nursing facility rates and policies for fiscal year 2019. The final rule includes a 2.4% payment increase, which CMS projects will increase overall payments to skilled nursing facilities by $820 million in fiscal year 2019 compared with fiscal year 2018 levels. The final rule also replaces 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,” will base Medicare payment on resident needs rather than the amount of therapy a resident receives.  Additionally, the SNF Value-Based Purchasing (“VBP”) Program went into effect October 1, 2018. Under the VBP Program, CMS reduces 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. There can be no assurance that any future reductions in Medicare skilled nursing facility payment rates or other policy changes impacting long-term care facilities would 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.

CMS also has implemented a variety of Medicare bundled payment programs that seek to promote greater care coordination and more efficient use of resources. Certain of these models, such as the Medicare Comprehensive Care for Joint Replacement and Bundled Payments for Care Improvement Advanced models, have impacted post-acute care, including skilled nursing facility services. There can be no assurances that new Medicare payment models will not adversely affect revenues of our skilled nursing center borrowers and lessees and thereby adversely affect those borrowers’ and lessees’ abilities to make their debt or lease payments to us.

Moreover, health care facilities continue to experience pressures from private payors attempting to control costs; reimbursement from private payors has in some cases fallen relative to government payors. Governmental and public concern regarding health care costs may result in significant reductions in payment to health care facilities, and there can be no assurance that future payment rates for either governmental or private payors will be sufficient to cover cost increases in providing services to patients. Any changes in reimbursement policies which reduce reimbursement to levels that are insufficient to cover the cost of providing patient care could adversely affect revenues of our skilled nursing center borrowers and lessees and to a much lesser extent our assisted living community borrowers and lessees and thereby adversely affect those borrowers’ and lessees’ abilities to make their debt or lease payments to us. Failure of the borrowers or lessees to make their debt or lease payments would have a direct and material adverse impact on us.

Fraud and Abuse Enforcement

Various federal and state laws govern financial and other arrangements between health care providers that participate in, receive payments from, or make or receive referrals for work in connection with government funded health care programs, including Medicare and Medicaid. These laws, known as the fraud and abuse laws, include the federal anti-kickback statute, which prohibits, among other things, knowingly and willfully soliciting, receiving, offering or paying any remuneration directly or indirectly in return for, or to induce, the referral, or arrange for the referral, of an individual to a person for the furnishing of an item or service for which payment may be made under federal health care programs. In addition, the federal physician self-referral law, commonly known as the Stark Law, prohibits physicians and certain other types of practitioners from making referrals for certain designated health services paid in whole or in part by Medicare and Medicaid to entities with which the practitioner or a member of the practitioner’s immediate family

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has a financial relationship, unless the financial relationship fits within an applicable exception to the Stark Law. The Stark Law also prohibits the entity receiving the referral from seeking payment under the Medicare program for services rendered pursuant to a prohibited referral. Sanctions for violating the Stark Law include civil monetary penalties of up to $24,748 per prohibited service provided, assessments equal to three times the dollar value of each such service provided and exclusion from the Medicare and Medicaid programs. Many states have enacted similar fraud and abuse laws which are not necessarily limited to items and services for which payment is made by federal health care programs. Violations of these laws may result in fines, imprisonment, denial of payment for services, and exclusion from federal and/or other state-funded programs. Other federal and state laws authorize the imposition of penalties, including criminal and civil fines and exclusion from participation in federal health care programs for submitting false claims, improper billing and other offenses. Federal and state government agencies have continued rigorous enforcement of criminal and civil fraud and abuse laws in the health care arena. Our borrowers and lessees are subject to many of these laws, and some of them could in the future become the subject of a governmental enforcement action.

Environmental Regulation

Under various federal, state and local environmental laws, ordinances and regulations, an owner of real property or a secured lender (such as us) may be liable for the costs of removal or remediation of hazardous or toxic substances at, under or disposed of in connection with such property, as well as other potential costs relating to hazardous or toxic substances (including government fines and damages for injuries to persons and adjacent property). Such laws often impose such liability without regard to whether the owner or secured lender knew of, or was responsible for, the presence or disposal of such substances and may be imposed on the owner or secured lender in connection with the activities of an operator of the property. The cost of any required remediation, removal, fines or personal or property damages and the owner’s or secured lender’s liability therefore could exceed the value of the property, and/or the assets of the owner or secured lender. In addition, the presence of such substances, or the failure to properly dispose of or remediate such substances, may adversely affect the owner’s ability to sell or rent such property or to borrow using such property as collateral which, in turn, would reduce our revenues.

Although the mortgage loans that we provide and leases covering our properties require the borrower and the lessee to indemnify us for certain environmental liabilities, the scope of such obligations may be limited and we cannot assure that any such borrower or lessee would be able to fulfill its indemnification obligations.

Insurance

It is our current policy, and we intend to continue this policy, that all borrowers of funds from us and lessees of any of our properties secure adequate comprehensive property and general and professional liability insurance that covers us as well as the borrower and/or lessee. Even though that is our policy, certain borrowers and lessees have been unable to obtain general and professional liability insurance in the specific amounts required by our leases or mortgages because the cost of such insurance and some insurers have stopped offering such insurance for long-term care facilities. Additionally, in the past, insurance companies have filed for bankruptcy protection leaving certain of our borrowers and/or lessees without coverage for periods that were believed to be covered prior to such bankruptcies. The unavailability and associated exposure as well as increased cost of such insurance could have a material adverse effect on the lessees and borrowers, including their ability to make lease or mortgage payments. Although we contend that as a non‑possessory landlord we are not generally responsible for what takes place on real estate we do not possess, claims including general and professional liability claims may still be asserted against us which may result in costs and exposure for which insurance is not available. Certain risks may be uninsurable, not economically insurable or insurance may not be available and there can be no assurance that we, a borrower or lessee will have adequate funds to cover all contingencies. If an uninsured loss or a loss in excess of insured limits occurs with respect to one or more of our properties, we could be subject to an adverse claim including claims for general or professional liability, could lose the capital that we have invested in the properties, as well as the anticipated future revenue for the properties and, in the case of debt which is with recourse to us, we would remain obligated for any mortgage debt or other financial obligations related to the properties. Certain losses, such as losses due to floods or seismic activity if insurance is available, may be insured subject to certain limitations including large deductibles or co‑payments and policy limits.

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Employees

At December 31, 2018, we employed 21 people. Our employees are not members of any labor union, and we consider our relations with our employees to be excellent.

Investor Information

We make available to the public free of charge through our internet website our Annual Report on Form 10‑K, Quarterly Reports on Form 10‑Q, Current Reports on Form 8‑K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended, as soon as reasonably practicable after we electronically file such reports with, or furnish such reports to, the Securities and Exchange Commission (“SEC”). Our internet website address is www.LTCreit.com. We are not including the information contained on our website as part of, or incorporating it by reference into, this Annual Report on Form 10‑K.

The SEC also maintains an internet website that contains reports, proxy statements and other information we file. The internet address of the SEC website is www.sec.gov.

You may contact our Investor Relations Department at:

LTC Properties, Inc.

2829 Townsgate Road, Suite 350

Westlake Village, California 91361

Attn: Investor Relations

(805) 981‑8655

Item 1A.  RISK FACTORS

This section discusses risk factors that may affect our business, operations, and financial condition. If any of these risks, as well as other risks and uncertainties that we have not yet identified or that we currently think are not material, actually occur, we could be materially adversely affected and the value of our securities could decline. In addition, these risk factors contain “forward‑looking statements” as discussed above under the heading “Cautionary Statement.” The following information should be read in conjunction with Management’s Discussion and Analysis, and the consolidated financial statements and related notes in this Annual Report on Form 10‑K.

A Failure to Maintain or Increase our Dividend Could Reduce the Market Price of Our Stock. The ability to maintain or raise our common dividend is dependent, to a large part, on growth of funds available for distribution. This growth in turn depends upon increased revenues from additional investments and loans, rental increases and mortgage rate increases.

We May Have Limited Access to Capital At Times, Which Could Cause Our Growth to Slow. A REIT is required to make dividend distributions and retains little cash flow for growth. As a result, growth for a REIT is generally through the steady investment of new capital in real estate assets. At December 31, 2018, we had $2.7 million of cash on hand, $488.0 million available under our unsecured revolving line of credit and $93.8 million available under our shelf agreement with Prudential Investment Management, Inc. We also have the potential ability to access the capital markets through the issuance of $184.1 million of common stock under our equity distribution agreement and an indeterminate amount through the issuance of debt and/or equity securities under an automatic shelf registration statement. As a result, we currently believe our liquidity and various sources of available capital are sufficient to fund operations and development commitments, meet debt service obligations (both principal and interest), make dividend distributions and finance future investments should we determine such future investments are financially feasible. However, there may be times when we will have limited access to capital from the equity and/or debt markets. During such periods, virtually all of our available capital would be required to meet existing commitments and to reduce existing debt. We may not be able, during such periods, to obtain additional equity and/or debt capital or dispose of assets on favorable terms, if at all, at the time we require additional capital to acquire health care properties on a competitive basis or meet our obligations.

Income and Returns from Health Care Facilities Can be Volatile.  There is a possibility that the health care properties in which we invest will not generate income sufficient to meet operating expenses, will generate income and

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capital appreciation, if any, at rates lower than those anticipated or will yield returns lower than those available through investments in comparable real estate or other investments are additional risks of investing in health care related real estate. Income from properties and yields from investments in our properties may be affected by many factors, including changes in governmental regulation (such as zoning laws and government payment), general or local economic conditions (such as fluctuations in interest rates and employment conditions), the available local supply of and demand for improved real estate, a reduction in rental income as the result of an inability to maintain occupancy levels, natural disasters (such as hurricanes, earthquakes and floods) or similar factors.

We Depend on Lease Income and Mortgage Payments from Real Property.  Approximately 97.0% of our revenue for the year ended December 31, 2018, was derived from lease income and mortgage payments from real property. Our revenue would be adversely affected if a significant number of our borrowers or lessees were unable to meet their obligations to us or if we were unable to lease our properties or make mortgage loans on economically favorable terms. There can be no assurance that any lessee will exercise its option to renew its lease upon the expiration of the initial term. There can be no assurance that if such failure to renew were to occur, or if we did not re‑lease a property to a current lessee, we could lease the property to others on favorable terms, at the same rent as the current rent, or on a timely basis.

We Rely on a Few Major Operators. During the year ended December 31, 2018, approximately 37.8% of our revenues from leases were generated from three operators. The failure, inability or unwillingness of these operators to meet their obligations to us could materially reduce our cash flow as well as our results of operations, which could in turn reduce the amount of dividends we pay, cause our stock price to decline and have other material adverse effects on our business, results of operations and financial condition.   

We Depend on our Operators For Revenue and Cash Flow.  Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals and interest earned on outstanding loans receivable. Our investments in owned properties and mortgage loans represent our primary source of liquidity to fund distributions and are dependent upon the performance of the operators on their lease and loan obligations and the rates earned thereon. Our financial position and ability to make distributions may be adversely affected by financial difficulties experienced by any of our lessees or borrowers, or in the event any such operator does not renew and/or extend its relationship with us or our borrowers when it expires.

The Bankruptcy, Insolvency or Financial Deterioration of our Lessees Could Delay or Prevent Us From Collecting Unpaid Rents or Require Us to Find New Tenants to Operate our Properties. We have limited control over the success or failure of our operators’ businesses. If an operator experiences financial or legal difficulties, the operator may fail to make its rent payments when due or declare bankruptcy, either of which could result in the termination of the operator’s lease and adversely affect us. In the case of a master lease, this risk is magnified, as an operator default could reduce or eliminate rental revenue from several properties. If an operator is unable to comply with the terms of its leases, we may be forced to modify the leases in ways that are unfavorable to us. Alternatively, the failure of an operator to perform its obligations under its lease or other agreements with us could force us to declare a default, terminate the lease and transition or sell the property. We cannot provide any assurances that we would be able to find a suitable replacement operator, re-lease the property on substantially equivalent or better terms than the prior lease, or at all, successfully reposition the property for other uses, or sell the property on terms that are favorable to us. If a lessee seeks bankruptcy protection, the Bankruptcy Court may impose an automatic stay that would preclude us from collecting pre-bankruptcy obligations from that operator or seizing its property. An operator bankruptcy could also delay our efforts to collect past due amounts owed to us under the applicable lease and ultimately preclude collection of all or a portion of those amounts. In such a case, we may recover substantially less than the full value of any secured or unsecured claims we hold.

Our Remedies May Be Limited When Mortgage Loans Default.  To the extent we invest in mortgage loans, such mortgage loans may or may not be recourse obligations of the borrower and generally will not be insured or guaranteed by governmental agencies or otherwise. In the event of a default under such obligations, we may have to foreclose on the property underlying the mortgage or protect our interest by acquiring title to a property and thereafter make substantial improvements or repairs in order to maximize the property’s investment potential. Borrowers may contest enforcement of foreclosure or other remedies, seek bankruptcy protection against such enforcement and/or bring claims for lender liability in response to actions to enforce mortgage obligations. If a borrower seeks bankruptcy protection, the Bankruptcy Court may impose an automatic stay that would preclude us from enforcing foreclosure or other remedies

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against the borrower. Declines in the value of the property may prevent us from realizing an amount equal to our mortgage loan upon foreclosure.

Our Borrowers and Lessees Face Competition in the Health Care Industry. The long-term care industry is highly competitive and we expect that it may become more competitive in the future. Our borrowers and lessees are competing with numerous other companies providing similar long-term care services or alternatives such as home health agencies, hospices, life care at home, community-based service programs, retirement communities and convalescent centers. Additionally, our borrowers and lessees are employers who compete for labor. Accordingly, our borrowers and lessees are sensitive to changes in the labor market and wages and benefits offered to their employees, which can impact their ability to remain competitive. There can be no assurance that our borrowers and lessees will not encounter increased competition in the future which could limit their ability to attract residents or expand their businesses and therefore affect their ability to make their debt or lease payments to us.

The Health Care Industry is Heavily Regulated by the Government. Our borrowers and lessees who operate health care facilities are subject to extensive regulation by federal, state and local governments. These laws and regulations are subject to frequent and substantial changes resulting from legislation, adoption of rules and regulations, and administrative and judicial interpretations of existing law. These changes 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 both government and other third-party payors. These changes may be applied retroactively. The ultimate timing or effect of these changes cannot be predicted. For instance, the Patient Protection and Affordable Care Act, as amended (the “Affordable Care Act”) may be subject to revision, replacement, or repeal. In addition, CMS has adopted regulations that impose new standards for long-term care facilities participating in the Medicare and Medicaid programs. See Item 1. Business—Health Care Regulation.  The failure of any borrower of funds from us or lessee of any of our properties to comply with such laws, requirements and regulations could affect its ability to operate its facility or facilities and could adversely affect such lessee’s or borrower’s ability to make lease or debt payments to us.

Federal and State Health Care Cost Containment Measures Including Reductions in Reimbursement From Third-Party Payors Such as Medicare and Medicaid Could Adversely Affect Us and The Ability of Our Operators to Make Payments to Us. The ability of our borrowers and lessees to generate revenue and profit determines the underlying value of that property to us. Revenues of our borrowers and skilled nursing center lessees are generally derived from payments for patient care. Sources of such payments include the federal Medicare program, state Medicaid programs, private insurance carriers, health care service plans, health maintenance organizations, preferred provider arrangements, self-insured employers, as well as the patients themselves.

The health care industry continues to face increased government and private payor pressure on health care providers to control costs. Federal legislative and regulatory policies have been adopted and may continue to be proposed that would reduce Medicare and/or Medicaid payments to nursing facilities. Moreover, state budget pressures continue to result in adoption of Medicaid provider payment reductions in some 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. The Trump Administration and Congress are also considering revising federal payments to state Medicaid programs to establish block grants or impose per capita limits on federal Medicaid payments to states. See Item 1. Business—Health Care Regulation. In light of continuing federal and state Medicaid program reforms, budget cuts, and regulatory initiatives, no assurance can be given that the implementation of such regulations and reforms will not have a material adverse effect on the financial condition or results of operations of our lessees and/or borrowers which, in turn, could affect their ability to meet their contractual obligations to us.

We Could Incur More Debt.  We operate with a policy of incurring debt when, in the opinion of our Board of Directors, it is advisable. We may incur additional debt by borrowing under our unsecured revolving line of credit or the uncommitted private shelf agreement, mortgaging properties we own and/or issuing debt securities in a public offering or in a private transaction. Accordingly, we could become more highly leveraged. The degree of leverage could have important consequences to stockholders, including affecting our ability to obtain, in the future, additional financing for working capital, capital expenditures, acquisitions, development or other general corporate purposes and making us more vulnerable to a downturn in business or the economy generally.

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We Could Fail to Collect Amounts Due Under Our Straight‑line Rent Receivable Asset.  U.S. generally accepted accounting principles (“GAAP”) requires us to calculate the total rent we will receive as a fixed amount over the life of the lease and recognize that revenue evenly over that life. In a situation where a lease calls for fixed rental increases during the life of the lease, rental income recorded in the early years of a lease is higher than the actual cash rent received which creates an asset on the consolidated balance sheet called straight‑line rent receivable. At some point during the lease, depending on the rent levels and terms, this reverses and the cash rent payments received during the later years of the lease are higher than the rental income recognized which reduces the straight‑line rent receivable balance to zero by the end of the lease. We periodically assess the collectability of the straight‑line rent receivable. If during our assessment we determined that we were unlikely to collect a portion or the entire straight‑line rent receivable asset, we may provide a reserve against the previously recognized straight‑line rent receivable asset for a portion or up to its full value that we estimate may not be recoverable.

Our Assets May be Subject to Impairment Charges.  We periodically but not less than quarterly evaluate our real estate investments and other assets for impairment indicators. The judgment regarding the existence of impairment indicators is based on factors such as market conditions, operator performance and legal structure. If we determine that an impairment has occurred, we would be required to make an adjustment to the net carrying value of the asset which could have a material adverse effect on our results of operations in the period in which the write‑off occurs.

A Failure to Reinvest Cash Available to Us Could Adversely Affect Our Future Revenues and Our Ability to Increase Dividends to Stockholders; There is Considerable Competition in Our Market for Attractive Investments.  From time to time, we will have cash available from (1) proceeds of sales of shares of securities, (2) proceeds from new debt issuances, (3) principal payments on our mortgages and other investments, (4) sale of properties, and (5) funds from operations. We may reinvest this cash in health care investments and in accordance with our investment policies, repay outstanding debt or invest in qualified short-term or long-term investments. We compete for real estate investments with a broad variety of potential investors. The competition for attractive investments negatively affects our ability to make timely investments on acceptable terms. Delays in acquiring properties or making loans will negatively impact revenues and perhaps our ability to increase distributions to our stockholders.

Our Failure to Qualify as a REIT Would Have Serious Adverse Consequences to Our Stockholders.  We intend to operate so as to qualify as a REIT under the Internal Revenue Code of 1986, as amended, or the Code. We believe that we have been organized and have operated in a manner which would allow us to qualify as a REIT under the Code beginning with our taxable year ended December 31, 1992. However, it is possible that we have been organized or have operated in a manner which would not allow us to qualify as a REIT, or that our future operations could cause us to fail to qualify. Qualification as a REIT requires us to satisfy numerous requirements (some on an annual and quarterly basis) established under highly technical and complex Code provisions for which there are only limited judicial and administrative interpretations, and involves the determination of various factual matters and circumstances not entirely within our control. For example, in order to qualify as a REIT, at least 95% of our gross income in any year must be derived from qualifying sources, and we must pay dividends to stockholders aggregating annually at least 90% of our REIT taxable income (determined without regard to the dividends paid deduction and by excluding capital gains). Legislation, new regulations, administrative interpretations or court decisions could significantly change the tax laws with respect to qualification as a REIT or the federal income tax consequences of such qualification.

If we fail to qualify as a REIT in any taxable year, we will be subject to federal and state income tax (including any applicable alternative minimum tax for taxable years ending prior to January 1, 2018) on our taxable income at regular corporate rates. Unless we are entitled to relief under statutory provisions, we would be disqualified from treatment as a REIT for the four taxable years following the year during which we lost qualification. If we lose our REIT status, our net earnings available for investment or distribution to stockholders would be significantly reduced for each of the years involved. In addition, we would no longer be required to make distributions to stockholders.

Recent Changes to the U.S. Tax Laws Could Have a Significant Negative Impact on the Overall Economy, Our Tenants, Our Investors, and Our Business. On December 22, 2017, H.R. 1, commonly referred to as the Tax Cuts and Jobs Act (the “TCJA”) was signed into law making significant changes to the Code. Relevant changes include, but are not limited to the following:

· a federal corporate tax rate decrease from 35% to 21% for tax years beginning after December 31, 2017,

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· an immediate 100% deduction of the cost of certain capital asset investments (generally excluding real estate assets), subject to a phase-down of the deduction percentage over time,

· restrictions to the deductibility of interest expense by businesses (generally, to 30% of the business’ adjusted taxable income) except, among others, real property businesses electing out of such restriction; generally, we expect our business to qualify as such a real property business,

· the use of the less favorable alternative depreciation system to depreciate real property in the event a real property business elects to avoid the interest deduction restriction above,

· elimination of the corporate alternative minimum tax,

· restriction limiting the benefits of like-kind exchanges that defer capital gains for tax purposes to exchanges of real property; and

· implementation of a one-time transition tax on the mandatory deemed repatriation of foreign earnings.

While the changes in the TCJA generally appear to be favorable with respect to REITs, the extensive changes to non-REIT provisions in the Code may have unanticipated effects on us or our stockholders. Moreover, Congressional leaders have recognized that the process of adopting extensive tax legislation in a short amount of time without hearings and substantial time for review is likely to have led to drafting errors, issues needing clarification and unintended consequences that will have to be reviewed in subsequent tax legislation. At this point, it is not clear when Congress will address these issues or when the Internal Revenue Service will issue administrative guidance on the changes made in the TCJA.

As a result of the changes to U.S. federal tax laws implemented by the TCJA, our taxable income and the amount of distributions to our stockholders required in order to maintain our REIT status, and our relative tax advantage as a REIT, may significantly change. The long-term impact of the TCJA on the overall economy, government revenues, our tenants, us, and the real estate industry cannot be reliably predicted at this early stage of the new law’s implementation. Furthermore, the TCJA may negatively impact certain of our tenants’ operating results, financial condition, and future business plans. The TCJA may also result in reduced government revenues, and therefore reduced government spending, which may negatively impact some of our tenants that rely on government funding. There can be no assurance that the TCJA will not negatively impact our operating results, financial condition, and future business operations.

Provisions in Our Articles of Incorporation May Limit Ownership of Shares of Our Capital Stock.  In order for us to qualify as a REIT, no more than 50% in value of the outstanding shares of our stock may be beneficially owned, directly or indirectly, by five or fewer individuals at any time during the last half of each taxable year. To ensure qualification under this test, our Articles of Incorporation provide that, subject to exceptions, no person may beneficially own more than 9.8% of outstanding shares of any class or series of our stock, including our common stock. Our Board of Directors may exempt a person from the 9.8% ownership limit upon such conditions as the Board of Directors may direct. However, our Board of Directors may not grant an exemption from the 9.8% ownership limit if it would result in the termination of our status as a REIT. Shares of capital stock in excess of the 9.8% ownership limitation that lack an applicable exemption may lose rights to dividends and voting, and may be subject to redemption. As a result of the limitations on ownership set forth in our Articles of Incorporation, acquisition of any shares of capital stock that would result in our disqualification as a REIT may be limited or void. The 9.8% ownership limitation also may have the effect of delaying, deferring, or preventing a change in control of us, including an extraordinary transaction (such as a merger, tender offer or sale of all or substantially all of our assets) that might provide a premium price for holders of our capital stock.

Our Real Estate Investments are Relatively Illiquid.  Real estate investments are relatively illiquid and, therefore, tend to limit our ability to vary our portfolio promptly in response to changes in economic or other conditions. All of our properties are “special purpose” properties that cannot be readily converted to general residential, retail or office use. Health care facilities that participate in Medicare or Medicaid must meet extensive program requirements, including physical plant and operational requirements, which are revised from time to time. Such requirements may include a duty to admit Medicare and Medicaid patients, limiting the ability of the facility to increase its private pay census beyond certain limits. Medicare and Medicaid facilities are regularly inspected to determine compliance, and may be excluded from the programs—in some cases without a prior hearing—for failure to meet program requirements. Transfers of operations of nursing homes and other health care‑related facilities are subject to regulatory approvals not

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required for transfers of other types of commercial operations and other types of real estate. Thus, if the operation of any of our properties becomes unprofitable due to competition, age of improvements or other factors such that our lessee or borrower becomes unable to meet its obligations on the lease or mortgage loan, the liquidation value of the property may be substantially less than the net book value or the amount owing on any related mortgage loan, than would be the case if the property were readily adaptable to other uses. The receipt of liquidation proceeds or the replacement of an operator that has defaulted on its lease or loan could be delayed by the approval process of any federal, state or local agency necessary for the transfer of the property or the replacement of the operator with a new operator licensed to manage the facility. In addition, certain significant expenditures associated with real estate investment, such as real estate taxes and maintenance costs, are generally not reduced when circumstances cause a reduction in income from the investment. Should such events occur, our income and cash flows from operations would be adversely affected.

We are Subject to Risks and Liabilities in Connection with Properties Owned Through Limited Liability Companies and Partnerships. We currently have an investment in a limited liability company and we may make additional investments through these ventures in the future. Partnership or limited liability company investments may involve risks such as the following:

· our partners or co‑members might become bankrupt (in which event we and any other remaining general partners or members would generally remain liable for the liabilities of the partnership or limited liability company);

· our partners or co‑members might at any time have economic or other business interests or goals which are inconsistent with our business interests or goals;

· our partners or co‑members may be in a position to take action contrary to our instructions, requests, policies or objectives, including our policy with respect to maintaining our qualification as a REIT; and

· agreements governing limited liability companies and partnerships often contain restrictions on the transfer of a member’s or partner’s interest or “buy‑sell” or other provisions which may result in a purchase or sale of the interest at a disadvantageous time or on disadvantageous terms.

We will, however, generally seek to maintain sufficient control of our partnerships and limited liability companies to permit us to achieve our business objectives. Our organizational documents do not limit the amount of available funds that we may invest in partnerships or limited liability companies. The occurrence of one or more of the events described above could have a direct and adverse impact on us.

Risks Associated with Property Development that Can Render a Project Less Profitable or Not Profitable, and, Under Certain Circumstances, Prevent Completion of Development Activities Undertaken.  Our business includes development of seniors housing and health care properties. Ground up development presents additional risk, including but not limited to the following:

· a development opportunity may be abandoned after expending significant resources resulting in the loss of deposits or failure to recover expenses already incurred;

· the development and construction costs of a project may exceed original estimates due to increased interest rates and higher materials, transportation, labor, leasing or other costs, which could make completion of the development project less profitable;

· construction and/or permanent financing may not be available on favorable terms or at all;

· the project may not be completed on schedule, which can result in increases in construction costs and debt service expenses as a result of a variety of factors that are beyond our control, including natural disasters, labor conditions, material shortages, regulatory hurdles, civil unrest and acts of war; and

· occupancy rates and rents at a newly completed property may not meet expected levels and could be insufficient to make the property profitable.

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These risks could result in substantial unanticipated delays or expenses and, under certain circumstances, could prevent completion of development activities once undertaken, any of which could have a material adverse effect on our business, results of operations and financial condition.

Item 1B.  UNRESOLVED STAFF COMMENTS

None.

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Item 2.  PROPERTIES

Here and throughout this Annual Report on Form 10‑K wherever we provide details of our properties’ bed/unit count, the number of beds/units applies to skilled nursing, assisted living, independent living, memory care and behavioral health care properties only. This number is based upon unit/bed counts shown on operating licenses provided to us by lessees/borrowers or units/beds as stipulated by lease/mortgage documents. These numbers often differ, usually not materially by property, from units/beds in operation at any point in time. The differences are caused by such things as operators converting a patient/resident room for alternative uses, such as offices or storage, or converting a multi‑patient room/unit into a single patient room/unit. We monitor our properties on a routine basis through site visits and reviews of current licenses. In an instance where such change would cause a de‑licensing of beds or in our opinion impact the value of the property, we may take action against the lessee/borrower to preserve the value of the property/collateral.

Owned Properties.  The following table sets forth certain information regarding our owned properties as of December 31, 2018 (dollars amounts in thousands):

								Remaining
	No. of	No. of	No. of		No. of			Lease	Gross
Location	SNFs	ALFs	Others		Beds/Units	Encumbrances		Term(1)	Investments
Alabama	1	—	—		174	$	—	88	$	9,734
Arizona	5	—	—		967		—	16		40,764
California	2	5	—		754		—	101		102,254
Colorado	3	13	—		980		—	98		114,923
Florida	4	7	—		823		—	85		72,152
Georgia	1	1	—		218		—	150		17,782
Illinois	—	5	—		418		—	152		87,484
Iowa	7	—	—		544		—	36		14,610
Kansas	3	8	—		681		—	101		71,418
Kentucky	1	1	—		203		—	83		57,639	(2)
Michigan	—	—	—	(3)	—		—	—		943
Mississippi	—	1	—		62		—	72		9,430
Missouri	—	1	—		73		—	106		16,624
Nebraska	—	4	—		159		—	153		9,877
Nevada	—	—	1		118		—	74		10,121
New Jersey	—	4	—		205		—	110		62,106
New Mexico	7	—	—		843		—	85		50,912
N. Carolina	—	5	—		210		—	24		13,096
Ohio	2	7	—		580		—	120		86,223
Oklahoma	—	6	—		219		—	24		12,315
Oregon	1	1	—		188		—	81		24,183	(4)
Pennsylvania	—	2	—		129		—	153		9,714
S. Carolina	2	5	—		515		—	94		47,670
Tennessee	2	—	—		141		—	60		5,275
Texas	24	18	—		4,343		—	105		292,317
Virginia	4	—	—		500		—	85		30,209
Washington	1	—	—		123		—	31		8,024
Wisconsin	1	9	—		844		—	128		143,657	(5)
TOTAL	71	103	1		15,014	$	—	102	$	1,421,456

(1) Weighted average remaining months in lease term as of December 31, 2018.

(2) Includes amounts relating to the development cost of a 143-bed SNF.

(3) Includes three parcels of land held‑for‑use.

(4) Includes amounts relating to the development cost of a 78-unit ALF/MC.

(5) Includes amounts relating to the development cost of a 110-unit ILF/ALF/MC.

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The following table sets forth certain information regarding our lease expirations for our owned properties as of December 31, 2018 (dollars amounts in thousands):

								Annualized		% of Annualized
	No. of	No. of		No. of	No. of		No. of	Rental		Rental Income
Year	SNFs	ALFs		Others	Beds/Units		Operators	Income(1)		Expiring
2019	—	2		—	231		1	$	2,100	1.6	%
2020	1	35		—	1,637		1		14,295	10.6	%
2021	27	—		—	3,171		3		12,336	9.1	%
2022	1	—		—	121		1		771	0.6	%
2023	5	—		—	456		3		3,332	2.5	%
2024	3	10		—	1,084		2		4,201	3.1	%
2025	6	1		1	981		2		9,060	6.7	%
2026	14	—		—	1,826		2		16,417	12.1	%
2027	3	9		—	1,042		4		18,854	13.9	%
2028	—	3		—	177		2		2,873	2.1	%
Thereafter	11	42		—	4,148		5		50,992	37.7	%
TOTAL	71	102	(2)	1	14,874	(2)		$	135,231	100.0	%

(1) Annualized rental income is the total rent, over the life of the lease recognized evenly over that lease term as of December 31, 2018.

(2) Excludes one property classified as held-for-sale.

Mortgage Loans.  The following table sets forth certain information regarding our mortgage loans as of December 31, 2018 (dollars amounts in thousands):

						Average	Original				Current
	No. of	No. of	No. of	No. of	Interest	Months to	Face Amount		Gross		Annual Debt
Location	SNFs	ALFs	OTHs	Beds/ Units	Rate	Maturity	of Mortgage Loans		Investments		Service (1)
Michigan (2)	22	—	—	2,892	9.2%-9.7%	290	$	247,252	$	245,386	$	23,566
TOTAL	22	—	—	2,892		290	$	247,252	$	245,386	$	23,566

(1) Includes principal and interest payments.

(2) Consists of four mortgage loans with one borrower that contain cross collateral and cross default provisions.

Item 3.  LEGAL PROCEEDINGS

We are and may become from time to time a party to various claims and lawsuits arising in the ordinary course of our 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 of 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 4.  MINE SAFETY DISCLOSURES

Not applicable

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PART II

Item 5.  MARKET FOR THE REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

Market Information

Our common stock is listed on the NYSE under the symbol “LTC”.

Holders

As of February 25, 2019, we had approximately 392 holders of our common stock, as determined by counting our record holders and the number of participants reflected in a security position listing provided to us by the Depository Trust Company. Because such “DTC participants” are brokers and other institutions holding shares of our common stock on behalf of their customers, we do not know the actual number of unique stockholders represented by these record holders.

Dividend

We declared and paid total cash distributions on common stock as set forth below:

	Declared				Paid
	2018		2017		2018		2017
First quarter	$	0.57	$	0.57	$	0.57	$	0.57
Second quarter	$	0.57	$	0.57	$	0.57	$	0.57
Third quarter	$	0.57	$	0.57	$	0.57	$	0.57
Fourth quarter	$	0.57	$	0.57	$	0.57	$	0.57
	$	2.28	$	2.28	$	2.28	$	2.28

We intend to distribute to our stockholders an amount at least sufficient to satisfy the distribution requirements of a REIT. Cash flows from operating activities available for distribution to stockholders will be derived primarily from interest and rental payments from our real estate investments. All distributions will be made subject to approval of our Board of Directors and will depend on our earnings, our financial condition and such other factors as our Board of Directors deem relevant. In order to qualify for the beneficial tax treatment accorded to REITs by Sections 856 through 860 of the Internal Revenue Code, we are required to make distributions to holders of our shares equal to at least 90% of our REIT taxable income.

Issuer Purchases of Equity Securities

None.

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Stock Performance Graph

The National Association of Real Estate Investment Trusts (“NAREIT”), an organization representing U.S. REITs and publicly traded real estate companies, classifies a company with 50% or more of assets directly or indirectly in the equity ownership of real estate as an equity REIT. Our equity ownership of real estate assets was more than 75% during 2018.

This graph compares the cumulative total stockholder return on our common stock from December 31, 2013 to December 31, 2018 with the cumulative stockholder total return of (1) the Standard & Poor’s 500 Stock Index and (2) the NAREIT Equity REIT Index. The comparison assumes $100 was invested on December 31, 2013 in our common stock and in each of the foregoing indices and assumes the reinvestment of dividends.

		Period Ending
Index		12/31/13		12/31/14		12/31/15		12/31/16		12/31/17		12/31/18
LTC Properties, Inc.	$	100.00	$	128.53	$	134.70	$	153.62	$	149.38	$	151.08
NAREIT Equity		100.00		130.14		134.30		145.74		153.36		146.27
S&P 500		100.00		113.69		115.26		129.05		157.22		150.33

The stock performance depicted in the above graph is not necessarily indicative of future performance.

The stock performance graph shall not be deemed incorporated by reference into any filing by us under the Securities Act of 1933 or the Securities Exchange Act of 1934 except to the extent that we specifically incorporate such information by reference, and shall not otherwise be deemed filed under such Acts.

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Item 6.  SELECTED FINANCIAL DATA

The following table of selected financial information should be read in conjunction with our financial statements and related notes thereto included elsewhere in this Annual Report on Form 10‑K.

	2018			2017			2016			2015			2014
	(In thousands, except per share amounts)
Operating information:
Total revenues	$	168,645		$	168,065		$	161,583		$	136,203		$	118,961
Net income		155,076			87,340			85,115			73,081			73,399
Income allocated to non-controlling interests		95			—			—			—			—
Income allocated to participating securities		625			362			385			484			481
Income allocated to preferred stockholders		—			—			—			2,454			3,273
Net income available to common stockholders		154,356			86,978			84,730			70,143			69,645
Per share information:
Earnings per common share :
Basic	$	3.91	(1)	$	2.21		$	2.21		$	1.97	(2)	$	2.01
Diluted	$	3.89	(1)	$	2.20		$	2.21		$	1.94	(2)	$	1.99
Common stock distributions declared	$	2.28		$	2.28		$	2.19		$	2.07		$	2.04
Common stock distributions paid	$	2.28		$	2.28		$	2.19		$	2.07		$	2.04
Balance sheet information:
Real estate investments, net	$	1,106,581		$	1,309,996		$	1,255,503		$	1,164,950		$	892,179
Total assets		1,513,620			1,465,570			1,394,896			1,275,424			964,770
Total debt (3)		645,029			667,502	(4)		609,391	(4)		571,872			280,584

(1) Increased primarily due to gain on sale of six ALF and four SNF properties during 2018.

(2) Decreased primarily as a result of an impairment charge related to a contingent agreement to sell an ALF in 2016, partially offset by a gain related to the sale of a SNF in 2015.

(3) Includes bank borrowings and senior unsecured notes (net of debt issue costs).

(4) Increase primarily due to the sale of senior unsecured term notes.

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

Executive Overview

Business and Investment Strategy

We are a self-administered health care real estate investment trust (“REIT”) that invests primarily in seniors housing and health care properties through sale-leaseback transactions, mortgage financing, joint ventures 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. ALF, ILF, MC, and combinations thereof are included in the ALF communities classification. 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, interest earned on outstanding loans receivable and income from investment in unconsolidated joint ventures. Our investments in owned properties and mortgage loans represent our primary source of liquidity to fund distributions and are dependent upon the performance of the operators on their lease and loan obligations and the rates earned thereon. To the extent that the operators experience operating difficulties and are unable to generate sufficient cash to make payments to us, there could be a material adverse impact on our consolidated results of operations, liquidity and/or financial condition. To mitigate this risk, we monitor our investments through a variety of methods determined by property type 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 are generally cross-defaulted and cross-collateralized with other loans, operating leases or agreements between us and the operator and its affiliates.

Depending upon the availability and cost of external capital, we anticipate making additional investments in health care related properties. New investments are generally funded from cash on hand, temporary borrowings under our unsecured revolving line of credit and internally generated cash flows. Our investments generate internal cash from rent and interest receipts and principal payments on mortgage loans receivable. Permanent financing for future investments, which replaces funds drawn under our unsecured revolving line of credit, is expected to be provided through a combination of public and private offerings of debt and equity securities and secured and unsecured debt financing. The timing, source and amount of cash flows provided by financing activities and used in investing activities are sensitive to the capital markets’ environment, especially to changes in interest rates. Changes in the capital markets’ environment may impact the availability of cost‑effective capital.

We believe our business model has enabled and will continue to enable us to maintain the integrity of our property investments, including in response to financial difficulties that may be experienced by operators. Traditionally, we have taken a conservative approach to managing our business, choosing to maintain liquidity and exercise patience until favorable investment opportunities arise.

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Portfolio Overview

The following tables summarizes our real estate investment portfolio as of December 31, 2018 (dollar amounts in thousands):

					Twelve Months Ended
			Percentage		December 31, 2018				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Owned Properties	Investments		Investments		Income (1)		Income (2)		Revenues		Properties (3)	Beds (4)	Units (4)
Assisted Living (5)	$	804,021	48.2	%	$	66,305	$	—	41.4	%	103	—	5,885
Skilled Nursing		565,184	33.9	%		64,911		—	40.5	%	71	8,750	261
Under Development (6)		41,186	2.5	%		—		—	—	%	—	—	—
Other (7)		11,065	0.7	%		924		—	0.6	%	1	118	—
Total Owned Properties		1,421,456	85.3	%		132,140		—	82.5	%	175	8,868	6,146
Mortgage Loans
Skilled Nursing		245,386	14.7	%		—		28,143	17.5	%	22	2,892	—
Total Mortgage Loans		245,386	14.7	%		—		28,143	17.5	%	22	2,892	—
Total Portfolio	$	1,666,842	100.0	%	$	132,140	$	28,143	100.0	%	197	11,760	6,146

					Twelve Months Ended
			Percentage		December 31, 2018				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Summary of Properties by Type	Investments		Investments		Income (1)		Income (2)		Revenues		Properties (3)	Beds (4)	Units (4)
Skilled Nursing	$	810,570	48.6	%	$	64,911	$	28,143	58.0	%	93	11,642	261
Assisted Living (5)		804,021	48.2	%		66,305		—	41.4	%	103	—	5,885
Under Development (6)		41,186	2.5	%		—		—	—	%	—	—	—
Other (7)		11,065	0.7	%		924		—	0.6	%	1	118	—
Total Portfolio	$	1,666,842	100.0	%	$	132,140	$	28,143	100.0	%	197	11,760	6,146

(1) Excludes rental income from properties sold during 2018.

(2) Excludes interest income from mortgage loans paid off during 2018.

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

(4) See Item 2. Properties for discussion of bed/unit count.

(5) Includes ALF, ILF, MC, and combinations thereof.

(6) 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.

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

As of December 31, 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.

For the year ended December 31, 2018, rental income and interest income from mortgage loans represented 80.3% and 16.7%, respectively, of total gross revenues. In most instances, our lease structure contains fixed or estimable annual rental escalations, which are generally recognized on a straight‑line basis over the minimum lease period. Certain leases have annual rental escalations that are contingent upon changes in the Consumer Price Index and/or changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved. During the years ended December 31, 2018,  2017 and 2016, we received $470,000, $457,000 and $517,000, respectively, of contingent rental income. For the year ended December 31, 2018, we recognized $9.6 million in straight‑line rental income and recorded $0.1 million of straight‑line rent receivable reserve. For the remaining leases in place at December 31, 2018, assuming no modification or replacement of existing leases and no new leased investments are added to our portfolio, except for the lease extensions and completed developments in 2019 and the lease reported below under Update on Certain Operators, we currently expect that straight‑line rental income will decrease from $9.6 million in 2018 to $4.1 million for projected annual 2019. Our cash rental income is projected to increase from $127.9 million in 2018 to $133.7 million for projected annual 2019. During the year ended December 31, 2018, we

26

recorded $2.1 million of lease incentives. At December 31, 2018, the straight‑line rent receivable balance, net of reserves, on the consolidated balance sheet was $73.9 million.

Many of our existing leases contain renewal options that, if exercised, could result in the amount of rent payable upon renewal being greater or less than that currently being paid. During the year ended December 31, 2018, two existing leases were amended to extend the term of the master lease. The first amendment extended the master lease term for an additional five years with no impact on rent and the second amendment extended the term of the master lease for an additional year with an incremental decrease in rent. During the year ended December 31, 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. Some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. The following table summarizes information about purchase options included in our lease agreements:

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
Kansas	MC	2	$	25,692	$	23,906	2019-2021
Texas	MC	2		25,265		24,955	2025-2027
Total			$	50,957	$	48,861

Update on Certain Operators

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 the guarantees and our rights and remedies pertaining to known events of default under the master lease, with the stipulation that Anthem achieve sufficient performance and pay an agreed upon cash rent for these 11 properties. During 2018, Anthem paid the agreed upon minimum cash rent of $5.2 million. Subsequent to December 31, 2018, Anthem agreed to pay a minimum of $7.5 million of annual cash rent throughout December 31, 2019. We receive regular financial performance updates from Anthem and continue to monitor Anthem’s performance obligations under the master lease agreement.

During 2017, Preferred Care, Inc. (“Preferred Care”) and affiliated entities filed for Chapter 11 bankruptcy as a result of a multi-million-dollar judgment 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. 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 and Texas. The Preferred Care operating entities that sublease those properties did not file for bankruptcy. Our annual rental revenue from Preferred Care represented 6.4% of total rental and interest income as of December 31, 2018. The court ordered deadline for affirmation or rejection of the lease has passed without action by Preferred Care, but they continue to pay rent to us in a timely manner.

On December 4, 2018, Senior Care Centers, LLC. and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges. Pursuant to the U.S. Bankruptcy Code, Senior Care has an initial period of 120 days from the petition date to assume or reject the lease. As security under the lease, we hold a letter of credit in the amount of approximately $2.0 million, maintenance and repair escrows of approximately $2.2 million and property tax escrows of approximately $1.8 million. Senior Care did not pay us December 2018 rent, but has paid us January and February 2019 rent.

Subsequent to December 31, 2018, we placed Thrive Senior Living, LLC. on a cash basis due to short-payment of contractual rent in November 2018 and non-payment of rent in December 2018 totaling $0.7 million. This rent has been accrued and recorded in 2018 and we currently estimate it is collectible. Thrive has not paid January or February 2019 rent. As a result, we have issued a reservation of rights letter to Thrive. We are working with Thrive and exploring our options to maximize the value of these real estate assets.

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2018 Transactions Overview

The following tables summarizes our transactions in 2018 (dollar amounts in thousand):

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	—	(2)	UDP	—	—	%		95		11		106
Total	3			177			$	40,295	$	113	$	40,408

(1) During 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 ALF and MC in Medford, OR for a total commitment of $18,108, and an existing operational 89-unit ILF in Oregon for $14,400.

(2) We acquired a parcel of land adjacent to an existing UDP.

Sold Properties

	Type		Number	Number
	of		of	of		Sales		Carrying		Net
State	Properties		Properties	Beds/Units		Price		Value		Gain
Alabama, Florida and Georgia	SNF		4	454	$	27,975	$	5,695	$	21,987
Kansas	ALF	(1)	—	—		350		346		—
Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,695
Total			10	774	$	95,825	$	22,393	$	70,682

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

Development Projects

	Developments		Improvements
Assisted Living Communities	$	27,505	$	2,292
Skilled Nursing Centers		7,774		500
Other		—		457
Total	$	35,279	$	3,249

Completed Developments

	Number	Type	Number
	of	of	of			Total
Type of Project	Properties	Property	Beds/Units	State	Investment
Development	1	MC	66	Illinois	$	14,998
	1		66		$	14,998

Investment in Mortgage Loans

Originations and funding under mortgage loans receivable	$	21,364	(1)
Pay-offs received		(1,086)
Scheduled principal payments received		(1,050)
Net increase in mortgage loans receivable	$	19,228

(1) During 2018, we funded an additional $7,400 under an existing mortgage loan for the purchase of a 112-bed SNF 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 SNF 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												Received
	of	of	Preferred		Paid in		of		Investment			Carrying			Capital		Recognized		Cash
State	Properties	Investment	Return		Cash		Beds/ Units		Commitment			Value			Contribution		Income		Interest
Arizona	ALF/MC/ILF	Preferred Equity	15	%	7	%	585	$	25,650		$	24,032		$	670	$	2,041	$	1,975
Florida	ALF/IL/MC	Mezzanine	15	%	12	%	99		2,900	(1)		3,183	(1)		—		511		396
Florida	UDP-ALF/MC	Mezzanine	15	%	10	%	127		3,400			3,400			—		312		—	(2)
							811	$	31,950		$	30,615		$	670	$	2,864	$	2,371

(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 December 31, 2018, we still hold $177 which will be applied to future interest.

Investment in Notes Receivable

During the fourth quarter of 2018, we entered into a $6.8 million mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

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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 real estate investment our concentration risk in terms of asset mix, real estate investment mix, operator mix and geographic mix. Concentration risk is valuable to understand what portion of our real estate investments could be at risk if certain sectors were to experience downturns. Asset mix measures the portion of our real estate investments that are real property or mortgage loans. In order to qualify as an equity REIT, at least 50 percent of our total assets must be represented by real estate assets, cash, cash items and government securities. Investment mix measures the portion of our investments that relate to our various property types. Operator mix measures the portion of our real estate investments that relate to our top five operators. Geographic mix measures the portion of our real estate investment that relate to our top five states.

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

	12/31/18		9/30/18		6/30/18		3/31/18		12/31/17
Asset mix:
Real property	$	1,421,456	$	1,414,267	$	1,401,303	$	1,401,506	$	1,392,122
Loans receivable		245,386		245,053		236,178		235,734		226,162
Real estate investment mix:
Skilled nursing centers	$	810,570	$	814,194	$	814,208	$	813,542	$	803,691
Assisted living communities		804,021		802,484		787,373		795,036		789,520
Under development		41,186		31,602		25,077		17,922		14,465
Other (1)		11,065		11,040		10,823		10,740		10,608
Operator mix:
Prestige Healthcare (1)	$	258,519	$	258,186	$	249,311	$	247,769	$	238,184
Senior Lifestyle Corporation		190,368		189,945		189,945		189,226		189,226
Senior Care Centers		138,109		138,109		138,109		138,109		138,109
Anthem Memory Care		136,397		135,946		135,342		131,527		126,120
Brookdale Senior Living		126,991		126,991		126,991		126,991		126,991
Remaining operators		816,458		810,143		797,783		803,618		799,654
Geographic mix:
Texas	$	292,317	$	292,317	$	292,317	$	267,051	$	267,051
Michigan		246,329		245,996		237,121		235,579		225,994
Wisconsin		143,657		137,056		133,794		130,941		129,398
Colorado		114,923		114,923		114,923		114,923		114,923
California		102,254		102,254		102,254		102,254		102,254
Remaining states		767,362		766,774		757,072		786,492		778,664

(1) We have three parcels of land as of December 31, 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 Ended		Quarter Ended
	12/31/18		12/31/18			9/30/18		6/30/18			3/31/18			12/31/17
Debt to gross asset value	35.2	%	35.2	%	(1)	36.4	%	36.1	%	(4)	38.3	%	(6)	37.6	%
Debt to market capitalization ratio	28.1	%	28.1	%	(2)	27.7	%	27.8	%	(5)	31.4	%	(7)	27.9	%
Interest coverage ratio (8)	4.8	x	5.2	x	(3)	4.8	x	4.7	x		4.7	x		4.8	x
Fixed charge coverage ratio (8)	4.8	x	5.2	x	(3)	4.8	x	4.7	x		4.7	x		4.8	x

(1) Decreased due to decrease in outstanding debt partially offset by decrease in gross asset value.

(2) Increased due to decrease in market capitalization, partially offset by decrease in outstanding debt.

(3) Increased due to decrease in interest expense and increase in other income from the net write-off of Senior Lifestyle contingent lease incentive and the related earn-out liability.

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

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

(6) 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.

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

(8) 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
	12/31/18			12/31/18			9/30/18			6/30/18			3/31/18			12/31/17
Net income	$	155,076		$	30,844		$	34,937		$	68,936		$	20,359		$	19,834
(Less) add: (Gain) loss on sale		(70,682)			(7,984)			(14,353)			(48,345)			—			1,240
Add: Impairment charges		—			—			—			—			—			—
Add: Interest expense		30,196			7,215			7,497			7,655			7,829			7,683
Add: Depreciation and amortization		37,555			9,396			9,447			9,268			9,444			9,424
Total EBITDAre	$	152,145		$	39,471		$	37,528		$	37,514		$	37,632		$	38,181
Interest expense	$	30,196		$	7,215		$	7,497		$	7,655		$	7,829		$	7,683
Add: Capitalized interest		1,248			398			298			293			259			281
Interest incurred	$	31,444		$	7,613		$	7,795		$	7,948		$	8,088		$	7,964
Interest coverage ratio		4.8	x		5.2	x		4.8	x		4.7	x		4.7	x		4.8	x
Interest incurred	$	31,444		$	7,613		$	7,795		$	7,948		$	8,088		$	7,964
Total fixed charges	$	31,444		$	7,613		$	7,795		$	7,948		$	8,088		$	7,964
Fixed charge coverage ratio		4.8	x		5.2	x		4.8	x		4.7	x		4.7	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

Year ended December 31, 2018 compared to year ended December 31, 2017 (in thousands):

	Years ended December 31,
	2018		2017		Difference
Revenues:
Rental income	$	135,405	$	137,657	$	(2,252)	(1)
Interest income from mortgage loans		28,200		26,769		1,431	(2)
Interest and other income		5,040		3,639		1,401	(3)
Total revenues		168,645		168,065		580
Expenses:
Interest expense		30,196		29,949		(247)	(4)
Depreciation and amortization		37,555		37,610		55
Impairment charges		—		1,880		1,880	(5)
Provision (recovery) for doubtful accounts		87		(206)		(293)
Transaction costs		84		56		(28)
General and administrative expenses		19,193		17,513		(1,680)	(6)
Total expenses		87,115		86,802		(313)
Other operating income:
Gain on sale of real estate, net		70,682		3,814		66,868	(7)
Operating income		152,212		85,077		67,135
Income from unconsolidated joint ventures		2,864		2,263		601	(8)
Net income		155,076		87,340		67,736
Income allocated to non-controlling interests		(95)		—		(95)
Net income attributable to LTC Properties, Inc.		154,981		87,340		67,641
Income allocated to participating securities		(625)		(362)		(263)
Net income available to common stockholders	$	154,356	$	86,978	$	67,378

(1) Decreased due the reduction of rent related to the properties sold during 2018 and Senior Care Centers non-payment of December rent as a result of the bankruptcy filing, partially offset by acquisitions and capital improvements.

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

(3) Increased primarily due to the net impact of the write-off of an earn-out liability and the related lease incentive asset during 2018 partially offset by decrease in interest income due to mezzanine loan payoffs and write-off of an earn-out liability and related lease incentive asset during 2017.

(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 lower incentive compensation in the prior year related to a previously disclosed defaulted master lease.

(7) Represents the net gain on sale of six ALF and four SNF properties during 2018, partially offset by a net gain on sale of five ALF and a donation of a SNF during 2017.

(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.

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Year ended December 31, 2017 compared to year ended December 31, 2016 (in thousands)

	Years ended December 31,
	2017			2016			Difference
Revenues:
Rental income	$	137,657		$	133,527		$	4,130	(1)
Interest income from mortgage loans		26,769			27,321			(552)	(2)
Interest and other income		3,639			735			2,904	(3)
Total revenues		168,065			161,583			6,482
Expenses:
Interest expense		29,949			26,442			(3,507)	(4)
Depreciation and amortization		37,610			35,932			(1,678)	(1)
Impairment on real estate for sale		1,880			766			(1,114)	(5)
Provision for doubtful accounts		(206)			457			663	(6)
Transaction costs		56			179			123
General and administrative expenses		17,513			17,412			(101)
Total expenses		86,802			81,188			(5,614)
Other operating income:
Gain on sale of real estate, net		3,814	(7)		3,582	(8)		232
Operating income		85,077			83,977			1,100
Income from unconsolidated joint ventures		2,263			1,138			1,125	(9)
Net income		87,340			85,115			2,225
Income allocated to participating securities		(362)			(385)			23
Net income available to common stockholders	$	86,978		$	84,730		$	2,248

(1) Increased due to acquisitions, development and capital improvement investments partially offset by a defaulted master lease placed on cash basis, as previously discussed, and the reduction of rent related to the properties sold in 2017.

(2) Decreased primarily due to mortgage loan payoffs partially offset by capital improvement funding under certain mortgage loans.

(3) Increased primarily due to mezzanine loan originations, write-off of an earn-out liability and the related lease incentive asset.

(4) Increased primarily due to sales of senior unsecured notes and a decrease in capitalized interest related to development projects partially offset by a decrease in borrowing under our unsecured revolving line of credit.

(5) Represents the write-off of straight-line rent and other receivables related to two properties in conjunction with our negotiations to transition these properties to another operator in our portfolio in 2017, partially offset by the write-down of a property in 2016 to its estimated sale price.

(6) Decreased due to mortgage loan payoffs and reversal of straight-line rent reserve.

(7) Consists of a net gain on sale of five ALF partially offset by the donation of a SNF to a nonprofit health care provider.

(8) Consists of a net gain on sale of two SNF and an ALF, partially offset by the net loss from the sale of a school.

(9) 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.

Funds From Operations

Funds from Operations (“FFO”) attributable to common stockholders, basic FFO attributable to common stockholders per share and diluted FFO attributable 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 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

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available to fund cash needs and should not be considered an alternative to net income available to common stockholders.

We calculate and report FFO in accordance with the definition and interpretive guidelines issued by the 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 net income available to common stockholders to FFO attributable to common stockholders (unaudited, amounts in thousands, except per share amounts):

	For the year ended December 31,
	2018			2017			2016
GAAP net income available to common stockholders	$	154,356		$	86,978		$	84,730
Add: Depreciation and amortization		37,555			37,610			35,932
Add: Impairment charges		—			1,880			766
Less: (Gain) loss on sale of real estate, net		(70,682)			(3,814)			(3,582)
NAREIT FFO attributable to common stockholders	$	121,229		$	122,654		$	117,846
NAREIT FFO attributable to common stockholders per share:
Basic	$	3.07		$	3.11		$	3.07
Diluted	$	3.06	(1)	$	3.10	(1)	$	3.06	(1)
Weighted average shares used to calculate NAREIT FFO per share:
Basic		39,477			39,409			38,388
Diluted		39,839	(2)		39,637	(2)		38,597	(2)

(1) Includes the effect of participating securities.

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

Critical Accounting Policies

See Item 8. FINANCIAL STATEMENTS—Note 2.  Summary of Significant Accounting Policies. 

Liquidity and Capital Resources

Sources and Uses of Cash

As of December 31, 2018, we had a total of$2.7 million of cash and cash equivalents, $488.0 million available under our unsecured revolving line of credit and $93.8 million available under our senior unsecured note shelf agreement. Subsequent to December 31, 2018, we borrowed $26.4 million, net, under our unsecured revolving line of credit. Accordingly, we have $138.4 million outstanding under our unsecured revolving line of credit and $461.6 million available for borrowing. Additionally, subsequent to year-end, we paid down $4.2 million in regular scheduled principal payments under our senior unsecured notes. Accordingly, we have $528.9 million outstanding and $98.0 million available under our senior unsecured note shelf agreement. See Debt Obligations below for further discussion.

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 offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time publicly 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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Additionally, we have the ability to access the capital markets through the issuance of common stock by means of our equity distribution agreements under our automatic shelf registration statement. See Equity below for further discussion.

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 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 by 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 2019.

We expect our future income and ability to make distributions from cash flows provided by operating activities to depend on the collectability 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 may 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. We may initially fund some of our investments with variable interest rate debt and, if so, 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 and proceeds from investment dispositions. 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):

	Year Ended December 31,					Change
Cash provided by (used in):	2018		2017			$
Operating activities	$	115,535	$	105,305	$	10,230
Investing activities		(3,609)		(92,012)		88,403
Financing activities		(112,375)		(16,071)		(96,304)
(Decrease) increase in cash, cash equivalents and restricted cash		(449)		(2,778)		2,329
Cash, cash equivalents and restricted cash, beginning of period		5,213		7,991		(2,778)
Cash, cash equivalents and restricted cash, end of period	$	4,764	$	5,213	$	(449)

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 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

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margins and converts from the payment of unused commitment fees to a facility fee. Based on our leverage at December 31, 2018, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At December 31, 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 $93.8 million available for borrowing.

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

	Applicable			Available
	Interest	Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing
Bank borrowings (2)	3.69%	$	112,000	$	488,000
Senior unsecured notes, net of debt issue costs (3)	4.50%		533,029		93,833
Total	4.36%	$	645,029	$	581,833

(1) Represents weighted average of interest rate as of December 31, 2018.

(2) Subsequent to December 31, 2018, we borrowed $26,400, net under our unsecured revolving line of credit, accordingly we have $138,400 outstanding and $461,600 available for borrowing.

(3) Subsequent to December 31, 2018, we paid down $4.2 million in regular scheduled principal payments. Accordingly, we have $528.9 million outstanding and $98.0 million available under our senior unsecured notes.

Our debt borrowings and repayments during the year ended December 31, 2018, are as follows (in thousands):

Debt Obligations		Borrowings		Repayments
Bank borrowings	$	116,200	$	(100,700)
Senior unsecured notes		—		(38,166)
Total	$	116,200	$	(138,866)

Equity

At December 31, 2018, we had 39,656,737 shares of common stock outstanding, equity on our balance sheet totaled $833.0 million and our equity securities had a market value of $1.7 billion. During the year ended December 31, 2018, we declared and paid $90.4 million of cash dividends.

Common Stock.  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 for sales of common shares 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 year ended December 31, 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 December 31, 2018, we had $184.1 million available under our equity distribution agreement.

During 2018, we acquired 31,326 shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations. Subsequent to December 31, 2018, we acquired 20,345 shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations. Subsequent to December 31, 2018, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of January, February and March 2019, payable on January 31, February 28 and March 29, 2019, respectively, to stockholders of record on January 23, February 20 and March 21, 2019, respectively.

Non-controlling Interests.  During 2018, we entered into partnerships to develop and/or own real estate. Given that our limited members do not have substantive kick-out rights, liquidation rights, or participation rights, we have concluded that the partnerships are VIEs. Since we exercise power over and receive benefits from the VIEs, we are

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considered the primary beneficiary. Accordingly, we consolidate the VIEs and record the non-controlling interests at cost. During 2018, we invested in the following consolidated VIEs (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)
Total				$	17,281		$	3,938

(1) We entered into a joint venture (“JV”) to develop, purchase and own senior housing properties. During 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. Additionally during 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%.

Stock Based Compensation Plans.  During 2015, we adopted, and our stockholders approved the 2015 Equity Participation Plan (the “2015 Plan”) which 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.

Restricted Stock and Performance-based Stock Units.  During 2018, we granted 156,718 shares of restricted common 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.

Subsequent to December 31, 2018, we granted 139,112 shares of restricted common stock and performance-based stock units at $46.54 per share. Out of these shares, 78,276 vest ratably from the grant date over a three-year period and 60,836 vest based on achieving certain TSR targets in 4 years with acceleration opportunity in 3 years.

At December 31, 2018, the total number of restricted common stock and performance-based stock units that are scheduled to vest and 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:

	Number		Remaining
	of		Compensation
Vesting Date	Awards		Expense
2019	128,214	(1)		4,250,000
2020	104,085	(2)		2,210,000
2021	93,451	(3)		238,000
Total	325,750		$	6,698,000

(1) Includes 49,728 performance-based stock units. The performance-based stock units are valued utilizing a lattice-binomial option pricing model based on Monte Carlo simulations. The company recognizes the fair value of the awards over the applicable vesting period as compensation expense.

(2) Includes 53,554 performance-based stock units. See (1) above for valuation methodology.

(3) Includes 66,171 performance-based stock units. See (1) above for valuation methodology.

38

Stock Options.  We did not issue any stock options during the year ended December 31, 2018. During 2018, a total of 5,000 stock options were exercised at a total option value of $123,000 and a total market value on the date of exercise of $205,000. At December 31, 2018, we have 20,000 stock options outstanding and exercisable.

Contractual Obligations

We monitor our contractual obligations and commitments detailed above to ensure funds are available to meet obligations when due. The following table represents our long-term contractual obligations (scheduled principal payments and amounts due at maturity) as of December 31, 2018, excluding the effects of interest and debt issue costs (in thousands):

	Total			2019		2020		2021		2022		2023		Thereafter
Bank borrowings	$	112,000	(1)	$	—	$	—	$	—	$	112,000	$	—	$	—
Senior unsecured notes (2)		533,967			33,667		40,160		47,160		48,160		49,160		315,660
Total	$	645,967		$	33,667	$	40,160	$	47,160	$	160,160	$	49,160	$	315,660

(1) Subsequent to December 31, 2018, we borrowed $26,400, net, under our unsecured revolving line of credit. Accordingly, we have $138,400 outstanding and $461,600 available under our unsecured revolving line of credit.

(2) Subsequent to December 31, 2018, we paid down $4,167 in regular scheduled principal payments. Accordingly, we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

The following table represents our projected interest expense, excluding capitalized interest, amortization of debt issue costs, bank fees and earn-out accretion, as of December 31, 2018 (in thousands):

	Total		2019		2020		2021		2022		2023		Thereafter
Bank borrowings	$	14,667	$	4,192	$	4,204	$	4,192	$	2,079	$	—	$	—
Senior unsecured notes		144,645		23,377		21,808		19,715		17,431		15,153		47,161
Total	$	159,312	$	27,569	$	26,012	$	23,907	$	19,510	$	15,153	$	47,161

Off‑Balance Sheet Arrangements:

We had no off‑balance sheet arrangements as of December 31, 2018.

Item 7A.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

You are cautioned that statements contained in this section are forward looking and should be read in conjunction with the disclosure under the heading “Cautionary Statements” and the “Risk Factors” set forth above.

We are exposed to market risks associated with changes in interest rates as they relate to our mortgage loans receivable and debt. Interest rate risk is sensitive to many factors, including governmental monetary and tax policies, domestic and international economic and political considerations and other factors that are beyond our control.

We do not utilize interest rate swaps, forward or option contracts, or foreign currencies or commodities, or other types of derivative financial instruments nor do we engage in “off‑balance sheet” transactions. The purpose of the following disclosure is to provide a framework to understand our sensitivity to hypothetical changes in interest rates as of December 31, 2018.

Our future earnings, cash flows and estimated fair values relating to financial instruments are dependent upon prevalent market rates of interest, such as LIBOR or term rates of U.S. Treasury Notes. Changes in interest rates generally impact the fair value, but not future earnings or cash flows, of mortgage loans receivable and fixed rate debt. Our mortgage loans receivable and debt, such as our senior unsecured notes, are primarily fixed‑rate instruments. For variable rate debt, such as our revolving line of credit, changes in interest rates generally do not impact the fair value, but do affect future earnings and cash flows.

39

At December 31, 2018, the fair value of our mortgage loans receivable using an 9.0% discount rate was approximately $295.5 million. A 1% increase in such rate would decrease the estimated fair value of our mortgage loans by approximately $25.1 million while a 1% decrease in such rate would increase their estimated fair value by approximately $29.4 million. At December 31, 2018, the fair value of our senior unsecured notes using a 5.15% discount rate for those maturing before year 2026 and 5.40% discount rate for those maturing at or beyond year 2026 was approximately $508.6 million. A 1% increase in such rate would decrease the estimated fair value of our senior unsecured notes by approximately $24.9 million while a 1% decrease in such rate would increase their estimated fair value by approximately $26.7 million. These discount rates were measured based upon management’s estimates of rates currently prevailing for comparable loans available to us and instruments of comparable maturities.

The estimated impact of changes in interest rates discussed above are determined by considering the impact of the hypothetical interest rates on our borrowing costs, lending rates and current U.S. Treasury rates from which our financial instruments may be priced. We do not believe that future market rate risks related to our financial instruments will be material to our financial position or results of operations. These analyses do not consider the effects of industry specific events, changes in the real estate markets, or other overall economic activities that could increase or decrease the fair value of our financial instruments. If such events or changes were to occur, we would consider taking actions to mitigate and/or reduce any negative exposure to such changes. However, due to the uncertainty of the specific actions that would be taken and their possible effects, the sensitivity analysis assumes no changes in our capital structure.

40

ITEM 8. FINANCIAL STATEMENTS

LTC Properties, Inc.

Index to Consolidated Financial Statements

and Financial Statements Schedules

	Page
Report of Independent Registered Public Accounting Firm	42
Consolidated Balance Sheets as of December 31, 2018 and 2017	43
Consolidated Statements of Income and Comprehensive Income for the years ended December 31, 2018, 2017 and 2016	44
Consolidated Statements of Equity for the years ended December 31, 2018, 2017 and 2016	45
Consolidated Statements of Cash Flows for the years ended December 31, 2018, 2017 and 2016	46
Notes to Consolidated Financial Statements	47
Consolidated Financial Statement Schedules
Schedule II—Valuation and Qualifying Accounts	76
Schedule III—Real Estate and Accumulated Depreciation	77
Schedule IV—Mortgage Loans on Real Estate	82

41

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Stockholders of LTC Properties, Inc.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of LTC Properties, Inc. (the “Company”) as of December 31, 2018 and 2017, and the related consolidated statements of income and comprehensive income, equity and cash flows for each of the three years in the period ended December 31, 2018, and the related notes and the financial statement schedules listed in the Index at Item 15(a) (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at December 31, 2018 and 2017, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2018, in conformity with U.S. generally accepted accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's internal control over financial reporting as of December 31, 2018, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) and our report dated February 28, 2019, expressed an unqualified opinion thereon.

Basis for Opinion

These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 1992

Los Angeles, California

February 28, 2019

42

LTC PROPERTIES, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except per share amounts)

(In thousands, except per share amounts)
	December 31,
	2018		2017
ASSETS
Investments:
Land	$	125,358	$	124,041
Buildings and improvements		1,290,352		1,262,335
Accumulated depreciation and amortization		(312,959)		(304,117)
Operating real estate property, net		1,102,751		1,082,259
Properties held-for-sale, net of accumulated depreciation: 2018—$1,916; 2017—$1,916		3,830		3,830
Real property investments, net		1,106,581		1,086,089
Mortgage loans receivable, net of loan loss reserve: 2018—$2,447; 2017—$2,255		242,939		223,907
Real estate investments, net		1,349,520		1,309,996
Notes receivable, net of loan loss reserve: 2018—$128; 2017—$166		12,715		16,402
Investments in unconsolidated joint ventures		30,615		29,898
Investments, net		1,392,850		1,356,296
Other assets:
Cash and cash equivalents		2,656		5,213
Restricted cash		2,108		—
Debt issue costs related to bank borrowings		2,989		810
Interest receivable		20,732		15,050
Straight-line rent receivable, net of allowance for doubtful accounts: 2018—$746; 2017—$814		73,857		64,490
Lease incentives		14,443		21,481
Prepaid expenses and other assets		3,985		2,230
Total assets	$	1,513,620	$	1,465,570
LIABILITIES
Bank borrowings	$	112,000	$	96,500
Senior unsecured notes, net of debt issue costs: 2018—$938; 2017—$1,131		533,029		571,002
Accrued interest		4,180		5,276
Accrued incentives and earn-outs		—		8,916
Accrued expenses and other liabilities		31,440		25,228
Total liabilities		680,649		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		862,712		856,992
Cumulative net income		1,255,764		1,100,783
Cumulative distributions		(1,293,383)		(1,203,011)
Total LTC Properties, Inc. stockholders’ equity		825,490		755,160
Non-controlling interests		7,481		3,488
Total equity		832,971		758,648
Total liabilities and equity	$	1,513,620	$	1,465,570

See accompanying notes.

43

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME

(In thousands, except per share amounts)

	Year Ended December 31,
	2018		2017		2016
Revenues:
Rental income	$	135,405	$	137,657	$	133,527
Interest income from mortgage loans		28,200		26,769		27,321
Interest and other income		5,040		3,639		735
Total revenues		168,645		168,065		161,583
Expenses:
Interest expense		30,196		29,949		26,442
Depreciation and amortization		37,555		37,610		35,932
Impairment charges		—		1,880		766
Provision (recovery) for doubtful accounts		87		(206)		457
Transaction costs		84		56		179
General and administrative expenses		19,193		17,513		17,412
Total expenses		87,115		86,802		81,188
Other operating income:
Gain on sale of real estate, net		70,682		3,814		3,582
Operating income		152,212		85,077		83,977
Income from unconsolidated joint ventures		2,864		2,263		1,138
Net income		155,076		87,340		85,115
Income allocated to non-controlling interests		(95)		—		—
Net income attributable to LTC Properties, Inc.		154,981		87,340		85,115
Income allocated to participating securities		(625)		(362)		(385)
Net income available to common stockholders	$	154,356	$	86,978	$	84,730
Earnings per common share:
Basic	$	3.91	$	2.21	$	2.21
Diluted	$	3.89	$	2.20	$	2.21
Weighted average shares used to calculate earnings per common share:
Basic		39,477		39,409		38,388
Diluted		39,839		39,637		38,597
Comprehensive Income:
Net income	$	155,076	$	87,340	$	85,115
Reclassification adjustment (Note 10)		—		—		(47)
Comprehensive income	$	155,076	$	87,340	$	85,068

See accompanying notes.

44

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF EQUITY

(In thousands, except per share amounts)

				Capital in		Cumulative						Total		Non-
	Common	Common		Excess of		Net		Accumulated		Cumulative		Stockholders’		controlling		Total
	Stock	Stock		Par Value		Income		OCI		Distributions		Equity		Interests		Equity
Balance—December 31, 2015	37,548	$	375	$	758,676	$	928,328	$	47	$	(1,028,224)	$	659,202	$	—	$	659,202
Reclassification adjustment	—		—		—		—		(47)		—		(47)		—		(47)
Issuance of common stock	1,643		16		78,120		—		—		—		78,136		—		78,136
Issuance of restricted stock	73		1		(42)		—		—		—		(41)		—		(41)
Net income	—		—		—		85,115		—		—		85,115		—		85,115
Vesting of restricted stock	—		—		4,265		—		—		—		4,265		—		4,265
Vesting of stock options	—		—		15		—		—		—		15		—		15
Stock option exercises	7		—		159		—		—		—		159		—		159
Common stock cash distributions ($2.19 per share)	—		—		—		—		—		(84,568)		(84,568)		—		(84,568)
Other	(50)		—		(2,188)		—		—		—		(2,188)		—		(2,188)
Balance—December 31, 2016	39,221		392		839,005		1,013,443		—		(1,112,792)		740,048		—		740,048
Issuance of common stock	313		3		14,526		—		—		—		14,529		—		14,529
Issuance of restricted stock	85		1		(21)		—		—		—		(20)		—		(20)
Net income	—		—		—		87,340		—		—		87,340		—		87,340
Vesting of restricted stock	—		—		5,247		—		—		—		5,247		—		5,247
Vesting of stock options	—		—		2		—		—		—		2		—		2
Stock option exercises	8		—		202		—		—		—		202		—		202
Non-controlling interests contribution	—		—		—		—		—		—		—		3,488		3,488
Common stock cash distributions ($2.28 per share)	—		—		—		—		—		(90,219)		(90,219)		—		(90,219)
Other	(57)		—		(1,969)		—		—		—		(1,969)		—		(1,969)
Balance—December 31, 2017	39,570		396		856,992		1,100,783		—		(1,203,011)		755,160		3,488		758,648
Issuance of common stock	22		—		929		—		—		—		929		—		929
Issuance of restricted stock	91		1		(9)		—		—		—		(8)		—		(8)
Net income	—		—		—		154,981		—		—		154,981		95		155,076
Vesting of restricted stock	—		—		5,870		—		—		—		5,870		—		5,870
Stock option exercises	5		—		123		—		—		—		123		—		123
Non-controlling interests contribution	—		—		—		—		—		—		—		3,963		3,963
Non-controlling interest distributions	—		—		—		—		—		—		—		(65)		(65)
Common stock cash distributions ($2.28 per share)	—		—		—		—		—		(90,372)		(90,372)		—		(90,372)
Other	(31)		—		(1,193)		—		—		—		(1,193)		—		(1,193)
Balance—December 31, 2018	39,657	$	397	$	862,712	$	1,255,764	$	—	$	(1,293,383)	$	825,490	$	7,481	$	832,971

See accompanying notes.

45

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

	Year Ended December 31,
	2018		2017		2016
OPERATING ACTIVITIES:
Net income	$	155,076	$	87,340	$	85,115
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		37,555		37,610		35,932
Stock-based compensation expense		5,870		5,249		4,280
Impairment charges		—		1,880		766
Gain on sale of real estate, net		(70,682)		(3,814)		(3,582)
Income from unconsolidated joint ventures		(2,864)		(2,263)		(1,138)
Income distributions from unconsolidated joint ventures		2,371		1,738		1,695
Insurance proceeds for damaged property		2,619		—		—
Payment for remediation of damaged property		(508)		—		—
Straight-line rental income		(9,550)		(10,694)		(13,477)
Lease incentives funded		(1,272)		(6,544)		(4,827)
Amortization of lease incentives		2,092		2,209		1,955
Provision for doubtful accounts		87		(206)		457
Non-cash interest related to contingent liabilities		377		602		684
Non-cash income related to earn-out and related lease incentive write-off		(3,074)		(842)		(16)
Other non-cash items, net		1,180		1,282		1,216
Increase in interest receivable		(5,682)		(5,367)		(5,147)
(Decrease) increase in accrued interest payable		(1,096)		601		701
Net change in other assets and liabilities		3,036		(3,476)		1,094
Net cash provided by operating activities		115,535		105,305		105,708
INVESTING ACTIVITIES:
Investment in real estate properties		(40,408)		(82,405)		(74,923)
Investment in real estate developments		(35,279)		(22,901)		(42,342)
Investment in real estate capital improvements		(3,249)		(2,899)		(6,792)
Capitalized interest		(1,248)		(908)		(1,408)
Proceeds from sale of real estate, net		92,749		15,413		17,369
Investment in real estate mortgage loans receivable		(21,364)		(11,913)		(20,685)
Principal payments received on mortgage loans receivable		2,136		17,863		8,278
Investments in unconsolidated joint ventures		(670)		(3,848)		(1,770)
Payment of working capital reserve		—		(439)		(2,756)
Advances and originations under notes receivable		(124)		—		(14,969)
Principal payments received on notes receivable		3,848		25		100
Net cash used in investing activities		(3,609)		(92,012)		(139,898)
FINANCING ACTIVITIES:
Bank borrowings		116,200		113,000		123,600
Repayment of bank borrowings		(100,700)		(123,600)		(137,000)
Proceeds from issuance of senior unsecured notes		—		100,000		77,500
Principal payments on senior unsecured notes		(38,166)		(31,167)		(26,667)
Proceeds from common stock issued		1,005		14,578		78,592
Stock option exercises		123		202		159
Distributions paid to stockholders		(90,372)		(90,219)		(84,568)
Contribution from non-controlling interests		3,963		3,488		—
Distributions paid to non-controlling interests		(65)		—		—
Financing costs paid		(3,162)		(363)		(147)
Other		(1,201)		(1,990)		(2,230)
Net cash (used in) provided by financing activities		(112,375)		(16,071)		29,239
Decrease in cash, cash equivalents and restricted cash		(449)		(2,778)		(4,951)
Cash, cash equivalents and restricted cash, beginning of period		5,213		7,991		12,942
Cash, cash equivalents and restricted cash, end of period	$	4,764	$	5,213	$	7,991
Supplemental disclosure of cash flow information:
Interest paid	$	30,116	$	28,070	$	24,490

See accompanying notes.

46

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

1. The Company

LTC Properties, Inc. (“LTC”), a Maryland corporation, commenced operations on August 25, 1992. LTC is a real estate investment trust (“REIT”) that invests primarily in seniors housing and health care properties 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. ALF, ILF, MC and combinations thereof are included in the ALF classification.

2. Summary of Significant Accounting Policies

Basis of Presentation.  The accompanying consolidated financial statements include the accounts of LTC, our wholly‑owned subsidiaries, and our consolidated companies. All intercompany investments, accounts and transactions have been eliminated.

Consolidation of entities is based on determination of the primary beneficiary. In order to be considered the primary beneficiary, the member should be able to exercise power over and receive benefits from the entity. Power over the company is based on the provisions of the operating agreement that provides us with a controlling financial interest in the entity. Under the terms of the operating agreement, we, as the general member, are responsible for the management of the company’s assets, business and affairs. Our rights and duties in management of the company include making all operating decisions, setting the capital budget, executing all contracts, making all employment decisions, and handling the purchase and disposition of assets, among others. We, as the general member, are responsible for the ongoing, major, and central operations of the company and make all management decisions. In addition, we, as the general member, assume the risk for all operating losses, capital losses, and are entitled to substantially all capital gains (appreciation) and accordingly, receive substantial benefits from the company. 

The Financial Accounting Standards Board (“FASB”) created a framework for evaluating whether a general partner or a group of general partners controls a limited partnership or a managing member or a group of managing members exercise power over a limited liability company and therefore should consolidate the entity. The guidance states that the presumption of general partner or managing member control would be overcome only when the limited partners or non-managing members have certain specific rights as described in the guidance. The limited members have virtually no rights and are precluded from taking part in the operation, management or control of the company. The limited members are also precluded from transferring their interests without the expressed permission of the general member.  However, we could transfer our interest without consultation or permission of the limited members.  We consolidated the companies in accordance with the guidance. 

The FASB requires the classification of non-controlling interests as a component of consolidated equity in the consolidated balance sheet subject to the provisions of the rules governing classification and measurement of redeemable securities. The guidance requires consolidated net income to be reported at the amounts attributable to both the controlling and non-controlling interests. The calculation of earnings per share will be based on income amounts attributable to the controlling interest. 

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

47

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

accounting firm’s audit of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Certain reclassifications have been made to the prior period consolidated financial statements to conform to the current period presentation, including changes in presentation of Gain on sale of real estate, net on the consolidated statement of income and comprehensive income. The Company has included Gain on sale of real estate, net as a component of Operating Income to present gain and losses on sales of properties in accordance with ASC 360-10-45-5. The change was made for the prior periods as the Securities and Exchange Commission has eliminated Rule 3-15(a) of Regulation S-X as part of Release No. 33-10532; 34-83875; IC-33203, which had required REITs to present gain and losses on sale of properties outside of continuing operations in the income statement. These adjustments are normal and recurring in nature.

Going Concern.  In August 2014, the FASB issued Accounting Standards Update (“ASU”) 2014-15, Presentation of Financial Statements— Going Concern (Subtopic 205-40):  Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. The amendments in this update define management’s responsibility under U.S. generally accepted accounting principles (“GAAP”) to evaluate when and how substantial doubt about the organization’s ability to continue as a going concern should be disclosed in the financial statement footnotes. This ASU expands disclosure requirements about principal conditions or events that raise substantial doubt. It also requires disclosing management’s evaluation of the significance of those conditions or events in relationship to the organization’s ability to meet its obligations, and management’s plans that are intended to either alleviate substantial doubt or to mitigate conditions or events that raise substantial doubt. ASU No. 2014-15 is effective for annual periods ending after December 15, 2016. We adopted this ASU in 2017. The adoption of this ASU did not have a material impact on our financial statements or disclosures.

Use of Estimates.  Preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

Cash Equivalents.  Cash equivalents consist of highly liquid investments with a maturity of three months or less when purchased and are stated at cost which approximates market.

Restricted Cash.  In November 2016, the FASB issued ASU No 2016-18 (“ASU 2016-18”), Restricted Cash. ASU 2016-18 requires an entity to reconcile and explain the period over period change in total cash, cash equivalent and restricted cash within its consolidated statement of cash flows.

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 December 31, 2018, the gross value and the carrying value of the property were $2,021,000 and $1,133,000, 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

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· 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.

Owned Properties.  We make estimates as part of our allocation of the purchase price of acquisitions to the various components of the acquisition based upon the fair value of each component. In determining fair value, we use current appraisals or other third-party opinions of value. The most significant components of our allocations are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in‑place leases and other intangible assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property acquired or the remaining lease term. In the case of the value of in‑place leases, we make best estimates based on the evaluation of the specific characteristics of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease‑up periods, market conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the remaining lease term for the acquired in‑place leases. We evaluate each purchase transaction to determine whether the acquired assets meet the definition of an asset acquisition or a business combination. Transaction costs related to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related to acquisitions that are deemed to be businesses are expensed as incurred.

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. ASU 2017-01 is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted. We early adopted this standard in 2017. As a result of adopting ASU 2017-01, most of our acquisitions of investment properties will 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. We adopted this standard in 2018. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

We capitalize direct construction and development costs, including predevelopment costs, interest, property taxes, insurance and other costs directly related and essential to the acquisition, development or construction of a real estate asset. We capitalize construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. We consider a construction project as substantially complete and held available for occupancy upon the issuance of the certificate of occupancy. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment, renovation and expansion of existing operating properties, we capitalize the cost for the construction and improvement incurred in connection with the redevelopment, renovation and expansion. Costs previously capitalized related to abandoned acquisitions or developments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred.

Depreciation is computed principally by the straight‑line method for financial reporting purposes over the

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estimated useful lives of the assets, which range from 3 to 5 years for computers, 5 to 15 years for furniture and equipment, 35 to 50 years for buildings, 10 to 15 years for site improvements, 10 to 20 years for building improvements and the respective lease term for acquired lease intangibles.

Consolidation.  At inception, and on an ongoing basis, as circumstances indicate the need for reconsideration, we evaluate each legal entity that is not wholly-owned by us for consolidation, first under the variable interest entity (“VIE”), then under the voting model. Our evaluation considers all of our variable interests, including common or preferred equity ownership, loans, and other participating instruments. The variable interest model applies to entities that meet both of the following criteria:

· A legal structure been established to conduct business activities and to hold assets.

· LTC has a variable interest in the entity - i.e. it has equity ownership or other financial interests that change with changes in the fair value of the entity's net assets.

If an entity does meet the above criteria and doesn’t qualify for a scope exception from the VIE model, we will determine whether the entity is a VIE.

A legal entity is determined to be a VIE if it has any of the following three characteristics:

1. The entity does not have sufficient equity to finance its activities without additional subordinated financial support;

2. The equity holders, as a group lack the characteristics of a controlling financial interest, as evidenced by all of the following characteristics:

· The power, through voting rights or similar rights, to direct the activities of the entity that most significantly impact the entity's economic performance;

· The obligation to absorb the entity's expected losses;

· The right to receive the entity's expected residual returns; or

3. The entity is established with non-substantive voting rights (i.e. the entity is structured such that majority economic interest holder(s) have disproportionately few voting rights).

If any of the three characteristics of a VIE are met, we conclude that the entity is a VIE and evaluate it for consolidation under the variable interest model.

If an entity is determined to be a VIE, we evaluate whether we are the primary beneficiary. The primary beneficiary analysis is a qualitative analysis based on power and benefits. We consolidate a VIE if we have both power and benefits - that is (i) we have the power to direct the activities of a VIE that most significantly impact the VIE's economic performance (power), and (ii) we have the obligation to absorb losses of the VIE that could potentially be significant to the VIE, or the right to receive benefits from the VIE that potentially could be significant to the VIE (benefits). If we have a variable interest in a VIE but we are not the primary beneficiary, we account for our investment using the equity method of accounting.

If a legal entity fails to meet any of the three of the characteristics of a VIE, we evaluate such entity under the voting interest model. Under the voting interest model, we consolidate the entity if we determine that we, directly or indirectly, have greater than 50% of the voting shares or if we are the general partner or managing member of the entity and the limited partners or non-managing members do not have substantive participating, liquidation, or kick-out rights that preclude our presumption of control.

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Mortgage Loans Receivable, Net of Loan Loss Reserve.  Mortgage loans receivable we originate are recorded on an amortized cost basis. Mortgage loans we acquire are recorded at fair value at the time of purchase net of any related premium or discount which is amortized as a yield adjustment to interest income over the life of the loan. Additionally, we record an estimated allowance for doubtful accounts, as described below.

Mezzanine Loans. In 2015 we strategically decided to allocate a portion of our capital deployment toward mezzanine loans to grow relationships with operating companies that have not typically utilized sale leaseback financing as a component of their capital structure. Mezzanine financing sits between senior debt and common equity in the capital structure, and typically is used to finance development projects or value-add opportunities on existing operational properties. We seek market-based, risk-adjusted rates of return typically between 12-18% with the loan term typically between four to eight years. Security for mezzanine loans can include all or a portion of the following credit enhancements; secured second mortgage, pledge of equity interests and personal/corporate guarantees. Mezzanine loans are recorded for GAAP purposes as either a loan, under notes receivable, or joint venture, under investment in unconsolidated joint ventures, depending upon specifics of the loan terms and related credit enhancements.

Investment in unconsolidated joint ventures. From time to time, we provide funding to third-party operators for the acquisition, development and construction (“ADC”) of a property. Under an ADC arrangement, we may participate in the residual profits of the project through the sale or refinancing of the property. These ADC arrangements can have characteristics similar to a loan or similar to a joint venture or partnership such as participating in the risks and rewards of the project as an owner or an investment partner. If the ADC arrangement characteristics are more similar to a jointly-owned investment or partnership, we account for the ADC arrangement as an investment in an unconsolidated joint venture under the equity method of accounting or a direct investment (consolidated basis of accounting) instead of applying loan accounting.

We evaluate our ADC arrangements first pursuant to ASC 805, Consolidation, to determine whether the ADC arrangement meets the definition of a VIE, as explained above, and whether we are the primary beneficiary. If the ADC arrangement is deemed to be a VIE but we are not the primary beneficiary, or if it is deemed to be a voting interest entity but we do not have a controlling financial interest, we account for our investment in the ADC arrangement using the equity method. Under the equity method, we initially record our investment at cost and subsequently recognize our share of net earnings or losses and other comprehensive income or loss, cash contributions made and distributions received, and other adjustments, as appropriate. Allocations of net income or loss may be subject to preferred returns or allocation formulas defined in operating agreements and may not be according to percentage ownership interests. In certain circumstances where we have a substantive profit-sharing arrangement which provides a priority return on our investment, a portion of our equity in earnings may consist of a change in our claim on the net assets of the underlying joint venture. Distributions of operating profit from the joint ventures are reported as part of operating cash flows, while distributions related to a capital transaction, such as a refinancing transaction or sale, are reported as investing activities.

We periodically perform evaluation of our investment in unconsolidated joint ventures to determine whether the fair value of each investment is less than the carrying value, and, if such decrease in value is deemed to be other-than-temporary, write the investment down to its estimated fair value as of the measurement date.

In March 2016, FASB issued ASU No. 2016-07 (“ASU 2016-07”), Investments – Equity Method and Joint Ventures (Topic 323): Simplifying the Transition to the Equity Method of Accounting. ASU 2016-07 eliminates retroactive adjustment of an investment upon an investment qualifying for the equity method of accounting and requires the equity method investor to adopt the equity method of accounting as of the date the investment becomes qualified for equity method accounting.

Allowance for Doubtful Accounts.  We maintain an allowance for doubtful accounts. The allowance for doubtful accounts depends on the expected collectability of our receivables which is based on considerations including

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the certainty of payment, payment history and other relevant factors. The allowance for doubtful accounts is maintained at a level believed adequate to absorb potential losses in our receivables. In determining the allowance, we perform a quarterly evaluation of all receivables. If this evaluation indicates that there is a greater risk of receivable charge‑offs, additional allowances are recorded in current period earnings or placement on non-accrual status may be required.

Debt Issuance Cost. In April 2015, FASB issued ASU No. 2015-03 (“ASU 2015-03”), Interest – Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. ASU 2015-03 requires debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct reduction from the carrying amount of the debt liability, consistent with debt discounts. In August 2015, the FASB issued ASU No. 2015-15, Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements (Amendments to SEC Paragraphs Pursuant to Staff Announcement at June 18, 2015 EITF Meeting) (“ASU 2015-15”). ASU 2015-15 allows debt issuance costs related to line of credit agreements to be presented in the balance sheet as an asset. Upon adoption of ASU 2015-15, we elected to present debt issuance costs related to our unsecured revolving line of credit as an asset on our consolidated balance sheets.

Accrued incentives and earn-outs. As part of our acquisitions and/or amendments, we may commit to provide contingent payments to our sellers or lessees, upon the properties achieving certain rent coverage ratios. Typically, when the contingent payments are funded, cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. If it is deemed probable at acquisition, the contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is an earn-out provided to the seller, the estimated fair value is capitalized to the property’s basis. If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease incentive included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease. This fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement. The fair value of these contingent liabilities are evaluated on a quarterly basis based on changes in estimates of future operating results and changes in market discount rates.

Impairments.  Assets that are classified as held-for-use are periodically evaluated 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. Management assesses the impairment of properties and impairment losses are calculated as the excess of the carrying amount over the estimated fair value of assets as of the measurement date. In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as estimated discounted future cash flows. Based on our assessment, during the years ended December 31, 2018, 2017 and 2016, we recognized impairment charges of $0, $1,880,000 and $766,000, respectively.

Also, we evaluate the carrying values of mortgage loans receivable on an individual basis. Management periodically evaluates the realizability of future cash flows from the mortgage loan receivable when events or circumstances, such as the non‑receipt of principal and interest payments and/or significant deterioration of the financial condition of the borrower, indicate that the carrying amount of the mortgage loan receivable may not be recoverable. An impairment charge is recognized in current period earnings and is calculated as the difference between the carrying amount of the mortgage loan receivable and the discounted cash flows expected to be received, or if foreclosure is probable, the fair value of the collateral securing the mortgage.

Fair Value of Financial Instruments.  The FASB requires the disclosure of fair value information about financial instruments for which it is practicable to estimate that value. In cases where quoted market prices are not available, fair values are based on estimates using present value or other valuation techniques. Those techniques are significantly affected by the assumptions used, including the discount rate and estimates of future cash flows. In that regard, the derived fair value estimates cannot be substantiated by comparison to independent markets and, in many cases, could not be realized in immediate settlement of the instrument. Accordingly, the aggregate fair market value

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amounts presented in the notes to these consolidated financial statements do not represent our underlying carrying value in financial instruments.

The FASB provides guidance for using fair value to measure assets and liabilities, the information used to measure fair value, and the effect of fair value measurements on earnings. The FASB emphasizes that fair value is a market‑based measurement, not an entity‑specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, the FASB establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access. Level 2 inputs are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability (other than quoted prices).

The fair value guidance issued by the FASB excludes accounting pronouncements that address fair value measurements for purposes of lease classification or measurement. However, this scope exception does not apply to assets acquired and liabilities assumed in a business combination that are required to be measured at fair value, regardless of whether those assets and liabilities are related to leases.

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 on items for which the fair value option has been elected reported in earnings. We have not elected the fair value option for any of our financial assets or liabilities.

The FASB requires disclosures about fair value of financial instruments for interim reporting periods of publicly traded companies as well as in annual financial statements. See Note 15. Fair Value Measurements for the disclosure about fair value of our financial instruments.

Revenue Recognition.  Rental income from operating leases is generally recognized on a straight‑line basis over the terms of the leases. Substantially all of our leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of four methods depending on specific provisions of each lease as follows:

(i) a specified annual 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 revenues in excess of base amounts or

(iv) specific dollar increases.

The FASB does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee and the general condition of the industry when evaluating whether all possible contingencies have been eliminated and have historically, and expect in the future, to not include contingent rents as income until received. During the years ended December 31, 2018, 2017 and 2016, we received $470,000, $457,000 and $517,000, respectively, of contingent rental income. We follow a policy related to rental income whereby we consider a lease to be non‑performing after 60 days of non‑payment of past due amounts and do not recognize unpaid rental income from that lease until the amounts have been received.

Rental revenues relating to non‑contingent leases that contain specified rental increases over the life of the lease are recognized on the straight‑line basis. Recognizing income on a straight‑line basis requires us to calculate the total

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non‑contingent rent containing specified rental increases over the life of the lease and to recognize the revenue evenly over that life. This method results in rental income in the early years of a lease being higher than actual cash received, creating a straight‑line rent receivable asset included in our consolidated balance sheet. At some point during the lease, depending on its terms, the cash rent payments eventually exceed the straight‑line rent which results in the straight‑line rent receivable asset decreasing to zero over the remainder of the lease term. We assess the collectability of straight‑line rent in accordance with the applicable accounting standards and our reserve policy. If the lessee becomes delinquent in rent owed under the terms of the lease, we may provide a reserve against the recognized straight‑line rent receivable asset for a portion, up to its full value, that we estimate may not be recoverable.

Interest income on mortgage loans is recognized using the effective interest method. We follow a policy related to mortgage interest whereby we consider a loan to be non‑performing after 60 days of non‑payment of amounts due and do not recognize unpaid interest income from that loan until the past due amounts have been received. Effective interest method, as required by GAAP, is a technique for calculating the actual interest rate for the term of a mortgage loan based on the initial origination value. Similar to the accounting methodology of straight-line rent, the actual interest rate is higher than the stated interest rate in the early years of the mortgage loan thus creating an effective interest receivable asset included in the interest receivable line item in our consolidated balance sheet and reduces down to zero when, at some point during the mortgage loan, the stated interest rate is higher than the actual interest rate.

Payments made to or on behalf of our lessees represent incentives that are deferred and amortized as a yield adjustment over the term of the lease on a straight-line basis. Net loan fee income and commitment fee income are amortized over the life of the related loan.

In May 2014, the FASB issued Accounting Standards Update No. 2014-09 (“ASU 2014-09”), Revenue from Contracts with Customers: Topic 606. ASU 2014-09 provides for a single comprehensive principles based standard for the recognition of revenue across all industries through the application of the following five-step process:

Step 1: Identify the contract(s) with a customer.

Step 2: Identify the performance obligations in the contract.

Step 3: Determine the transaction price.

Step 4: Allocate the transaction price to the performance obligations in the contract.

Step 5: Recognize revenue when (or as) the entity satisfies a performance obligation.

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.” In doing so, companies may need to use more judgment and make more estimates. 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 are effective on January 1, 2018, and permit 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 have adopted this standard using the modified retrospective adoption method on January 1, 2018. Accordingly, we concluded that this standard did not have a material impact on our results of operations or financial condition, as a substantial portion of our revenues consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09.

Leases.  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

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users of financial statements about the amount, timing, and uncertainty of cash flows arising from a lease. ASC 842 represents a significant overhaul of the accounting treatment for leases governing substantially all leases, real estate leases included, with the most significant change being that most leases, including most operating leases, will now be capitalized on the balance sheet. 

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. 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.

ASC 842 has subsequently been amended by other issued ASUs to clarify and improve the standard as well as to provide certain practical expedients. In December 2018, the FASB issued ASU 2018-20 (“ ASU 2018-20”), Narrow-Scope Improvements for Lessors, which amends ASC 842 to require the lessors to exclude the lessor costs that are directly paid by the lessee to third parties on lessor’s behalf from variable payments. However, the lessor costs that are paid by the lessor and reimbursed by the lessee are required to be included in variable payments. Accordingly, we will begin reporting revenues and expenses within our leased properties, which are subject to non-cancelable triple-net leases, for certain real estate taxes that are reimbursed by our lessees in accordance with their respective leases with us. Furthermore, ASC 842 allows for several practical expedients which permit the following: no reassessment of lease classification or initial direct costs and use of the standard’s effective date as the date of initial application.

ASU 2016-02 and its amendments, which now have formally entered into the FASB codification as ASC 842, are now effective on January 1, 2019. We expect to elect these practical expedients and adopt ASC 842 on January 1, 2019 using the effective date as our date of initial application. Therefore, financial information and disclosures under ASC 842 will not be provided for periods prior to January 1, 2019.

Federal Income Taxes.  LTC qualifies as a REIT under the Internal Revenue Code of 1986, as amended, and as such, no provision for Federal income taxes has been made. A REIT is required to distribute at least 90% of its taxable income to its stockholders and a REIT may deduct dividends in computing taxable income. If a REIT distributes 100% of its taxable income and complies with other Internal Revenue Code requirements, it will generally not be subject to Federal income taxation.

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For Federal tax purposes, depreciation is generally calculated using the straight‑line method over a period of 27.5 years. Earnings and profits, which determine the taxability of distributions to stockholders, use the straight‑line method over 40 years. Both Federal taxable income and earnings and profits differ from net income for financial statement purposes principally due to the treatment of certain interest income, rental income, other expense items, impairment charges and the depreciable lives and basis of assets. At December 31, 2018, the tax basis of our net depreciable assets exceeds our book basis by approximately $25,639,000 (unaudited), primarily due to an investment recorded as an acquisition for tax and a mortgage loan for GAAP, and to differences previously mentioned above.

The FASB clarified the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. The guidance utilizes a two‑step approach for evaluating tax positions. Recognition (step one) occurs when a company concludes that a tax position, based solely on its technical merits, is more likely than not to be sustained upon examination. Measurement (step two) is only addressed if step one has been satisfied (i.e., the position is more likely than not to be sustained). Under step two, the tax benefit is measured as the largest amount of benefit (determined on a cumulative probability basis) that is more likely than not to be realized upon ultimate settlement. We currently do not have any uncertain tax positions that would not be sustained on its technical merits on a more‑likely than not basis.

We may from time to time be assessed interest or penalties by certain tax jurisdictions. In the event we have received an assessment for interest and/or penalties, it has been classified in our consolidated financial statements as general and administrative expenses.

Concentrations of Credit Risk.    In 2016, the FASB issued ASU No. 2016-13 (“ASU 2016-13”), Measurement of Credit Losses on Financial Instruments (Topic 326). 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.

Financial instruments which potentially subject us to concentrations of credit risk consist primarily of cash and cash equivalents, mortgage loans receivable, marketable debt securities and operating leases on owned properties. Our financial instruments, mortgage loans receivable and operating leases, are subject to the possibility of loss of carrying value as a result of the failure of other parties to perform according to their contractual obligations or changes in market prices which may make the instrument less valuable. We obtain various collateral and other protective rights, and continually monitor these rights, in order to reduce such possibilities of loss. In addition, we provide reserves for potential losses based upon management’s periodic review of our portfolio. See Note 3. Major Operators for further discussion of concentrations of credit risk from our tenants.

Properties held-for-sale.  Properties classified as held‑for‑sale on the consolidated balance sheet include only those properties available for immediate sale in their present condition and for which management believes that it is probable that a sale of the property will be completed within one year. Properties held‑for‑sale are carried at the lower of cost or fair value less estimated selling costs. No depreciation expense is recognized on properties held‑for‑sale once they have been classified as such. Under ASU No. 2014-08 (“ASU 2014-08”), Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity, only disposals representing a strategic shift in operations should be presented as discontinued operations. Those strategic shifts should have a major effect on the organization’s operations and financial results. Examples include a disposal of a major geographic area, a major line of business, or a major equity method investment. We have not reclassified results of operations for properties disposed as discontinued operations as these disposals do not represent strategic shifts in our operations.

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Net Income Per Share.  Basic earnings per share is calculated using the weighted‑average shares of common stock outstanding during the period excluding common stock equivalents. Diluted earnings per share includes the effect of all dilutive common stock equivalents.

In accordance with the accounting guidance regarding the determination of whether instruments granted in share‑based payments transactions are participating securities, we have applied the two‑class method of computing basic earnings per share. This guidance clarifies that outstanding unvested share‑based payment awards that contain rights to non‑forfeitable dividends participate in undistributed earnings with common stockholders and are considered participating securities.

Stock‑Based Compensation.  The FASB requires all share‑based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. We use the Black‑Scholes‑Merton formula to estimate the value of stock options granted to employees. Also, we use the Monte Carlo model to estimate the value of performance based stock units granted to employees. These models require management to make certain estimates including stock volatility, expected dividend yield and the expected term. If management incorrectly estimates these variables, the results of operations could be affected. The FASB also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a financing cash flow. Because we qualify as a REIT under the Internal Revenue Code of 1986, as amended, we are generally not subject to Federal income taxation. Therefore, this reporting requirement does not have an impact on our statements of cash flows.

Segment Disclosures.  The FASB accounting guidance regarding disclosures about segments of an enterprise and related information establishes standards for the manner in which public business enterprises report information about operating segments. Our investment decisions in seniors housing and health care properties, including mortgage loans, property lease transactions and other investments, are made and resulting investments are managed as a single operating segment for internal reporting and for internal decision‑making purposes. Therefore, we have concluded that we operate as a single segment.

3. 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 December 31, 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	%	16.7	%
Senior Lifestyle Corporation	—	23	—	1,457	11.8	%	10.5	%
Brookdale Senior Living	—	37	—	1,702	9.9	%	4.6	%
Senior Care Centers	11	—	1,444	—	8.8	%	7.1	%
Total	35	60	4,454	3,252	48.5	%	38.9	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of December 31, 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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On December 4, 2018, Senior Care Centers, LLC. and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges. Pursuant to the U.S. Bankruptcy Code, Senior Care has an initial period of 120 days from the petition date to assume or reject the lease. As security under the lease, we hold a letter of credit in the amount of approximately $2,000,000, maintenance and repair escrows of approximately $2,200,000 and property tax escrows of approximately $1,800,000. Senior Care did not pay us December 2018 rent, but has paid us January and February 2019 rent.

4. Supplemental Cash Flow Information

	For the year ended December 31,
	2018		2017		2016
	(in thousands)
Non-cash investing and financing transactions:
Contingent liabilities related to real estate investments ( Note 5)	$	—	$	—	$	1,847
Reclassification of pre-development loans ( Note 7)		—		—		237
Restricted stock issued, net of cancellations (Note 10)		1		1		1

5. Real Estate Investments

Owned Properties.As of December 31, 2018, we owned 175 health care real estate properties located in 28 states and consisting of 103 ALFs, 71 SNFs and 1 behavioral health care hospital. These properties are operated by 28 operators.

Assisted living communities, independent living communities, memory care communities and combinations thereof are included in the assisted living property classification (collectively “ALF”). Any reference to the number of properties, number of units, number of beds, and yield on investments in real estate are unaudited and outside the scope of our independent registered public accounting firm’s review of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Depreciation expense on buildings and improvements, including properties classified as held‑for‑sale, was $37,416,000, $37,492,000, and $35,809,000 for the years ended December 31, 2018, 2017 and 2016, respectively.

Future minimum base rents receivable under the remaining non‑cancelable terms of operating leases excluding the effects of straight‑line rent, amortization of lease inducement and renewal options are as follows (in thousands):

	Annual Cash
	Rent (1)
2019	$	133,666
2020		140,353
2021		131,284
2022		121,235
2023		124,897
Thereafter		760,163

(1) Represents contractual annual cash rent, except for two master leases which are based on agreed upon cash rents. See below for more information.

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

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are currently not pursuing enforcement of the guarantees and our rights and remedies pertaining to known events of default under the master lease, with the stipulation that Anthem achieve sufficient performance and pay an agreed upon cash rent for these 11 properties. During 2018, Anthem paid the agreed upon minimum cash rent of $5,200,000. We receive regular financial performance updates from Anthem and continue to monitor Anthem’s performance obligations under the master lease agreement.

On December 4, 2018, Senior Care Centers, LLC. and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges. Pursuant to the U.S. Bankruptcy Code, Senior Care has an initial period of 120 days from the petition date to assume or reject the lease. As security under the lease, we hold a letter of credit in the amount of approximately $2,000,000, maintenance and repair escrows of approximately $2,200,000 and property tax escrows of approximately $1,800,000. Senior Care did not pay us December 2018 rent, but has paid us January and February 2019 rent.

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Acquisitions. The following table summarizes our acquisitions for the years ended December 31, 2018 through 2016 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2018 (2)	Assisted Living (3)(4)	$	39,600	$	65	$	39,665	3	177
	Land (4)		695		48		743	—	—
Total		$	40,295	$	113	$	40,408	3	177
2017	Assisted Living (5)	$	81,018	$	569	$	81,587	5	400
	Land (6)		800		18		818	—	—
Total		$	81,818	$	587	$	82,405	5	400
2016	Skilled Nursing (7)	$	16,000	$	45	$	16,045	1	126
	Assisted Living (8)		53,550		423		53,973	4	250
	Land (9)		6,891		108		6,999	—	—
Total		$	76,441	$	576	$	77,017	5	376

(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) Subsequent to December 31, 2018, we entered into a joint venture (“JV”) to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,950 in cash. Our economic interest in the real estate JV will be approximately 95%.

(3) We acquired two MC in Texas.

(4) We entered into a JV to develop, purchase and own seniors housing properties. During 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. Additionally, during 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 10. Equity for further discussion related to our partnerships and non-controlling interests.

(5) We acquired an ALF and a MC in California, a MC in Ohio and an ALF/MC in Missouri. Furthermore, we entered into a JV and acquired an ALF/MC community. See Note 10. Equity for further discussion related to our partnerships and non-controlling interest.

(6) We entered into a JV for the acquisition of land and development of an ALF/MC/ILF community in Wisconsin. See Note 10. Equity for further discussion related to our partnerships and non-controlling interest.

(7) We acquired a newly constructed SNF in Texas.

(8) We acquired a newly constructed MC in Kentucky, a newly constructed ALF/MC in Georgia and two MCs in Kansas.

(9) We acquired a parcel of land and improvement and entered into a development commitment for the development of a SNF. Also, we purchased a parcel of land in Illinois and entered into a development commitment to construct a MC.

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Developments and Improvements. The following table summarizes our investment in development and improvement projects for the years 2018, 2017 and 2016 (in thousands):

	2018				2017				2016
Type of Property	Developments		Improvements		Developments			Improvements		Developments		Improvements
Assisted Living Communities	$	27,505	$	2,292	$	17,667	$	1,152	$	41,859	$	3,034
Skilled Nursing Centers		7,774		500		5,234		1,356		483		3,758
Other		—		457		—		391		—		—
Total	$	35,279	$	3,249	$	22,901	$	2,899	$	42,342	$	6,792

Completed Projects. The following table summarizes our completed projects during the years ended December 31, 2018, 2017 and 2016 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of			Total
Year	Type of Project	Properties	Property	Beds/Units	State	Investment
2018	Development	1	MC	66	Illinois	$	14,998
Total		1		66		$	14,998
2017	Development	1	MC	66	Illinois	$	13,498
Total		1		66		$	13,498
2016	Development	1	MC	66	Illinois	$	12,248
	Development	1	MC	56	Texas		11,776
	Development	1	MC	66	Illinois		11,962
	Development	1	MC	66	California		12,400
	Development	1	ALF/MC	89	South Carolina		15,080
	Development	1	ILF	108	Kansas		13,423
	Improvement	1	SNF	160	Arizona		4,672
Total		7		611		$	81,561

Properties held-for-sale.  The following table summarizes our properties held-for-sale at December 31, 2018 (dollar amounts in thousands):

	Type	Number					Number
	of	of		Gross		Accumulated	of
State	Property	Properties		Investment		Depreciation	Beds/units
Texas	ILF	1		5,746		1,916	140
Totals		1	$	5,746	$	1,916	140

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Property Sales. The following table summarizes property sales during the years ended December 31, 2018 through 2016 (dollar amounts in thousands):

		Type		Number	Number						Net
		of		of	of		Sales		Carrying		Gain
Year	State	Properties		Properties	Beds		Price		Value		(Loss)
2018	Alabama, Florida and Georgia	SNF		4	454	$	27,975	$	5,695	$	21,987
	Kansas	ALF	(1)	—	—		350		346		—
	Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,695
Total 2018				10	774	$	95,825	$	22,393	$	70,682
2017	Indiana, Iowa and Oregon	ALF		5	211	$	15,650	$	10,107	$	4,985
	Texas	SNF	(2)	1	85		—		1,170		(1,171)
Total 2017				6	296	$	15,650	$	11,277	$	3,814
2016	Florida	ALF		2	174	$	6,850	$	4,869	$	1,973
	Texas	SNF		2	235		6,750		4,923		1,802
	New Jersey	OTH		1	—		3,850		3,997		(193)
Total 2016				5	409	$	17,450	$	13,789	$	3,582

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

(2) We donated a SNF with a carrying value of $1,170 to a nonprofit health care provider.

Mortgage Loans.  At December 31, 2018, the mortgage loans had interest rates ranging from 9.2% to 9.7% and maturities ranging from 2020 to 2045. In addition, some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30‑year term. The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 2.25%. Please see Item 1. Business. Portfolio for a table that summarizes our loaned properties as of December 31, 2018.

The following table summarizes our mortgage loan activity for the years ended December 31, 2018, 2017 and 2016 (in thousands):

	2018			2017		2016
Originations and funding under mortgage loans receivable	$	21,364	(1)	$	11,913	$	20,685
Pay-offs received		(1,086)			(16,665)		(6,036)
Scheduled principal payments received		(1,050)			(1,198)		(2,242)
Mortgage loan (premiums)		(4)			(4)		(10)
(Provision for)/ recovery of loan loss reserve		(192)			60		(125)
Net increase (decrease) in mortgage loans receivable	$	19,032		$	(5,894)	$	12,272

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

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At December 31, 2018 and 2017 the carrying values of the mortgage loans were $242,939,000 and $223,907,000, respectively. Scheduled principal payments on mortgage loan receivables are as follows (in thousands):

	Scheduled
	Principal
2019	$	1,065
2020		8,815
2021		1,175
2022		1,175
2023		1,175
Thereafter		231,981
Total	$	245,386

The following table summarizes our early mortgage loan payoffs during the years 2018, 2017 and 2016 (dollar amounts in thousands): 

		Early	Number
		Principal	of
		Payoff	Loans	State
2018	$	1,086	1	UT
2017	$	10,795	4	AZ/MO/TX
2016	$	6,036	9	MO/TX/WA

6. 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		$	24,032
Florida	ALF/IL/MC	Mezzanine	(2)	15	%	12	%	99		2,900	(3)		3,183	(3)
Florida	UDP-ALF/MC	Mezzanine	(2)	15	%	10	%	127		3,400			3,400
Total								811	$	31,950		$	30,615

(1) We have concluded that the JV is a 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 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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The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures during the years ended December 31, 2018, 2017 and 2016 (in thousands):

	Type
	of		Capital		Income			Cash Interest
Year	Properties		Contribution		Recognized			Received
2018	ALF/MC/ILF	$	670	$	2,041		$	1,975
	ALF/IL/MC		—		511			396
	UDP-ALF/MC		—		312	(1)		—	(1)
Total 2018		$	670	$	2,864		$	2,371
2017	ALF/MC/ILF		1,101		1,560			1,436
	ALF/IL/MC		—		511			302
	UDP-ALF/MC		2,747		192	(1)		—	(1)
Total 2017		$	3,848	$	2,263		$	1,738
2016	ALF/MC/ILF	$	1,770	$	1,138		$	1,695
	ALF/IL/MC		—		—			—
	UDP-ALF/MC		—		—			—
Total 2016		$	1,770	$	1,138		$	1,695

(1) We withheld $653 at the time of loan origination which is being applied to interest. As of December 31, 2018, we still hold $177 which will be applied to future interest.

7. Notes Receivable

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

	At December 31,
	2018		2017
Mezzanine loans	$	9,868	$	13,700
Other loans		2,975		2,868
Notes receivable reserve		(128)		(166)
Total	$	12,715	$	16,402

The following table summarizes our notes receivable activity for the years ended December 31, 2018 through 2016 (in thousands):

	Year ended December 31,
		2018		2017		2016
Advances under notes receivable	$	124	$	—	$	14,969
Principal payments received under notes receivable		(3,848)		(25)		(100)
Reclassified to real estate under development (1)		—		—		(237)
Notes receivable reserve		37		—		(166)
Net (decrease) increase in notes receivable	$	(3,687)	$	(25)	$	14,466

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

During the fourth quarter of 2018, we entered into a $6,828,000 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The

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mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

8. Lease Incentives

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

	At December 31,
		2018		2017
Non-contingent lease incentives	$	14,443	$	14,904
Contingent lease incentives		—		6,577
Total	$	14,443	$	21,481

The following table summarizes our lease incentive activity for the years ended December 31, 2018, 2017 and 2016 (in thousands):

	2018							2017							2016
		Funding		Amortization		Write-off			Funding		Amortization		Write-off			Funding		Amortization		Write-off
Non-contingent lease incentives	$	1,272	$	(1,733)	$	—		$	6,544	$	(1,590)	$	(1,205)	(2)	$	4,559	$	(1,207)	$	—
Contingent lease incentives		—		(359)		(6,219)	(1)		—		(619)		(2,634)	(3)		268		(748)		(514)	(4)
Net increase (decrease) in lease incentives	$	1,272	$	(2,092)	$	(6,219)		$	6,544	$	(2,209)	$	(3,839)		$	4,827	$	(1,955)	$	(514)

(1) 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, we wrote-off the Senior Lifestyle contingent lease incentive.

(2) 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 that never materialized.

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

(4) Represents the write-off of lease incentive related to two MC due to transitioning these properties to another operator in our portfolio.

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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9. 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 December 31, 2018, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At December 31, 2018 and 2017 we were in compliance with all covenants.

Financial covenants contained in the Unsecured Credit Agreement, which are measured quarterly, require us to maintain, among other things:

(i) a ratio of total indebtedness to total asset value not greater than 0.5 to 1.0;

(ii) a ratio of secured debt to total asset value not greater than 0.35 to 1.0;

(iii) a ratio of unsecured debt to the value of the unencumbered asset value not greater than 0.6 to 1.0; and

(iv) a ratio of EBITDA, as calculated in the Unsecured Credit Agreement, to fixed charges not less than 1.50 to 1.0.

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 following table sets forth information regarding debt obligations by component as of December 31, 2018 and 2017 (dollar amounts in thousands):

	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings (2)	3.69%	$	112,000	$	488,000	$	96,500	$	503,500
Senior unsecured notes, net of debt issue costs (3)	4.50%		533,029		93,833		571,002		63,667
Total	4.36%	$	645,029	$	581,833	$	667,502	$	567,167

(1) Represents weighted average of interest rate as of December 31, 2018.

(2) Subsequent to December 31, 2018, we borrowed $26,400, net, under our unsecured revolving line of credit, accordingly we have $138,400 outstanding balance and $461,600 available for borrowing.

(3) Subsequent to December 31, 2018, we paid $4,167 in regular scheduled principal payments, accordingly we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

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Our borrowings and repayments for the years ended December 31, 2018, 2017 and 2016 are as follows (in thousands):

	2018				2017					2016
Debt Obligations		Borrowings		Repayments	Borrowings			Repayments			Borrowings			Repayments
Bank borrowings	$	116,200	$	(100,700)	$	113,000		$	(123,600)	$	123,600		$	(137,000)
Senior unsecured notes		—		(38,166)		100,000	(1)		(31,167)		77,500	(2)		(26,667)
Total	$	116,200	$	(138,866)	$	213,000		$	(154,767)	$	201,100		$	(163,667)

(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.

(2) During the year ended December 31, 2016, we sold 10-year senior unsecured term notes in the amount of $37,500 to Prudential. The notes bear interest at an annual fixed rate of 4.15%, have scheduled principal payments and will mature in 2028. Additionally, we sold 10-year senior unsecured notes in the amount of $40,000 to affiliated insurance company investment advisory clients of AIG Asset Management (U.S.) LLC. The notes bear interest at a coupon of 3.99%, have scheduled principal payments and will mature in 2031.

Scheduled Principal Payments.  The following table represents our long-term contractual obligations (scheduled principal payments and amounts due at maturity) as of December 31, 2018, and excludes the effects of interest and debt issue costs (in thousands):

	Total			2019		2020		2021		2022		2023		Thereafter
Bank borrowings	$	112,000	(1)	$	—	$	—	$	—	$	112,000	$	—	$	—
Senior unsecured notes		533,967	(2)		33,667		40,160		47,160		48,160		49,160		315,660
Total	$	645,967		$	33,667	$	40,160	$	47,160	$	160,160	$	49,160	$	315,660

(1) Subsequent to December 31, 2018, we borrowed $26,400, net under our unsecured revolving line of credit. Accordingly, we have $138,400 outstanding and $461,600 available under our unsecured revolving line of credit.

(2) Subsequent to December 31, 2018, we paid $4,167 in regular scheduled principal payments, accordingly we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

.

10. 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. Sales of common shares will 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 year ended December 31, 2018, we sold 22,244 shares of common stock for $1,005,000 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. Accordingly, at December 31, 2018, we had $184,139,000 available under our equity distribution agreement.

During the year ended December 31, 2017, we sold 312,881 shares of common stock for $14,600,000 in net proceeds under our equity distribution agreement. In conjunction with the sale of common stock, we paid $260,000 as compensation to our sales agents and we reclassified $49,000 of accumulated costs associated with this agreement to additional paid in capital.

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During the years 2018, 2017 and 2016, we acquired 31,326 shares, 42,089 shares and 49,405 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations. Subsequent to December 31, 2018, we acquired 20,345 shares 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. 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 December 31, 2018, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated			Non-Controlling
Year (1)	Purpose	Type	State		Assets			Interests
2018	Owned real estate	ILF	OR	$	14,400	(2)	$	2,857	(2)
2018	Owned real estate and development	UDP	OR		4,606	(2)		1,081	(2)
2017	Owned real estate and development	UDP	WI		16,665	(3)		2,272	(3)
2017	Owned real estate	ALF	SC		11,195			1,271
Total				$	46,866		$	7,481

(1) Subsequent to December 31, 2018, we entered into a JV to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,950 in cash. Our economic interest in the real estate JV will be approximately 95%. We account for the JV on a consolidated basis.

(2) We entered into a JV to develop, purchase and own seniors housing properties. During 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. Additionally, during 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.  

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

Shelf Registration Statement.    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 offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time publicly 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):

	Year Ended December 31,
	2018						2017						2016
	Declared			Paid			Declared			Paid			Declared			Paid
Common Stock	$	90,372	(1)	$	90,372	(1)	$	90,219	(1)	$	90,219	(1)		84,568	(2)		84,568	(2)

(1) Represents $0.19 per share per month for the years ended December 31, 2018, and 2017.

(2) Represents $0.18 per share per month for January through September 2016 and $0.19 per share per month for October through December 2016.

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LTC PROPERTIES, INC.

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In January 2019, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of January, February and March 2019 payable on January 31, February 28 and March 29, 2019, respectively, to stockholders of record on January 23, February 20 and March 21, 2019, respectively.

Stock Based Compensation Plans.  During 2015, we adopted, and our stockholders approved the 2015 Equity Participation Plan (the “2015 Plan”).  Under the 2015 Plan, 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. As of December 31, 2018, we have 825,457 shares of common stock reserved for awards under the 2015 Plan. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion.

Restricted Stock and Performance-Based Stock Units.  Restricted stock and performance-based stock units activity for the years ended December 31, 2018, 2017 and 2016 was as follows:

	2018		2017		2016
Outstanding, January 1		244,181		210,573		187,347
Granted		156,718		143,057		127,087
Vested		(75,149)		(85,343)		(103,861)
Cancelled		—		(24,106)		—
Outstanding, December 31		325,750		244,181		210,573
Compensation expense related to restricted stock and performance based stock units for the year	$	5,870,000	$	5,247,000	$	4,265,000

During 2018, 2017 and 2016, we granted 156,718, 143,057 and 127,087 shares of restricted common stock and performance-based stock units, respectively, 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	$	50.50	ratably over 3 years
	143,057
2016	65,300	$	43.24	ratably over 3 years
	54,107	$	46.87	TSR targets (2)
	7,680	$	46.87	ratably over 1 year
	127,087

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

(2) Vesting is based on achieving certain total TSR targets in 3.7 years with acceleration opportunity in 2.7 years.

Subsequent to December 31, 2018, we granted 139,112 shares of restricted common stock and performance-based stock units at $46.54 per share. Out of these shares, 78,276 vest ratably from the grant date over a three-year period and 60,836 vest based on achieving certain TSR targets in 4 years with acceleration opportunity in 3 years.

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LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

At December 31, 2018, the total number of restricted common stock and performance-based stock units that are scheduled to vest and 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:

	Number		Remaining
	of		Compensation
Vesting Date	Awards		Expense
2019	128,214	(1)		4,250,000
2020	104,085	(2)		2,210,000
2021	93,451	(3)		238,000
Total	325,750		$	6,698,000

(1) Includes 49,728 performance-based stock units. The performance-based stock units are valued utilizing a lattice-binomial option pricing model based on Monte Carlo simulations. The company recognizes the fair value of the awards over the applicable vesting period as compensation expense.

(2) Includes 53,554 performance-based stock units. See (1) above for valuation methodology.

(3) Includes 66,171 performance-based stock units. See (1) above for valuation methodology.

Stock Options.  During 2018, 2017 and 2016, we did not issue any stock options. Nonqualified stock option activity for the years ended December 31, 2018, 2017 and 2016, was as follows:

				Weighted Average
	Shares			Price
	2018	2017	2016	2018			2017	2016
Outstanding, January 1	25,000	33,334	40,001	$	32.92	$	30.76	$	29.60
Granted	—	—	—		n.a		n.a		n.a
Exercised	(5,000)	(8,334)	(6,667)	$	24.65	$	24.31	$	23.79
Canceled	—	—	—		n.a		n.a		n.a
Outstanding, December 31	20,000	25,000	33,334	$	34.99	$	32.92	$	30.76
Exercisable, December 31(1)	20,000	25,000	28,334	$	34.99	$	32.92	$	45.45

(1) The aggregate intrinsic value of exercisable options at December 31, 2018, based upon the closing price of our common shares at December 31, 2018, the last trading day of 2018, was approximately $134,000. Options exercisable at December 31, 2018, 2017 and 2016 have a weighted average remaining contractual life of approximately 3.3 years, 3.5 years, and 2.9 years, respectively.

The options exercised during 2018, 2017 and 2016 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	$	202,000	$	410,797
2016	6,667	$	23.79	$	159,000	$	311,000

(1) As of the exercise dates.

We use the Black‑Scholes‑Merton formula to estimate the value of stock options granted to employees. This model requires management to make certain estimates including stock volatility, expected dividend yield and the expected term. Compensation expense related to the vesting of stock options for the years ended December 31, 2018, 2017 and 2016 was $0, $2,000 and $15,000, respectively.

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LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

11. Commitments and Contingencies

At December 31, 2018, we had commitments as follows (in thousands):

						Total
	Investment			2018		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(Note 5. Real Estate Investments)	$	77,882	(1)	$	28,343	$	45,787	$	32,095
Accrued incentives and earn-out liabilities		9,000	(2)		—		—		9,000
Mortgage loans (Note 5. Real Estate Investments)		64,200	(3)		4,330		18,591		45,609
Joint venture investments (Note 6. Investments in Unconsolidated Joint Ventures)		25,650			670		23,684		1,966
Notes receivable (Note 7. Notes Receivable)		7,828	(4)		124		124		7,704
Total	$	184,560		$	33,467	$	88,186	$	96,374

(1) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties. Additionally, we have certain master leases that provide for additional capital expenditure allowance upon pre-approval of projects.

(2) During the twelve months ended December 31, 2018, we recorded non-cash interest expense of $377 related to these contingent liabilities. During the fourth quarter of 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, we wrote-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which resulted in income of approximately $3,000.

(3) $35,700 represents commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $28,500 represents contingent funding upon the borrower achieving certain coverage ratios.

(4) During the fourth quarter of 2018, we entered into a $6,800 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

Also, some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. The following table summarizes information about purchase options included in our lease agreements:

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
Kansas	MC	2	$	25,692	$	23,906	2019-2021
Texas	MC	2		25,265		24,955	2025-2027
Total			$	50,957	$	48,861

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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LTC PROPERTIES, INC.

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12. Distributions

We must distribute at least 90% of our taxable income in order to continue to qualify as a REIT. This distribution requirement can be satisfied by current year distributions or, to a certain extent, by distributions in the following year.

For federal tax purposes, distributions to stockholders are treated as ordinary income, capital gains, return of capital or a combination thereof. Distributions for 2018, 2017 and 2016 were cash distributions. The federal income tax classification of the per share common stock distributions are as follows (unaudited):

	Year Ended December 31,
	2018		2017		2016
Ordinary taxable distribution	$	0.349	$	1.607	$	1.485
Return of capital		—		0.444		0.556
Unrecaptured Section 1250 gain		0.636		0.163		0.149
Long-term capital gain		1.295		0.066		—
Total	$	2.280	$	2.280	$	2.190

13. Net Income Per Common Share

Basic and diluted net income per share was as follows (in thousands except per share amounts):

	For the year ended December 31,
	2018		2017		2016
Net income	$	155,076	$	87,340	$	85,115
Less income allocated to non-controlling interests		(95)		—		—
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(357)		(350)		(373)
Income allocated to participating securities		(268)		(12)		(12)
Total net income allocated to participating securities		(625)		(362)		(385)
Net income available to common stockholders		154,356		86,978		84,730
Effect of dilutive securities:
Participating securities		625		362		385
Net income for diluted net income per share	$	154,981	$	87,340	$	85,115
Shares for basic net income per share		39,477		39,409		38,388
Effect of dilutive securities:
Stock options		3		10		13
Performance-based stock units		203		67		27
Participating securities		156		151		169
Total effect of dilutive securities		362		228		209
Shares for diluted net income per share		39,839		39,637		38,597
Basic net income per share	$	3.91	$	2.21	$	2.21
Diluted net income per share	$	3.89	$	2.20	$	2.21

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LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

14. Quarterly Financial Information

	For the quarter ended
	March 31,		June 30,		September 30,		December 31,
	(unaudited, in thousands except per share amounts)
2018
Revenues	$	41,810	$	41,472	$	41,776	$	43,587
Net income available to common stockholders	$	20,271	$	68,658	$	34,782	$	30,645
Net income per common share available to common stockholders:
Basic	$	0.51	$	1.74	$	0.88	$	0.78
Diluted	$	0.51	$	1.73	$	0.88	$	0.77
Dividends per share declared	$	0.57	$	0.57	$	0.57	$	0.57
Dividends per share paid	$	0.57	$	0.57	$	0.57	$	0.57
2017
Revenues	$	42,622	$	42,468	$	41,246	$	41,729
Net income available to common stockholders	$	21,416	$	25,273	$	20,536	$	19,753
Net income per common share available to common stockholders:
Basic	$	0.54	$	0.64	$	0.52	$	0.50
Diluted	$	0.54	$	0.64	$	0.52	$	0.50
Dividends per share declared	$	0.57	$	0.57	$	0.57	$	0.57
Dividends per share paid	$	0.57	$	0.57	$	0.57	$	0.57

NOTE: Quarterly and year‑to‑date computations of per share amounts are made independently. Therefore, the sum of per share amounts for the quarters may not agree with the per share amounts for the year.

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15. Fair Value Measurements

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

The carrying amount of cash and cash equivalents approximates fair value because of the short‑term maturity of these instruments. We do not invest our cash in auction rate securities. The carrying value and fair value of our financial instruments as of December 31, 2018 and 2017 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At December 31, 2018					At December 31, 2017
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	242,939	$	295,492	(1)	$	223,907	$	278,224	(1)
Bank borrowings		112,000		112,000	(2)		96,500		96,500	(2)
Senior unsecured notes, net of debt issue costs		533,029		508,613	(3)		571,002		577,126	(3)
Accrued incentives and earn-outs		—		—	(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 December 31, 2018 and 2017 was 9.0% 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 December 31, 2018 and 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 December 31, 2018, the discount rate used to value our future cash outflow of our senior unsecured notes was 5.15% for those maturing before year 2026 and 5.40% 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 beyond year 2026.

(4) Our contingent obligations under the accrued incentives and earn‑out liabilities are classified as Level 3. We estimated the fair value of the contingent earn‑out payments using a discounted cash flow analysis. The discount rate that we use consists of a risk‑free U.S. Treasury rate plus a company specific credit spread which we believe is acceptable by willing market participants. At December 31, 2017 the discount rate used to value our future cash outflow of the earn-out liability was 6.2%. Furthermore, during the fourth quarter of 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, we wrote-off the Senior Lifestyle contingent earn-out liability of $9,292.

.

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LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

16. Subsequent Events

The following events occurred subsequent to the balance sheet date.

Real Estate.  We entered into a JV to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919,000 of equity and we contributed $15,950,000 in cash. Our economic interest in the real estate JV will be approximately 95%.

Debt:  We borrowed $26,400,000, net under our unsecured revolving line of credit. Accordingly, we have $138,400,000 outstanding and $461,600,000 available for borrowing under our unsecured revolving line of credit. Additionally, we paid $4,167,000 in regular scheduled principal payments, accordingly we have $528,862,000 outstanding and $98,000,000 available under our senior unsecured notes.

Equity:  We declared a monthly cash dividend of $0.19 per share on our common stock for the months of January, February and March 2019, payable on January 31, February 28, and March 29, 2019, respectively, to stockholders of record on January 23, February 20, and March 21, 2019, respectively. Also, we acquired 20,345 shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations and we granted 139,112 shares of restricted common stock and performance-based stock units at $46.54 per share. Out of these shares, 78,276 vest ratably from the grant date over a three-year period and 60,836 vest based on achieving certain TSR targets in 4 years with acceleration opportunity in 3 years.

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LTC PROPERTIES, INC.

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LTC PROPERTIES, INC.

SCHEDULE II

VALUATION AND QUALIFYING ACCOUNTS

(in thousands)

			Additions
			(Recovered)
	Balance at		charged to
	beginning of		costs and		Charged to				Balance at end
Account Description	period		expenses		other accounts		Deductions (1)		of period
Year ended December 31, 2016
Loan loss reserves	$	2,190	$	125	$	—	$	—	$	2,315
Other notes receivable allowance		—		166		—		—		166
Straight-line rent receivable allowance		833		166		—		(39)		960
	$	3,023	$	457	$	—	$	(39)	$	3,441
Year ended December 31, 2017
Loan loss reserves	$	2,315	$	(60)	$	—	$	—	$	2,255
Other notes receivable allowance		166		—		—		—		166
Straight-line rent receivable allowance		960		(146)		—		—		814
	$	3,441	$	(206)	$	—	$	—	$	3,235
Year ended December 31, 2018
Loan loss reserves	$	2,255	$	192	$	—	$	—	$	2,447
Other notes receivable allowance		166		(38)		—		—		128
Straight-line rent receivable allowance		814		(68)		—		—		746
	$	3,235	$	86	$	—	$	—	$	3,321

(1) Deductions represent uncollectible accounts written off.

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SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
					Building and		to				Building and				Accum		Construction/	Acquisition
	Encumbrances		Land		improvements		acquisition		Land		improvements		Total(1)		deprec.		renovation date	date
Skilled Nursing Properties:
134 Alamogordo, NM	$	—	$	210	$	2,593	$	641	$	210	$	3,234	$	3,444	$	1,408	1985	2001
218 Albuquerque, NM		—		1,696		3,891		530		1,696		4,421		6,117		1,841	2008	2005
219 Albuquerque, NM		—		1,950		8,910		207		1,950		9,117		11,067		3,670	1982	2005
220 Albuquerque, NM		—		2,463		7,647		9		2,463		7,656		10,119		3,062	1970	2005
042 Altoona, IA		—		105		2,309		444		105		2,753		2,858		1,920	1973	1996
252 Amarillo, TX		—		844		—		7,925		844		7,925		8,769		1,871	2013	2011
214 Aransas Pass, TX		—		154		1,276		589		154		1,865		2,019		888	2008	2004
247 Arlington, TX		—		1,016		13,649		—		1,016		13,649		14,665		3,801	2007	2011
221 Beaumont, TX		—		370		1,141		106		370		1,247		1,617		541	1950	2005
213 Beeville, TX		—		186		1,197		70		186		1,267		1,453		493	1974	2004
007 Bradenton, FL		—		330		2,720		160		330		2,880		3,210		2,112	2012	1993
256 Brownwood, TX		—		164		6,336		—		164		6,336		6,500		1,354	2011	2012
043 Carroll, IA		—		47		1,033		213		47		1,246		1,293		867	1969	1996
177 Chesapeake, VA		—		388		3,469		2,777		388		6,246		6,634		3,395	2017	1995
257 Cincinnati, OH		—		1,890		25,110		—		1,890		25,110		27,000		3,694	2009	2012
125 Clovis, NM		—		561		5,539		307		561		5,846		6,407		2,588	2006	2001
129 Clovis, NM		—		598		5,902		59		598		5,961		6,559		2,662	1995	2001
268 Coldspring, KY		—		2,050		21,496		—		2,050		21,496		23,546		4,091	2014	2012
253 Colton, CA		—		2,342		15,158		—		2,342		15,158		17,500		3,082	1990	2011
211 Commerce City, CO		—		236		3,217		167		236		3,384		3,620		1,529	1964	2004
212 Commerce City, CO		—		161		2,160		95		161		2,255		2,416		999	1967	2004
246 Crowley, TX		—		2,247		14,276		—		2,247		14,276		16,523		3,841	2007	2011
235 Daleville, VA		—		279		8,382		—		279		8,382		8,661		2,421	2005	2010
258 Dayton, OH		—		373		26,627		—		373		26,627		27,000		3,945	2010	2012
168 Des Moines, IA		—		115		2,096		1,433		115		3,529		3,644		2,114	1972	1999
196 Dresden, TN		—		31		1,529		1,073		31		2,602		2,633		1,095	2014	2000
298 Forth Worth, TX		—		2,785		7,546		—		2,785		7,546		10,331		1,341	1998	2015
026 Gardendale, AL		—		100		7,550		2,084		100		9,634		9,734		5,863	2011	1996
185 Gardner, KS		—		896		4,478		4,150		896		8,628		9,524		3,773	2011	1999
248 Granbury, TX		—		836		6,693		—		836		6,693		7,529		2,473	2008	2011
044 Granger, IA		—		62		1,356		221		62		1,577		1,639		1,072	1979	1996
205 Grapevine, TX		—		431		1,449		188		431		1,637		2,068		912	1974	2002
172 Griffin, GA		—		500		2,900		—		500		2,900		3,400		1,711	1969	1999
250 Hewitt, TX		—		1,780		8,220		99		1,780		8,319		10,099		1,815	2008	2011
194 Holyoke, CO		—		211		1,513		283		211		1,796		2,007		1,085	1963	2000
051 Houston, TX		—		365		3,769		1,598		365		5,367		5,732		3,508	1968	1996
054 Houston, TX		—		202		4,458		1,426		202		5,884		6,086		3,996	2007	1996
055 Houston, TX		—		202		4,458		1,359		202		5,817		6,019		3,880	2008	1996
045 Jefferson, IA		—		86		1,883		296		86		2,179		2,265		1,464	1972	1996
008 Lecanto, FL		—		351		2,665		2,737		351		5,402		5,753		3,735	2012	1993
300 Mansfield, TX		—		2,890		13,110		—		2,890		13,110		16,000		1,424	2015	2016
053 Mesa, AZ		—		305		6,909		1,876		305		8,785		9,090		5,632	1996	1996
226 Mesa, AZ		—		1,095		2,330		4,673		1,095		7,003		8,098		1,407	2016	2006
242 Mission, TX		—		1,111		16,602		—		1,111		16,602		17,713		4,014	2004	2010
115 Nacogdoches, TX		—		100		1,738		168		100		1,906		2,006		1,164	1973	1997
233 Nacogdoches, TX		—		394		7,456		268		394		7,724		8,118		2,077	1991	2010
249 Nacogdoches, TX		—		1,015		11,109		—		1,015		11,109		12,124		3,451	2007	2011
245 Newberry, SC		—		439		4,639		608		439		5,247		5,686		1,744	1995	2011
244 Newberry, SC		—		919		5,454		131		919		5,585		6,504		1,634	2001	2011
046 Norwalk, IA		—		47		1,033		239		47		1,272		1,319		895	1975	1996
176 Olathe, KS		—		520		1,872		313		520		2,185		2,705		1,393	1968	1999
251 Pasadena, TX		—		1,155		14,345		522		1,155		14,867		16,022		3,012	2005	2011
210 Phoenix, AZ		—		334		3,383		456		334		3,839		4,173		1,844	1982	2004
193 Phoenix, AZ		—		300		9,703		92		300		9,795		10,095		5,601	1985	2000
047 Polk City, IA		—		63		1,376		153		63		1,529		1,592		1,046	1976	1996
094 Portland, OR		—		100		1,925		3,152		100		5,077		5,177		3,166	2007	1997
254 Red Oak, TX		—		1,427		17,173		—		1,427		17,173		18,600		3,479	2002	2012
124 Richland Hills, TX		—		144		1,656		427		144		2,083		2,227		1,155	1976	2001
197 Ripley, TN		—		20		985		1,638		20		2,623		2,643		1,101	2014	2000

77

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
					Building and		to				Building and				Accum		Construction/	Acquisition
	Encumbrances		Land		improvements		acquisition		Land		improvements		Total(1)		deprec.		renovation date	date
133 Roswell, NM	$	—	$	568	$	5,235	$	1,396	$	568	$	6,631	$	7,199	$	2,782	1975	2001
081 Sacramento, CA		—		220		2,929		1,481		220		4,410		4,630		2,330	2015	1997
085 Salina, KS		—		100		1,153		628		100		1,781		1,881		1,201	1985	1997
281 Slinger, WI		—		464		13,482		—		464		13,482		13,946		2,040	2014	2015
234 St. Petersburg, FL		—		1,070		7,930		500		1,070		8,430		9,500		2,084	1988	2010
243 Stephenville, TX		—		670		10,117		500		670		10,617		11,287		2,627	2009	2010
225 Tacoma, WA		—		723		6,401		901		723		7,302		8,025		3,105	2009	2006
178 Tappahannock, VA		—		375		1,327		397		375		1,724		2,099		1,487	1978	1995
270 Trinity, FL		—		1,653		12,748		—		1,653		12,748		14,401		2,131	2008	2013
192 Tucson, AZ		—		276		8,924		112		276		9,036		9,312		5,162	1992	2000
299 Weatherford, TX		—		836		11,902		—		836		11,902		12,738		1,726	1996	2015
236 Wytheville, VA		—		647		12,167		—		647		12,167		12,814		4,370	1996	2010
Skilled Nursing Properties	$	—	$	49,593	$	463,714	$	51,877	$	49,593	$	515,591	$	565,184	$	172,196
Assisted Living Properties:
077 Ada, OK		—		100		1,650		—		100		1,650		1,750		926	1996	1996
105 Arvada, CO		—		100		2,810		6,960		100		9,770		9,870		2,955	2014	1997
304 Athens, GA		—		1,056		13,326		—		1,056		13,326		14,382		948	2016	2016
063 Athens, TX		—		96		1,510		104		96		1,614		1,710		929	1995	1996
269 Aurora, CO		—		850		8,583		—		850		8,583		9,433		1,548	2014	2013
260 Aurora, CO		—		831		10,071		—		831		10,071		10,902		1,819	1999	2012
203 Bakersfield, CA		—		834		11,986		812		834		12,798		13,632		6,115	2002	2001
117 Beatrice, NE		—		100		2,173		183		100		2,356		2,456		1,211	1997	1997
277 Burr Ridge, IL		—		1,400		11,102		—		1,400		11,102		12,502		1,229	2016	2014
278 Castle Rock, CO		—		759		9,041		—		759		9,041		9,800		823	2012	2014
160 Central, SC		—		100		2,321		—		100		2,321		2,421		1,050	1998	1999
263 Chatham, NJ		—		5,365		36,399		—		5,365		36,399		41,764		6,297	2002	2012
307 Clovis, CA		—		2,542		19,126		—		2,542		19,126		21,668		824	2014	2017
308 Clovis, CA		—		3,054		14,172		—		3,054		14,172		17,226		587	2016	2017
279 Corpus Christi, TX		—		880		11,440		—		880		11,440		12,320		1,166	2016	2015
292 De Forest, WI		—		485		5,568		8		485		5,576		6,061		594	2006	2015
057 Dodge City, KS		—		84		1,666		4		84		1,670		1,754		994	1995	1995
083 Durant, OK		—		100		1,769		—		100		1,769		1,869		977	1997	1997
107 Edmond, OK		—		100		1,365		526		100		1,891		1,991		1,024	1996	1997
163 Ft. Collins, CO		—		100		2,961		3,405		100		6,366		6,466		2,258	2014	1999
170 Ft. Collins, CO		—		100		3,400		4,622		100		8,022		8,122		2,510	2014	1999
132 Ft. Meyers, FL		—		100		2,728		9		100		2,737		2,837		1,440	1998	1998
229 Ft. Worth, TX		—		333		4,385		1,028		333		5,413		5,746		1,916	2009	2008
315 Ft. Worth, TX		—		1,534		11,099		—		1,534		11,099		12,633		158	2014	2018
100 Fremont ,OH		—		100		2,435		106		100		2,541		2,641		1,363	1997	1997
267 Frisco, TX		—		1,000		5,154		—		1,000		5,154		6,154		977	2014	2012
314 Frisco, TX		—		2,216		10,417		—		2,216		10,417		12,633		152	2015	2018
296 Glenview, IL				2,800		14,248		—		2,800		14,248		17,048		568	2017	2015
167 Goldsboro, NC		—		100		2,385		1		100		2,386		2,486		1,006	1998	1999
056 Great Bend, KS		—		80		1,570		21		80		1,591		1,671		1,052	1995	1995
102 Greeley, CO		—		100		2,310		270		100		2,580		2,680		1,395	1997	1997
284 Green Bay, WI		—		1,660		19,079		356		1,660		19,435		21,095		2,015	2004	2015
164 Greenville, NC		—		100		2,478		2		100		2,480		2,580		1,175	1998	1999
062 Greenville, TX		—		42		1,565		84		42		1,649		1,691		947	1995	1996
161 Greenwood, SC		—		100		2,638		—		100		2,638		2,738		1,278	1998	1999
241 Gulf Breeze, FL		—		720		3,780		261		720		4,041		4,761		1,093	2000	2010
295 Jacksonville, FL		—		1,389		12,756		39		1,389		12,795		14,184		1,098	2015	2015
066 Jacksonville, TX		—		100		1,900		77		100		1,977		2,077		1,137	1996	1996
310 Kansas City, MO				1,072		15,552		—		1,072		15,552		16,624		448	2017	2017
285 Kenosha, WI		—		936		12,361		165		936		12,526		13,462		1,155	2008	2015
255 Littleton, CO		—		1,882		8,248		—		1,882		8,248		10,130		1,548	2013	2012
268 Littleton, CO		—		1,200		8,688		—		1,200		8,688		9,888		1,690	2014	2013
148 Longmont, CO		—		100		2,640		—		100		2,640		2,740		1,378	1998	1998
060 Longview, TX		—		38		1,568		127		38		1,695		1,733		978	1995	1995
261 Louisville, CO		—		911		11,703		—		911		11,703		12,614		2,069	2000	2012

78

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
						Building and	to				Building and				Accum		Construction/	Acquisition
	Encumbrances		Land			improvements	acquisition		Land		improvements		Total(1)		deprec.		renovation date	date
301 Louisville, KY	$	—	$	1,021	$	13,157	$	—	$	1,021	$	13,157	$	14,178		937	2016	2016
114 Loveland, CO		—		100		2,865		270		100		3,135		3,235		1,681	1997	1997
068 Lufkin, TX		—		100		1,950		94		100		2,044		2,144		1,167	1996	1996
061 Marshall, TX		—		38		1,568		534		38		2,102		2,140		1,235	1995	1995
293 McHenry, IL		—		1,289		28,976		123		1,289		29,099		30,388		2,978	2005	2015
058 McPherson, KS		—		79		1,571		4		79		1,575		1,654		1,041	1994	1995
316 Medford, OR		—		750		13,650		—		750		13,650		14,400		144	1984	2018
239 Merritt Island, FL		—		550		8,150		100		550		8,250		8,800		2,107	2004	2010
104 Millville, NJ		—		100		2,825		708		100		3,533		3,633		1,631	1997	1997
286 Milwaukee, WI		—		818		8,014		56		818		8,070		8,888		861	2007	2015
231 Monroeville, PA		—		526		5,334		435		526		5,769		6,295		1,714	1997	2009
280 Murrells Inlet, SC		—		2,490		14,185		—		2,490		14,185		16,675		1,207	2016	2015
294 Murrieta, CA		—		2,022		11,136		—		2,022		11,136		13,158		993	2016	2015
289 Neenah, WI		—		694		20,839		212		694		21,051		21,745		2,028	1991	2015
166 New Bern, NC		—		100		2,427		1		100		2,428		2,528		1,044	1998	1999
118 Newark, OH		—		100		2,435		275		100		2,710		2,810		1,351	1997	1997
143 Niceville, FL		—		100		2,680		—		100		2,680		2,780		1,399	1998	1998
095 Norfolk, NE		—		100		2,123		165		100		2,288		2,388		1,191	1997	1997
306 Oak Lawn, IL		—		1,591		13,772		—		1,591		13,772		15,363		281	2018	2016
290 Oshkosh, WI		—		1,525		9,192		108		1,525		9,300		10,825		1,930	2009	2015
291 Oshkosh, WI		—		475		7,364		40		475		7,404		7,879		776	2005	2015
302 Overland Park, KS		—		1,951		11,882		259		1,951		12,141		14,092		958	2013	2016
232 Pittsburgh, PA		—		470		2,615		333		470		2,948		3,418		972	1994	2009
165 Rocky Mount, NC		—		100		2,494		1		100		2,495		2,595		1,103	1998	1999
059 Salina, KS		—		79		1,571		4		79		1,575		1,654		1,041	1994	1995
084 San Antonio, TX		—		100		1,900		—		100		1,900		2,000		1,048	1997	1997
092 San Antonio, TX		—		100		2,055		—		100		2,055		2,155		1,128	1997	1997
288 Sheboygan, WI		—		1,168		5,382		180		1,168		5,562		6,730		660	2006	2015
149 Shelby, NC		—		100		2,805		2		100		2,807		2,907		1,464	1998	1998
312 Spartanburg, SC		—		254		9,906		1,035		254		10,941		11,195		407	1999	2017
150 Spring Hill, FL		—		100		2,650		—		100		2,650		2,750		1,383	1998	1998
103 Springfield, OH		—		100		2,035		270		100		2,305		2,405		1,244	1997	1997
162 Sumter, SC		—		100		2,351		—		100		2,351		2,451		1,091	1998	1999
140 Tallahassee, FL		—		100		3,075		—		100		3,075		3,175		1,608	1998	1998
098 Tiffin, OH		—		100		2,435		94		100		2,529		2,629		1,346	1997	1997
282 Tinley Park, IL		—		702		11,481		—		702		11,481		12,183		1,076	2016	2015
088 Troy, OH		—		100		2,435		593		100		3,028		3,128		1,548	1997	1997
080 Tulsa, OK		—		200		1,650		—		200		1,650		1,850		919	1997	1997
093 Tulsa, OK		—		100		2,395		—		100		2,395		2,495		1,311	1997	1997
238 Tupelo, MS		—		1,170		8,230		30		1,170		8,260		9,430		2,203	2000	2010
075 Tyler, TX		—		100		1,800		—		100		1,800		1,900		1,008	1996	1996
202 Vacaville, CA		—		1,662		11,634		1,141		1,662		12,775		14,437		6,098	2002	2001
091 Waco, TX		—		100		2,235		—		100		2,235		2,335		1,225	1997	1997
096 Wahoo, NE		—		100		2,318		119		100		2,437		2,537		1,293	1997	1997
108 Watauga, TX		—		100		1,668		—		100		1,668		1,768		908	1996	1997
287 Waukesha, WI		—		992		15,183		187		992		15,370		16,362		1,435	2009	2015
109 Weatherford, OK		—		100		1,669		592		100		2,261		2,361		1,222	1996	1997
309 West Chester, OH		—		2,355		13,553		—		2,355		13,553		15,908		587	2017	2017
276 Westminster, CO		—		1,425		9,575		—		1,425		9,575		11,000		1,480	2015	2013
110 Wheelersburg, OH		—		29		2,435		239		29		2,674		2,703		1,344	1997	1997
303 Wichita, KS		—		1,422		9,957		221		1,422		10,178		11,600		828	2011	2016
259 Wichita, KS		—		730		—		9,682		730		9,682		10,412		2,057	2013	2012
283 Wichita, KS		—		624		13,846		—		624		13,846		14,470		837	2016	2015
076 Wichita Falls, TX		—		100		1,850		—		100		1,850		1,950		1,036	1996	1996
120 Wichita Falls, TX		—		100		2,750		131		100		2,881		2,981		1,526	1997	1997
265 Williamstown, NJ		—		711		6,637		—		711		6,637		7,348		1,287	2000	2012
264 Williamstown, NJ		—		711		8,649		—		711		8,649		9,360		1,516	2000	2012
099 York, NE		—		100		2,318		78		100		2,396		2,496		1,289	1997	1997
Assisted Living Properties	$	—	$	70,772	$	695,763	$	37,486	$	70,772	$	733,249	$	804,021		142,002

79

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
					Building and		to				Building and					Accum		Construction/	Acquisition
	Encumbrances		Land		improvements		acquisition		Land		improvements		Total(1)			deprec.		renovation date	date
Other:
Properties:
297 Las Vegas, NV		—		1,965		7,308		849		1,965		8,157		10,122			677	1990/1994	2015
Properties		—		1,965		7,308		849		1,965		8,157		10,122			677
Land:
271 Howell, MI		—		420		—		—		420		—		420			—	N/A	2013
272 Milford, MI		—		450		—		—		450		—		450			—	N/A	2014
275 Yale, MI		—		73		—		—		73		—		73			—	N/A	2013
Land		—		943		—		—		943		—		943			—
Other Properties		—		2,908		7,308		849		2,908		8,157		11,065			677
Properties Under Development:
305 Union, KY		—		858		19,057		—		858		19,057		19,915			—	N/A	2016
311 Cedarburg, WI		—		924		15,741		—		924		15,741		16,665			—	N/A	2017
313 Medford, OR		—		636		3,970		—		636		3,970		4,606			—	N/A	2018
Properties Under Development		—		2,418		38,768		—		2,418		38,768		41,186			—
	$	—	$	125,691	$	1,205,553	$	90,212	$	125,691	$	1,295,765	$	1,421,456	(2)	$	314,875

(1) Depreciation is computed principally by the straight‑line method for financial reporting purposes which generally range of a life from 5 to 15 years for furniture and equipment, 35 to 50 years for buildings, 10 to 15 years for site improvements, 10 to 20 years for building improvements and the respective lease term for acquired lease intangibles.

(2) As of December 31, 2018, our aggregate cost for Federal income tax purposes was $1,435,334.

80

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

Activity for the years ended December 31, 2018, 2017 and 2016 is as follows:

	For the Year Ended December 31,
	2018		2017		2016
Reconciliation of real estate:
Carrying cost:
Balance at beginning of period	$	1,392,122	$	1,301,563	$	1,198,686
Acquisitions		40,408		82,405		74,923
Improvements		38,528		25,800		49,134
Capitalized interest		1,248		908		1,408
Other non-cash items (See Note 4)		—		—		2,460
Cost of real estate sold		(50,850)		(18,554)		(24,282)
Impairment on real estate for sale		—		—		(766)
Ending balance	$	1,421,456	$	1,392,122	$	1,301,563
Accumulated depreciation:
Balance at beginning of period	$	306,033	$	275,861	$	251,265
Depreciation expense		37,416		37,492		35,809
Cost of real estate sold		(28,574)		(7,320)		(11,213)
Ending balance	$	314,875	$	306,033	$	275,861

81

LTC PROPERTIES, INC.

SCHEDULE IV

MORTGAGE LOANS RECEIVABLE ON REAL ESTATE

(in thousands)

														Principal
														Amount of
												Carrying		Loans
								Current				Amount of		Subject to
	(Unaudited)							Monthly		Face		Mortgages		Delinquent
	Number of				Final	Balloon		Debt		Amount of		December 31,		Principal or
State	Properties		Units/Beds(3)	Interest Rate(1)	Maturity  Date	Amount(2)		Service		Mortgages		2018		Interest
MI	15		2,029	9.71%	2043	$	160,855	$	1,500	$	187,855	$	184,160	$	—
MI	4		501	9.22%	2045		29,487		257		33,317		32,984		—
MI	1		157	9.41%	2045		14,325		117		15,000		14,825		—
MI	2		205	9.41%	2020		11,081		89		11,081		10,970		—
	22	(4)	2,892			$	215,748	$	1,963	$	247,253	$	242,939	$	—

(1) Represents current stated interest rate. Generally, the loans have a 30‑year amortization with principal and interest payable at varying amounts over the life to maturity with annual interest adjustments through specified fixed rate increases effective either on the first anniversary or calendar year of the loan.

(2) Balloon payment is due upon maturity.

(3) This number is based upon unit/bed counts shown on operating licenses provided to us by borrowers or units/beds as stipulated by mortgage documents. We have found during the years that these numbers often differ, usually not materially, from units/beds in operation at any point in time. The differences are caused by such things as operators converting a patient/resident room for alternative uses, such as offices or storage, or converting a multi‑patient room/unit into a single patient room/unit. We monitor our properties on a routine basis through site visits and reviews of current licenses. In an instance where such change would cause a de‑licensing of beds or in our opinion impact the value of the property, we would take action against the borrower to preserve the value of the property/collateral.

(4) Includes 4 first‑lien mortgage loans as follows:

Number of Loans	Original loan amounts
0		$ 500 - $2,000
0		$2,001 - $3,000
0		$3,001 - $4,000
0		$4,001 - $5,000
0		$5,001 - $6,000
0		$6,001 - $7,000
4		$7,001 +

82

Mortgage loans receivable activity for the years ended December 31, 2018, 2017 and 2016 is as follows:

Balance— December 31, 2015	$	217,529
New mortgage loans		13,250
Other additions		7,435
Land conveyance		—
Amortization of mortgage premium		(10)
Collections of principal		(8,278)
Foreclosures		—
Loan loss reserve		(125)
Other deductions		—
Balance— December 31, 2016		229,801
New mortgage loans		—
Other additions		11,913
Land conveyance		(4)
Amortization of mortgage premium		(17,863)
Collections of principal		—
Foreclosures		60
Loan loss reserve		—
Other deductions		—
Balance— December 31, 2017		223,907
New mortgage loans		14,525
Other additions		6,839
Land conveyance		—
Amortization of mortgage premium		(4)
Collections of principal		(2,136)
Foreclosures		—
Loan loss reserve		(192)
Other deductions		—
Balance— December 31, 2018	$	242,939

83

Item 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None.

Item 9A.  CONTROLS AND PROCEDURES

Disclosure Controls and Procedures.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, 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 concluded that, as of the end of the period covered by this report our disclosure controls and procedures were effective.

Internal Control Over Financial Reporting.

The Management Report on Internal Control over Financial Reporting and the Report of Independent Registered Public Accounting Firm thereon are set forth on the following pages.

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.

84

Management Report on Internal Control Over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial reporting is defined in Rule 13a‑15(f) or 15d‑15(f) promulgated under the Securities Exchange Act of 1934, as amended, as a process designed by, or under the supervision of, the issuer’s principal executive and principal financial officers and effected by the issuer’s board of directors, management and other personnel, 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 and includes those policies and procedures that:

· Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets of the issuer;

· Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the issuer are being made only in accordance with authorizations of management and directors of the issuer; and

· Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the issuer’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect material misstatements on a timely basis. Projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our internal control over financial reporting as of December 31, 2018. In making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (“COSO”) in Internal Control— Integrated Framework (2013 Framework). Based on this assessment, our management concluded that, as of the end of the fiscal year ended December 31, 2018, our internal control over financial reporting was effective.

The effectiveness of our internal control over financial reporting as of December 31, 2018, has been audited by Ernst &Young LLP, independent registered public accounting firm. Ernst & Young LLP’s report on our internal control over financial reporting appears on the following page.

85

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

The Board of Directors and Shareholders of LTC Properties, Inc.

Opinion on Internal Control over Financial Reporting

We have audited LTC Properties, Inc.’s internal control over financial reporting as of December 31, 2018, based on criteria established in Internal Control—Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, LTC Properties, Inc. (the Company) maintained, in all material respects, effective internal control over financial reporting as of December 31, 2018, based on the COSO criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of the Company as of December 31, 2018 and 2017, and the related consolidated statements of income and comprehensive income, equity and cash flows for each of the three years in the period ended December 31, 2018,and the related notes and the financial statement schedules listed in the Index at Item 15(a) and our report dated February 28, 2019 expressed an unqualified opinion thereon.

Basis for Opinion

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying Management Report on Internal Control Over Financial Reporting. Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.

Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed 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. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

/s/ Ernst & Young LLP

Los Angeles, California

February 28, 2019

86

Item 9B.  OTHER INFORMATION

None.

PART III

Item 10.  DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

The information required by this item is incorporated by reference to our definitive proxy statement for the 2019 Annual Meeting of Stockholders (to be filed with the SEC within 120 days of our December 31, 2018 fiscal year end) under the headings “Proposal 1 Election of Directors,”  “Corporate Governance Principles and Board Matters,” and “Executive Officers.”

Item 11.  EXECUTIVE COMPENSATION

The information required by this item is incorporated by reference to our definitive proxy statement for the 2019 Annual Meeting of Stockholders (to be filed with the SEC within 120 days of our December 31, 2018 fiscal year end) under the headings “Executive Compensation Discussion and Analysis,” “ExecutiveCompensation Tables,” “Director Compensation,” and “Compensation Committee Report.”

Item 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

The information required by this item is incorporated by reference to our definitive proxy statement for the 2019 Annual Meeting of Stockholders (to be filed with the SEC within 120 days of our December 31, 2018 fiscal year end) under the heading “Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters.”

Item 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

The information required by this item is incorporated by reference to our definitive proxy statement for the 2019 Annual Meeting of Stockholders (to be filed with the SEC within 120 days of our December 31, 2018 fiscal year end) under the heading “Certain Relationships and Related Transactions, and Director Independence.”

Item 14.  PRINCIPAL ACCOUNTANT FEES AND SERVICES

The information required by this item is incorporated by reference to our definitive proxy statement for the 2019 Annual Meeting of Stockholders (to be filed with the SEC within 120 days of our December 31, 2018 fiscal year end) under the heading “Independent Registered Public Accounting Firm Fees and Services.”

87

PART IV

Item 15.  EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

(a)(1) Financial Statements

The following financial statements of LTC Properties, Inc. are included in Part II, Item 8 of this Annual Report on Form 10-K:

(a)(2) Financial Statement Schedules

The following financial statement schedules of LTC Properties, Inc. are included in Part II, Item 8 of this Annual Report on Form 10-K:

All other schedules are omitted because they are not applicable or not present in amounts sufficient to require submission of the schedule or the required information is shown in the Consolidated Financial Statements and the Notes thereto.

(a)(3) Exhibits

Exhibit Number	Description
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) dated June 1, 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) dated June 2, 2015)
10.1	Third Amended and Restated Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and Prudential Investment Management, Inc. dated April 28, 2015 (incorporated by reference to Exhibit 10.1 to LTC Properties Inc.’s Quarterly Report on Form 10‑Q (File No. 1‑11314) for the quarter ended March 31, 2015)
10.2	First Amendment to the Third Amended and Restated Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and Prudential Investment Management, Inc. dated August 4, 2015 (incorporated by reference to Exhibit 10.2 to LTC Properties Inc.’s Quarterly Report on Form 10‑Q (File No. 1‑11314) for the quarter ended June 30, 2015)
10.3	Second Amendment to Third Amended and Restated Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and Prudential Investment Management, Inc. dated February 16, 2017 (incorporated by reference to Exhibit 10.6 to LTC Properties, Inc.’s Annual Report on Form 10-K (File No. 1-11314) for the year ended December 31, 2016)
10.4	Note Purchase Agreement dated February 16, 2017 (incorporated by reference to Exhibit 10.7 to LTC Properties, Inc.’s Annual Report on Form 10-K (File No. 1-11314) for the year ended December 31, 2016)
10.5	Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and AIG Asset Management (U.S.) LLC dated August 4, 2015 (incorporated by reference to Exhibit 10.4 to LTC Properties Inc.’s Quarterly Report on Form 10‑Q (File No. 1‑11314) for the quarter ended June 30, 2015)
10.6	Amended and Restated Note Purchase and Private Shelf Agreement between LTC Properties, Inc. and AIG Asset Management (U.S.) LLC dated June 2, 2016 (incorporated by reference to Exhibit 10.1 to LTC Properties Inc.’s Current Report on Form 8-K dated June 1, 2016)

88

Exhibit Number	Description
10.7	Equity Distribution Agreement, dated August 1, 2016, by and between LTC Properties, Inc. and JMP Securities LLC (incorporated by reference to Exhibit 1.1 to LTC Properties Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated August 1, 2016)
10.8	Equity Distribution Agreement, dated August 1, 2016, by and between LTC Properties, Inc. and Mizuho Securities USA Inc. (incorporated by reference to Exhibit 1.3 to LTC Properties Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated August 1, 2016)
10.9	Equity Distribution Agreement, dated August 1, 2016, by and between LTC Properties, Inc. and Credit Agricole Securities (USA) Inc. (incorporated by reference to Exhibit 1.4 to LTC Properties Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated August 1, 2016)
10.10	Equity Distribution Agreement, dated August 1, 2016, by and between LTC Properties, Inc. and Cantor Fitzgerald & Co (incorporated by reference to Exhibit 1.5 to LTC Properties Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated August 1, 2016)
10.11	Second Amended and Restated Credit Agreement dated June 27, 2018 (incorporated by reference to Exhibit 10.1 to LTC Properties Inc.’s Current Report on Form 8-K dated June 27, 2018)
10.12	Employment Agreement of Wendy Simpson dated November 12, 2014 (incorporated by reference to Exhibit 10.1 to LTC Properties, Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated November 12, 2014)
10.13	Employment Agreement of Pamela Kessler, effective as of November 12, 2014 (incorporated by reference to Exhibit 10.2 to LTC Properties, Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated November 12, 2014)
10.14+	Employment Agreement of Clint Malin, effective as of November 12, 2014 (incorporated by reference to Exhibit 10.3 to LTC Properties, Inc.’s Current Report on Form 8‑K (File No. 1‑11314) dated November 12, 2014)
10.15+	Annual Cash Bonus Incentive Plan, effective as of October 27, 2014 (incorporated by reference to Exhibit 10.9 to LTC Properties, Inc.’s Annual Report on Form 10-K (File No. 1-11314) for the year ended December 31, 2014)
10.16+	The 2015 Equity Participation Plan of LTC Properties, Inc. (incorporated by reference to Exhibit 4.3 to LTC Properties, Inc.’s Registration Statement on Form S-8 (File No. 333‑205115)
10.17+	Form of Stock Option Agreement under the 2015 Equity Participation Plan (incorporated by reference to Exhibit 10.20 to LTC Properties, Inc.’s Annual Report on Form 10‑K (File No. 1‑11314) for the year ended December 31, 2015)
10.18	Form of Restricted Stock Agreement under the 2015 Equity Participation Plan (incorporated by reference to Exhibit 10.21 to LTC Properties, Inc.’s Annual Report on Form 10‑K (File No. 1‑11314) for the year ended December 31, 2015)
10.19	Form of Performance Based Market Stock Unit Agreement under the 2015 Equity Participation Plan (incorporated by reference to Exhibit 10.2 to LTC Properties Inc.’s Current Report on Form 8-K dated June 1, 2016)
10.20	Form of Indemnification Agreement dated as of July 30, 2009 between LTC Properties, Inc. and its Directors and Officers (incorporated by reference to Exhibit 10.1 to LTC Properties, Inc.’s Quarterly Report on Form 10‑Q (File No. 1‑11314) for the quarter ended June 30, 2009)
21	List of Subsidiaries
23.1	Consent of Independent Registered Accounting Firm
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 Annual Report on 10‑K for the fiscal year ended December 31, 2018, formatted in eXtensible Business Reporting Language (XBRL): (i) Consolidated Balance Sheets; (ii) Consolidated Statements of Income and Comprehensive Income; (iii) Consolidated Statements of Equity; (iv) Consolidated Statements of Cash Flows; and (v) Notes to Consolidated Financial Statements

+Management contract or compensatory plan or arrangement in which an executive officer or director of the Company participates

Item 16. FORM 10-K SUMMARY

None.

89

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

	LTC PROPERTIES, INC. Registrant
Dated: February 28, 2019
	By:	/s/ Pamela J. Kessler PAMELA J. KESSLER Executive Vice President, Chief Financial Officer and Corporate Secretary (Principal Financial Officer)

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

/s/ Wendy L. Simpson WENDY L. SIMPSON	Chairman, Chief Executive Officer, President and Director (Principal Executive Officer)	February 28, 2019
/s/ Pamela J. Kessler PAMELA J. KESSLER	Executive Vice President, Chief Financial Officer and Corporate Secretary (Principal Financial Officer and Principal Accounting Officer)	February 28, 2019
/s/ Boyd Hendrickson BOYD HENDRICKSON	Director	February 28, 2019
/s/ Devra G. Shapiro DEVRA G. SHAPIRO	Director	February 28, 2019
/s/ JAMES J. PIECZYNSKI JAMES J. PIECZYNSKI	Director	February 28, 2019
/s/ Timothy J. Triche TIMOTHY J. TRICHE	Director	February 28, 2019

90

EX-21

EXHIBIT 21

LTC PROPERTIES, INC.

LIST OF SUBSIDIARIES

As of December 31, 2018

Company	State of Organization	Company	State of Organization
Albuquerque Real Estate Investments, Inc.	Delaware	L‑Tex GP, Inc.	Delaware
Badger RE Holdings, LLC	Wisconsin	L‑Tex LP Corporation	Delaware
Bakersfield‑LTC, Inc.	Delaware	Memorial Park Real Estate Investments, Inc.	Delaware
Beaumont Real Estate Investments, LP	Texas	Merritt Island Real Estate Investments, Inc.	Delaware
Broadway Real Estate Investments, Inc.	Delaware	Midwest RE Holdings, Inc.	Delaware
BV Holding‑LTC, Inc.	Delaware	Mission Real Estate Investments, Inc.	Delaware
Blue Ridge RE Holdings, LLC	Delaware	Missouri River Corporation	Delaware
Chatham Real Estate Investments, LLC	Delaware	MLREI Holdings, Inc.	Delaware
Coronado Corporation	Delaware	Monroeville Real Estate Investments, Inc.	Delaware
CPP Investments, Inc.	Delaware	Mountain States Real Estate Investments, Inc.	Delaware
Education Property Investors, Inc.	Nevada	MS‑FL Real Estate Investments, Inc.	Delaware
Florida‑LTC, Inc.	Nevada	MW Real Estate Investments, LLC	Illinois
Fort Wayne Real Estate Investments, Inc.	Delaware	New Mexico Real Estate Investments, Inc.	Delaware
Great Road RE Holdings, Inc.	Delaware	Newberry Real Estate Investments, Inc.	Delaware
Gulf Breeze Real Estate Investments, Inc.	Delaware	NMKS Holdings, Inc.	Delaware
Hewitt Real Estate Investments, Inc.	Delaware	NMKS Real Estate Investments, Inc.	Delaware
JVC Holdings, Inc.	Delaware	North Carolina Real Estate Investments, LLC	North Carolina
JVCH Real Estate Investments, Inc.	Delaware	Northwest RE Holdings, Inc.	Delaware
JVCO Real Estate Investments, Inc.	Delaware	Ohio Springs Real Estate Investments, Inc.	Delaware
JVWL Real Estate Investments, Inc.	Delaware	Park Villa Corporation	Delaware
Kansas‑LTC Corporation	Delaware	PENN‑IND Real Estate Investments, Inc.	Delaware
Lakes Real Estate Investments, Inc.	Delaware	RC Real Estate Investments, Inc.	Delaware
LTC GP I, Inc.	Delaware	Red Oak Real Estate Investments, Inc.	Delaware
LTC West, Inc.	Nevada	Rogue Valley RE Holdings, LLC	Delaware
LTC‑Dearfield, Inc.	Nevada	Sabal RE Holdings, LLC	Delaware
LTC‑DS, Inc.	Delaware	Skilled Healthcare Holdings, Inc.	Delaware
LTC‑Finance, Inc.	Delaware	South Hills Real Estate Investments, Inc.	Delaware
LTC‑Gardner, Inc.	Delaware	Southeast RE Holdings, Inc.	Delaware
LTC‑Griffin, Inc.	Nevada	Stephenville Real Estate Investments, Inc.	Delaware
LTC‑Jonesboro, Inc.	Nevada	SWTX Real Estate Investments, Inc.	Delaware
LTC‑K1 Inc.	Delaware	Texas‑LTC Limited Partnership	Texas
LTC‑K2 Limited Partnership	Delaware	Texas‑LTC Woodridge Limited Partnership	Delaware
LTC‑K2 LP, Inc.	Delaware	Tupelo Real Estate Investments, Inc.	Delaware
LTC‑K2, Inc.	Delaware	TXMS Real Estate Investments, Inc.	Delaware
LTC‑Lake Forest, Inc.	Delaware	Vacaville‑LTC, Inc.	Delaware
LTC‑New Mexico, Inc.	Nevada	Virginia‑LTC, Inc.	Nevada
LTC‑Ohio, Inc.	Delaware	WISL Investments, Inc.	Wisconsin
LTC‑Richmond, Inc.	Nevada

EX-23.1

Exhibit 23.1

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statement (Form S‑8 No. 333‑152295) pertaining to the 2008 Equity Participation Plan of LTC Properties, Inc.,

(2) Registration Statement (Form S‑8 No. 333-205115) pertaining to the 2015 Equity Participation Plan of LTC Properties, Inc.;

of our reports dated February 28, 2019 with respect to the consolidated financial statements and schedules of LTC Properties, Inc. and the effectiveness of internal control over financial reporting of LTC Properties, Inc., included in this Annual Report (Form 10-K) for the year ended December 31, 2018.  

/s/ Ernst & Young LLP

Los Angeles, California

February 28, 2019

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 annual report on Form 10‑K 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 annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer 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)

February 28, 2019

EX-31.2

Exhibit 31.2

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER

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

I, Pamela J. Kessler, certify that:

1. I have reviewed this annual report on Form 10‑K 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 annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b. Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

/s/ Pamela J. Kessler

Pamela J. Kessler

Executive Vice President, Chief Financial Officer

and Corporate Secretary

(Principal Financial and Accounting Officer)

February 28, 2019

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

In connection with the Annual Report of LTC Properties, Inc. (or the Company) on Form 10‑K for the period ending December 31, 2018 as filed with the Securities and Exchange Commission on the date hereof (or the Report), I, Wendy L. Simpson, Chairman, Chief Executive Officer and President of the Company, and I, Pamela J. Kessler, Executive Vice President, Chief Financial Officer and Corporate Secretary of the Company, certify solely for the purposes of 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes‑Oxley Act of 2002, that to my 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: February 28, 2019	/s/ Wendy L. Simpson
	Wendy L. Simpson Chairman, Chief Executive Officer and President
Date: February 28, 2019	/s/ Pamela J. Kessler
	Pamela J. 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.

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Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2018	Feb. 25, 2019	Jun. 30, 2018
Document and Entity Information
Entity Registrant Name	LTC PROPERTIES INC
Entity Central Index Key	0000887905
Document Type	10-K
Document Period End Date	Dec. 31, 2018
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Large Accelerated Filer
Entity Public Float			$ 1,667,067,000
Entity Shell Company	false
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Common Stock, Shares Outstanding		39,713,946
Document Fiscal Year Focus	2018
Document Fiscal Period Focus	FY

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CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Investments:
Land	$ 125,358	$ 124,041
Buildings and improvements	1,290,352	1,262,335
Accumulated depreciation and amortization	(312,959)	(304,117)
Operating real estate property, net	1,102,751	1,082,259
Properties held-for-sale, net of accumulated depreciation: 2018—$1,916; 2017—$1,916	3,830	3,830
Real property investments, net	1,106,581	1,086,089
Mortgage loans receivable, net of loan loss reserve: 2018—$2,447; 2017—$2,255	242,939	223,907
Real estate investments, net	1,349,520	1,309,996
Notes receivable, net of loan loss reserve: 2018—$128; 2017—$166	12,715	16,402
Investments in unconsolidated joint ventures	30,615	29,898
Investments, net	1,392,850	1,356,296
Other assets:
Cash and cash equivalents	2,656	5,213
Restricted cash	2,108
Debt issue costs related to bank borrowings	2,989	810
Interest receivable	20,732	15,050
Straight-line rent receivable, net of allowance for doubtful accounts: 2018—$746; 2017—$814	73,857	64,490
Lease incentives	14,443	21,481
Prepaid expenses and other assets	3,985	2,230
Total assets	1,513,620	1,465,570
LIABILITIES
Bank borrowings	112,000	96,500
Senior unsecured notes, net of debt issue costs: 2018—$938; 2017—$1,131	533,029	571,002
Accrued interest	4,180	5,276
Accrued incentives and earn-outs		8,916
Accrued expenses and other liabilities	31,440	25,228
Total liabilities	680,649	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	862,712	856,992
Cumulative net income	1,255,764	1,100,783
Cumulative distributions	(1,293,383)	(1,203,011)
Total LTC Properties, Inc. stockholders’ equity	825,490	755,160
Non-controlling interests	7,481	3,488
Total equity	832,971	758,648
Total liabilities and equity	$ 1,513,620	$ 1,465,570

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CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Properties held-for-sale, accumulated depreciation	$ 1,916	$ 1,916
Mortgage loans receivable, loan loss reserve	2,447	2,255
Notes receivable, loan loss reserve	128	166
Straight-line rent receivable, allowance for doubtful accounts	$ 746	$ 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	$ 938	$ 1,131

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CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Revenues:
Rental income	$ 135,405	$ 137,657	$ 133,527
Interest income from mortgage loans	28,200	26,769	27,321
Interest and other income	5,040	3,639	735
Total revenues	168,645	168,065	161,583
Expenses:
Interest expense	30,196	29,949	26,442
Depreciation and amortization	37,555	37,610	35,932
Impairment charges		1,880	766
Provision (recovery) for doubtful accounts	87	(206)	457
Transaction costs	84	56	179
General and administrative expenses	19,193	17,513	17,412
Total expenses	87,115	86,802	81,188
Other operating income:
Gain on sale of real estate, net	70,682	3,814	3,582
Operating income	152,212	85,077	83,977
Income from unconsolidated joint ventures	2,864	2,263	1,138
Net income	155,076	87,340	85,115
Income allocated to non-controlling interests	(95)
Net income attributable to LTC Properties, Inc.	154,981	87,340	85,115
Income allocated to participating securities	(625)	(362)	(385)
Net income available to common stockholders	$ 154,356	$ 86,978	$ 84,730
Earnings per common share:
Basic (in dollars per share)	$ 3.91	$ 2.21	$ 2.21
Diluted (in dollars per share)	$ 3.89	$ 2.20	$ 2.21
Weighted average shares used to calculate earnings per common share:
Basic (in shares)	39,477	39,409	38,388
Diluted (in shares)	39,839	39,637	38,597
Comprehensive Income:
Net income	$ 155,076	$ 87,340	$ 85,115
Reclassification adjustment			(47)
Comprehensive income	$ 155,076	$ 87,340	$ 85,068

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CONSOLIDATED STATEMENTS OF EQUITY - USD ($) shares in Thousands, $ in Thousands	Parent	Common Stock	Capital in Excess of Par Value	Cumulative Net Income	Accumulated Other Comprehensive Income (Loss)	Cumulative Distributions	Non-controlling Interests	Total
Balance at beginning of period at Dec. 31, 2015	$ 659,202	$ 375	$ 758,676	$ 928,328	$ 47	$ (1,028,224)		$ 659,202
Balance (in shares) at Dec. 31, 2015		37,548
Equity activity
Reclassification adjustment	(47)				$ (47)			(47)
Issuance of common stock	78,136	$ 16	78,120					78,136
Issuance of common stock (in shares)		1,643
Issuance of restricted stock	(41)	$ 1	(42)					(41)
Issuance of restricted stock (in shares)		73
Net income	85,115			85,115				85,115
Vesting of restricted stock	4,265		4,265					4,265
Vested stock options	15		15					15
Stock option exercises	159		159					159
Stock option exercises (in shares)		7
Common stock cash distributions	(84,568)					(84,568)		(84,568)
Other	(2,188)		(2,188)					(2,188)
Other (in shares)		(50)
Balance at end 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
Equity activity
Issuance of common stock	14,529	$ 3	14,526					14,529
Issuance of common stock (in shares)		313
Issuance of restricted stock	(20)	$ 1	(21)					(20)
Issuance of restricted stock (in shares)		85
Net income	87,340			87,340				87,340
Vesting of restricted stock	5,247		5,247					5,247
Vested stock options	2		2					2
Stock option exercises	202		202					202
Stock option exercises (in shares)		8
Non-controlling interests contribution							$ 3,488	3,488
Common stock cash distributions	(90,219)					(90,219)		(90,219)
Other	(1,969)		(1,969)					(1,969)
Other (in shares)		(57)
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
Equity activity
Issuance of common stock	929		929					929
Issuance of common stock (in shares)		22
Issuance of restricted stock	(8)	$ 1	(9)					(8)
Issuance of restricted stock (in shares)		91
Net income	154,981			154,981			95	155,076
Vesting of restricted stock	5,870		5,870					5,870
Stock option exercises	123		123					123
Stock option exercises (in shares)		5
Non-controlling interests contribution							3,963	3,963
Non-controlling interest distributions							(65)	(65)
Common stock cash distributions	(90,372)					(90,372)		(90,372)
Other	(1,193)		(1,193)					(1,193)
Other (in shares)		(31)
Balance at end of period at Dec. 31, 2018	$ 825,490	$ 397	$ 862,712	$ 1,255,764		$ (1,293,383)	$ 7,481	$ 832,971
Balance (in shares) at Dec. 31, 2018		39,657

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CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - $ / shares	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
CONSOLIDATED STATEMENTS OF EQUITY
Dividends paid per common share (in dollars per share)	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 2.280	$ 2.280	$ 2.190

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
OPERATING ACTIVITIES:
Net income	$ 155,076,000	$ 87,340,000	$ 85,115,000
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	37,555,000	37,610,000	35,932,000
Stock-based compensation expense	5,870,000	5,249,000	4,280,000
Impairment charges		1,880,000	766,000
Gain on sale of real estate, net	(70,682,000)	(3,814,000)	(3,582,000)
Income from unconsolidated joint ventures	(2,864,000)	(2,263,000)	(1,138,000)
Income distributions from unconsolidated joint ventures	2,371,000	1,738,000	1,695,000
Insurance proceeds for damaged property	2,619,000
Payment for remediation of damaged property	(508,000)
Straight-line rental income	(9,550,000)	(10,694,000)	(13,477,000)
Lease incentives funded	(1,272,000)	(6,544,000)	(4,827,000)
Amortization of lease incentives	2,092,000	2,209,000	1,955,000
Provision for doubtful accounts	87,000	(206,000)	457,000
Non-cash interest related to contingent liabilities	377,000	602,000	684,000
Non-cash income related to earn-out and related lease incentive write-off	(3,074,000)	(842,000)	(16,000)
Other non-cash items, net	1,180,000	1,282,000	1,216,000
Increase in interest receivable	(5,682,000)	(5,367,000)	(5,147,000)
(Decrease) increase in accrued interest payable	(1,096,000)	601,000	701,000
Net change in other assets and liabilities	3,036,000	(3,476,000)	1,094,000
Net cash provided by operating activities	115,535,000	105,305,000	105,708,000
INVESTING ACTIVITIES:
Investment in real estate properties	(40,408,000)	(82,405,000)	(74,923,000)
Investment in real estate developments	(35,279,000)	(22,901,000)	(42,342,000)
Investment in real estate capital improvements	(3,249,000)	(2,899,000)	(6,792,000)
Capitalized interest	(1,248,000)	(908,000)	(1,408,000)
Proceeds from sale of real estate, net	92,749,000	15,413,000	17,369,000
Investment in real estate mortgage loans receivable	(21,364,000)	(11,913,000)	(20,685,000)
Principal payments received on mortgage loans receivable	2,136,000	17,863,000	8,278,000
Investments in unconsolidated joint ventures	(670,000)	(3,848,000)	(1,770,000)
Payment of working capital reserve		(439,000)	(2,756,000)
Advances and originations under notes receivable	(124,000)		(14,969,000)
Principal payments received on notes receivable	3,848,000	25,000	100,000
Net cash used in investing activities	(3,609,000)	(92,012,000)	(139,898,000)
FINANCING ACTIVITIES:
Bank borrowings	116,200,000	113,000,000	123,600,000
Repayment of bank borrowings	(100,700,000)	(123,600,000)	(137,000,000)
Proceeds from issuance of senior unsecured notes		100,000,000	77,500,000
Principal payments on senior unsecured notes	(38,166,000)	(31,167,000)	(26,667,000)
Proceeds from common stock issued	1,005,000	14,578,000	78,592,000
Stock option exercises	123,000	202,000	159,000
Distributions paid to stockholders	(90,372,000)	(90,219,000)	(84,568,000)
Contribution from non-controlling interests	3,963,000	3,488,000
Distributions paid to non-controlling interests	(65,000)
Financing costs paid	(3,162,000)	(363,000)	(147,000)
Other	(1,201,000)	(1,990,000)	(2,230,000)
Net cash (used in) provided by financing activities	(112,375,000)	(16,071,000)	29,239,000
Decrease in cash, cash equivalents and restricted cash	(449,000)	(2,778,000)	(4,951,000)
Cash, cash equivalents and restricted cash, beginning of period	5,213,000	7,991,000	12,942,000
Cash, cash equivalents and restricted cash, end of period	4,764,000	5,213,000	7,991,000
Supplemental disclosure of cash flow information:
Interest paid	$ 30,116,000	$ 28,070,000	$ 24,490,000

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The Company

12 Months Ended

Dec. 31, 2018

The Company

The Company

1. The Company

LTC Properties, Inc. (“LTC”), a Maryland corporation, commenced operations on August 25, 1992. LTC is a real estate investment trust (“REIT”) that invests primarily in seniors housing and health care properties 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. ALF, ILF, MC and combinations thereof are included in the ALF classification.

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Summary of Significant Accounting Policies

12 Months Ended

Dec. 31, 2018

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

Basis of Presentation.  The accompanying consolidated financial statements include the accounts of LTC, our wholly‑owned subsidiaries, and our consolidated companies. All intercompany investments, accounts and transactions have been eliminated.

Consolidation of entities is based on determination of the primary beneficiary. In order to be considered the primary beneficiary, the member should be able to exercise power over and receive benefits from the entity. Power over the company is based on the provisions of the operating agreement that provides us with a controlling financial interest in the entity. Under the terms of the operating agreement, we, as the general member, are responsible for the management of the company’s assets, business and affairs. Our rights and duties in management of the company include making all operating decisions, setting the capital budget, executing all contracts, making all employment decisions, and handling the purchase and disposition of assets, among others. We, as the general member, are responsible for the ongoing, major, and central operations of the company and make all management decisions. In addition, we, as the general member, assume the risk for all operating losses, capital losses, and are entitled to substantially all capital gains (appreciation) and accordingly, receive substantial benefits from the company. 

The Financial Accounting Standards Board (“FASB”) created a framework for evaluating whether a general partner or a group of general partners controls a limited partnership or a managing member or a group of managing members exercise power over a limited liability company and therefore should consolidate the entity. The guidance states that the presumption of general partner or managing member control would be overcome only when the limited partners or non-managing members have certain specific rights as described in the guidance. The limited members have virtually no rights and are precluded from taking part in the operation, management or control of the company. The limited members are also precluded from transferring their interests without the expressed permission of the general member.  However, we could transfer our interest without consultation or permission of the limited members.  We consolidated the companies in accordance with the guidance. 

The FASB requires the classification of non-controlling interests as a component of consolidated equity in the consolidated balance sheet subject to the provisions of the rules governing classification and measurement of redeemable securities. The guidance requires consolidated net income to be reported at the amounts attributable to both the controlling and non-controlling interests. The calculation of earnings per share will be based on income amounts attributable to the controlling interest. 

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 audit of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Certain reclassifications have been made to the prior period consolidated financial statements to conform to the current period presentation, including changes in presentation of Gain on sale of real estate, net on the consolidated statement of income and comprehensive income. The Company has included Gain on sale of real estate, net as a component of Operating Income to present gain and losses on sales of properties in accordance with ASC 360-10-45-5. The change was made for the prior periods as the Securities and Exchange Commission has eliminated Rule 3-15(a) of Regulation S-X as part of Release No. 33-10532; 34-83875; IC-33203, which had required REITs to present gain and losses on sale of properties outside of continuing operations in the income statement. These adjustments are normal and recurring in nature.

Going Concern.  In August 2014, the FASB issued Accounting Standards Update (“ASU”) 2014-15, Presentation of Financial Statements— Going Concern (Subtopic 205-40):  Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. The amendments in this update define management’s responsibility under U.S. generally accepted accounting principles (“GAAP”) to evaluate when and how substantial doubt about the organization’s ability to continue as a going concern should be disclosed in the financial statement footnotes. This ASU expands disclosure requirements about principal conditions or events that raise substantial doubt. It also requires disclosing management’s evaluation of the significance of those conditions or events in relationship to the organization’s ability to meet its obligations, and management’s plans that are intended to either alleviate substantial doubt or to mitigate conditions or events that raise substantial doubt. ASU No. 2014-15 is effective for annual periods ending after December 15, 2016. We adopted this ASU in 2017. The adoption of this ASU did not have a material impact on our financial statements or disclosures.

Use of Estimates.  Preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

Cash Equivalents.  Cash equivalents consist of highly liquid investments with a maturity of three months or less when purchased and are stated at cost which approximates market.

Restricted Cash.  In November 2016, the FASB issued ASU No 2016-18 (“ASU 2016-18”), Restricted Cash. ASU 2016-18 requires an entity to reconcile and explain the period over period change in total cash, cash equivalent and restricted cash within its consolidated statement of cash flows.

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 December 31, 2018, the gross value and the carrying value of the property were $2,021,000 and $1,133,000, 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. 

Owned Properties.  We make estimates as part of our allocation of the purchase price of acquisitions to the various components of the acquisition based upon the fair value of each component. In determining fair value, we use current appraisals or other third-party opinions of value. The most significant components of our allocations are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in‑place leases and other intangible assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property acquired or the remaining lease term. In the case of the value of in‑place leases, we make best estimates based on the evaluation of the specific characteristics of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease‑up periods, market conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the remaining lease term for the acquired in‑place leases. We evaluate each purchase transaction to determine whether the acquired assets meet the definition of an asset acquisition or a business combination. Transaction costs related to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related to acquisitions that are deemed to be businesses are expensed as incurred.

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. ASU 2017-01 is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted. We early adopted this standard in 2017. As a result of adopting ASU 2017-01, most of our acquisitions of investment properties will 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. We adopted this standard in 2018. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

We capitalize direct construction and development costs, including predevelopment costs, interest, property taxes, insurance and other costs directly related and essential to the acquisition, development or construction of a real estate asset. We capitalize construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. We consider a construction project as substantially complete and held available for occupancy upon the issuance of the certificate of occupancy. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment, renovation and expansion of existing operating properties, we capitalize the cost for the construction and improvement incurred in connection with the redevelopment, renovation and expansion. Costs previously capitalized related to abandoned acquisitions or developments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred.

Depreciation is computed principally by the straight‑line method for financial reporting purposes over the estimated useful lives of the assets, which range from 3 to 5 years for computers, 5 to 15 years for furniture and equipment, 35 to 50 years for buildings, 10 to 15 years for site improvements, 10 to 20 years for building improvements and the respective lease term for acquired lease intangibles.

Consolidation.  At inception, and on an ongoing basis, as circumstances indicate the need for reconsideration, we evaluate each legal entity that is not wholly-owned by us for consolidation, first under the variable interest entity (“VIE”), then under the voting model. Our evaluation considers all of our variable interests, including common or preferred equity ownership, loans, and other participating instruments. The variable interest model applies to entities that meet both of the following criteria:

· A legal structure been established to conduct business activities and to hold assets.

· LTC has a variable interest in the entity - i.e. it has equity ownership or other financial interests that change with changes in the fair value of the entity's net assets.

If an entity does meet the above criteria and doesn’t qualify for a scope exception from the VIE model, we will determine whether the entity is a VIE.

A legal entity is determined to be a VIE if it has any of the following three characteristics:

1. The entity does not have sufficient equity to finance its activities without additional subordinated financial support;

2. The equity holders, as a group lack the characteristics of a controlling financial interest, as evidenced by all of the following characteristics:

· The power, through voting rights or similar rights, to direct the activities of the entity that most significantly impact the entity's economic performance;

· The obligation to absorb the entity's expected losses;

· The right to receive the entity's expected residual returns; or

3. The entity is established with non-substantive voting rights (i.e. the entity is structured such that majority economic interest holder(s) have disproportionately few voting rights).

If any of the three characteristics of a VIE are met, we conclude that the entity is a VIE and evaluate it for consolidation under the variable interest model.

If an entity is determined to be a VIE, we evaluate whether we are the primary beneficiary. The primary beneficiary analysis is a qualitative analysis based on power and benefits. We consolidate a VIE if we have both power and benefits - that is (i) we have the power to direct the activities of a VIE that most significantly impact the VIE's economic performance (power), and (ii) we have the obligation to absorb losses of the VIE that could potentially be significant to the VIE, or the right to receive benefits from the VIE that potentially could be significant to the VIE (benefits). If we have a variable interest in a VIE but we are not the primary beneficiary, we account for our investment using the equity method of accounting.

If a legal entity fails to meet any of the three of the characteristics of a VIE, we evaluate such entity under the voting interest model. Under the voting interest model, we consolidate the entity if we determine that we, directly or indirectly, have greater than 50% of the voting shares or if we are the general partner or managing member of the entity and the limited partners or non-managing members do not have substantive participating, liquidation, or kick-out rights that preclude our presumption of control.

Mortgage Loans Receivable, Net of Loan Loss Reserve.  Mortgage loans receivable we originate are recorded on an amortized cost basis. Mortgage loans we acquire are recorded at fair value at the time of purchase net of any related premium or discount which is amortized as a yield adjustment to interest income over the life of the loan. Additionally, we record an estimated allowance for doubtful accounts, as described below.

Mezzanine Loans. In 2015 we strategically decided to allocate a portion of our capital deployment toward mezzanine loans to grow relationships with operating companies that have not typically utilized sale leaseback financing as a component of their capital structure. Mezzanine financing sits between senior debt and common equity in the capital structure, and typically is used to finance development projects or value-add opportunities on existing operational properties. We seek market-based, risk-adjusted rates of return typically between 12-18% with the loan term typically between four to eight years. Security for mezzanine loans can include all or a portion of the following credit enhancements; secured second mortgage, pledge of equity interests and personal/corporate guarantees. Mezzanine loans are recorded for GAAP purposes as either a loan, under notes receivable, or joint venture, under investment in unconsolidated joint ventures, depending upon specifics of the loan terms and related credit enhancements.

Investment in unconsolidated joint ventures. From time to time, we provide funding to third-party operators for the acquisition, development and construction (“ADC”) of a property. Under an ADC arrangement, we may participate in the residual profits of the project through the sale or refinancing of the property. These ADC arrangements can have characteristics similar to a loan or similar to a joint venture or partnership such as participating in the risks and rewards of the project as an owner or an investment partner. If the ADC arrangement characteristics are more similar to a jointly-owned investment or partnership, we account for the ADC arrangement as an investment in an unconsolidated joint venture under the equity method of accounting or a direct investment (consolidated basis of accounting) instead of applying loan accounting.

We evaluate our ADC arrangements first pursuant to ASC 805, Consolidation, to determine whether the ADC arrangement meets the definition of a VIE, as explained above, and whether we are the primary beneficiary. If the ADC arrangement is deemed to be a VIE but we are not the primary beneficiary, or if it is deemed to be a voting interest entity but we do not have a controlling financial interest, we account for our investment in the ADC arrangement using the equity method. Under the equity method, we initially record our investment at cost and subsequently recognize our share of net earnings or losses and other comprehensive income or loss, cash contributions made and distributions received, and other adjustments, as appropriate. Allocations of net income or loss may be subject to preferred returns or allocation formulas defined in operating agreements and may not be according to percentage ownership interests. In certain circumstances where we have a substantive profit-sharing arrangement which provides a priority return on our investment, a portion of our equity in earnings may consist of a change in our claim on the net assets of the underlying joint venture. Distributions of operating profit from the joint ventures are reported as part of operating cash flows, while distributions related to a capital transaction, such as a refinancing transaction or sale, are reported as investing activities.

We periodically perform evaluation of our investment in unconsolidated joint ventures to determine whether the fair value of each investment is less than the carrying value, and, if such decrease in value is deemed to be other-than-temporary, write the investment down to its estimated fair value as of the measurement date.

In March 2016, FASB issued ASU No. 2016-07 (“ASU 2016-07”), Investments – Equity Method and Joint Ventures (Topic 323): Simplifying the Transition to the Equity Method of Accounting. ASU 2016-07 eliminates retroactive adjustment of an investment upon an investment qualifying for the equity method of accounting and requires the equity method investor to adopt the equity method of accounting as of the date the investment becomes qualified for equity method accounting. 

Allowance for Doubtful Accounts.  We maintain an allowance for doubtful accounts. The allowance for doubtful accounts depends on the expected collectability of our receivables which is based on considerations including the certainty of payment, payment history and other relevant factors. The allowance for doubtful accounts is maintained at a level believed adequate to absorb potential losses in our receivables. In determining the allowance, we perform a quarterly evaluation of all receivables. If this evaluation indicates that there is a greater risk of receivable charge‑offs, additional allowances are recorded in current period earnings or placement on non-accrual status may be required.

Debt Issuance Cost. In April 2015, FASB issued ASU No. 2015-03 (“ASU 2015-03”), Interest – Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. ASU 2015-03 requires debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct reduction from the carrying amount of the debt liability, consistent with debt discounts. In August 2015, the FASB issued ASU No. 2015-15, Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements (Amendments to SEC Paragraphs Pursuant to Staff Announcement at June 18, 2015 EITF Meeting) (“ASU 2015-15”). ASU 2015-15 allows debt issuance costs related to line of credit agreements to be presented in the balance sheet as an asset. Upon adoption of ASU 2015-15, we elected to present debt issuance costs related to our unsecured revolving line of credit as an asset on our consolidated balance sheets.

Accrued incentives and earn-outs. As part of our acquisitions and/or amendments, we may commit to provide contingent payments to our sellers or lessees, upon the properties achieving certain rent coverage ratios. Typically, when the contingent payments are funded, cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. If it is deemed probable at acquisition, the contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is an earn-out provided to the seller, the estimated fair value is capitalized to the property’s basis. If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease incentive included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease. This fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement. The fair value of these contingent liabilities are evaluated on a quarterly basis based on changes in estimates of future operating results and changes in market discount rates.

Impairments.  Assets that are classified as held-for-use are periodically evaluated 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. Management assesses the impairment of properties and impairment losses are calculated as the excess of the carrying amount over the estimated fair value of assets as of the measurement date. In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as estimated discounted future cash flows. Based on our assessment, during the years ended December 31, 2018, 2017 and 2016, we recognized impairment charges of $0,  $1,880,000 and $766,000, respectively.

Also, we evaluate the carrying values of mortgage loans receivable on an individual basis. Management periodically evaluates the realizability of future cash flows from the mortgage loan receivable when events or circumstances, such as the non‑receipt of principal and interest payments and/or significant deterioration of the financial condition of the borrower, indicate that the carrying amount of the mortgage loan receivable may not be recoverable. An impairment charge is recognized in current period earnings and is calculated as the difference between the carrying amount of the mortgage loan receivable and the discounted cash flows expected to be received, or if foreclosure is probable, the fair value of the collateral securing the mortgage.

Fair Value of Financial Instruments.  The FASB requires the disclosure of fair value information about financial instruments for which it is practicable to estimate that value. In cases where quoted market prices are not available, fair values are based on estimates using present value or other valuation techniques. Those techniques are significantly affected by the assumptions used, including the discount rate and estimates of future cash flows. In that regard, the derived fair value estimates cannot be substantiated by comparison to independent markets and, in many cases, could not be realized in immediate settlement of the instrument. Accordingly, the aggregate fair market value amounts presented in the notes to these consolidated financial statements do not represent our underlying carrying value in financial instruments.

The FASB provides guidance for using fair value to measure assets and liabilities, the information used to measure fair value, and the effect of fair value measurements on earnings. The FASB emphasizes that fair value is a market‑based measurement, not an entity‑specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, the FASB establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access. Level 2 inputs are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability (other than quoted prices).

The fair value guidance issued by the FASB excludes accounting pronouncements that address fair value measurements for purposes of lease classification or measurement. However, this scope exception does not apply to assets acquired and liabilities assumed in a business combination that are required to be measured at fair value, regardless of whether those assets and liabilities are related to leases.

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 on items for which the fair value option has been elected reported in earnings. We have not elected the fair value option for any of our financial assets or liabilities.

The FASB requires disclosures about fair value of financial instruments for interim reporting periods of publicly traded companies as well as in annual financial statements. See Note 15. Fair Value Measurements for the disclosure about fair value of our financial instruments.

Revenue Recognition.  Rental income from operating leases is generally recognized on a straight‑line basis over the terms of the leases. Substantially all of our leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of four methods depending on specific provisions of each lease as follows:

(i) a specified annual 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 revenues in excess of base amounts or

(iv) specific dollar increases.

The FASB does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee and the general condition of the industry when evaluating whether all possible contingencies have been eliminated and have historically, and expect in the future, to not include contingent rents as income until received. During the years ended December 31, 2018, 2017 and 2016, we received $470,000, $457,000 and $517,000, respectively, of contingent rental income. We follow a policy related to rental income whereby we consider a lease to be non‑performing after 60 days of non‑payment of past due amounts and do not recognize unpaid rental income from that lease until the amounts have been received.

Rental revenues relating to non‑contingent leases that contain specified rental increases over the life of the lease are recognized on the straight‑line basis. Recognizing income on a straight‑line basis requires us to calculate the total non‑contingent rent containing specified rental increases over the life of the lease and to recognize the revenue evenly over that life. This method results in rental income in the early years of a lease being higher than actual cash received, creating a straight‑line rent receivable asset included in our consolidated balance sheet. At some point during the lease, depending on its terms, the cash rent payments eventually exceed the straight‑line rent which results in the straight‑line rent receivable asset decreasing to zero over the remainder of the lease term. We assess the collectability of straight‑line rent in accordance with the applicable accounting standards and our reserve policy. If the lessee becomes delinquent in rent owed under the terms of the lease, we may provide a reserve against the recognized straight‑line rent receivable asset for a portion, up to its full value, that we estimate may not be recoverable.

Interest income on mortgage loans is recognized using the effective interest method. We follow a policy related to mortgage interest whereby we consider a loan to be non‑performing after 60 days of non‑payment of amounts due and do not recognize unpaid interest income from that loan until the past due amounts have been received. Effective interest method, as required by GAAP, is a technique for calculating the actual interest rate for the term of a mortgage loan based on the initial origination value. Similar to the accounting methodology of straight-line rent, the actual interest rate is higher than the stated interest rate in the early years of the mortgage loan thus creating an effective interest receivable asset included in the interest receivable line item in our consolidated balance sheet and reduces down to zero when, at some point during the mortgage loan, the stated interest rate is higher than the actual interest rate.

Payments made to or on behalf of our lessees represent incentives that are deferred and amortized as a yield adjustment over the term of the lease on a straight-line basis. Net loan fee income and commitment fee income are amortized over the life of the related loan.

In May 2014, the FASB issued Accounting Standards Update No. 2014-09 (“ASU 2014-09”), Revenue from Contracts with Customers: Topic 606. ASU 2014-09 provides for a single comprehensive principles based standard for the recognition of revenue across all industries through the application of the following five-step process:

Step 1: Identify the contract(s) with a customer.

Step 2: Identify the performance obligations in the contract.

Step 3: Determine the transaction price.

Step 4: Allocate the transaction price to the performance obligations in the contract.

Step 5: Recognize revenue when (or as) the entity satisfies a performance obligation.

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.” In doing so, companies may need to use more judgment and make more estimates. 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 are effective on January 1, 2018, and permit 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 have adopted this standard using the modified retrospective adoption method on January 1, 2018. Accordingly, we concluded that this standard did not have a material impact on our results of operations or financial condition, as a substantial portion of our revenues consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09.

Leases.  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. ASC 842 represents a significant overhaul of the accounting treatment for leases governing substantially all leases, real estate leases included, with the most significant change being that most leases, including most operating leases, will now be capitalized on the balance sheet. 

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. 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.

ASC 842 has subsequently been amended by other issued ASUs to clarify and improve the standard as well as to provide certain practical expedients. In December 2018, the FASB issued ASU 2018-20 (“ ASU 2018-20”), Narrow-Scope Improvements for Lessors, which amends ASC 842 to require the lessors to exclude the lessor costs that are directly paid by the lessee to third parties on lessor’s behalf from variable payments. However, the lessor costs that are paid by the lessor and reimbursed by the lessee are required to be included in variable payments. Accordingly, we will begin reporting revenues and expenses within our leased properties, which are subject to non-cancelable triple-net leases, for certain real estate taxes that are reimbursed by our lessees in accordance with their respective leases with us. Furthermore, ASC 842 allows for several practical expedients which permit the following: no reassessment of lease classification or initial direct costs and use of the standard’s effective date as the date of initial application.

ASU 2016-02 and its amendments, which now have formally entered into the FASB codification as ASC 842, are now effective on January 1, 2019. We expect to elect these practical expedients and adopt ASC 842 on January 1, 2019 using the effective date as our date of initial application. Therefore, financial information and disclosures under ASC 842 will not be provided for periods prior to January 1, 2019.

Federal Income Taxes.  LTC qualifies as a REIT under the Internal Revenue Code of 1986, as amended, and as such, no provision for Federal income taxes has been made. A REIT is required to distribute at least 90% of its taxable income to its stockholders and a REIT may deduct dividends in computing taxable income. If a REIT distributes 100% of its taxable income and complies with other Internal Revenue Code requirements, it will generally not be subject to Federal income taxation.

For Federal tax purposes, depreciation is generally calculated using the straight‑line method over a period of 27.5 years. Earnings and profits, which determine the taxability of distributions to stockholders, use the straight‑line method over 40 years. Both Federal taxable income and earnings and profits differ from net income for financial statement purposes principally due to the treatment of certain interest income, rental income, other expense items, impairment charges and the depreciable lives and basis of assets. At December 31, 2018, the tax basis of our net depreciable assets exceeds our book basis by approximately $25,639,000 (unaudited), primarily due to an investment recorded as an acquisition for tax and a mortgage loan for GAAP, and to differences previously mentioned above.

The FASB clarified the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. The guidance utilizes a two‑step approach for evaluating tax positions. Recognition (step one) occurs when a company concludes that a tax position, based solely on its technical merits, is more likely than not to be sustained upon examination. Measurement (step two) is only addressed if step one has been satisfied (i.e., the position is more likely than not to be sustained). Under step two, the tax benefit is measured as the largest amount of benefit (determined on a cumulative probability basis) that is more likely than not to be realized upon ultimate settlement. We currently do not have any uncertain tax positions that would not be sustained on its technical merits on a more‑likely than not basis.

We may from time to time be assessed interest or penalties by certain tax jurisdictions. In the event we have received an assessment for interest and/or penalties, it has been classified in our consolidated financial statements as general and administrative expenses.

Concentrations of Credit Risk.    In 2016, the FASB issued ASU No. 2016-13 (“ASU 2016-13”), Measurement of Credit Losses on Financial Instruments (Topic 326). 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.

Financial instruments which potentially subject us to concentrations of credit risk consist primarily of cash and cash equivalents, mortgage loans receivable, marketable debt securities and operating leases on owned properties. Our financial instruments, mortgage loans receivable and operating leases, are subject to the possibility of loss of carrying value as a result of the failure of other parties to perform according to their contractual obligations or changes in market prices which may make the instrument less valuable. We obtain various collateral and other protective rights, and continually monitor these rights, in order to reduce such possibilities of loss. In addition, we provide reserves for potential losses based upon management’s periodic review of our portfolio. See Note 3. Major Operators for further discussion of concentrations of credit risk from our tenants.

Properties held-for-sale.  Properties classified as held‑for‑sale on the consolidated balance sheet include only those properties available for immediate sale in their present condition and for which management believes that it is probable that a sale of the property will be completed within one year. Properties held‑for‑sale are carried at the lower of cost or fair value less estimated selling costs. No depreciation expense is recognized on properties held‑for‑sale once they have been classified as such. Under ASU No. 2014-08 (“ASU 2014-08”), Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity, only disposals representing a strategic shift in operations should be presented as discontinued operations. Those strategic shifts should have a major effect on the organization’s operations and financial results. Examples include a disposal of a major geographic area, a major line of business, or a major equity method investment. We have not reclassified results of operations for properties disposed as discontinued operations as these disposals do not represent strategic shifts in our operations.

Net Income Per Share.  Basic earnings per share is calculated using the weighted‑average shares of common stock outstanding during the period excluding common stock equivalents. Diluted earnings per share includes the effect of all dilutive common stock equivalents.

In accordance with the accounting guidance regarding the determination of whether instruments granted in share‑based payments transactions are participating securities, we have applied the two‑class method of computing basic earnings per share. This guidance clarifies that outstanding unvested share‑based payment awards that contain rights to non‑forfeitable dividends participate in undistributed earnings with common stockholders and are considered participating securities.

Stock‑Based Compensation.  The FASB requires all share‑based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. We use the Black‑Scholes‑Merton formula to estimate the value of stock options granted to employees. Also, we use the Monte Carlo model to estimate the value of performance based stock units granted to employees. These models require management to make certain estimates including stock volatility, expected dividend yield and the expected term. If management incorrectly estimates these variables, the results of operations could be affected. The FASB also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a financing cash flow. Because we qualify as a REIT under the Internal Revenue Code of 1986, as amended, we are generally not subject to Federal income taxation. Therefore, this reporting requirement does not have an impact on our statements of cash flows.

Segment Disclosures.  The FASB accounting guidance regarding disclosures about segments of an enterprise and related information establishes standards for the manner in which public business enterprises report information about operating segments. Our investment decisions in seniors housing and health care properties, including mortgage loans, property lease transactions and other investments, are made and resulting investments are managed as a single operating segment for internal reporting and for internal decision‑making purposes. Therefore, we have concluded that we operate as a single segment.

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Major Operators

12 Months Ended

Dec. 31, 2018

Major Operators

Major Operators

3. 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 December 31, 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	%	16.7	%
Senior Lifestyle Corporation	—	23	—	1,457	11.8	%	10.5	%
Brookdale Senior Living	—	37	—	1,702	9.9	%	4.6	%
Senior Care Centers	11	—	1,444	—	8.8	%	7.1	%
Total	35	60	4,454	3,252	48.5	%	38.9	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of December 31, 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.

On December 4, 2018, Senior Care Centers, LLC. and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges. Pursuant to the U.S. Bankruptcy Code, Senior Care has an initial period of 120 days from the petition date to assume or reject the lease. As security under the lease, we hold a letter of credit in the amount of approximately $2,000,000, maintenance and repair escrows of approximately $2,200,000 and property tax escrows of approximately $1,800,000.  Senior Care did not pay us December 2018 rent, but has paid us January and February 2019 rent.

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Supplemental Cash Flow Information

12 Months Ended

Dec. 31, 2018

Supplemental Cash Flow Information

Supplemental Cash Flow Information

4. Supplemental Cash Flow Information

	For the year ended December 31,
	2018		2017		2016
	(in thousands)
Non-cash investing and financing transactions:
Contingent liabilities related to real estate investments ( Note 5)	$	—	$	—	$	1,847
Reclassification of pre-development loans ( Note 7)		—		—		237
Restricted stock issued, net of cancellations (Note 10)		1		1		1

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Real Estate Investments

12 Months Ended

Dec. 31, 2018

Real Estate Investments

Real Estate Investments

5. Real Estate Investments

Owned Properties.As of December 31, 2018, we owned 175 health care real estate properties located in 28 states and consisting of 103 ALFs, 71 SNFs and 1 behavioral health care hospital. These properties are operated by 28 operators.

Assisted living communities, independent living communities, memory care communities and combinations thereof are included in the assisted living property classification (collectively “ALF”). Any reference to the number of properties, number of units, number of beds, and yield on investments in real estate are unaudited and outside the scope of our independent registered public accounting firm’s review of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Depreciation expense on buildings and improvements, including properties classified as held‑for‑sale, was $37,416,000,  $37,492,000, and $35,809,000 for the years ended December 31, 2018, 2017 and 2016, respectively.

Future minimum base rents receivable under the remaining non‑cancelable terms of operating leases excluding the effects of straight‑line rent, amortization of lease inducement and renewal options are as follows (in thousands):

	Annual Cash
	Rent (1)
2019	$	133,666
2020		140,353
2021		131,284
2022		121,235
2023		124,897
Thereafter		760,163

(1) Represents contractual annual cash rent, except for two master leases which are based on agreed upon cash rents. See below for more information.

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 the guarantees and our rights and remedies pertaining to known events of default under the master lease, with the stipulation that Anthem achieve sufficient performance and pay an agreed upon cash rent for these 11 properties. During 2018, Anthem paid the agreed upon minimum cash rent of $5,200,000. We receive regular financial performance updates from Anthem and continue to monitor Anthem’s performance obligations under the master lease agreement.

On December 4, 2018, Senior Care Centers, LLC. and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy as a result of lease terminations from certain landlords and on-going operational challenges. Pursuant to the U.S. Bankruptcy Code, Senior Care has an initial period of 120 days from the petition date to assume or reject the lease. As security under the lease, we hold a letter of credit in the amount of approximately $2,000,000, maintenance and repair escrows of approximately $2,200,000 and property tax escrows of approximately $1,800,000.  Senior Care did not pay us December 2018 rent, but has paid us January and February 2019 rent.

Acquisitions. The following table summarizes our acquisitions for the years ended December 31, 2018 through 2016 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2018 (2)	Assisted Living (3)(4)	$	39,600	$	65	$	39,665	3	177
	Land (4)		695		48		743	—	—
Total		$	40,295	$	113	$	40,408	3	177
2017	Assisted Living (5)	$	81,018	$	569	$	81,587	5	400
	Land (6)		800		18		818	—	—
Total		$	81,818	$	587	$	82,405	5	400
2016	Skilled Nursing (7)	$	16,000	$	45	$	16,045	1	126
	Assisted Living (8)		53,550		423		53,973	4	250
	Land (9)		6,891		108		6,999	—	—
Total		$	76,441	$	576	$	77,017	5	376

(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) Subsequent to December 31, 2018, we entered into a joint venture (“JV”) to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,950 in cash. Our economic interest in the real estate JV will be approximately 95%.  

(3) We acquired two MC in Texas.

(4) We entered into a JV to develop, purchase and own seniors housing properties. During 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. Additionally, during 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 10. Equity for further discussion related to our partnerships and non-controlling interests.

(5) We acquired an ALF and a MC in California, a MC in Ohio and an ALF/MC in Missouri. Furthermore, we entered into a JV and acquired an ALF/MC community. See Note 10. Equity for further discussion related to our partnerships and non-controlling interest.

(6) We entered into a JV for the acquisition of land and development of an ALF/MC/ILF community in Wisconsin. See Note 10. Equity for further discussion related to our partnerships and non-controlling interest.

(7) We acquired a newly constructed SNF in Texas.

(8) We acquired a newly constructed MC in Kentucky, a newly constructed ALF/MC in Georgia and two MCs in Kansas.

(9) We acquired a parcel of land and improvement and entered into a development commitment for the development of a SNF. Also, we purchased a parcel of land in Illinois and entered into a development commitment to construct a MC.

Developments and Improvements. The following table summarizes our investment in development and improvement projects for the years 2018, 2017 and 2016 (in thousands):

	2018				2017				2016
Type of Property	Developments		Improvements		Developments			Improvements		Developments		Improvements
Assisted Living Communities	$	27,505	$	2,292	$	17,667	$	1,152	$	41,859	$	3,034
Skilled Nursing Centers		7,774		500		5,234		1,356		483		3,758
Other		—		457		—		391		—		—
Total	$	35,279	$	3,249	$	22,901	$	2,899	$	42,342	$	6,792

Completed Projects. The following table summarizes our completed projects during the years ended December 31, 2018, 2017 and 2016 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of			Total
Year	Type of Project	Properties	Property	Beds/Units	State	Investment
2018	Development	1	MC	66	Illinois	$	14,998
Total		1		66		$	14,998
2017	Development	1	MC	66	Illinois	$	13,498
Total		1		66		$	13,498
2016	Development	1	MC	66	Illinois	$	12,248
	Development	1	MC	56	Texas		11,776
	Development	1	MC	66	Illinois		11,962
	Development	1	MC	66	California		12,400
	Development	1	ALF/MC	89	South Carolina		15,080
	Development	1	ILF	108	Kansas		13,423
	Improvement	1	SNF	160	Arizona		4,672
Total		7		611		$	81,561

Properties held-for-sale.  The following table summarizes our properties held-for-sale at December 31, 2018 (dollar amounts in thousands):

	Type	Number					Number
	of	of		Gross		Accumulated	of
State	Property	Properties		Investment		Depreciation	Beds/units
Texas	ILF	1		5,746		1,916	140
Totals		1	$	5,746	$	1,916	140

Property Sales. The following table summarizes property sales during the years ended December 31, 2018 through 2016 (dollar amounts in thousands):

		Type		Number	Number						Net
		of		of	of		Sales		Carrying		Gain
Year	State	Properties		Properties	Beds		Price		Value		(Loss)
2018	Alabama, Florida and Georgia	SNF		4	454	$	27,975	$	5,695	$	21,987
	Kansas	ALF	(1)	—	—		350		346		—
	Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,695
Total 2018				10	774	$	95,825	$	22,393	$	70,682
2017	Indiana, Iowa and Oregon	ALF		5	211	$	15,650	$	10,107	$	4,985
	Texas	SNF	(2)	1	85		—		1,170		(1,171)
Total 2017				6	296	$	15,650	$	11,277	$	3,814
2016	Florida	ALF		2	174	$	6,850	$	4,869	$	1,973
	Texas	SNF		2	235		6,750		4,923		1,802
	New Jersey	OTH		1	—		3,850		3,997		(193)
Total 2016				5	409	$	17,450	$	13,789	$	3,582

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

(2) We donated a SNF with a carrying value of $1,170 to a nonprofit health care provider.

Mortgage Loans.    At December 31, 2018, the mortgage loans had interest rates ranging from 9.2% to 9.7% and maturities ranging from 2020 to 2045. In addition, some loans contain certain guarantees, provide for certain facility fees and the majority of the mortgage loans have a 30‑year term. The majority of the mortgage loans provide for annual increases in the interest rate based upon a specified increase of 2.25%. Please see Item 1. Business. Portfolio for a table that summarizes our loaned properties as of December 31, 2018.

The following table summarizes our mortgage loan activity for the years ended December 31, 2018, 2017 and 2016 (in thousands):

	2018			2017		2016
Originations and funding under mortgage loans receivable	$	21,364	(1)	$	11,913	$	20,685
Pay-offs received		(1,086)			(16,665)		(6,036)
Scheduled principal payments received		(1,050)			(1,198)		(2,242)
Mortgage loan (premiums)		(4)			(4)		(10)
(Provision for)/ recovery of loan loss reserve		(192)			60		(125)
Net increase (decrease) in mortgage loans receivable	$	19,032		$	(5,894)	$	12,272

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

At December 31, 2018 and 2017 the carrying values of the mortgage loans were $242,939,000 and $223,907,000, respectively. Scheduled principal payments on mortgage loan receivables are as follows (in thousands):

	Scheduled
	Principal
2019	$	1,065
2020		8,815
2021		1,175
2022		1,175
2023		1,175
Thereafter		231,981
Total	$	245,386

The following table summarizes our early mortgage loan payoffs during the years 2018, 2017 and 2016 (dollar amounts in thousands): 

		Early	Number
		Principal	of
		Payoff	Loans	State
2018	$	1,086	1	UT
2017	$	10,795	4	AZ/MO/TX
2016	$	6,036	9	MO/TX/WA

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Investment in Unconsolidated Joint Ventures

12 Months Ended

Dec. 31, 2018

Investment in Unconsolidated Joint Ventures

Investment in Unconsolidated Joint Ventures

6. 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		$	24,032
Florida	ALF/IL/MC	Mezzanine	(2)	15	%	12	%	99		2,900	(3)		3,183	(3)
Florida	UDP-ALF/MC	Mezzanine	(2)	15	%	10	%	127		3,400			3,400
Total								811	$	31,950		$	30,615

(1) We have concluded that the JV is a 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 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 during the years ended December 31, 2018, 2017 and 2016 (in thousands):

	Type
	of		Capital		Income			Cash Interest
Year	Properties		Contribution		Recognized			Received
2018	ALF/MC/ILF	$	670	$	2,041		$	1,975
	ALF/IL/MC		—		511			396
	UDP-ALF/MC		—		312	(1)		—	(1)
Total 2018		$	670	$	2,864		$	2,371
2017	ALF/MC/ILF		1,101		1,560			1,436
	ALF/IL/MC		—		511			302
	UDP-ALF/MC		2,747		192	(1)		—	(1)
Total 2017		$	3,848	$	2,263		$	1,738
2016	ALF/MC/ILF	$	1,770	$	1,138		$	1,695
	ALF/IL/MC		—		—			—
	UDP-ALF/MC		—		—			—
Total 2016		$	1,770	$	1,138		$	1,695

(1) We withheld $653 at the time of loan origination which is being applied to interest. As of December 31, 2018, we still hold $177 which will be applied to future interest.

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Notes Receivable

12 Months Ended

Dec. 31, 2018

Notes Receivable.

Notes Receivable

7. Notes Receivable

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

	At December 31,
	2018		2017
Mezzanine loans	$	9,868	$	13,700
Other loans		2,975		2,868
Notes receivable reserve		(128)		(166)
Total	$	12,715	$	16,402

The following table summarizes our notes receivable activity for the years ended December 31, 2018 through 2016 (in thousands):

	Year ended December 31,
		2018		2017		2016
Advances under notes receivable	$	124	$	—	$	14,969
Principal payments received under notes receivable		(3,848)		(25)		(100)
Reclassified to real estate under development (1)		—		—		(237)
Notes receivable reserve		37		—		(166)
Net (decrease) increase in notes receivable	$	(3,687)	$	(25)	$	14,466

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

During the fourth quarter of 2018, we entered into a $6,828,000 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

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Lease Incentives

12 Months Ended

Dec. 31, 2018

Lease Incentives

Lease Incentives

8. Lease Incentives

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

	At December 31,
		2018		2017
Non-contingent lease incentives	$	14,443	$	14,904
Contingent lease incentives		—		6,577
Total	$	14,443	$	21,481

The following table summarizes our lease incentive activity for the years ended December 31, 2018, 2017 and 2016 (in thousands):

	2018							2017							2016
		Funding		Amortization		Write-off			Funding		Amortization		Write-off			Funding		Amortization		Write-off
Non-contingent lease incentives	$	1,272	$	(1,733)	$	—		$	6,544	$	(1,590)	$	(1,205)	(2)	$	4,559	$	(1,207)	$	—
Contingent lease incentives		—		(359)		(6,219)	(1)		—		(619)		(2,634)	(3)		268		(748)		(514)	(4)
Net increase (decrease) in lease incentives	$	1,272	$	(2,092)	$	(6,219)		$	6,544	$	(2,209)	$	(3,839)		$	4,827	$	(1,955)	$	(514)

(1) 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, we wrote-off the Senior Lifestyle contingent lease incentive.

(2) 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 that never materialized.

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

(4) Represents the write-off of lease incentive related to two MC due to transitioning these properties to another operator in our portfolio.

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

12 Months Ended

Dec. 31, 2018

Debt Obligations

Debt Obligations

9. 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 December 31, 2018, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At December 31, 2018 and 2017 we were in compliance with all covenants.

Financial covenants contained in the Unsecured Credit Agreement, which are measured quarterly, require us to maintain, among other things:

(i) a ratio of total indebtedness to total asset value not greater than 0.5 to 1.0;

(ii) a ratio of secured debt to total asset value not greater than 0.35 to 1.0;

(iii) a ratio of unsecured debt to the value of the unencumbered asset value not greater than 0.6 to 1.0; and

(iv) a ratio of EBITDA, as calculated in the Unsecured Credit Agreement, to fixed charges not less than 1.50 to 1.0.

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 following table sets forth information regarding debt obligations by component as of December 31, 2018 and 2017 (dollar amounts in thousands):

	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings (2)	3.69%	$	112,000	$	488,000	$	96,500	$	503,500
Senior unsecured notes, net of debt issue costs (3)	4.50%		533,029		93,833		571,002		63,667
Total	4.36%	$	645,029	$	581,833	$	667,502	$	567,167

(1) Represents weighted average of interest rate as of December 31, 2018.

(2) Subsequent to December 31, 2018, we borrowed $26,400, net, under our unsecured revolving line of credit, accordingly we have $138,400 outstanding balance and $461,600 available for borrowing.

(3) Subsequent to December 31, 2018, we paid $4,167 in regular scheduled principal payments, accordingly we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

Our borrowings and repayments for the years ended December 31, 2018, 2017 and 2016 are as follows (in thousands):

	2018				2017					2016
Debt Obligations		Borrowings		Repayments	Borrowings			Repayments			Borrowings			Repayments
Bank borrowings	$	116,200	$	(100,700)	$	113,000		$	(123,600)	$	123,600		$	(137,000)
Senior unsecured notes		—		(38,166)		100,000	(1)		(31,167)		77,500	(2)		(26,667)
Total	$	116,200	$	(138,866)	$	213,000		$	(154,767)	$	201,100		$	(163,667)

(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.

(2) During the year ended December 31, 2016, we sold 10-year senior unsecured term notes in the amount of $37,500 to Prudential. The notes bear interest at an annual fixed rate of 4.15%, have scheduled principal payments and will mature in 2028. Additionally, we sold 10-year senior unsecured notes in the amount of $40,000 to affiliated insurance company investment advisory clients of AIG Asset Management (U.S.) LLC. The notes bear interest at a coupon of 3.99%, have scheduled principal payments and will mature in 2031.

Scheduled Principal Payments.  The following table represents our long-term contractual obligations (scheduled principal payments and amounts due at maturity) as of December 31, 2018, and excludes the effects of interest and debt issue costs (in thousands):

	Total			2019		2020		2021		2022		2023		Thereafter
Bank borrowings	$	112,000	(1)	$	—	$	—	$	—	$	112,000	$	—	$	—
Senior unsecured notes		533,967	(2)		33,667		40,160		47,160		48,160		49,160		315,660
Total	$	645,967		$	33,667	$	40,160	$	47,160	$	160,160	$	49,160	$	315,660

(1) Subsequent to December 31, 2018, we borrowed $26,400, net under our unsecured revolving line of credit. Accordingly, we have $138,400 outstanding and $461,600 available under our unsecured revolving line of credit.

(2) Subsequent to December 31, 2018, we paid $4,167 in regular scheduled principal payments, accordingly we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

.

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Equity

12 Months Ended

Dec. 31, 2018

Equity

Equity

10. 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. Sales of common shares will 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 year ended December 31, 2018, we sold 22,244 shares of common stock for $1,005,000 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. Accordingly, at December 31, 2018, we had $184,139,000 available under our equity distribution agreement.

During the year ended December 31, 2017, we sold 312,881 shares of common stock for $14,600,000 in net proceeds under our equity distribution agreement. In conjunction with the sale of common stock, we paid $260,000 as compensation to our sales agents and we reclassified $49,000 of accumulated costs associated with this agreement to additional paid in capital.

During the years 2018, 2017 and 2016, we acquired 31,326 shares, 42,089 shares and 49,405 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations. Subsequent to December 31, 2018, we acquired 20,345 shares 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. 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 December 31, 2018, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated			Non-Controlling
Year (1)	Purpose	Type	State		Assets			Interests
2018	Owned real estate	ILF	OR	$	14,400	(2)	$	2,857	(2)
2018	Owned real estate and development	UDP	OR		4,606	(2)		1,081	(2)
2017	Owned real estate and development	UDP	WI		16,665	(3)		2,272	(3)
2017	Owned real estate	ALF	SC		11,195			1,271
Total				$	46,866		$	7,481

(1) Subsequent to December 31, 2018, we entered into a JV to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,950 in cash. Our economic interest in the real estate JV will be approximately 95%. We account for the JV on a consolidated basis.

(2) We entered into a JV to develop, purchase and own seniors housing properties. During 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. Additionally, during 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.  

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

Shelf Registration Statement.    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 offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time publicly 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):

	Year Ended December 31,
	2018						2017						2016
	Declared			Paid			Declared			Paid			Declared			Paid
Common Stock	$	90,372	(1)	$	90,372	(1)	$	90,219	(1)	$	90,219	(1)		84,568	(2)		84,568	(2)

(1) Represents $0.19 per share per month for the years ended December 31, 2018, and 2017.

(2) Represents $0.18 per share per month for January through September 2016 and $0.19 per share per month for October through December 2016.

In January 2019, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of January, February and March 2019 payable on January 31,  February 28 and March 29, 2019, respectively, to stockholders of record on January 23,  February 20 and March 21, 2019, respectively.

Stock Based Compensation Plans.  During 2015, we adopted, and our stockholders approved the 2015 Equity Participation Plan (the “2015 Plan”).  Under the 2015 Plan, 1,400,000 shares of common stock have been reserved for awards, including nonqualified stock option grants and restricted stock grants to officers, employees, non-employee directors and consultants. As of December 31, 2018, we have 825,457 shares of common stock reserved for awards under the 2015 Plan. The terms of the awards granted under the 2015 Plan are set by our compensation committee at its discretion.

Restricted Stock and Performance-Based Stock Units.  Restricted stock and performance-based stock units activity for the years ended December 31, 2018, 2017 and 2016 was as follows:

	2018		2017		2016
Outstanding, January 1		244,181		210,573		187,347
Granted		156,718		143,057		127,087
Vested		(75,149)		(85,343)		(103,861)
Cancelled		—		(24,106)		—
Outstanding, December 31		325,750		244,181		210,573
Compensation expense related to restricted stock and performance based stock units for the year	$	5,870,000	$	5,247,000	$	4,265,000

During 2018, 2017 and 2016, we granted 156,718,  143,057 and 127,087 shares of restricted common stock and performance-based stock units, respectively, 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	$	50.50	ratably over 3 years
	143,057
2016	65,300	$	43.24	ratably over 3 years
	54,107	$	46.87	TSR targets (2)
	7,680	$	46.87	ratably over 1 year
	127,087

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

(2) Vesting is based on achieving certain total TSR targets in 3.7 years with acceleration opportunity in 2.7 years.

Subsequent to December 31, 2018, we granted 139,112 shares of restricted common stock and performance-based stock units at $46.54 per share. Out of these shares, 78,276 vest ratably from the grant date over a three-year period and 60,836 vest based on achieving certain TSR targets in 4 years with acceleration opportunity in 3 years.

At December 31, 2018, the total number of restricted common stock and performance-based stock units that are scheduled to vest and 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:

	Number		Remaining
	of		Compensation
Vesting Date	Awards		Expense
2019	128,214	(1)		4,250,000
2020	104,085	(2)		2,210,000
2021	93,451	(3)		238,000
Total	325,750		$	6,698,000

(1) Includes 49,728 performance-based stock units. The performance-based stock units are valued utilizing a lattice-binomial option pricing model based on Monte Carlo simulations. The company recognizes the fair value of the awards over the applicable vesting period as compensation expense.

(2) Includes 53,554 performance-based stock units. See (1) above for valuation methodology.

(3) Includes 66,171 performance-based stock units. See (1) above for valuation methodology.

Stock Options.    During 2018, 2017 and 2016, we did not issue any stock options. Nonqualified stock option activity for the years ended December 31, 2018, 2017 and 2016, was as follows:

				Weighted Average
	Shares			Price
	2018	2017	2016	2018			2017	2016
Outstanding, January 1	25,000	33,334	40,001	$	32.92	$	30.76	$	29.60
Granted	—	—	—		n.a		n.a		n.a
Exercised	(5,000)	(8,334)	(6,667)	$	24.65	$	24.31	$	23.79
Canceled	—	—	—		n.a		n.a		n.a
Outstanding, December 31	20,000	25,000	33,334	$	34.99	$	32.92	$	30.76
Exercisable, December 31(1)	20,000	25,000	28,334	$	34.99	$	32.92	$	45.45

(1) The aggregate intrinsic value of exercisable options at December 31, 2018, based upon the closing price of our common shares at December 31, 2018, the last trading day of 2018, was approximately $134,000. Options exercisable at December 31, 2018, 2017 and 2016 have a weighted average remaining contractual life of approximately 3.3 years, 3.5 years, and 2.9 years, respectively.

The options exercised during 2018, 2017 and 2016 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	$	202,000	$	410,797
2016	6,667	$	23.79	$	159,000	$	311,000

(1) As of the exercise dates.

We use the Black‑Scholes‑Merton formula to estimate the value of stock options granted to employees. This model requires management to make certain estimates including stock volatility, expected dividend yield and the expected term. Compensation expense related to the vesting of stock options for the years ended December 31, 2018, 2017 and 2016 was $0,  $2,000 and $15,000, respectively.

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Commitments and Contingencies

12 Months Ended

Dec. 31, 2018

Commitments and Contingencies

Commitments and Contingencies

11. Commitments and Contingencies

At December 31, 2018, we had commitments as follows (in thousands):

						Total
	Investment			2018		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(Note 5. Real Estate Investments)	$	77,882	(1)	$	28,343	$	45,787	$	32,095
Accrued incentives and earn-out liabilities		9,000	(2)		—		—		9,000
Mortgage loans (Note 5. Real Estate Investments)		64,200	(3)		4,330		18,591		45,609
Joint venture investments (Note 6. Investments in Unconsolidated Joint Ventures)		25,650			670		23,684		1,966
Notes receivable (Note 7. Notes Receivable)		7,828	(4)		124		124		7,704
Total	$	184,560		$	33,467	$	88,186	$	96,374

(1) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties. Additionally, we have certain master leases that provide for additional capital expenditure allowance upon pre-approval of projects.

(2) During the twelve months ended December 31, 2018, we recorded non-cash interest expense of $377 related to these contingent liabilities. During the fourth quarter of 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, we wrote-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which resulted in income of approximately $3,000.

(3) $35,700 represents commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $28,500 represents contingent funding upon the borrower achieving certain coverage ratios.

(4) During the fourth quarter of 2018, we entered into a $6,800 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

Also, some of our lease agreements provide purchase options allowing the lessees to purchase the properties they currently lease from us. The following table summarizes information about purchase options included in our lease agreements:

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
Kansas	MC	2	$	25,692	$	23,906	2019-2021
Texas	MC	2		25,265		24,955	2025-2027
Total			$	50,957	$	48,861

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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Distributions

12 Months Ended

Dec. 31, 2018

Distributions

Distributions

12. Distributions

We must distribute at least 90% of our taxable income in order to continue to qualify as a REIT. This distribution requirement can be satisfied by current year distributions or, to a certain extent, by distributions in the following year.

For federal tax purposes, distributions to stockholders are treated as ordinary income, capital gains, return of capital or a combination thereof. Distributions for 2018, 2017 and 2016 were cash distributions. The federal income tax classification of the per share common stock distributions are as follows (unaudited):

	Year Ended December 31,
	2018		2017		2016
Ordinary taxable distribution	$	0.349	$	1.607	$	1.485
Return of capital		—		0.444		0.556
Unrecaptured Section 1250 gain		0.636		0.163		0.149
Long-term capital gain		1.295		0.066		—
Total	$	2.280	$	2.280	$	2.190

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Net Income Per Common Share

12 Months Ended

Dec. 31, 2018

Net Income Per Common Share

Net Income Per Common Share

13. Net Income Per Common Share

Basic and diluted net income per share was as follows (in thousands except per share amounts):

	For the year ended December 31,
	2018		2017		2016
Net income	$	155,076	$	87,340	$	85,115
Less income allocated to non-controlling interests		(95)		—		—
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(357)		(350)		(373)
Income allocated to participating securities		(268)		(12)		(12)
Total net income allocated to participating securities		(625)		(362)		(385)
Net income available to common stockholders		154,356		86,978		84,730
Effect of dilutive securities:
Participating securities		625		362		385
Net income for diluted net income per share	$	154,981	$	87,340	$	85,115
Shares for basic net income per share		39,477		39,409		38,388
Effect of dilutive securities:
Stock options		3		10		13
Performance-based stock units		203		67		27
Participating securities		156		151		169
Total effect of dilutive securities		362		228		209
Shares for diluted net income per share		39,839		39,637		38,597
Basic net income per share	$	3.91	$	2.21	$	2.21
Diluted net income per share	$	3.89	$	2.20	$	2.21

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Quarterly Financial Information

12 Months Ended

Dec. 31, 2018

Quarterly Financial Information

Quarterly Financial Information

14. Quarterly Financial Information

	For the quarter ended
	March 31,		June 30,		September 30,		December 31,
	(unaudited, in thousands except per share amounts)
2018
Revenues	$	41,810	$	41,472	$	41,776	$	43,587
Net income available to common stockholders	$	20,271	$	68,658	$	34,782	$	30,645
Net income per common share available to common stockholders:
Basic	$	0.51	$	1.74	$	0.88	$	0.78
Diluted	$	0.51	$	1.73	$	0.88	$	0.77
Dividends per share declared	$	0.57	$	0.57	$	0.57	$	0.57
Dividends per share paid	$	0.57	$	0.57	$	0.57	$	0.57
2017
Revenues	$	42,622	$	42,468	$	41,246	$	41,729
Net income available to common stockholders	$	21,416	$	25,273	$	20,536	$	19,753
Net income per common share available to common stockholders:
Basic	$	0.54	$	0.64	$	0.52	$	0.50
Diluted	$	0.54	$	0.64	$	0.52	$	0.50
Dividends per share declared	$	0.57	$	0.57	$	0.57	$	0.57
Dividends per share paid	$	0.57	$	0.57	$	0.57	$	0.57

NOTE: Quarterly and year‑to‑date computations of per share amounts are made independently. Therefore, the sum of per share amounts for the quarters may not agree with the per share amounts for the year.

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Fair Value Measurements

12 Months Ended

Dec. 31, 2018

Fair Value Measurements

Fair Value Measurements

15. Fair Value Measurements

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

The carrying amount of cash and cash equivalents approximates fair value because of the short‑term maturity of these instruments. We do not invest our cash in auction rate securities. The carrying value and fair value of our financial instruments as of December 31, 2018 and 2017 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At December 31, 2018					At December 31, 2017
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	242,939	$	295,492	(1)	$	223,907	$	278,224	(1)
Bank borrowings		112,000		112,000	(2)		96,500		96,500	(2)
Senior unsecured notes, net of debt issue costs		533,029		508,613	(3)		571,002		577,126	(3)
Accrued incentives and earn-outs		—		—	(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 December 31, 2018 and 2017 was 9.0% 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 December 31, 2018 and 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 December 31, 2018, the discount rate used to value our future cash outflow of our senior unsecured notes was 5.15% for those maturing before year 2026 and 5.40% 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 beyond year 2026.

(4) Our contingent obligations under the accrued incentives and earn‑out liabilities are classified as Level 3. We estimated the fair value of the contingent earn‑out payments using a discounted cash flow analysis. The discount rate that we use consists of a risk‑free U.S. Treasury rate plus a company specific credit spread which we believe is acceptable by willing market participants. At December 31, 2017 the discount rate used to value our future cash outflow of the earn-out liability was 6.2%. Furthermore, during the fourth quarter of 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, we wrote-off the Senior Lifestyle contingent earn-out liability of $9,292.

.

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Subsequent Events

12 Months Ended

Dec. 31, 2018

Subsequent Events

Subsequent Events

16. Subsequent Events

The following events occurred subsequent to the balance sheet date.

Real Estate.  We entered into a JV to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919,000 of equity and we contributed $15,950,000 in cash. Our economic interest in the real estate JV will be approximately 95%.

Debt:  We borrowed $26,400,000, net under our unsecured revolving line of credit. Accordingly, we have $138,400,000 outstanding and $461,600,000 available for borrowing under our unsecured revolving line of credit. Additionally, we paid $4,167,000 in regular scheduled principal payments, accordingly we have $528,862,000 outstanding and $98,000,000 available under our senior unsecured notes.

Equity:  We declared a monthly cash dividend of $0.19 per share on our common stock for the months of January,  February and March 2019, payable on January 31,  February 28, and March 29, 2019, respectively, to stockholders of record on January 23,  February 20, and March 21, 2019, respectively. Also, we acquired 20,345 shares of common stock held by employees who tendered owned shares to satisfy tax withholding obligations and we granted 139,112 shares of restricted common stock and performance-based stock units at $46.54 per share. Out of these shares, 78,276 vest ratably from the grant date over a three-year period and 60,836 vest based on achieving certain TSR targets in 4 years with acceleration opportunity in 3 years.

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SCHEDULE II VALUATION AND QUALIFYING ACCOUNTS

12 Months Ended

Dec. 31, 2018

SCHEDULE II VALUATION AND QUALIFYING ACCOUNTS

SCHEDULE II VALUATION AND QUALIFYING ACCOUNTS

LTC PROPERTIES, INC.

SCHEDULE II

VALUATION AND QUALIFYING ACCOUNTS

(in thousands)

			Additions
			(Recovered)
	Balance at		charged to
	beginning of		costs and		Charged to				Balance at end
Account Description	period		expenses		other accounts		Deductions (1)		of period
Year ended December 31, 2016
Loan loss reserves	$	2,190	$	125	$	—	$	—	$	2,315
Other notes receivable allowance		—		166		—		—		166
Straight-line rent receivable allowance		833		166		—		(39)		960
	$	3,023	$	457	$	—	$	(39)	$	3,441
Year ended December 31, 2017
Loan loss reserves	$	2,315	$	(60)	$	—	$	—	$	2,255
Other notes receivable allowance		166		—		—		—		166
Straight-line rent receivable allowance		960		(146)		—		—		814
	$	3,441	$	(206)	$	—	$	—	$	3,235
Year ended December 31, 2018
Loan loss reserves	$	2,255	$	192	$	—	$	—	$	2,447
Other notes receivable allowance		166		(38)		—		—		128
Straight-line rent receivable allowance		814		(68)		—		—		746
	$	3,235	$	86	$	—	$	—	$	3,321

(1) Deductions represent uncollectible accounts written off.

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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

12 Months Ended

Dec. 31, 2018

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
					Building and		to				Building and				Accum		Construction/	Acquisition
	Encumbrances		Land		improvements		acquisition		Land		improvements		Total(1)		deprec.		renovation date	date
Skilled Nursing Properties:
134 Alamogordo, NM	$	—	$	210	$	2,593	$	641	$	210	$	3,234	$	3,444	$	1,408	1985	2001
218 Albuquerque, NM		—		1,696		3,891		530		1,696		4,421		6,117		1,841	2008	2005
219 Albuquerque, NM		—		1,950		8,910		207		1,950		9,117		11,067		3,670	1982	2005
220 Albuquerque, NM		—		2,463		7,647		9		2,463		7,656		10,119		3,062	1970	2005
042 Altoona, IA		—		105		2,309		444		105		2,753		2,858		1,920	1973	1996
252 Amarillo, TX		—		844		—		7,925		844		7,925		8,769		1,871	2013	2011
214 Aransas Pass, TX		—		154		1,276		589		154		1,865		2,019		888	2008	2004
247 Arlington, TX		—		1,016		13,649		—		1,016		13,649		14,665		3,801	2007	2011
221 Beaumont, TX		—		370		1,141		106		370		1,247		1,617		541	1950	2005
213 Beeville, TX		—		186		1,197		70		186		1,267		1,453		493	1974	2004
007 Bradenton, FL		—		330		2,720		160		330		2,880		3,210		2,112	2012	1993
256 Brownwood, TX		—		164		6,336		—		164		6,336		6,500		1,354	2011	2012
043 Carroll, IA		—		47		1,033		213		47		1,246		1,293		867	1969	1996
177 Chesapeake, VA		—		388		3,469		2,777		388		6,246		6,634		3,395	2017	1995
257 Cincinnati, OH		—		1,890		25,110		—		1,890		25,110		27,000		3,694	2009	2012
125 Clovis, NM		—		561		5,539		307		561		5,846		6,407		2,588	2006	2001
129 Clovis, NM		—		598		5,902		59		598		5,961		6,559		2,662	1995	2001
268 Coldspring, KY		—		2,050		21,496		—		2,050		21,496		23,546		4,091	2014	2012
253 Colton, CA		—		2,342		15,158		—		2,342		15,158		17,500		3,082	1990	2011
211 Commerce City, CO		—		236		3,217		167		236		3,384		3,620		1,529	1964	2004
212 Commerce City, CO		—		161		2,160		95		161		2,255		2,416		999	1967	2004
246 Crowley, TX		—		2,247		14,276		—		2,247		14,276		16,523		3,841	2007	2011
235 Daleville, VA		—		279		8,382		—		279		8,382		8,661		2,421	2005	2010
258 Dayton, OH		—		373		26,627		—		373		26,627		27,000		3,945	2010	2012
168 Des Moines, IA		—		115		2,096		1,433		115		3,529		3,644		2,114	1972	1999
196 Dresden, TN		—		31		1,529		1,073		31		2,602		2,633		1,095	2014	2000
298 Forth Worth, TX		—		2,785		7,546		—		2,785		7,546		10,331		1,341	1998	2015
026 Gardendale, AL		—		100		7,550		2,084		100		9,634		9,734		5,863	2011	1996
185 Gardner, KS		—		896		4,478		4,150		896		8,628		9,524		3,773	2011	1999
248 Granbury, TX		—		836		6,693		—		836		6,693		7,529		2,473	2008	2011
044 Granger, IA		—		62		1,356		221		62		1,577		1,639		1,072	1979	1996
205 Grapevine, TX		—		431		1,449		188		431		1,637		2,068		912	1974	2002
172 Griffin, GA		—		500		2,900		—		500		2,900		3,400		1,711	1969	1999
250 Hewitt, TX		—		1,780		8,220		99		1,780		8,319		10,099		1,815	2008	2011
194 Holyoke, CO		—		211		1,513		283		211		1,796		2,007		1,085	1963	2000
051 Houston, TX		—		365		3,769		1,598		365		5,367		5,732		3,508	1968	1996
054 Houston, TX		—		202		4,458		1,426		202		5,884		6,086		3,996	2007	1996
055 Houston, TX		—		202		4,458		1,359		202		5,817		6,019		3,880	2008	1996
045 Jefferson, IA		—		86		1,883		296		86		2,179		2,265		1,464	1972	1996
008 Lecanto, FL		—		351		2,665		2,737		351		5,402		5,753		3,735	2012	1993
300 Mansfield, TX		—		2,890		13,110		—		2,890		13,110		16,000		1,424	2015	2016
053 Mesa, AZ		—		305		6,909		1,876		305		8,785		9,090		5,632	1996	1996
226 Mesa, AZ		—		1,095		2,330		4,673		1,095		7,003		8,098		1,407	2016	2006
242 Mission, TX		—		1,111		16,602		—		1,111		16,602		17,713		4,014	2004	2010
115 Nacogdoches, TX		—		100		1,738		168		100		1,906		2,006		1,164	1973	1997
233 Nacogdoches, TX		—		394		7,456		268		394		7,724		8,118		2,077	1991	2010
249 Nacogdoches, TX		—		1,015		11,109		—		1,015		11,109		12,124		3,451	2007	2011
245 Newberry, SC		—		439		4,639		608		439		5,247		5,686		1,744	1995	2011
244 Newberry, SC		—		919		5,454		131		919		5,585		6,504		1,634	2001	2011
046 Norwalk, IA		—		47		1,033		239		47		1,272		1,319		895	1975	1996
176 Olathe, KS		—		520		1,872		313		520		2,185		2,705		1,393	1968	1999
251 Pasadena, TX		—		1,155		14,345		522		1,155		14,867		16,022		3,012	2005	2011
210 Phoenix, AZ		—		334		3,383		456		334		3,839		4,173		1,844	1982	2004
193 Phoenix, AZ		—		300		9,703		92		300		9,795		10,095		5,601	1985	2000
047 Polk City, IA		—		63		1,376		153		63		1,529		1,592		1,046	1976	1996
094 Portland, OR		—		100		1,925		3,152		100		5,077		5,177		3,166	2007	1997
254 Red Oak, TX		—		1,427		17,173		—		1,427		17,173		18,600		3,479	2002	2012
124 Richland Hills, TX		—		144		1,656		427		144		2,083		2,227		1,155	1976	2001
197 Ripley, TN		—		20		985		1,638		20		2,623		2,643		1,101	2014	2000

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
					Building and		to				Building and				Accum		Construction/	Acquisition
	Encumbrances		Land		improvements		acquisition		Land		improvements		Total(1)		deprec.		renovation date	date
133 Roswell, NM	$	—	$	568	$	5,235	$	1,396	$	568	$	6,631	$	7,199	$	2,782	1975	2001
081 Sacramento, CA		—		220		2,929		1,481		220		4,410		4,630		2,330	2015	1997
085 Salina, KS		—		100		1,153		628		100		1,781		1,881		1,201	1985	1997
281 Slinger, WI		—		464		13,482		—		464		13,482		13,946		2,040	2014	2015
234 St. Petersburg, FL		—		1,070		7,930		500		1,070		8,430		9,500		2,084	1988	2010
243 Stephenville, TX		—		670		10,117		500		670		10,617		11,287		2,627	2009	2010
225 Tacoma, WA		—		723		6,401		901		723		7,302		8,025		3,105	2009	2006
178 Tappahannock, VA		—		375		1,327		397		375		1,724		2,099		1,487	1978	1995
270 Trinity, FL		—		1,653		12,748		—		1,653		12,748		14,401		2,131	2008	2013
192 Tucson, AZ		—		276		8,924		112		276		9,036		9,312		5,162	1992	2000
299 Weatherford, TX		—		836		11,902		—		836		11,902		12,738		1,726	1996	2015
236 Wytheville, VA		—		647		12,167		—		647		12,167		12,814		4,370	1996	2010
Skilled Nursing Properties	$	—	$	49,593	$	463,714	$	51,877	$	49,593	$	515,591	$	565,184	$	172,196
Assisted Living Properties:
077 Ada, OK		—		100		1,650		—		100		1,650		1,750		926	1996	1996
105 Arvada, CO		—		100		2,810		6,960		100		9,770		9,870		2,955	2014	1997
304 Athens, GA		—		1,056		13,326		—		1,056		13,326		14,382		948	2016	2016
063 Athens, TX		—		96		1,510		104		96		1,614		1,710		929	1995	1996
269 Aurora, CO		—		850		8,583		—		850		8,583		9,433		1,548	2014	2013
260 Aurora, CO		—		831		10,071		—		831		10,071		10,902		1,819	1999	2012
203 Bakersfield, CA		—		834		11,986		812		834		12,798		13,632		6,115	2002	2001
117 Beatrice, NE		—		100		2,173		183		100		2,356		2,456		1,211	1997	1997
277 Burr Ridge, IL		—		1,400		11,102		—		1,400		11,102		12,502		1,229	2016	2014
278 Castle Rock, CO		—		759		9,041		—		759		9,041		9,800		823	2012	2014
160 Central, SC		—		100		2,321		—		100		2,321		2,421		1,050	1998	1999
263 Chatham, NJ		—		5,365		36,399		—		5,365		36,399		41,764		6,297	2002	2012
307 Clovis, CA		—		2,542		19,126		—		2,542		19,126		21,668		824	2014	2017
308 Clovis, CA		—		3,054		14,172		—		3,054		14,172		17,226		587	2016	2017
279 Corpus Christi, TX		—		880		11,440		—		880		11,440		12,320		1,166	2016	2015
292 De Forest, WI		—		485		5,568		8		485		5,576		6,061		594	2006	2015
057 Dodge City, KS		—		84		1,666		4		84		1,670		1,754		994	1995	1995
083 Durant, OK		—		100		1,769		—		100		1,769		1,869		977	1997	1997
107 Edmond, OK		—		100		1,365		526		100		1,891		1,991		1,024	1996	1997
163 Ft. Collins, CO		—		100		2,961		3,405		100		6,366		6,466		2,258	2014	1999
170 Ft. Collins, CO		—		100		3,400		4,622		100		8,022		8,122		2,510	2014	1999
132 Ft. Meyers, FL		—		100		2,728		9		100		2,737		2,837		1,440	1998	1998
229 Ft. Worth, TX		—		333		4,385		1,028		333		5,413		5,746		1,916	2009	2008
315 Ft. Worth, TX		—		1,534		11,099		—		1,534		11,099		12,633		158	2014	2018
100 Fremont ,OH		—		100		2,435		106		100		2,541		2,641		1,363	1997	1997
267 Frisco, TX		—		1,000		5,154		—		1,000		5,154		6,154		977	2014	2012
314 Frisco, TX		—		2,216		10,417		—		2,216		10,417		12,633		152	2015	2018
296 Glenview, IL				2,800		14,248		—		2,800		14,248		17,048		568	2017	2015
167 Goldsboro, NC		—		100		2,385		1		100		2,386		2,486		1,006	1998	1999
056 Great Bend, KS		—		80		1,570		21		80		1,591		1,671		1,052	1995	1995
102 Greeley, CO		—		100		2,310		270		100		2,580		2,680		1,395	1997	1997
284 Green Bay, WI		—		1,660		19,079		356		1,660		19,435		21,095		2,015	2004	2015
164 Greenville, NC		—		100		2,478		2		100		2,480		2,580		1,175	1998	1999
062 Greenville, TX		—		42		1,565		84		42		1,649		1,691		947	1995	1996
161 Greenwood, SC		—		100		2,638		—		100		2,638		2,738		1,278	1998	1999
241 Gulf Breeze, FL		—		720		3,780		261		720		4,041		4,761		1,093	2000	2010
295 Jacksonville, FL		—		1,389		12,756		39		1,389		12,795		14,184		1,098	2015	2015
066 Jacksonville, TX		—		100		1,900		77		100		1,977		2,077		1,137	1996	1996
310 Kansas City, MO				1,072		15,552		—		1,072		15,552		16,624		448	2017	2017
285 Kenosha, WI		—		936		12,361		165		936		12,526		13,462		1,155	2008	2015
255 Littleton, CO		—		1,882		8,248		—		1,882		8,248		10,130		1,548	2013	2012
268 Littleton, CO		—		1,200		8,688		—		1,200		8,688		9,888		1,690	2014	2013
148 Longmont, CO		—		100		2,640		—		100		2,640		2,740		1,378	1998	1998
060 Longview, TX		—		38		1,568		127		38		1,695		1,733		978	1995	1995
261 Louisville, CO		—		911		11,703		—		911		11,703		12,614		2,069	2000	2012

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
						Building and	to				Building and				Accum		Construction/	Acquisition
	Encumbrances		Land			improvements	acquisition		Land		improvements		Total(1)		deprec.		renovation date	date
301 Louisville, KY	$	—	$	1,021	$	13,157	$	—	$	1,021	$	13,157	$	14,178		937	2016	2016
114 Loveland, CO		—		100		2,865		270		100		3,135		3,235		1,681	1997	1997
068 Lufkin, TX		—		100		1,950		94		100		2,044		2,144		1,167	1996	1996
061 Marshall, TX		—		38		1,568		534		38		2,102		2,140		1,235	1995	1995
293 McHenry, IL		—		1,289		28,976		123		1,289		29,099		30,388		2,978	2005	2015
058 McPherson, KS		—		79		1,571		4		79		1,575		1,654		1,041	1994	1995
316 Medford, OR		—		750		13,650		—		750		13,650		14,400		144	1984	2018
239 Merritt Island, FL		—		550		8,150		100		550		8,250		8,800		2,107	2004	2010
104 Millville, NJ		—		100		2,825		708		100		3,533		3,633		1,631	1997	1997
286 Milwaukee, WI		—		818		8,014		56		818		8,070		8,888		861	2007	2015
231 Monroeville, PA		—		526		5,334		435		526		5,769		6,295		1,714	1997	2009
280 Murrells Inlet, SC		—		2,490		14,185		—		2,490		14,185		16,675		1,207	2016	2015
294 Murrieta, CA		—		2,022		11,136		—		2,022		11,136		13,158		993	2016	2015
289 Neenah, WI		—		694		20,839		212		694		21,051		21,745		2,028	1991	2015
166 New Bern, NC		—		100		2,427		1		100		2,428		2,528		1,044	1998	1999
118 Newark, OH		—		100		2,435		275		100		2,710		2,810		1,351	1997	1997
143 Niceville, FL		—		100		2,680		—		100		2,680		2,780		1,399	1998	1998
095 Norfolk, NE		—		100		2,123		165		100		2,288		2,388		1,191	1997	1997
306 Oak Lawn, IL		—		1,591		13,772		—		1,591		13,772		15,363		281	2018	2016
290 Oshkosh, WI		—		1,525		9,192		108		1,525		9,300		10,825		1,930	2009	2015
291 Oshkosh, WI		—		475		7,364		40		475		7,404		7,879		776	2005	2015
302 Overland Park, KS		—		1,951		11,882		259		1,951		12,141		14,092		958	2013	2016
232 Pittsburgh, PA		—		470		2,615		333		470		2,948		3,418		972	1994	2009
165 Rocky Mount, NC		—		100		2,494		1		100		2,495		2,595		1,103	1998	1999
059 Salina, KS		—		79		1,571		4		79		1,575		1,654		1,041	1994	1995
084 San Antonio, TX		—		100		1,900		—		100		1,900		2,000		1,048	1997	1997
092 San Antonio, TX		—		100		2,055		—		100		2,055		2,155		1,128	1997	1997
288 Sheboygan, WI		—		1,168		5,382		180		1,168		5,562		6,730		660	2006	2015
149 Shelby, NC		—		100		2,805		2		100		2,807		2,907		1,464	1998	1998
312 Spartanburg, SC		—		254		9,906		1,035		254		10,941		11,195		407	1999	2017
150 Spring Hill, FL		—		100		2,650		—		100		2,650		2,750		1,383	1998	1998
103 Springfield, OH		—		100		2,035		270		100		2,305		2,405		1,244	1997	1997
162 Sumter, SC		—		100		2,351		—		100		2,351		2,451		1,091	1998	1999
140 Tallahassee, FL		—		100		3,075		—		100		3,075		3,175		1,608	1998	1998
098 Tiffin, OH		—		100		2,435		94		100		2,529		2,629		1,346	1997	1997
282 Tinley Park, IL		—		702		11,481		—		702		11,481		12,183		1,076	2016	2015
088 Troy, OH		—		100		2,435		593		100		3,028		3,128		1,548	1997	1997
080 Tulsa, OK		—		200		1,650		—		200		1,650		1,850		919	1997	1997
093 Tulsa, OK		—		100		2,395		—		100		2,395		2,495		1,311	1997	1997
238 Tupelo, MS		—		1,170		8,230		30		1,170		8,260		9,430		2,203	2000	2010
075 Tyler, TX		—		100		1,800		—		100		1,800		1,900		1,008	1996	1996
202 Vacaville, CA		—		1,662		11,634		1,141		1,662		12,775		14,437		6,098	2002	2001
091 Waco, TX		—		100		2,235		—		100		2,235		2,335		1,225	1997	1997
096 Wahoo, NE		—		100		2,318		119		100		2,437		2,537		1,293	1997	1997
108 Watauga, TX		—		100		1,668		—		100		1,668		1,768		908	1996	1997
287 Waukesha, WI		—		992		15,183		187		992		15,370		16,362		1,435	2009	2015
109 Weatherford, OK		—		100		1,669		592		100		2,261		2,361		1,222	1996	1997
309 West Chester, OH		—		2,355		13,553		—		2,355		13,553		15,908		587	2017	2017
276 Westminster, CO		—		1,425		9,575		—		1,425		9,575		11,000		1,480	2015	2013
110 Wheelersburg, OH		—		29		2,435		239		29		2,674		2,703		1,344	1997	1997
303 Wichita, KS		—		1,422		9,957		221		1,422		10,178		11,600		828	2011	2016
259 Wichita, KS		—		730		—		9,682		730		9,682		10,412		2,057	2013	2012
283 Wichita, KS		—		624		13,846		—		624		13,846		14,470		837	2016	2015
076 Wichita Falls, TX		—		100		1,850		—		100		1,850		1,950		1,036	1996	1996
120 Wichita Falls, TX		—		100		2,750		131		100		2,881		2,981		1,526	1997	1997
265 Williamstown, NJ		—		711		6,637		—		711		6,637		7,348		1,287	2000	2012
264 Williamstown, NJ		—		711		8,649		—		711		8,649		9,360		1,516	2000	2012
099 York, NE		—		100		2,318		78		100		2,396		2,496		1,289	1997	1997
Assisted Living Properties	$	—	$	70,772	$	695,763	$	37,486	$	70,772	$	733,249	$	804,021		142,002

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

							Costs
							capitalized		Gross amount at which carried at
			Initial cost to company				subsequent		December 31, 2018
					Building and		to				Building and					Accum		Construction/	Acquisition
	Encumbrances		Land		improvements		acquisition		Land		improvements		Total(1)			deprec.		renovation date	date
Other:
Properties:
297 Las Vegas, NV		—		1,965		7,308		849		1,965		8,157		10,122			677	1990/1994	2015
Properties		—		1,965		7,308		849		1,965		8,157		10,122			677
Land:
271 Howell, MI		—		420		—		—		420		—		420			—	N/A	2013
272 Milford, MI		—		450		—		—		450		—		450			—	N/A	2014
275 Yale, MI		—		73		—		—		73		—		73			—	N/A	2013
Land		—		943		—		—		943		—		943			—
Other Properties		—		2,908		7,308		849		2,908		8,157		11,065			677
Properties Under Development:
305 Union, KY		—		858		19,057		—		858		19,057		19,915			—	N/A	2016
311 Cedarburg, WI		—		924		15,741		—		924		15,741		16,665			—	N/A	2017
313 Medford, OR		—		636		3,970		—		636		3,970		4,606			—	N/A	2018
Properties Under Development		—		2,418		38,768		—		2,418		38,768		41,186			—
	$	—	$	125,691	$	1,205,553	$	90,212	$	125,691	$	1,295,765	$	1,421,456	(2)	$	314,875

(1) Depreciation is computed principally by the straight‑line method for financial reporting purposes which generally range of a life from 5 to 15 years for furniture and equipment, 35 to 50 years for buildings, 10 to 15 years for site improvements, 10 to 20 years for building improvements and the respective lease term for acquired lease intangibles.

(2) As of December 31, 2018, our aggregate cost for Federal income tax purposes was $1,435,334.

LTC PROPERTIES, INC.

SCHEDULE III

REAL ESTATE AND ACCUMULATED DEPRECIATION (Continued)

(in thousands)

Activity for the years ended December 31, 2018, 2017 and 2016 is as follows:

	For the Year Ended December 31,
	2018		2017		2016
Reconciliation of real estate:
Carrying cost:
Balance at beginning of period	$	1,392,122	$	1,301,563	$	1,198,686
Acquisitions		40,408		82,405		74,923
Improvements		38,528		25,800		49,134
Capitalized interest		1,248		908		1,408
Other non-cash items (See Note 4)		—		—		2,460
Cost of real estate sold		(50,850)		(18,554)		(24,282)
Impairment on real estate for sale		—		—		(766)
Ending balance	$	1,421,456	$	1,392,122	$	1,301,563
Accumulated depreciation:
Balance at beginning of period	$	306,033	$	275,861	$	251,265
Depreciation expense		37,416		37,492		35,809
Cost of real estate sold		(28,574)		(7,320)		(11,213)
Ending balance	$	314,875	$	306,033	$	275,861

XML

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

12 Months Ended

Dec. 31, 2018

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE

LTC PROPERTIES, INC.

SCHEDULE IV

MORTGAGE LOANS RECEIVABLE ON REAL ESTATE

(in thousands)

														Principal
														Amount of
												Carrying		Loans
								Current				Amount of		Subject to
	(Unaudited)							Monthly		Face		Mortgages		Delinquent
	Number of				Final	Balloon		Debt		Amount of		December 31,		Principal or
State	Properties		Units/Beds(3)	Interest Rate(1)	Maturity  Date	Amount(2)		Service		Mortgages		2018		Interest
MI	15		2,029	9.71%	2043	$	160,855	$	1,500	$	187,855	$	184,160	$	—
MI	4		501	9.22%	2045		29,487		257		33,317		32,984		—
MI	1		157	9.41%	2045		14,325		117		15,000		14,825		—
MI	2		205	9.41%	2020		11,081		89		11,081		10,970		—
	22	(4)	2,892			$	215,748	$	1,963	$	247,253	$	242,939	$	—

(1) Represents current stated interest rate. Generally, the loans have a 30‑year amortization with principal and interest payable at varying amounts over the life to maturity with annual interest adjustments through specified fixed rate increases effective either on the first anniversary or calendar year of the loan.

(2) Balloon payment is due upon maturity.

(3) This number is based upon unit/bed counts shown on operating licenses provided to us by borrowers or units/beds as stipulated by mortgage documents. We have found during the years that these numbers often differ, usually not materially, from units/beds in operation at any point in time. The differences are caused by such things as operators converting a patient/resident room for alternative uses, such as offices or storage, or converting a multi‑patient room/unit into a single patient room/unit. We monitor our properties on a routine basis through site visits and reviews of current licenses. In an instance where such change would cause a de‑licensing of beds or in our opinion impact the value of the property, we would take action against the borrower to preserve the value of the property/collateral.

(4) Includes 4 first‑lien mortgage loans as follows:

Number of Loans	Original loan amounts
0		$  500 - $2,000
0		$2,001 - $3,000
0		$3,001 - $4,000
0		$4,001 - $5,000
0		$5,001 - $6,000
0		$6,001 - $7,000
4		$7,001 +

Mortgage loans receivable activity for the years ended December 31, 2018, 2017 and 2016 is as follows:

Balance— December 31, 2015	$	217,529
New mortgage loans		13,250
Other additions		7,435
Land conveyance		—
Amortization of mortgage premium		(10)
Collections of principal		(8,278)
Foreclosures		—
Loan loss reserve		(125)
Other deductions		—
Balance— December 31, 2016		229,801
New mortgage loans		—
Other additions		11,913
Land conveyance		(4)
Amortization of mortgage premium		(17,863)
Collections of principal		—
Foreclosures		60
Loan loss reserve		—
Other deductions		—
Balance— December 31, 2017		223,907
New mortgage loans		14,525
Other additions		6,839
Land conveyance		—
Amortization of mortgage premium		(4)
Collections of principal		(2,136)
Foreclosures		—
Loan loss reserve		(192)
Other deductions		—
Balance— December 31, 2018	$	242,939

XML

Summary of Significant Accounting Policies (Policies)

12 Months Ended

Dec. 31, 2018

Summary of Significant Accounting Policies

Basis of Presentation

Basis of Presentation.  The accompanying consolidated financial statements include the accounts of LTC, our wholly‑owned subsidiaries, and our consolidated companies. All intercompany investments, accounts and transactions have been eliminated.

Consolidation of entities is based on determination of the primary beneficiary. In order to be considered the primary beneficiary, the member should be able to exercise power over and receive benefits from the entity. Power over the company is based on the provisions of the operating agreement that provides us with a controlling financial interest in the entity. Under the terms of the operating agreement, we, as the general member, are responsible for the management of the company’s assets, business and affairs. Our rights and duties in management of the company include making all operating decisions, setting the capital budget, executing all contracts, making all employment decisions, and handling the purchase and disposition of assets, among others. We, as the general member, are responsible for the ongoing, major, and central operations of the company and make all management decisions. In addition, we, as the general member, assume the risk for all operating losses, capital losses, and are entitled to substantially all capital gains (appreciation) and accordingly, receive substantial benefits from the company. 

The Financial Accounting Standards Board (“FASB”) created a framework for evaluating whether a general partner or a group of general partners controls a limited partnership or a managing member or a group of managing members exercise power over a limited liability company and therefore should consolidate the entity. The guidance states that the presumption of general partner or managing member control would be overcome only when the limited partners or non-managing members have certain specific rights as described in the guidance. The limited members have virtually no rights and are precluded from taking part in the operation, management or control of the company. The limited members are also precluded from transferring their interests without the expressed permission of the general member.  However, we could transfer our interest without consultation or permission of the limited members.  We consolidated the companies in accordance with the guidance. 

The FASB requires the classification of non-controlling interests as a component of consolidated equity in the consolidated balance sheet subject to the provisions of the rules governing classification and measurement of redeemable securities. The guidance requires consolidated net income to be reported at the amounts attributable to both the controlling and non-controlling interests. The calculation of earnings per share will be based on income amounts attributable to the controlling interest. 

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 audit of our consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board.

Certain reclassifications have been made to the prior period consolidated financial statements to conform to the current period presentation, including changes in presentation of Gain on sale of real estate, net on the consolidated statement of income and comprehensive income. The Company has included Gain on sale of real estate, net as a component of Operating Income to present gain and losses on sales of properties in accordance with ASC 360-10-45-5. The change was made for the prior periods as the Securities and Exchange Commission has eliminated Rule 3-15(a) of Regulation S-X as part of Release No. 33-10532; 34-83875; IC-33203, which had required REITs to present gain and losses on sale of properties outside of continuing operations in the income statement. These adjustments are normal and recurring in nature.

Use of Estimates

Use of Estimates.  Preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

Cash Equivalents

Cash Equivalents.  Cash equivalents consist of highly liquid investments with a maturity of three months or less when purchased and are stated at cost which approximates market.

Restricted Cash

Restricted Cash.  In November 2016, the FASB issued ASU No 2016-18 (“ASU 2016-18”), Restricted Cash. ASU 2016-18 requires an entity to reconcile and explain the period over period change in total cash, cash equivalent and restricted cash within its consolidated statement of cash flows.

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 December 31, 2018, the gross value and the carrying value of the property were $2,021,000 and $1,133,000, 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.

Owned Properties

Owned Properties.  We make estimates as part of our allocation of the purchase price of acquisitions to the various components of the acquisition based upon the fair value of each component. In determining fair value, we use current appraisals or other third-party opinions of value. The most significant components of our allocations are typically the allocation of fair value to land and buildings and, for certain of our acquisitions, in‑place leases and other intangible assets. In the case of the fair value of buildings and the allocation of value to land and other intangibles, the estimates of the values of these components will affect the amount of depreciation and amortization we record over the estimated useful life of the property acquired or the remaining lease term. In the case of the value of in‑place leases, we make best estimates based on the evaluation of the specific characteristics of each tenant’s lease. Factors considered include estimates of carrying costs during hypothetical expected lease‑up periods, market conditions and costs to execute similar leases. These assumptions affect the amount of future revenue that we will recognize over the remaining lease term for the acquired in‑place leases. We evaluate each purchase transaction to determine whether the acquired assets meet the definition of an asset acquisition or a business combination. Transaction costs related to acquisitions that are not deemed to be businesses are included in the cost basis of the acquired assets, while transaction costs related to acquisitions that are deemed to be businesses are expensed as incurred.

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. ASU 2017-01 is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted. We early adopted this standard in 2017. As a result of adopting ASU 2017-01, most of our acquisitions of investment properties will 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. We adopted this standard in 2018. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

We capitalize direct construction and development costs, including predevelopment costs, interest, property taxes, insurance and other costs directly related and essential to the acquisition, development or construction of a real estate asset. We capitalize construction and development costs while substantive activities are ongoing to prepare an asset for its intended use. We consider a construction project as substantially complete and held available for occupancy upon the issuance of the certificate of occupancy. Costs incurred after a project is substantially complete and ready for its intended use, or after development activities have ceased, are expensed as incurred. For redevelopment, renovation and expansion of existing operating properties, we capitalize the cost for the construction and improvement incurred in connection with the redevelopment, renovation and expansion. Costs previously capitalized related to abandoned acquisitions or developments are charged to earnings. Expenditures for repairs and maintenance are expensed as incurred.

Depreciation is computed principally by the straight‑line method for financial reporting purposes over the estimated useful lives of the assets, which range from 3 to 5 years for computers, 5 to 15 years for furniture and equipment, 35 to 50 years for buildings, 10 to 15 years for site improvements, 10 to 20 years for building improvements and the respective lease term for acquired lease intangibles.

Consolidation

Consolidation.  At inception, and on an ongoing basis, as circumstances indicate the need for reconsideration, we evaluate each legal entity that is not wholly-owned by us for consolidation, first under the variable interest entity (“VIE”), then under the voting model. Our evaluation considers all of our variable interests, including common or preferred equity ownership, loans, and other participating instruments. The variable interest model applies to entities that meet both of the following criteria:

· A legal structure been established to conduct business activities and to hold assets.

· LTC has a variable interest in the entity - i.e. it has equity ownership or other financial interests that change with changes in the fair value of the entity's net assets.

If an entity does meet the above criteria and doesn’t qualify for a scope exception from the VIE model, we will determine whether the entity is a VIE.

A legal entity is determined to be a VIE if it has any of the following three characteristics:

1. The entity does not have sufficient equity to finance its activities without additional subordinated financial support;

2. The equity holders, as a group lack the characteristics of a controlling financial interest, as evidenced by all of the following characteristics:

· The power, through voting rights or similar rights, to direct the activities of the entity that most significantly impact the entity's economic performance;

· The obligation to absorb the entity's expected losses;

· The right to receive the entity's expected residual returns; or

3. The entity is established with non-substantive voting rights (i.e. the entity is structured such that majority economic interest holder(s) have disproportionately few voting rights).

If any of the three characteristics of a VIE are met, we conclude that the entity is a VIE and evaluate it for consolidation under the variable interest model.

If an entity is determined to be a VIE, we evaluate whether we are the primary beneficiary. The primary beneficiary analysis is a qualitative analysis based on power and benefits. We consolidate a VIE if we have both power and benefits - that is (i) we have the power to direct the activities of a VIE that most significantly impact the VIE's economic performance (power), and (ii) we have the obligation to absorb losses of the VIE that could potentially be significant to the VIE, or the right to receive benefits from the VIE that potentially could be significant to the VIE (benefits). If we have a variable interest in a VIE but we are not the primary beneficiary, we account for our investment using the equity method of accounting.

If a legal entity fails to meet any of the three of the characteristics of a VIE, we evaluate such entity under the voting interest model. Under the voting interest model, we consolidate the entity if we determine that we, directly or indirectly, have greater than 50% of the voting shares or if we are the general partner or managing member of the entity and the limited partners or non-managing members do not have substantive participating, liquidation, or kick-out rights that preclude our presumption of control.

Mortgage Loans Receivable, Net of Loan Loss Reserve

Mortgage Loans Receivable, Net of Loan Loss Reserve.  Mortgage loans receivable we originate are recorded on an amortized cost basis. Mortgage loans we acquire are recorded at fair value at the time of purchase net of any related premium or discount which is amortized as a yield adjustment to interest income over the life of the loan. Additionally, we record an estimated allowance for doubtful accounts, as described below.

Mezzanine Loans

Mezzanine Loans. In 2015 we strategically decided to allocate a portion of our capital deployment toward mezzanine loans to grow relationships with operating companies that have not typically utilized sale leaseback financing as a component of their capital structure. Mezzanine financing sits between senior debt and common equity in the capital structure, and typically is used to finance development projects or value-add opportunities on existing operational properties. We seek market-based, risk-adjusted rates of return typically between 12-18% with the loan term typically between four to eight years. Security for mezzanine loans can include all or a portion of the following credit enhancements; secured second mortgage, pledge of equity interests and personal/corporate guarantees. Mezzanine loans are recorded for GAAP purposes as either a loan, under notes receivable, or joint venture, under investment in unconsolidated joint ventures, depending upon specifics of the loan terms and related credit enhancements.

Investment in unconsolidated joint ventures

Investment in unconsolidated joint ventures. From time to time, we provide funding to third-party operators for the acquisition, development and construction (“ADC”) of a property. Under an ADC arrangement, we may participate in the residual profits of the project through the sale or refinancing of the property. These ADC arrangements can have characteristics similar to a loan or similar to a joint venture or partnership such as participating in the risks and rewards of the project as an owner or an investment partner. If the ADC arrangement characteristics are more similar to a jointly-owned investment or partnership, we account for the ADC arrangement as an investment in an unconsolidated joint venture under the equity method of accounting or a direct investment (consolidated basis of accounting) instead of applying loan accounting.

We evaluate our ADC arrangements first pursuant to ASC 805, Consolidation, to determine whether the ADC arrangement meets the definition of a VIE, as explained above, and whether we are the primary beneficiary. If the ADC arrangement is deemed to be a VIE but we are not the primary beneficiary, or if it is deemed to be a voting interest entity but we do not have a controlling financial interest, we account for our investment in the ADC arrangement using the equity method. Under the equity method, we initially record our investment at cost and subsequently recognize our share of net earnings or losses and other comprehensive income or loss, cash contributions made and distributions received, and other adjustments, as appropriate. Allocations of net income or loss may be subject to preferred returns or allocation formulas defined in operating agreements and may not be according to percentage ownership interests. In certain circumstances where we have a substantive profit-sharing arrangement which provides a priority return on our investment, a portion of our equity in earnings may consist of a change in our claim on the net assets of the underlying joint venture. Distributions of operating profit from the joint ventures are reported as part of operating cash flows, while distributions related to a capital transaction, such as a refinancing transaction or sale, are reported as investing activities.

We periodically perform evaluation of our investment in unconsolidated joint ventures to determine whether the fair value of each investment is less than the carrying value, and, if such decrease in value is deemed to be other-than-temporary, write the investment down to its estimated fair value as of the measurement date.

Allowance for Doubtful Accounts

Allowance for Doubtful Accounts.  We maintain an allowance for doubtful accounts. The allowance for doubtful accounts depends on the expected collectability of our receivables which is based on considerations including the certainty of payment, payment history and other relevant factors. The allowance for doubtful accounts is maintained at a level believed adequate to absorb potential losses in our receivables. In determining the allowance, we perform a quarterly evaluation of all receivables. If this evaluation indicates that there is a greater risk of receivable charge‑offs, additional allowances are recorded in current period earnings or placement on non-accrual status may be required.

Accrued incentives and earn-outs

Accrued incentives and earn-outs. As part of our acquisitions and/or amendments, we may commit to provide contingent payments to our sellers or lessees, upon the properties achieving certain rent coverage ratios. Typically, when the contingent payments are funded, cash rent will increase by the amount funded multiplied by a rate stipulated in the agreement. If it is deemed probable at acquisition, the contingent payment is recorded as a liability at the estimate fair value calculated using a discounted cash flow analysis and accreted to the settlement amount of the estimated payment date. If the contingent payment is an earn-out provided to the seller, the estimated fair value is capitalized to the property’s basis. If the contingent payment is provided to the lessee, the estimated fair value is recorded as a lease incentive included in the prepaid and other assets line item in our consolidated balance sheet and is amortized as a yield adjustment over the life of the lease. This fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement. The fair value of these contingent liabilities are evaluated on a quarterly basis based on changes in estimates of future operating results and changes in market discount rates.

Impairments

Impairments.  Assets that are classified as held-for-use are periodically evaluated 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. Management assesses the impairment of properties and impairment losses are calculated as the excess of the carrying amount over the estimated fair value of assets as of the measurement date. In determining fair value, we use current appraisals or other third-party opinions of value and other estimates of fair value such as estimated discounted future cash flows. Based on our assessment, during the years ended December 31, 2018, 2017 and 2016, we recognized impairment charges of $0,  $1,880,000 and $766,000, respectively.

Also, we evaluate the carrying values of mortgage loans receivable on an individual basis. Management periodically evaluates the realizability of future cash flows from the mortgage loan receivable when events or circumstances, such as the non‑receipt of principal and interest payments and/or significant deterioration of the financial condition of the borrower, indicate that the carrying amount of the mortgage loan receivable may not be recoverable. An impairment charge is recognized in current period earnings and is calculated as the difference between the carrying amount of the mortgage loan receivable and the discounted cash flows expected to be received, or if foreclosure is probable, the fair value of the collateral securing the mortgage.

Fair Value of Financial Instruments

Fair Value of Financial Instruments.  The FASB requires the disclosure of fair value information about financial instruments for which it is practicable to estimate that value. In cases where quoted market prices are not available, fair values are based on estimates using present value or other valuation techniques. Those techniques are significantly affected by the assumptions used, including the discount rate and estimates of future cash flows. In that regard, the derived fair value estimates cannot be substantiated by comparison to independent markets and, in many cases, could not be realized in immediate settlement of the instrument. Accordingly, the aggregate fair market value amounts presented in the notes to these consolidated financial statements do not represent our underlying carrying value in financial instruments.

The FASB provides guidance for using fair value to measure assets and liabilities, the information used to measure fair value, and the effect of fair value measurements on earnings. The FASB emphasizes that fair value is a market‑based measurement, not an entity‑specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, the FASB establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). Level 1 inputs utilize quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access. Level 2 inputs are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability (other than quoted prices).

The fair value guidance issued by the FASB excludes accounting pronouncements that address fair value measurements for purposes of lease classification or measurement. However, this scope exception does not apply to assets acquired and liabilities assumed in a business combination that are required to be measured at fair value, regardless of whether those assets and liabilities are related to leases.

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 on items for which the fair value option has been elected reported in earnings. We have not elected the fair value option for any of our financial assets or liabilities.

The FASB requires disclosures about fair value of financial instruments for interim reporting periods of publicly traded companies as well as in annual financial statements. See Note 15. Fair Value Measurements for the disclosure about fair value of our financial instruments.

Revenue Recognition

Revenue Recognition.  Rental income from operating leases is generally recognized on a straight‑line basis over the terms of the leases. Substantially all of our leases contain provisions for specified annual increases over the rents of the prior year and are generally computed in one of four methods depending on specific provisions of each lease as follows:

(i) a specified annual 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 revenues in excess of base amounts or

(iv) specific dollar increases.

The FASB does not provide for the recognition of contingent revenue until all possible contingencies have been eliminated. We consider the operating history of the lessee and the general condition of the industry when evaluating whether all possible contingencies have been eliminated and have historically, and expect in the future, to not include contingent rents as income until received. During the years ended December 31, 2018, 2017 and 2016, we received $470,000, $457,000 and $517,000, respectively, of contingent rental income. We follow a policy related to rental income whereby we consider a lease to be non‑performing after 60 days of non‑payment of past due amounts and do not recognize unpaid rental income from that lease until the amounts have been received.

Rental revenues relating to non‑contingent leases that contain specified rental increases over the life of the lease are recognized on the straight‑line basis. Recognizing income on a straight‑line basis requires us to calculate the total non‑contingent rent containing specified rental increases over the life of the lease and to recognize the revenue evenly over that life. This method results in rental income in the early years of a lease being higher than actual cash received, creating a straight‑line rent receivable asset included in our consolidated balance sheet. At some point during the lease, depending on its terms, the cash rent payments eventually exceed the straight‑line rent which results in the straight‑line rent receivable asset decreasing to zero over the remainder of the lease term. We assess the collectability of straight‑line rent in accordance with the applicable accounting standards and our reserve policy. If the lessee becomes delinquent in rent owed under the terms of the lease, we may provide a reserve against the recognized straight‑line rent receivable asset for a portion, up to its full value, that we estimate may not be recoverable.

Interest income on mortgage loans is recognized using the effective interest method. We follow a policy related to mortgage interest whereby we consider a loan to be non‑performing after 60 days of non‑payment of amounts due and do not recognize unpaid interest income from that loan until the past due amounts have been received. Effective interest method, as required by GAAP, is a technique for calculating the actual interest rate for the term of a mortgage loan based on the initial origination value. Similar to the accounting methodology of straight-line rent, the actual interest rate is higher than the stated interest rate in the early years of the mortgage loan thus creating an effective interest receivable asset included in the interest receivable line item in our consolidated balance sheet and reduces down to zero when, at some point during the mortgage loan, the stated interest rate is higher than the actual interest rate.

Payments made to or on behalf of our lessees represent incentives that are deferred and amortized as a yield adjustment over the term of the lease on a straight-line basis. Net loan fee income and commitment fee income are amortized over the life of the related loan.

Federal Income Taxes

Federal Income Taxes.  LTC qualifies as a REIT under the Internal Revenue Code of 1986, as amended, and as such, no provision for Federal income taxes has been made. A REIT is required to distribute at least 90% of its taxable income to its stockholders and a REIT may deduct dividends in computing taxable income. If a REIT distributes 100% of its taxable income and complies with other Internal Revenue Code requirements, it will generally not be subject to Federal income taxation.

For Federal tax purposes, depreciation is generally calculated using the straight‑line method over a period of 27.5 years. Earnings and profits, which determine the taxability of distributions to stockholders, use the straight‑line method over 40 years. Both Federal taxable income and earnings and profits differ from net income for financial statement purposes principally due to the treatment of certain interest income, rental income, other expense items, impairment charges and the depreciable lives and basis of assets. At December 31, 2018, the tax basis of our net depreciable assets exceeds our book basis by approximately $25,639,000 (unaudited), primarily due to an investment recorded as an acquisition for tax and a mortgage loan for GAAP, and to differences previously mentioned above.

The FASB clarified the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. The guidance utilizes a two‑step approach for evaluating tax positions. Recognition (step one) occurs when a company concludes that a tax position, based solely on its technical merits, is more likely than not to be sustained upon examination. Measurement (step two) is only addressed if step one has been satisfied (i.e., the position is more likely than not to be sustained). Under step two, the tax benefit is measured as the largest amount of benefit (determined on a cumulative probability basis) that is more likely than not to be realized upon ultimate settlement. We currently do not have any uncertain tax positions that would not be sustained on its technical merits on a more‑likely than not basis.

We may from time to time be assessed interest or penalties by certain tax jurisdictions. In the event we have received an assessment for interest and/or penalties, it has been classified in our consolidated financial statements as general and administrative expenses.

Concentrations of Credit Risks

Concentrations of Credit Risk.    In 2016, the FASB issued ASU No. 2016-13 (“ASU 2016-13”), Measurement of Credit Losses on Financial Instruments (Topic 326). 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.

Financial instruments which potentially subject us to concentrations of credit risk consist primarily of cash and cash equivalents, mortgage loans receivable, marketable debt securities and operating leases on owned properties. Our financial instruments, mortgage loans receivable and operating leases, are subject to the possibility of loss of carrying value as a result of the failure of other parties to perform according to their contractual obligations or changes in market prices which may make the instrument less valuable. We obtain various collateral and other protective rights, and continually monitor these rights, in order to reduce such possibilities of loss. In addition, we provide reserves for potential losses based upon management’s periodic review of our portfolio. See Note 3. Major Operators for further discussion of concentrations of credit risk from our tenants.

Properties held-for-sale

Properties held-for-sale.  Properties classified as held‑for‑sale on the consolidated balance sheet include only those properties available for immediate sale in their present condition and for which management believes that it is probable that a sale of the property will be completed within one year. Properties held‑for‑sale are carried at the lower of cost or fair value less estimated selling costs. No depreciation expense is recognized on properties held‑for‑sale once they have been classified as such. Under ASU No. 2014-08 (“ASU 2014-08”), Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity, only disposals representing a strategic shift in operations should be presented as discontinued operations. Those strategic shifts should have a major effect on the organization’s operations and financial results. Examples include a disposal of a major geographic area, a major line of business, or a major equity method investment. We have not reclassified results of operations for properties disposed as discontinued operations as these disposals do not represent strategic shifts in our operations.

Net Income Per Share

Net Income Per Share.  Basic earnings per share is calculated using the weighted‑average shares of common stock outstanding during the period excluding common stock equivalents. Diluted earnings per share includes the effect of all dilutive common stock equivalents.

In accordance with the accounting guidance regarding the determination of whether instruments granted in share‑based payments transactions are participating securities, we have applied the two‑class method of computing basic earnings per share. This guidance clarifies that outstanding unvested share‑based payment awards that contain rights to non‑forfeitable dividends participate in undistributed earnings with common stockholders and are considered participating securities.

Stock-Based Compensation

Stock‑Based Compensation.  The FASB requires all share‑based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. We use the Black‑Scholes‑Merton formula to estimate the value of stock options granted to employees. Also, we use the Monte Carlo model to estimate the value of performance based stock units granted to employees. These models require management to make certain estimates including stock volatility, expected dividend yield and the expected term. If management incorrectly estimates these variables, the results of operations could be affected. The FASB also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a financing cash flow. Because we qualify as a REIT under the Internal Revenue Code of 1986, as amended, we are generally not subject to Federal income taxation. Therefore, this reporting requirement does not have an impact on our statements of cash flows.

Segment Disclosures

Segment Disclosures.  The FASB accounting guidance regarding disclosures about segments of an enterprise and related information establishes standards for the manner in which public business enterprises report information about operating segments. Our investment decisions in seniors housing and health care properties, including mortgage loans, property lease transactions and other investments, are made and resulting investments are managed as a single operating segment for internal reporting and for internal decision‑making purposes. Therefore, we have concluded that we operate as a single segment.

ASU 2014-15

Summary of Significant Accounting Policies

New Accounting Pronouncement

Going Concern.  In August 2014, the FASB issued Accounting Standards Update (“ASU”) 2014-15, Presentation of Financial Statements— Going Concern (Subtopic 205-40):  Disclosure of Uncertainties about an Entity’s Ability to Continue as a Going Concern. The amendments in this update define management’s responsibility under U.S. generally accepted accounting principles (“GAAP”) to evaluate when and how substantial doubt about the organization’s ability to continue as a going concern should be disclosed in the financial statement footnotes. This ASU expands disclosure requirements about principal conditions or events that raise substantial doubt. It also requires disclosing management’s evaluation of the significance of those conditions or events in relationship to the organization’s ability to meet its obligations, and management’s plans that are intended to either alleviate substantial doubt or to mitigate conditions or events that raise substantial doubt. ASU No. 2014-15 is effective for annual periods ending after December 15, 2016. We adopted this ASU in 2017. The adoption of this ASU did not have a material impact on our financial statements or disclosures.

ASU 2016-18

Summary of Significant Accounting Policies

New Accounting Pronouncement

Restricted Cash.  In November 2016, the FASB issued ASU No 2016-18 (“ASU 2016-18”), Restricted Cash. ASU 2016-18 requires an entity to reconcile and explain the period over period change in total cash, cash equivalent and restricted cash within its consolidated statement of cash flows.

ASU 2017-01

Summary of Significant Accounting Policies

New Accounting Pronouncement

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. ASU 2017-01 is effective for fiscal years, and for interim periods within those fiscal years, beginning after December 15, 2017, with early adoption permitted. We early adopted this standard in 2017. As a result of adopting ASU 2017-01, most of our acquisitions of investment properties will qualify as asset acquisitions.

ASU 2017-05

Summary of Significant Accounting Policies

New Accounting Pronouncement

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. We adopted this standard in 2018. The adoption of this ASU did not have a material impact on the consolidated financial statements and related notes.

ASU 2016-07

Summary of Significant Accounting Policies

New Accounting Pronouncement

In March 2016, FASB issued ASU No. 2016-07 (“ASU 2016-07”), Investments – Equity Method and Joint Ventures (Topic 323): Simplifying the Transition to the Equity Method of Accounting. ASU 2016-07 eliminates retroactive adjustment of an investment upon an investment qualifying for the equity method of accounting and requires the equity method investor to adopt the equity method of accounting as of the date the investment becomes qualified for equity method accounting.

ASU 2015-03

Summary of Significant Accounting Policies

New Accounting Pronouncement

Debt Issuance Cost. In April 2015, FASB issued ASU No. 2015-03 (“ASU 2015-03”), Interest – Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. ASU 2015-03 requires debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct reduction from the carrying amount of the debt liability, consistent with debt discounts. In August 2015, the FASB issued ASU No. 2015-15, Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements (Amendments to SEC Paragraphs Pursuant to Staff Announcement at June 18, 2015 EITF Meeting) (“ASU 2015-15”). ASU 2015-15 allows debt issuance costs related to line of credit agreements to be presented in the balance sheet as an asset. Upon adoption of ASU 2015-15, we elected to present debt issuance costs related to our unsecured revolving line of credit as an asset on our consolidated balance sheets.

ASU 2014-09

Summary of Significant Accounting Policies

New Accounting Pronouncement

In May 2014, the FASB issued Accounting Standards Update No. 2014-09 (“ASU 2014-09”), Revenue from Contracts with Customers: Topic 606. ASU 2014-09 provides for a single comprehensive principles based standard for the recognition of revenue across all industries through the application of the following five-step process:

Step 1: Identify the contract(s) with a customer.

Step 2: Identify the performance obligations in the contract.

Step 3: Determine the transaction price.

Step 4: Allocate the transaction price to the performance obligations in the contract.

Step 5: Recognize revenue when (or as) the entity satisfies a performance obligation.

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.” In doing so, companies may need to use more judgment and make more estimates. 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 are effective on January 1, 2018, and permit 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 have adopted this standard using the modified retrospective adoption method on January 1, 2018. Accordingly, we concluded that this standard did not have a material impact on our results of operations or financial condition, as a substantial portion of our revenues consists of rental income from leasing arrangements and interest income from loan arrangements, both of which are specifically excluded from ASU 2014-09.

ASU 2016-02

Summary of Significant Accounting Policies

New Accounting Pronouncement

Leases.  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. ASC 842 represents a significant overhaul of the accounting treatment for leases governing substantially all leases, real estate leases included, with the most significant change being that most leases, including most operating leases, will now be capitalized on the balance sheet. 

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. 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.

ASC 842 has subsequently been amended by other issued ASUs to clarify and improve the standard as well as to provide certain practical expedients. In December 2018, the FASB issued ASU 2018-20 (“ ASU 2018-20”), Narrow-Scope Improvements for Lessors, which amends ASC 842 to require the lessors to exclude the lessor costs that are directly paid by the lessee to third parties on lessor’s behalf from variable payments. However, the lessor costs that are paid by the lessor and reimbursed by the lessee are required to be included in variable payments. Accordingly, we will begin reporting revenues and expenses within our leased properties, which are subject to non-cancelable triple-net leases, for certain real estate taxes that are reimbursed by our lessees in accordance with their respective leases with us. Furthermore, ASC 842 allows for several practical expedients which permit the following: no reassessment of lease classification or initial direct costs and use of the standard’s effective date as the date of initial application.

ASU 2016-02 and its amendments, which now have formally entered into the FASB codification as ASC 842, are now effective on January 1, 2019. We expect to elect these practical expedients and adopt ASC 842 on January 1, 2019 using the effective date as our date of initial application. Therefore, financial information and disclosures under ASC 842 will not be provided for periods prior to January 1, 2019.

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Major Operators (Tables)

12 Months Ended

Dec. 31, 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	%	16.7	%
Senior Lifestyle Corporation	—	23	—	1,457	11.8	%	10.5	%
Brookdale Senior Living	—	37	—	1,702	9.9	%	4.6	%
Senior Care Centers	11	—	1,444	—	8.8	%	7.1	%
Total	35	60	4,454	3,252	48.5	%	38.9	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of December 31, 2018.

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Supplemental Cash Flow Information (Tables)

12 Months Ended

Dec. 31, 2018

Supplemental Cash Flow Information

Supplemental Cash Flow Information

	For the year ended December 31,
	2018		2017		2016
	(in thousands)
Non-cash investing and financing transactions:
Contingent liabilities related to real estate investments ( Note 5)	$	—	$	—	$	1,847
Reclassification of pre-development loans ( Note 7)		—		—		237
Restricted stock issued, net of cancellations (Note 10)		1		1		1

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Real Estate Investments (Tables)

12 Months Ended

Dec. 31, 2018

Real Estate Investments

Schedule of future minimum base rents receivable

Future minimum base rents receivable under the remaining non‑cancelable terms of operating leases excluding the effects of straight‑line rent, amortization of lease inducement and renewal options are as follows (in thousands):

	Annual Cash
	Rent (1)
2019	$	133,666
2020		140,353
2021		131,284
2022		121,235
2023		124,897
Thereafter		760,163

(1) Represents contractual annual cash rent, except for two master leases which are based on agreed upon cash rents. See below for more information.

Summary of investments acquired

Acquisitions. The following table summarizes our acquisitions for the years ended December 31, 2018 through 2016 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs (1)		Costs		Properties	Beds/Units
2018 (2)	Assisted Living (3)(4)	$	39,600	$	65	$	39,665	3	177
	Land (4)		695		48		743	—	—
Total		$	40,295	$	113	$	40,408	3	177
2017	Assisted Living (5)	$	81,018	$	569	$	81,587	5	400
	Land (6)		800		18		818	—	—
Total		$	81,818	$	587	$	82,405	5	400
2016	Skilled Nursing (7)	$	16,000	$	45	$	16,045	1	126
	Assisted Living (8)		53,550		423		53,973	4	250
	Land (9)		6,891		108		6,999	—	—
Total		$	76,441	$	576	$	77,017	5	376

(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) Subsequent to December 31, 2018, we entered into a joint venture (“JV”) to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,950 in cash. Our economic interest in the real estate JV will be approximately 95%.  

(3) We acquired two MC in Texas.

(4) We entered into a JV to develop, purchase and own seniors housing properties. During 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. Additionally, during 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 10. Equity for further discussion related to our partnerships and non-controlling interests.

(5) We acquired an ALF and a MC in California, a MC in Ohio and an ALF/MC in Missouri. Furthermore, we entered into a JV and acquired an ALF/MC community. See Note 10. Equity for further discussion related to our partnerships and non-controlling interest.

(6) We entered into a JV for the acquisition of land and development of an ALF/MC/ILF community in Wisconsin. See Note 10. Equity for further discussion related to our partnerships and non-controlling interest.

(7) We acquired a newly constructed SNF in Texas.

(8) We acquired a newly constructed MC in Kentucky, a newly constructed ALF/MC in Georgia and two MCs in Kansas.

(9) We acquired a parcel of land and improvement and entered into a development commitment for the development of a SNF. Also, we purchased a parcel of land in Illinois and entered into a development commitment to construct a MC.

Schedule of investment in development and improvement projects

Developments and Improvements. The following table summarizes our investment in development and improvement projects for the years 2018, 2017 and 2016 (in thousands):

	2018				2017				2016
Type of Property	Developments		Improvements		Developments			Improvements		Developments		Improvements
Assisted Living Communities	$	27,505	$	2,292	$	17,667	$	1,152	$	41,859	$	3,034
Skilled Nursing Centers		7,774		500		5,234		1,356		483		3,758
Other		—		457		—		391		—		—
Total	$	35,279	$	3,249	$	22,901	$	2,899	$	42,342	$	6,792

Schedule of completed projects

Completed Projects. The following table summarizes our completed projects during the years ended December 31, 2018, 2017 and 2016 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of			Total
Year	Type of Project	Properties	Property	Beds/Units	State	Investment
2018	Development	1	MC	66	Illinois	$	14,998
Total		1		66		$	14,998
2017	Development	1	MC	66	Illinois	$	13,498
Total		1		66		$	13,498
2016	Development	1	MC	66	Illinois	$	12,248
	Development	1	MC	56	Texas		11,776
	Development	1	MC	66	Illinois		11,962
	Development	1	MC	66	California		12,400
	Development	1	ALF/MC	89	South Carolina		15,080
	Development	1	ILF	108	Kansas		13,423
	Improvement	1	SNF	160	Arizona		4,672
Total		7		611		$	81,561

Summary of properties held-for-sale

Properties held-for-sale.  The following table summarizes our properties held-for-sale at December 31, 2018 (dollar amounts in thousands):

	Type	Number					Number
	of	of		Gross		Accumulated	of
State	Property	Properties		Investment		Depreciation	Beds/units
Texas	ILF	1		5,746		1,916	140
Totals		1	$	5,746	$	1,916	140

Schedule of real estate investment property sold

Property Sales. The following table summarizes property sales during the years ended December 31, 2018 through 2016 (dollar amounts in thousands):

		Type		Number	Number						Net
		of		of	of		Sales		Carrying		Gain
Year	State	Properties		Properties	Beds		Price		Value		(Loss)
2018	Alabama, Florida and Georgia	SNF		4	454	$	27,975	$	5,695	$	21,987
	Kansas	ALF	(1)	—	—		350		346		—
	Ohio and Pennsylvania	ALF		6	320		67,500		16,352		48,695
Total 2018				10	774	$	95,825	$	22,393	$	70,682
2017	Indiana, Iowa and Oregon	ALF		5	211	$	15,650	$	10,107	$	4,985
	Texas	SNF	(2)	1	85		—		1,170		(1,171)
Total 2017				6	296	$	15,650	$	11,277	$	3,814
2016	Florida	ALF		2	174	$	6,850	$	4,869	$	1,973
	Texas	SNF		2	235		6,750		4,923		1,802
	New Jersey	OTH		1	—		3,850		3,997		(193)
Total 2016				5	409	$	17,450	$	13,789	$	3,582

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

We donated a SNF with a carrying value of $1,170 to a nonprofit health care provider.

Schedule of mortgage loan activity

The following table summarizes our mortgage loan activity for the years ended December 31, 2018, 2017 and 2016 (in thousands):

	2018			2017		2016
Originations and funding under mortgage loans receivable	$	21,364	(1)	$	11,913	$	20,685
Pay-offs received		(1,086)			(16,665)		(6,036)
Scheduled principal payments received		(1,050)			(1,198)		(2,242)
Mortgage loan (premiums)		(4)			(4)		(10)
(Provision for)/ recovery of loan loss reserve		(192)			60		(125)
Net increase (decrease) in mortgage loans receivable	$	19,032		$	(5,894)	$	12,272

Scheduled principal payments on mortgage loan receivables

Scheduled principal payments on mortgage loan receivables are as follows (in thousands):

	Scheduled
	Principal
2019	$	1,065
2020		8,815
2021		1,175
2022		1,175
2023		1,175
Thereafter		231,981
Total	$	245,386

Schedule of early mortgage loan payoffs

The following table summarizes our early mortgage loan payoffs during the years 2018, 2017 and 2016 (dollar amounts in thousands): 

		Early	Number
		Principal	of
		Payoff	Loans	State
2018	$	1,086	1	UT
2017	$	10,795	4	AZ/MO/TX
2016	$	6,036	9	MO/TX/WA

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Investment in Unconsolidated Joint Ventures (Tables)

12 Months Ended

Dec. 31, 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		$	24,032
Florida	ALF/IL/MC	Mezzanine	(2)	15	%	12	%	99		2,900	(3)		3,183	(3)
Florida	UDP-ALF/MC	Mezzanine	(2)	15	%	10	%	127		3,400			3,400
Total								811	$	31,950		$	30,615

(1) We have concluded that the JV is a 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 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 during the years ended December 31, 2018, 2017 and 2016 (in thousands):

	Type
	of		Capital		Income			Cash Interest
Year	Properties		Contribution		Recognized			Received
2018	ALF/MC/ILF	$	670	$	2,041		$	1,975
	ALF/IL/MC		—		511			396
	UDP-ALF/MC		—		312	(1)		—	(1)
Total 2018		$	670	$	2,864		$	2,371
2017	ALF/MC/ILF		1,101		1,560			1,436
	ALF/IL/MC		—		511			302
	UDP-ALF/MC		2,747		192	(1)		—	(1)
Total 2017		$	3,848	$	2,263		$	1,738
2016	ALF/MC/ILF	$	1,770	$	1,138		$	1,695
	ALF/IL/MC		—		—			—
	UDP-ALF/MC		—		—			—
Total 2016		$	1,770	$	1,138		$	1,695

We withheld $653 at the time of loan origination which is being applied to interest. As of December 31, 2018, we still hold $177 which will be applied to future interest.

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Notes Receivable (Tables)

12 Months Ended

Dec. 31, 2018

Notes Receivable.

Summary of mezzanine loans and other loan arrangements

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

	At December 31,
	2018		2017
Mezzanine loans	$	9,868	$	13,700
Other loans		2,975		2,868
Notes receivable reserve		(128)		(166)
Total	$	12,715	$	16,402

Summary of notes receivable activity

The following table summarizes our notes receivable activity for the years ended December 31, 2018 through 2016 (in thousands):

	Year ended December 31,
		2018		2017		2016
Advances under notes receivable	$	124	$	—	$	14,969
Principal payments received under notes receivable		(3,848)		(25)		(100)
Reclassified to real estate under development (1)		—		—		(237)
Notes receivable reserve		37		—		(166)
Net (decrease) increase in notes receivable	$	(3,687)	$	(25)	$	14,466

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

During the fourth quarter of 2018, we entered into a $6,828,000 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

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Lease Incentives (Tables)

12 Months Ended

Dec. 31, 2018

Lease Incentives

Summary of lease incentives by component

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

	At December 31,
		2018		2017
Non-contingent lease incentives	$	14,443	$	14,904
Contingent lease incentives		—		6,577
Total	$	14,443	$	21,481

Summary of lease incentive activity

The following table summarizes our lease incentive activity for the years ended December 31, 2018, 2017 and 2016 (in thousands):

	2018							2017							2016
		Funding		Amortization		Write-off			Funding		Amortization		Write-off			Funding		Amortization		Write-off
Non-contingent lease incentives	$	1,272	$	(1,733)	$	—		$	6,544	$	(1,590)	$	(1,205)	(2)	$	4,559	$	(1,207)	$	—
Contingent lease incentives		—		(359)		(6,219)	(1)		—		(619)		(2,634)	(3)		268		(748)		(514)	(4)
Net increase (decrease) in lease incentives	$	1,272	$	(2,092)	$	(6,219)		$	6,544	$	(2,209)	$	(3,839)		$	4,827	$	(1,955)	$	(514)

(1) 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, we wrote-off the Senior Lifestyle contingent lease incentive.

(2) 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 that never materialized.

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

(4) Represents the write-off of lease incentive related to two MC due to transitioning these properties to another operator in our portfolio.

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Debt Obligations (Tables)

12 Months Ended

Dec. 31, 2018

Debt Obligations

Schedule of Debt Obligations

The following table sets forth information regarding debt obligations by component as of December 31, 2018 and 2017 (dollar amounts in thousands):

	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings (2)	3.69%	$	112,000	$	488,000	$	96,500	$	503,500
Senior unsecured notes, net of debt issue costs (3)	4.50%		533,029		93,833		571,002		63,667
Total	4.36%	$	645,029	$	581,833	$	667,502	$	567,167

(1) Represents weighted average of interest rate as of December 31, 2018.

(2) Subsequent to December 31, 2018, we borrowed $26,400, net, under our unsecured revolving line of credit, accordingly we have $138,400 outstanding balance and $461,600 available for borrowing.

(3) Subsequent to December 31, 2018, we paid $4,167 in regular scheduled principal payments, accordingly we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

Schedule of borrowings and repayments

Our borrowings and repayments for the years ended December 31, 2018, 2017 and 2016 are as follows (in thousands):

	2018				2017					2016
Debt Obligations		Borrowings		Repayments	Borrowings			Repayments			Borrowings			Repayments
Bank borrowings	$	116,200	$	(100,700)	$	113,000		$	(123,600)	$	123,600		$	(137,000)
Senior unsecured notes		—		(38,166)		100,000	(1)		(31,167)		77,500	(2)		(26,667)
Total	$	116,200	$	(138,866)	$	213,000		$	(154,767)	$	201,100		$	(163,667)

(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.

(2) During the year ended December 31, 2016, we sold 10-year senior unsecured term notes in the amount of $37,500 to Prudential. The notes bear interest at an annual fixed rate of 4.15%, have scheduled principal payments and will mature in 2028. Additionally, we sold 10-year senior unsecured notes in the amount of $40,000 to affiliated insurance company investment advisory clients of AIG Asset Management (U.S.) LLC. The notes bear interest at a coupon of 3.99%, have scheduled principal payments and will mature in 2031.

Schedule of principal payments and amounts due at maturity

Scheduled Principal Payments.  The following table represents our long-term contractual obligations (scheduled principal payments and amounts due at maturity) as of December 31, 2018, and excludes the effects of interest and debt issue costs (in thousands):

	Total			2019		2020		2021		2022		2023		Thereafter
Bank borrowings	$	112,000	(1)	$	—	$	—	$	—	$	112,000	$	—	$	—
Senior unsecured notes		533,967	(2)		33,667		40,160		47,160		48,160		49,160		315,660
Total	$	645,967		$	33,667	$	40,160	$	47,160	$	160,160	$	49,160	$	315,660

(1) Subsequent to December 31, 2018, we borrowed $26,400, net under our unsecured revolving line of credit. Accordingly, we have $138,400 outstanding and $461,600 available under our unsecured revolving line of credit.

(2) Subsequent to December 31, 2018, we paid $4,167 in regular scheduled principal payments, accordingly we have $528,862 outstanding and $98,000 available under our senior unsecured notes.

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Equity (Tables)

12 Months Ended

Dec. 31, 2018

Equity

Schedule of consolidated VIEs

As of December 31, 2018, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated			Non-Controlling
Year (1)	Purpose	Type	State		Assets			Interests
2018	Owned real estate	ILF	OR	$	14,400	(2)	$	2,857	(2)
2018	Owned real estate and development	UDP	OR		4,606	(2)		1,081	(2)
2017	Owned real estate and development	UDP	WI		16,665	(3)		2,272	(3)
2017	Owned real estate	ALF	SC		11,195			1,271
Total				$	46,866		$	7,481

(1) Subsequent to December 31, 2018, we entered into a JV to purchase an existing operational 74-unit ALF/MC community. The non-controlling partner contributed $919 of equity and we contributed $15,950 in cash. Our economic interest in the real estate JV will be approximately 95%. We account for the JV on a consolidated basis.

(2) We entered into a JV to develop, purchase and own seniors housing properties. During 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. Additionally, during 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.  

(3) We entered into a JV 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):

	Year Ended December 31,
	2018						2017						2016
	Declared			Paid			Declared			Paid			Declared			Paid
Common Stock	$	90,372	(1)	$	90,372	(1)	$	90,219	(1)	$	90,219	(1)		84,568	(2)		84,568	(2)

(1) Represents $0.19 per share per month for the years ended December 31, 2018, and 2017.

(2) Represents $0.18 per share per month for January through September 2016 and $0.19 per share per month for October through December 2016.

Schedule of restricted stock activity

Restricted Stock and Performance-Based Stock Units.  Restricted stock and performance-based stock units activity for the years ended December 31, 2018, 2017 and 2016 was as follows:

	2018		2017		2016
Outstanding, January 1		244,181		210,573		187,347
Granted		156,718		143,057		127,087
Vested		(75,149)		(85,343)		(103,861)
Cancelled		—		(24,106)		—
Outstanding, December 31		325,750		244,181		210,573
Compensation expense related to restricted stock and performance based stock units for the year	$	5,870,000	$	5,247,000	$	4,265,000

Schedule of restricted stock granted

During 2018, 2017 and 2016, we granted 156,718,  143,057 and 127,087 shares of restricted common stock and performance-based stock units, respectively, 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	$	50.50	ratably over 3 years
	143,057
2016	65,300	$	43.24	ratably over 3 years
	54,107	$	46.87	TSR targets (2)
	7,680	$	46.87	ratably over 1 year
	127,087

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

(2) Vesting is based on achieving certain total TSR targets in 3.7 years with acceleration opportunity in 2.7 years.

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

At December 31, 2018, the total number of restricted common stock and performance-based stock units that are scheduled to vest and 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:

	Number		Remaining
	of		Compensation
Vesting Date	Awards		Expense
2019	128,214	(1)		4,250,000
2020	104,085	(2)		2,210,000
2021	93,451	(3)		238,000
Total	325,750		$	6,698,000

(1) Includes 49,728 performance-based stock units. The performance-based stock units are valued utilizing a lattice-binomial option pricing model based on Monte Carlo simulations. The company recognizes the fair value of the awards over the applicable vesting period as compensation expense.

(2) Includes 53,554 performance-based stock units. See (1) above for valuation methodology.

(3) Includes 66,171 performance-based stock units. See (1) above for valuation methodology.

Schedule of nonqualified stock option activity

				Weighted Average
	Shares			Price
	2018	2017	2016	2018			2017	2016
Outstanding, January 1	25,000	33,334	40,001	$	32.92	$	30.76	$	29.60
Granted	—	—	—		n.a		n.a		n.a
Exercised	(5,000)	(8,334)	(6,667)	$	24.65	$	24.31	$	23.79
Canceled	—	—	—		n.a		n.a		n.a
Outstanding, December 31	20,000	25,000	33,334	$	34.99	$	32.92	$	30.76
Exercisable, December 31(1)	20,000	25,000	28,334	$	34.99	$	32.92	$	45.45

(1) The aggregate intrinsic value of exercisable options at December 31, 2018, based upon the closing price of our common shares at December 31, 2018, the last trading day of 2018, was approximately $134,000. Options exercisable at December 31, 2018, 2017 and 2016 have a weighted average remaining contractual life of approximately 3.3 years, 3.5 years, and 2.9 years, respectively.

Schedule of options exercised

		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	$	202,000	$	410,797
2016	6,667	$	23.79	$	159,000	$	311,000

(1) As of the exercise dates.

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Commitments and Contingencies (Tables)

12 Months Ended

Dec. 31, 2018

Commitments and Contingencies

Schedule of commitments

At December 31, 2018, we had commitments as follows (in thousands):

						Total
	Investment			2018		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties(Note 5. Real Estate Investments)	$	77,882	(1)	$	28,343	$	45,787	$	32,095
Accrued incentives and earn-out liabilities		9,000	(2)		—		—		9,000
Mortgage loans (Note 5. Real Estate Investments)		64,200	(3)		4,330		18,591		45,609
Joint venture investments (Note 6. Investments in Unconsolidated Joint Ventures)		25,650			670		23,684		1,966
Notes receivable (Note 7. Notes Receivable)		7,828	(4)		124		124		7,704
Total	$	184,560		$	33,467	$	88,186	$	96,374

(1) Represents commitments to purchase land and improvements, if applicable, and to develop, re-develop, renovate or expand seniors housing and health care properties. Additionally, we have certain master leases that provide for additional capital expenditure allowance upon pre-approval of projects.

(2) During the twelve months ended December 31, 2018, we recorded non-cash interest expense of $377 related to these contingent liabilities. During the fourth quarter of 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, we wrote-off the Senior Lifestyle contingent lease incentive of $6,219 and the related earn-out liability of $9,292 which resulted in income of approximately $3,000.

(3) $35,700 represents commitments to expand and renovate the seniors housing and health care properties securing the mortgage loans and $28,500 represents contingent funding upon the borrower achieving certain coverage ratios.

(4) During the fourth quarter of 2018, we entered into a $6,800 mezzanine loan commitment for the development of a 204-unit ILF/ALF/MC in Georgia which will be funded during the first quarter of 2019. The mezzanine loan has a five-year term and bears interest at 12%, with 8% current-pay during the first 46 months of the loan, and the balance accruing to the note and 12% current-pay thereafter.

Schedule of purchase options included in lease agreements

The following table summarizes information about purchase options included in our lease agreements:

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
Kansas	MC	2	$	25,692	$	23,906	2019-2021
Texas	MC	2		25,265		24,955	2025-2027
Total			$	50,957	$	48,861

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Distributions (Tables)

12 Months Ended

Dec. 31, 2018

Distributions

Schedule of federal income tax classification of the per share common stock distributions

	Year Ended December 31,
	2018		2017		2016
Ordinary taxable distribution	$	0.349	$	1.607	$	1.485
Return of capital		—		0.444		0.556
Unrecaptured Section 1250 gain		0.636		0.163		0.149
Long-term capital gain		1.295		0.066		—
Total	$	2.280	$	2.280	$	2.190

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Net Income Per Common Share (Tables)

12 Months Ended

Dec. 31, 2018

Net Income Per Common Share

Schedule of basic and diluted net income per share

Basic and diluted net income per share was as follows (in thousands except per share amounts):

	For the year ended December 31,
	2018		2017		2016
Net income	$	155,076	$	87,340	$	85,115
Less income allocated to non-controlling interests		(95)		—		—
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(357)		(350)		(373)
Income allocated to participating securities		(268)		(12)		(12)
Total net income allocated to participating securities		(625)		(362)		(385)
Net income available to common stockholders		154,356		86,978		84,730
Effect of dilutive securities:
Participating securities		625		362		385
Net income for diluted net income per share	$	154,981	$	87,340	$	85,115
Shares for basic net income per share		39,477		39,409		38,388
Effect of dilutive securities:
Stock options		3		10		13
Performance-based stock units		203		67		27
Participating securities		156		151		169
Total effect of dilutive securities		362		228		209
Shares for diluted net income per share		39,839		39,637		38,597
Basic net income per share	$	3.91	$	2.21	$	2.21
Diluted net income per share	$	3.89	$	2.20	$	2.21

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Quarterly Financial Information (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2018

Quarterly Financial Information

Schedule of quarterly financial information

	For the quarter ended
	March 31,		June 30,		September 30,		December 31,
	(unaudited, in thousands except per share amounts)
2018
Revenues	$	41,810	$	41,472	$	41,776	$	43,587
Net income available to common stockholders	$	20,271	$	68,658	$	34,782	$	30,645
Net income per common share available to common stockholders:
Basic	$	0.51	$	1.74	$	0.88	$	0.78
Diluted	$	0.51	$	1.73	$	0.88	$	0.77
Dividends per share declared	$	0.57	$	0.57	$	0.57	$	0.57
Dividends per share paid	$	0.57	$	0.57	$	0.57	$	0.57
2017
Revenues	$	42,622	$	42,468	$	41,246	$	41,729
Net income available to common stockholders	$	21,416	$	25,273	$	20,536	$	19,753
Net income per common share available to common stockholders:
Basic	$	0.54	$	0.64	$	0.52	$	0.50
Diluted	$	0.54	$	0.64	$	0.52	$	0.50
Dividends per share declared	$	0.57	$	0.57	$	0.57	$	0.57
Dividends per share paid	$	0.57	$	0.57	$	0.57	$	0.57

NOTE: Quarterly and year‑to‑date computations of per share amounts are made independently. Therefore, the sum of per share amounts for the quarters may not agree with the per share amounts for the year.

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Fair Value Measurements (Tables)

12 Months Ended

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

	At December 31, 2018					At December 31, 2017
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable	$	242,939	$	295,492	(1)	$	223,907	$	278,224	(1)
Bank borrowings		112,000		112,000	(2)		96,500		96,500	(2)
Senior unsecured notes, net of debt issue costs		533,029		508,613	(3)		571,002		577,126	(3)
Accrued incentives and earn-outs		—		—	(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 December 31, 2018 and 2017 was 9.0% 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 December 31, 2018 and 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 December 31, 2018, the discount rate used to value our future cash outflow of our senior unsecured notes was 5.15% for those maturing before year 2026 and 5.40% 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 beyond year 2026.

(4) Our contingent obligations under the accrued incentives and earn‑out liabilities are classified as Level 3. We estimated the fair value of the contingent earn‑out payments using a discounted cash flow analysis. The discount rate that we use consists of a risk‑free U.S. Treasury rate plus a company specific credit spread which we believe is acceptable by willing market participants. At December 31, 2017 the discount rate used to value our future cash outflow of the earn-out liability was 6.2%. Furthermore, during the fourth quarter of 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, we wrote-off the Senior Lifestyle contingent earn-out liability of $9,292.

.

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The Company (Details)	12 Months Ended
	Dec. 31, 2018 segment
The Company
Number of operating segments	1

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Summary of Significant Accounting Policies - Restricted Cash (Details)	3 Months Ended	12 Months Ended
	Jun. 30, 2018 USD ($)	Dec. 31, 2018 USD ($)	Sep. 30, 2017 item
Summary of Significant Accounting Policies
Number of beds damaged | item			170
Gross value of damaged property		$ 2,021,000
Carrying value of damaged property		1,133,000
Insurance proceeds	$ 2,619,000	$ 2,619,000

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Summary of Significant Accounting Policies - Owned Properties (Details)	12 Months Ended
	Dec. 31, 2018
Computer Equipment | Minimum
Owned Properties
Useful life	3 years
Computer Equipment | Maximum
Owned Properties
Useful life	5 years
Furniture and Fixtures | Minimum
Owned Properties
Useful life	5 years
Furniture and Fixtures | Maximum
Owned Properties
Useful life	15 years
Building | Minimum
Owned Properties
Useful life	35 years
Building | Maximum
Owned Properties
Useful life	50 years
Site Improvements | Minimum
Owned Properties
Useful life	10 years
Site Improvements | Maximum
Owned Properties
Useful life	15 years
Building Improvements | Minimum
Owned Properties
Useful life	10 years
Building Improvements | Maximum
Owned Properties
Useful life	20 years

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Summary of Significant Accounting Policies - Mezzanine Loans and Impairments (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Impairments
Asset Impairment Charges	$ 0	$ 1,880,000	$ 766,000
Minimum | Mezzanine Loans
Mortgage loans on real estate
Interest rate for mortgage loan (as a percent)	12.00%
Loan Term	4 years
Maximum | Mezzanine Loans
Mortgage loans on real estate
Interest rate for mortgage loan (as a percent)	18.00%
Loan Term	8 years

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Summary of Significant Accounting Policies - Revenue Recognition (Details)	12 Months Ended
	Dec. 31, 2018 USD ($) item	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Revenue Recognition
Maximum period over which loan is to be considered as non-performing	60 days
Contingent rental income | $	$ 470,000	$ 457,000	$ 517,000
Maximum period over which a lease is to be considered as non-performing	60 days
Minimum
Revenue Recognition
Methods used for calculation of annual increases over the rents of the prior year	1
Specified annual increase over the prior year's rent (as a percent)	2.00%
Maximum
Revenue Recognition
Methods used for calculation of annual increases over the rents of the prior year	4
Specified annual increase over the prior year's rent (as a percent)	3.00%

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Summary of Significant Accounting Policies - Taxes (Details)	12 Months Ended
	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Federal Income Taxes
Provision for federal or state income taxes	$ 0	$ 0	$ 0
Minimum distribution of taxable income (as a percent)	90.00%
Distribution percentage	100
Period considered for calculation of depreciation for federal tax purpose	27 years 6 months
Period considered for determining the taxability of distributions to shareholders	40 years
(Excess) / Deficit of book basis of net depreciable assets over tax basis	$ 25,639,000

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Major Operators (Details)		12 Months Ended
	Dec. 04, 2018 USD ($)	Dec. 31, 2018 property item
Major Operators
Number of major operators		4
Number of beds/units		811
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
Major Operators
Petition Date and Reject The Lease Period	120 days
Letter of credit | $	$ 2,000,000
Maintenance and repair escrows | $	2,200,000
Property tax escrows | $	$ 1,800,000
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)		48.50%
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)		11.80%
Total Revenue | Operator Concentration Risk | Brookdale Senior Living
Major Operators
Concentration risk (as a percent)		9.90%
Total Revenue | Operator Concentration Risk | Senior Care Centers
Major Operators
Concentration risk (as a percent)		8.80%
Total Assets | Operator Concentration Risk
Major Operators
Concentration risk (as a percent)		38.90%
Total Assets | Credit Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)		16.70%
Total Assets | Credit Concentration Risk | Senior Lifestyle Corporation
Major Operators
Concentration risk (as a percent)		10.50%
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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Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Non-cash investing and financing transactions:
Reclassification of pre-development loans (Note 7)			$ 237
Restricted stock issued, net of cancellations (Note 10)	$ 1	$ 1	1
Real estate properties | Accrued incentives and earn-out liabilities
Non-cash investing and financing transactions:
Contingent liabilities (Note 5)			$ 1,847

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Real Estate Investments - Owned Properties (Details) - Real Estate Investment	Dec. 31, 2018 property
Real Estate Investments
Number of properties	175
Number of states	28
Number of operators	28
ALF
Real Estate Investments
Number of properties	103
SNF
Real Estate Investments
Number of properties	71
Hospital
Real Estate Investments
Number of properties	1

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Real Estate Investments - Depreciation and Base Rents (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) lease	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Depreciation
Depreciation expense	$ 37,416	$ 37,492	$ 35,809
Number of master leases with agreed upon cash rent | lease	2
Future minimum base rents receivable under the remaining non-cancelable terms of operating leases excluding the effects of straight-line rent and renewal options
2019	$ 133,666
2020	140,353
2021	131,284
2022	121,235
2023	124,897
Thereafter	$ 760,163

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Real Estate Investments - Operator changes (Details)		12 Months Ended
	Dec. 04, 2018 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 property
Anthem Memory Care
Other disclosures
Number of properties in default | property			11
Minimum cash rent received		$ 5,200,000
Senior Care Centers
Other disclosures
Petition Date and Reject The Lease Period	120 days
Letter of credit	$ 2,000,000
Maintenance and repair escrows	2,200,000
Property tax escrows	$ 1,800,000

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Real Estate Investments - Acquisitions (Details)	3 Months Ended	12 Months Ended
	Mar. 31, 2019 USD ($) item	Dec. 31, 2018 USD ($) item property	Dec. 31, 2017 USD ($) item property	Dec. 31, 2016 USD ($) item property
Real estate investments
Stockholders' Equity Attributable to Noncontrolling Interest		$ 7,481,000	$ 3,488,000
Investment Commitment		184,560,000
ALF and MC | 74-Unit ALF/MC
Real estate investments
Number of beds/units acquired | item	74
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
2018 Acquisitions
Real estate investments
Purchase Price		40,295,000
Transaction Costs		113,000
Total Acquisition Costs		$ 40,408,000
Number of properties acquired | property		3
Number of beds/units acquired | item		177
Real Estate Investment Economic Interest in Joint Venture Percentage		88.00%
2018 Acquisitions | ALF
Real estate investments
Purchase Price		$ 39,600,000
Transaction Costs		65,000
Total Acquisition Costs		$ 39,665,000
Number of properties acquired | property		3
Number of beds/units acquired | item		177
2018 Acquisitions | ILF | 89-unit ILF
Real estate investments
Purchase Price		$ 14,400,000
Stockholders' Equity Attributable to Noncontrolling Interest		2,857,000
Investment Commitment		$ 11,543,000
Number of beds/units under development | item		89
2018 Acquisitions | MC | Texas
Real estate investments
Number of properties acquired | property		2
2018 Acquisitions | Land
Real estate investments
Purchase Price		$ 695,000
Transaction Costs		48,000
Total Acquisition Costs		743,000
2018 Acquisitions | ALF and MC
Real estate investments
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
2018 Acquisitions | ALF and MC | 74-Unit ALF/MC
Real estate investments
Stockholders' Equity Attributable to Noncontrolling Interest	$ 919,000
Investment Commitment	15,950,000
2018 Acquisitions | ALF and MC | 78-unit ALF/MC
Real estate investments
Purchase Price		18,108,000
Stockholders' Equity Attributable to Noncontrolling Interest		$ 1,081,000
Number of beds/units acquired | item		78
Investment Commitment		$ 17,027,000
Number of beds/units under development | item		78
2017 Acquisitions
Real estate investments
Purchase Price			81,818,000
Transaction Costs			587,000
Total Acquisition Costs			$ 82,405,000
Number of properties acquired | property			5
Number of beds/units acquired | item			400
2017 Acquisitions | ALF
Real estate investments
Purchase Price			$ 81,018,000
Transaction Costs			569,000
Total Acquisition Costs			$ 81,587,000
Number of properties acquired | property			5
Number of beds/units acquired | item			400
2017 Acquisitions | Land
Real estate investments
Purchase Price			$ 800,000
Transaction Costs			18,000
Total Acquisition Costs			$ 818,000
2016 Acquisitions
Real estate investments
Purchase Price				$ 76,441,000
Transaction Costs				576,000
Total Acquisition Costs				$ 77,017,000
Number of properties acquired | property				5
Number of beds/units acquired | item				376
2016 Acquisitions | SNF
Real estate investments
Purchase Price				$ 16,000,000
Transaction Costs				45,000
Total Acquisition Costs				$ 16,045,000
Number of properties acquired | property				1
Number of beds/units acquired | item				126
2016 Acquisitions | ALF
Real estate investments
Purchase Price				$ 53,550,000
Transaction Costs				423,000
Total Acquisition Costs				$ 53,973,000
Number of properties acquired | property				4
Number of beds/units acquired | item				250
2016 Acquisitions | MC | Kansas
Real estate investments
Number of properties acquired | property				2
2016 Acquisitions | Land
Real estate investments
Purchase Price				$ 6,891,000
Transaction Costs				108,000
Total Acquisition Costs				$ 6,999,000
Subsequent Event | ALF and MC | 74-Unit ALF/MC
Real estate investments
Stockholders' Equity Attributable to Noncontrolling Interest	919,000
Investment Commitment	$ 15,950,000
Subsequent Event | 2018 Acquisitions | ALF and MC | 74-Unit ALF/MC
Real estate investments
Number of beds/units acquired | item	919
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
Number of beds/units under development | item	74
Subsequent Event | 2018 Acquisitions | ALF and MC | 78-unit ALF/MC
Real estate investments
Contingent consideration	$ 15,950,000

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Real Estate Investments - Types of property Development and Improvement (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Real estate investments
Invested in projects	$ 33,467
Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	35,279	$ 22,901	$ 42,342
Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	3,249	2,899	6,792
ALF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	27,505	17,667	41,859
ALF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	2,292	1,152	3,034
SNF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects	7,774	5,234	483
SNF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	500	1,356	$ 3,758
Other | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	$ 457	$ 391

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Real Estate Investments - Development and Improvement Projects (Details) - Real Estate Investment Completed Projects $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) item property	Dec. 31, 2017 USD ($) item property	Dec. 31, 2016 USD ($) item property
Completed development and improvement projects
Number of Properties | property	1	1	7
Number of Beds/Units | item	66	66	611
Total Investment | $	$ 14,998	$ 13,498	$ 81,561
ALF and MC | Developments | South Carolina
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			89
Total Investment | $			$ 15,080
ILF | Developments | Kansas
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			108
Total Investment | $			$ 13,423
SNF | Improvements | Arizona
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			160
Total Investment | $			$ 4,672
MC Units | Developments | Illinois
Completed development and improvement projects
Number of Properties | property	1	1
Number of Beds/Units | item	66	66
Total Investment | $	$ 14,998	$ 13,498
MC Units | Developments | Texas
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			56
Total Investment | $			$ 11,776
MC Units | Developments | California
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			66
Total Investment | $			$ 12,400
MC Units | Developments | Real Estate Development Commitments, Commitments One | Illinois
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			66
Total Investment | $			$ 12,248
MC Units | Developments | Real Estate Development Commitments, Commitments Two | Illinois
Completed development and improvement projects
Number of Properties | property			1
Number of Beds/Units | item			66
Total Investment | $			$ 11,962

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Real Estate Investments - Properties held-for-sale (Details) $ in Thousands	Dec. 31, 2018 USD ($) item property	Dec. 31, 2017 USD ($)
Real estate investments
Accumulated depreciation	$ 312,959	$ 304,117
Number of beds/units | item	811
Properties held-for-sale
Real estate investments
Number of properties | property	1
Gross Investment	$ 5,746
Accumulated depreciation	$ 1,916
Number of beds/units | item	140
ILF | Properties held-for-sale | Texas
Real estate investments
Number of properties | property	1
Gross Investment	$ 5,746
Accumulated depreciation	$ 1,916
Number of beds/units | item	140

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Real Estate Investments - Property Sales (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) item property	Dec. 31, 2017 USD ($) item property	Dec. 31, 2016 USD ($) item property
Disposals and other
Carrying value	$ 1,106,581	$ 1,086,089
Proceeds from sale of real estate, net	92,749	15,413	$ 17,369
Net Gain (Loss)	70,682	3,814	3,582
Impairment charges		1,880	766
Properties sold
Disposals and other
Carrying value	22,393	11,277	13,789
Sales price	$ 95,825	$ 15,650	$ 17,450
Number of beds or units in property sold | item	774	296	409
Number of properties sold | property	10	6	5
Net Gain (Loss)	$ 70,682	$ 3,814	$ 3,582
Properties sold | ALF
Disposals and other
Carrying value	16,352
Sales price	$ 67,500
Number of beds or units in property sold | item	320
Number of properties sold | property	6
Net Gain (Loss)	$ 48,695
Properties sold | ALF | Florida
Disposals and other
Carrying value			4,869
Sales price			$ 6,850
Number of beds or units in property sold | item			174
Number of properties sold | property			2
Net Gain (Loss)			$ 1,973
Properties sold | ALF | Kansas
Disposals and other
Carrying value	346
Sales price	350
Properties sold | ALF | Indiana and Iowa
Disposals and other
Carrying value		10,107
Sales price		$ 15,650
Number of beds or units in property sold | item		211
Number of properties sold | property		5
Net Gain (Loss)		$ 4,985
Properties sold | SNF | Alabama
Disposals and other
Carrying value	5,695
Sales price	$ 27,975
Number of beds or units in property sold | item	454
Number of properties sold | property	4
Net Gain (Loss)	$ 21,987
Properties sold | SNF | Texas
Disposals and other
Carrying value		$ 1,170	4,923
Sales price			$ 6,750
Number of beds or units in property sold | item		85	235
Number of properties sold | property		1	2
Net Gain (Loss)		$ (1,171)	$ 1,802
Properties sold | OTH | New Jersey
Disposals and other
Carrying value			3,997
Sales price			$ 3,850
Number of properties sold | property			1
Net Gain (Loss)			$ (193)

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Real Estate Investments - Mortgage Loans (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Mortgage Loans
Originations and fundings under mortgage loans receivable	$ 21,364	$ 11,913	$ 20,685
Pay-offs received	(1,086)	(16,665)	(6,036)
Scheduled principal payments received	(1,050)	(1,198)	(2,242)
Mortgage loan (premiums)	(4)	(4)	(10)
(Provision for)/ recovery of loan loss reserve	(192)	60	(125)
Net increase (decrease) in mortgage loans receivable	$ 19,032	$ (5,894)	$ 12,272
Mortgage Loans
Mortgage Loans
General amortization schedule of mortgage loans	30 years
Mortgage Loans | Minimum
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.20%
General amortization schedule of mortgage loans	30 years
Mortgage Loans | Maximum
Mortgage Loans
Interest rate for mortgage loan (as a percent)	9.70%
Specified basis points for annual increase in interest rate (as a percent)	0.0225%

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Real Estate Investments - Mortgage Loan Activity (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) item
Mortgage Loans
Number of Units in Real Estate Property	811
Mortgage Loans
Mortgage Loans
General amortization schedule of mortgage loans	30 years
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
Michigan | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF | SNF Beds
Mortgage Loans
Number of Units in Real Estate Property	112
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 | Mortgages with 9.41% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF | SNF Beds
Mortgage Loans
Number of Units in Real Estate Property	126
Michigan | Mortgage Loans | Mortgages with 8.7% Interest, fixed for five years, and escalating by 2.25% thereafter | SNF
Mortgage Loans
Additions to mortgage loans | $	$ 7,400

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Real Estate Investments - Mortgage Loans - Scheduled Principal Payments (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Mortgage Loans
Carrying value of mortgage loans	$ 242,939	$ 223,907
Mortgage Loans
Mortgage Loans
Carrying value of mortgage loans	242,939	$ 223,907
Scheduled principal payments on mortgage loan receivables
2019	1,065
2020	8,815
2021	1,175
2022	1,175
2023	1,175
Thereafter	231,981
Total	$ 245,386

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Real Estate Investments - Mortgage Loans - Early Payoffs (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) loan	Dec. 31, 2017 USD ($) loan	Dec. 31, 2016 USD ($) loan
Early mortgage loan payoffs
Pay-offs received	$ 1,086	$ 16,665	$ 6,036
AZ/MI/PA/TX/VA | Mortgage Loans
Early mortgage loan payoffs
Pay-offs received		$ 10,795
Number of Loans | loan		4
UT | Mortgage Loans
Early mortgage loan payoffs
Pay-offs received	$ 1,086
Number of Loans | loan	1
MI/TX/WA | Mortgage Loans
Early mortgage loan payoffs
Pay-offs received			$ 6,036
Number of Loans | loan			9

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Investment in Unconsolidated Joint Ventures - Investment (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) loan item	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Investment in Unconsolidated Joint Ventures
Number of beds/units | item	811
Investment commitment	$ 31,950
Carrying Value	30,615	$ 29,898
Capital Contributions	670	3,848	$ 1,770
Income Recognized	2,864	2,263	1,138
Cash Interest Received	$ 2,371	1,738	1,695
Joint Venture
Investment in Unconsolidated Joint Ventures
Number of Loans | loan	2
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
Investment commitment	$ 25,650
Carrying Value	24,032
Capital Contributions	670	1,101	1,770
Income Recognized	2,041	1,560	1,138
Cash Interest Received	1,975	1,436	$ 1,695
Combination ALF/IL/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Income Recognized	511	511
Cash Interest Received	$ 396	302
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
Investment commitment	$ 2,900
Carrying Value	3,183
Combination UDP-ALF/MC | Mezzanine Loans | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions		2,747
Income Recognized	312	192
Amount withheld for interest	$ 177	$ 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
Investment commitment	$ 3,400
Carrying Value	$ 3,400

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Notes Receivable - Components (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Notes receivable activities
Notes receivable reserve	$ (128)	$ (166)
Total	12,715	16,402
Mezzanine loans
Notes receivable activities
Financing Receivable, Gross	9,868	13,700
Other loans
Notes receivable activities
Financing Receivable, Gross	$ 2,975	$ 2,868

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Notes Receivable - Other Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Loans and Leases Receivable Disclosure [Abstract]
Advances under notes receivable	$ 124		$ 14,969
Principal payments received under notes receivable	(3,848)	$ (25)	(100)
Reclassified to real estate under development			(237)
Notes Receivable reserve	37		(166)
Net (decrease) increase in notes receivable	$ (3,687)	$ (25)	$ 14,466

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Notes Receivable - New Loan Commitment (Details) - Mezzanine loans	3 Months Ended
	Dec. 31, 2018 USD ($) item	Dec. 31, 2017 USD ($)
Notes receivable activities
Notes receivable, gross	$ 9,868,000	$ 13,700,000
204-unit ILF/ALF/MC
Notes receivable activities
Notes receivable, gross	$ 6,828,000
Number of beds/units under development | item	204
Loan Term	5 years
Interest rate (as a percent)	12.00%
Mezzanine loan with 8% Interest, fixed for 46 months, and increasing to 12% thereafter | 204-unit ILF/ALF/MC
Notes receivable activities
Loan Term	46 months
Interest rate (as a percent)	8.00%
Mezzanine loan with 12% Interest | 204-unit ILF/ALF/MC
Notes receivable activities
Interest rate (as a percent)	12.00%

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Lease Incentives (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($) item	Dec. 31, 2016 USD ($) item
Lease Incentives
Non-contingent lease incentives	$ 14,443	$ 14,904
Contingent lease incentives		6,577
Total	14,443	21,481
Non-contingent lease incentives, funding	1,272	6,544	$ 4,559
Contingent lease incentives, funding			268
Total funding	1,272	6,544	4,827
Non-contingent lease incentives, Amortization	(1,733)	(1,590)	(1,207)
Contingent lease incentives, Amortization	(359)	(619)	(748)
Total amortization	(2,092)	(2,209)	(1,955)
Non-contingent lease incentives, Write off		(1,205)
Contingent lease incentives, Write off		(2,634)	(514)
Total Write off	$ (6,219)	$ (3,839)	$ (514)
Number of properties with lease incentives write-offs | item		2	2

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Debt Obligations - Bank Borrowings Terms (Details)	12 Months Ended
	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)
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)	20.00%
LIBOR
Debt Obligations
Basis spread over base rate (as a percent)	115.00%
Bank Borrowings
Financial covenants
Maximum ratio of total indebtedness to total asset value	0.5
Maximum ratio of secured debt to total asset value	0.35
Maximum ratio of unsecured debt to the value of the unencumbered asset pool	0.6
Minimum ratio of EBITDA to fixed charges	1.50
Private Shelf Agreement Prudential | Senior Unsecured Notes
Debt Obligations
Maximum available under facility		$ 337,500,000

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Debt Obligations - Summary (Details) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Debt Obligations
Applicable Interest Rate (as a percent)		4.36%
Outstanding Balance		$ 645,029,000	$ 667,502,000
Available for borrowing		581,833,000	567,167,000
Borrowings		116,200,000	213,000,000	$ 201,100,000
Payments on debt		$ 138,866,000	154,767,000	163,667,000
Bank Borrowings
Debt Obligations
Applicable Interest Rate (as a percent)		3.69%
Outstanding Balance		$ 112,000,000	96,500,000
Available for borrowing		488,000,000	503,500,000
Borrowings		116,200,000	113,000,000	123,600,000
Payments on debt		$ 100,700,000	123,600,000	137,000,000
Bank Borrowings | Subsequent Event
Debt Obligations
Outstanding Balance	$ 138,400,000
Available for borrowing	461,600,000
Borrowings	26,400,000
Senior Unsecured Notes
Debt Obligations
Applicable Interest Rate (as a percent)		4.50%
Outstanding Balance		$ 533,029,000	571,002,000
Available for borrowing		93,833,000	63,667,000
Borrowings			100,000,000	77,500,000
Payments on debt		$ 38,166,000	$ 31,167,000	$ 26,667,000
Senior Unsecured Notes | Subsequent Event
Debt Obligations
Outstanding Balance	528,862,000
Available for borrowing	98,000,000
Payments on debt	$ 4,167,000

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Debt Obligations - Borrowings and Payments (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Debt Obligations
Borrowings	$ 116,200	$ 213,000	$ 201,100
Repayments	$ (138,866)	(154,767)	(163,667)
Applicable Interest Rate (as a percent)	4.36%
Bank Borrowings
Debt Obligations
Borrowings	$ 116,200	113,000	123,600
Repayments	$ (100,700)	(123,600)	(137,000)
Applicable Interest Rate (as a percent)	3.69%
Senior Unsecured Notes
Debt Obligations
Borrowings		100,000	77,500
Repayments	$ (38,166)	$ (31,167)	$ (26,667)
Applicable Interest Rate (as a percent)	4.50%
Senior Unsecured Notes | Private Shelf Agreement Prudential
Debt Obligations
Debt term		15 years	10 years
Face amount of debt		$ 100,000	$ 37,500
Stated interest rate (as a percent)		4.50%	4.15%
Senior Unsecured Notes | Note Purchase and Private Shelf Agreement AIG
Debt Obligations
Debt term			10 years
Face amount of debt			$ 40,000
Stated interest rate (as a percent)			3.99%

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Debt Obligations - Future Maturities (Details) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Scheduled Principal Payments
2019		$ 33,667,000
2020		40,160,000
2021		47,160,000
2022		160,160,000
2023		49,160,000
Thereafter		315,660,000
Total		645,967,000
Other information
Amount borrowed		116,200,000	$ 213,000,000	$ 201,100,000
Outstanding Balance		645,029,000	667,502,000
Available for borrowing		581,833,000	567,167,000
Payments on debt		138,866,000	154,767,000	163,667,000
Bank Borrowings
Scheduled Principal Payments
2022		112,000,000
Total		112,000,000
Other information
Amount borrowed		116,200,000	113,000,000	123,600,000
Outstanding Balance		112,000,000	96,500,000
Available for borrowing		488,000,000	503,500,000
Payments on debt		100,700,000	123,600,000	137,000,000
Senior Unsecured Notes
Scheduled Principal Payments
2019		33,667,000
2020		40,160,000
2021		47,160,000
2022		48,160,000
2023		49,160,000
Thereafter		315,660,000
Total		533,967,000
Other information
Amount borrowed			100,000,000	77,500,000
Outstanding Balance		533,029,000	571,002,000
Available for borrowing		93,833,000	63,667,000
Payments on debt		$ 38,166,000	$ 31,167,000	$ 26,667,000
Subsequent Event | Bank Borrowings
Other information
Amount borrowed	$ 26,400,000
Outstanding Balance	138,400,000
Available for borrowing	461,600,000
Subsequent Event | Senior Unsecured Notes
Other information
Outstanding Balance	528,862,000
Available for borrowing	98,000,000
Payments on debt	$ 4,167,000

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Equity - Class of Stock Disclosures - Common Stock and Shelf Registrations (Details) - USD ($)	3 Months Ended	12 Months Ended
	Mar. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Equity
Proceeds from common stock issued, net of issuance costs		$ 1,005,000	$ 14,578,000	$ 78,592,000
Common Stock
Equity
Number of shares repurchased		31,326	42,089	49,405
Common Stock | Subsequent Event
Equity
Number of shares repurchased	20,345
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	$ 14,600,000
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

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Equity - Noncontrolling Interest (Details) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2019 USD ($) item	Dec. 31, 2018 USD ($) item	Dec. 31, 2017 USD ($) item
Noncontrolling interest
Gross Consolidated Assets		$ 46,866
Non-controlling interests		7,481	$ 3,488
Investment Commitment		$ 184,560
2017 Acquisitions
Noncontrolling interest
Number of beds/units acquired | item			400
Purchase Price			$ 81,818
2017 Acquisitions | ALF
Noncontrolling interest
Number of beds/units acquired | item			400
Purchase Price			$ 81,018
2018 Acquisitions
Noncontrolling interest
Number of beds/units acquired | item		177
Purchase Price		$ 40,295
Economic interest in joint venture		88.00%
2018 Acquisitions | ALF
Noncontrolling interest
Number of beds/units acquired | item		177
Purchase Price		$ 39,600
2018 Acquisitions | ALF and MC
Noncontrolling interest
Economic interest in joint venture	95.00%
Oregon | 2018 Acquisitions | Properties under Development
Noncontrolling interest
Gross Consolidated Assets		4,606
Non-controlling interests		1,081
Oregon | 2018 Acquisitions | ILF
Noncontrolling interest
Gross Consolidated Assets		14,400
Non-controlling interests		2,857
Wisconsin | 2017 Acquisitions | Properties under Development
Noncontrolling interest
Gross Consolidated Assets		16,665
Non-controlling interests		2,272
South Carolina | 2017 Acquisitions | ALF
Noncontrolling interest
Gross Consolidated Assets		11,195
Non-controlling interests		1,271
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
Purchase Price		14,400
Investment Commitment		$ 11,543
Number of beds/units under development | item		89
78-unit ALF/MC | 2018 Acquisitions | ALF and MC
Noncontrolling interest
Non-controlling interests		$ 1,081
Number of beds/units acquired | item		78
Purchase Price		$ 18,108
Investment Commitment		$ 17,027
Number of beds/units under development | item		78
74-Unit ALF/MC | ALF and MC
Noncontrolling interest
Number of beds/units acquired | item	74
Economic interest in joint venture	95.00%
74-Unit ALF/MC | 2018 Acquisitions | ALF and MC
Noncontrolling interest
Non-controlling interests	$ 919
Investment Commitment	$ 15,950

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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									12 Months Ended
	Dec. 31, 2018	Nov. 30, 2018	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	Dec. 31, 2017	Nov. 30, 2017	Oct. 31, 2017	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	Dec. 31, 2016	Nov. 30, 2016	Oct. 31, 2016	Sep. 30, 2016	Aug. 31, 2016	Jul. 31, 2016	Jun. 30, 2016	May 31, 2016	Apr. 30, 2016	Mar. 31, 2016	Feb. 29, 2016	Jan. 31, 2016	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Dividend Distributions
Paid																																														$ 90,372	$ 90,219	$ 84,568
Dividends declared and paid per common share (in dollars per share)																																						$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57
Dividends paid per common share (in dollars per share)																																						$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 2.280	$ 2.280	$ 2.190
Subsequent Event | Dividend Payable, October 2018
Dividend Distributions
Dividends declared and paid per common share (in dollars per share)																																					$ 0.19
Dividends Payable, Date to be Paid																																					Jan. 31, 2019
Dividends Payable, Date of Record																																					Jan. 23, 2019
Subsequent Event | Dividend Payable, November 2018
Dividend Distributions
Dividends declared and paid per common share (in dollars per share)																																					$ 0.19
Dividends Payable, Date to be Paid																																					Feb. 28, 2019
Dividends Payable, Date of Record																																					Feb. 20, 2019
Subsequent Event | Dividend Payable, December 2018 28, 2018
Dividend Distributions
Dividends declared and paid per common share (in dollars per share)																																					$ 0.19
Dividends Payable, Date to be Paid																																					Mar. 29, 2019
Dividends Payable, Date of Record																																					Mar. 21, 2019
Common Stock
Dividend Distributions
Declared	$ 90,372												$ 90,219												$ 84,568													$ 90,372				$ 90,219				$ 90,372	$ 90,219	$ 84,568
Paid																																														$ 90,372	$ 90,219	$ 84,568
Dividends declared and 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	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18
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	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18

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Equity - Restricted Stock and performance-based stock units (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
2015 Plan
Stock Based Compensation Plans
Total shares reserved for issuance		825,457			1,400,000
Restricted stock and performance-based stock units
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	325,750	244,181	210,573	187,347
Granted (in shares)		156,718	143,057	127,087
Vested (in shares)		(75,149)	(85,343)	(103,861)
Canceled (in shares)			(24,106)
Outstanding at the end of the year (in shares)		325,750	244,181	210,573
Compensation expense
Compensation expense related to share-based award		$ 5,870	$ 5,247	$ 4,265
Remaining compensation expense		$ 6,698
Restricted stock and performance-based stock units | 2019
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	128,214
Outstanding at the end of the year (in shares)		128,214
Compensation expense
Remaining compensation expense		$ 4,250
Restricted stock and performance-based stock units | 2020
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	104,085
Outstanding at the end of the year (in shares)		104,085
Compensation expense
Remaining compensation expense		$ 2,210
Restricted stock and performance-based stock units | 2021
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	93,451
Outstanding at the end of the year (in shares)		93,451
Compensation expense
Remaining compensation expense		$ 238
Restricted stock and performance-based stock units | Grant Date Price $41.25 | One year Vesting
Restricted stock and performance based stock units activity
Vesting period		1 year
Restricted stock and performance-based stock units | Grant Date Price $45.76 | Three year vesting
Restricted stock and performance based stock units activity
Granted (in shares)		81,819
Price per share		$ 38.18
Vesting period		3 years
Restricted stock and performance-based stock units | Grant Date Price $45.76 | TSR Targets
Restricted stock and performance based stock units activity
Granted (in shares)		66,171
Price per share		$ 38.18
Vesting period		4 years
Restricted stock and performance-based stock units | Grant Date Price $45.76 | Accelerated TSR Targets
Restricted stock and performance based stock units activity
Vesting period		3 years
Restricted stock and performance-based stock units | Grant Date Price $48.55 | One year Vesting
Restricted stock and performance based stock units activity
Granted (in shares)			7,416
Price per share			$ 48.55
Vesting period		1 year
Restricted stock and performance-based stock units | Grant Date Price $48.55 | Vesting Date, June 1, 2018
Restricted stock and performance based stock units activity
Granted (in shares)		8,728
Price per share		$ 41.25
Restricted stock and performance-based stock units | Grant Date Price $50.50 | Three year vesting
Restricted stock and performance based stock units activity
Vesting period		3 years
Restricted stock and performance-based stock units | Grant Date Price $43.24 | Three year vesting
Restricted stock and performance based stock units activity
Granted (in shares)			74,760	65,300
Price per share			$ 45.76	$ 43.24
Vesting period			3 years	3 years
Restricted stock and performance-based stock units | Grant Date Price $46.87 | Three year vesting
Restricted stock and performance based stock units activity
Granted (in shares)			3,000
Price per share			$ 50.50
Restricted stock and performance-based stock units | Grant Date Price $46.87 | TSR Targets
Restricted stock and performance based stock units activity
Granted (in shares)			57,881	54,107
Price per share			$ 45.76	$ 46.87
Vesting period				3 years 8 months 12 days
Restricted stock and performance-based stock units | Grant Date Price $46.87 | Accelerated TSR Targets
Restricted stock and performance based stock units activity
Vesting period				2 years 8 months 12 days
Restricted stock and performance-based stock units | Grant Date Price $46.87 | One year Vesting
Restricted stock and performance based stock units activity
Granted (in shares)				7,680
Price per share				$ 46.87
Vesting period				1 year
Performance-based stock units | 2019
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	49,728
Outstanding at the end of the year (in shares)		49,728
Performance-based stock units | 2020
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	53,554
Outstanding at the end of the year (in shares)		53,554
Performance-based stock units | 2021
Restricted stock and performance based stock units activity
Outstanding at the beginning of the year (in shares)	66,171
Outstanding at the end of the year (in shares)		66,171
Subsequent Event | Restricted stock and performance-based stock units | 2015 Plan | Grant Date Price $38.18
Stock Based Compensation Plans
Stock options granted (in shares)	139,112
Restricted stock and performance based stock units activity
Granted (in shares)	139,112
Price per share	$ 46.54
Subsequent Event | Restricted stock and performance-based stock units | 2015 Plan | Grant Date Price $38.18 | Three year vesting
Restricted stock and performance based stock units activity
Granted (in shares)	78,276
Vesting period	3 years
Subsequent Event | Restricted stock and performance-based stock units | 2015 Plan | Grant Date Price $38.18 | TSR Targets
Restricted stock and performance based stock units activity
Granted (in shares)	60,836
Vesting period	4 years
Subsequent Event | Restricted stock and performance-based stock units | 2015 Plan | Grant Date Price $38.18 | Accelerated TSR Targets
Restricted stock and performance based stock units activity
Vesting period	3 years

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Equity - Options (Details) - Stock options - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Nonqualified stock option activity
Outstanding, beginning of period	25,000	33,334	40,001
Granted (in shares)			0
Exercised (in shares)	(5,000)	(8,334)	(6,667)
Outstanding, end of period	20,000	25,000	33,334
Options exercisable at end of the period (in shares)	20,000	25,000	28,334
Weighted Average Price
Outstanding at the beginning of the year (in dollars per share)	$ 32.92	$ 30.76	$ 29.60
Exercised (in dollars per share)	24.65	24.31	23.79
Outstanding at the end of the year (in dollars per share)	34.99	32.92	30.76
Exercisable at the end of the period (in dollars per share)	$ 34.99	$ 32.92	$ 45.45
Other information
Aggregate intrinsic value of exercisable options at the end of the year	$ 134,000
Weighted average remaining contractual life of options exercisable	3 years 3 months 18 days	3 years 6 months	2 years 10 months 24 days
Value of options exercised	$ 123,000	$ 202,000	$ 159,000
Market value of options on the date of exercise	205,000	410,797	311,000
Compensation expense related to share-based award	$ 0	$ 2,000	$ 15,000

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Commitments and Contingencies - Summary of Commitments (Details)	3 Months Ended	12 Months Ended
	Dec. 31, 2018 USD ($) item	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Commitments and Contingencies
Investment Commitment	$ 184,560,000	$ 184,560,000
2018 Funding		33,467,000
Total Commitments funded	88,186,000	88,186,000
Remaining commitment	96,374,000	96,374,000
Amortization of Financing Costs		377,000	$ 602,000	$ 684,000
Contingent lease incentives, Write off			(2,634,000)	(514,000)
Fair value of earn-out liability			8,916,000
Operating Leases, Income Statement, Lease Revenue		135,405,000	137,657,000	$ 133,527,000
Mezzanine loans
Commitments and Contingencies
Notes receivable, gross	9,868,000	9,868,000	$ 13,700,000
Mezzanine loans | 204-unit ILF/ALF/MC
Commitments and Contingencies
Notes receivable, gross	$ 6,828,000	6,828,000
Number of beds/units under development | item	204
Loan Term	5 years
Interest rate (as a percent)	12.00%
Mezzanine loans | Mezzanine loan with 8% Interest, fixed for 46 months, and increasing to 12% thereafter | 204-unit ILF/ALF/MC
Commitments and Contingencies
Loan Term	46 months
Interest rate (as a percent)	8.00%
Mezzanine loans | Mezzanine loan with 12% Interest | 204-unit ILF/ALF/MC
Commitments and Contingencies
Interest rate (as a percent)	12.00%
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 Investment | Accrued incentives and earn-out liabilities
Commitments and Contingencies
Amortization of Financing Costs		377,000
Real estate properties
Commitments and Contingencies
Investment Commitment	$ 77,882,000	77,882,000
2018 Funding		28,343,000
Total Commitments funded	45,787,000	45,787,000
Remaining commitment	32,095,000	32,095,000
Accrued incentives and earn-out liabilities
Commitments and Contingencies
Investment Commitment	9,000,000	9,000,000
Remaining commitment	9,000,000	9,000,000
Mortgage loans
Commitments and Contingencies
Investment Commitment	64,200,000	64,200,000
2018 Funding		4,330,000
Total Commitments funded	18,591,000	18,591,000
Remaining commitment	45,609,000	45,609,000
Commitments To Expand and Renovate Properties
Commitments and Contingencies
Investment Commitment	35,700,000	35,700,000
Contingent Funding Commitments
Commitments and Contingencies
Investment Commitment	28,500,000	28,500,000
Joint venture investments
Commitments and Contingencies
Investment Commitment	25,650,000	25,650,000
2018 Funding		670,000
Total Commitments funded	23,684,000	23,684,000
Remaining commitment	1,966,000	1,966,000
Notes receivable
Commitments and Contingencies
Investment Commitment	7,828,000	7,828,000
2018 Funding		124,000
Total Commitments funded	124,000	124,000
Remaining commitment	$ 7,704,000	$ 7,704,000

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Commitments and Contingencies - Contingent Consideration (Details) $ in Thousands	Dec. 31, 2018 USD ($) property	Dec. 31, 2017 USD ($)
Commitment
Carrying value	$ 1,106,581	$ 1,086,089
Purchase Options to Lessees
Commitment
Gross Investment	50,957
Carrying value	$ 48,861
Purchase Options to Lessees | MC | Kansas
Commitment
Number of Real Estate Properties | property	2
Gross Investment	$ 25,692
Carrying value	$ 23,906
Purchase Options to Lessees | MC | Texas
Commitment
Number of Real Estate Properties | property	2
Gross Investment	$ 25,265
Carrying value	$ 24,955

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Distributions (Details) - $ / shares	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Distributions
Minimum distribution of taxable income (as a percent)									90.00%
Ordinary taxable distribution									$ 0.349	$ 1.607	$ 1.485
Return of capital										0.444	0.556
Unrecaptured Section 1250 gain									0.636	0.163	0.149
Long-term capital gain									1.295	0.066
Total	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 2.280	$ 2.280	$ 2.190

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Net Income Per Common Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Net income									$ 155,076	$ 87,340	$ 85,115
Less income allocated to non-controlling interests									(95)
Less income allocated to participating securities:
Nonforfeitable dividends on participating securities									(357)	(350)	(373)
Income allocated to participating securities									(268)	(12)	(12)
Total net income allocated to participating securities									(625)	(362)	(385)
Net income available to common stockholders	$ 30,645	$ 34,782	$ 68,658	$ 20,271	$ 19,753	$ 20,536	$ 25,273	$ 21,416	154,356	86,978	84,730
Effect of dilutive securities:
Participating securities									625	362	385
Net income for diluted net income per share									$ 154,981	$ 87,340	$ 85,115
Shares for basic net income per share									39,477	39,409	38,388
Effect of dilutive securities: (Shares)
Total effect of dilutive securities (in shares)									362	228	209
Shares for diluted net income per share									39,839	39,637	38,597
Basic (in dollars per share)	$ 0.78	$ 0.88	$ 1.74	$ 0.51	$ 0.50	$ 0.52	$ 0.64	$ 0.54	$ 3.91	$ 2.21	$ 2.21
Diluted (in dollars per share)	$ 0.77	$ 0.88	$ 1.73	$ 0.51	$ 0.50	$ 0.52	$ 0.64	$ 0.54	$ 3.89	$ 2.20	$ 2.21
Stock options
Effect of dilutive securities: (Shares)
Stock options and performance-based stock units (in shares)									3	10	13
Performance-based stock units
Effect of dilutive securities: (Shares)
Stock options and performance-based stock units (in shares)									203	67	27
Participating Securities
Effect of dilutive securities: (Shares)
Participating securities									156	151	169

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Quarterly Financial Information (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Quarterly Financial Information
Revenues	$ 43,587	$ 41,776	$ 41,472	$ 41,810	$ 41,729	$ 41,246	$ 42,468	$ 42,622	$ 168,645	$ 168,065	$ 161,583
Net income available to common stockholders	$ 30,645	$ 34,782	$ 68,658	$ 20,271	$ 19,753	$ 20,536	$ 25,273	$ 21,416	$ 154,356	$ 86,978	$ 84,730
Net income per common share available to common stockholders:
Basic (in dollars per share)	$ 0.78	$ 0.88	$ 1.74	$ 0.51	$ 0.50	$ 0.52	$ 0.64	$ 0.54	$ 3.91	$ 2.21	$ 2.21
Diluted (in dollars per share)	0.77	0.88	1.73	0.51	0.50	0.52	0.64	0.54	3.89	2.20	2.21
Dividends declared and paid per common share (in dollars per share)	0.57	0.57	0.57	0.57	0.57	0.57	0.57	0.57
Dividends declared and paid per common share (in dollars per share)	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 2.280	$ 2.280	$ 2.190

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Fair Value Measurements (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) item	Dec. 31, 2017 USD ($) item
Fair value measurements
Mortgage loans receivable	$ 242,939	$ 223,907
Senior unsecured notes, net of debt issue costs	533,029	571,002
Accrued incentives and earn-outs		$ 8,916
Senior Lifestyle | Master lease agreement
Fair value measurements
Contingent earn-out liability, write off	$ 9,292
Level 3 | Senior Unsecured Notes maturing before 2026 | Discount Rate | Discounted Cash Flow Analysis
Fair value measurements
Future cash outflows discount rate (as a percent) | item	5.15	4.10
Level 3 | Senior Unsecured Notes maturing 2026 and after | Discount Rate | Discounted Cash Flow Analysis
Fair value measurements
Future cash outflows discount rate (as a percent) | item	5.40	4.30
Level 3 | Accrued incentives and earn-out liabilities | Discount Rate | Discounted Cash Flow Analysis
Fair value measurements
Future cash outflows discount rate (as a percent) | item		6.20
Level 3 | Mortgage Loans Receivable | Discount Rate | Discounted Cash Flow Analysis
Fair value measurements
Future cash inflows discount rate (as a percent) | item	0.09	8.70
Carrying Value
Fair value measurements
Mortgage loans receivable	$ 242,939	$ 223,907
Bank borrowings	112,000	96,500
Senior unsecured notes, net of debt issue costs	533,029	571,002
Accrued incentives and earn-outs		8,916
Fair Value
Fair value measurements
Bank borrowings	112,000	96,500
Fair Value | Level 3
Fair value measurements
Mortgage loans receivable	295,492	278,224
Senior unsecured notes, net of debt issue costs	$ 508,613	577,126
Accrued incentives and earn-outs		$ 8,916

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Subsequent Events - Debt Obligations (Details)	3 Months Ended	12 Months Ended
	Mar. 31, 2019 USD ($)	Dec. 31, 2018 USD ($) item	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Debt Obligations
Stockholders' Equity Attributable to Noncontrolling Interest		$ 7,481,000	$ 3,488,000
Investment Commitments.		184,560,000
Amount borrowed		116,200,000	213,000,000	$ 201,100,000
Payments on debt		138,866,000	154,767,000	163,667,000
Outstanding Balance		645,029,000	667,502,000
Available for borrowing		581,833,000	567,167,000
Bank Borrowings
Debt Obligations
Amount borrowed		116,200,000	113,000,000	123,600,000
Payments on debt		100,700,000	123,600,000	137,000,000
Outstanding Balance		112,000,000	96,500,000
Available for borrowing		488,000,000	503,500,000
Bank Borrowings | Subsequent Event
Debt Obligations
Amount borrowed	$ 26,400,000
Outstanding Balance	138,400,000
Available for borrowing	461,600,000
Senior Unsecured Notes
Debt Obligations
Amount borrowed			100,000,000	77,500,000
Payments on debt		38,166,000	31,167,000	$ 26,667,000
Outstanding Balance		533,029,000	571,002,000
Available for borrowing		$ 93,833,000	$ 63,667,000
Senior Unsecured Notes | Subsequent Event
Debt Obligations
Payments on debt	4,167,000
Outstanding Balance	528,862,000
Available for borrowing	$ 98,000,000
74-Unit ALF/MC | ALF and MC
Debt Obligations
Number of Beds or Units in Real Estate Property Sold | item		74
Real Estate Investment Economic Interest in Joint Venture Percentage	95.00%
74-Unit ALF/MC | ALF and MC | Subsequent Event
Debt Obligations
Stockholders' Equity Attributable to Noncontrolling Interest	$ 919,000
Investment Commitments.	$ 15,950,000

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Subsequent Events - Equity (Details) - $ / shares	1 Months Ended																																				3 Months Ended									12 Months Ended
	Dec. 31, 2018	Nov. 30, 2018	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	Dec. 31, 2017	Nov. 30, 2017	Oct. 31, 2017	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	Dec. 31, 2016	Nov. 30, 2016	Oct. 31, 2016	Sep. 30, 2016	Aug. 31, 2016	Jul. 31, 2016	Jun. 30, 2016	May 31, 2016	Apr. 30, 2016	Mar. 31, 2016	Feb. 29, 2016	Jan. 31, 2016	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Equity
Dividends declared and paid per common share (in dollars per share)																																						$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57
Restricted stock and performance-based stock units
Equity
Number of shares granted																																														156,718	143,057	127,087
Common Stock
Equity
Dividends declared and 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	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.19	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18	$ 0.18
Number of shares repurchased																																														31,326	42,089	49,405
Subsequent Event | 2015 Plan | Restricted stock and performance-based stock units | Grant Date Price $38.18
Equity
Number of shares granted																																					139,112
Price per share																																					$ 46.54
Subsequent Event | 2015 Plan | Restricted stock and performance-based stock units | Three year vesting | Grant Date Price $38.18
Equity
Number of shares granted																																					78,276
Vesting period																																					3 years
Subsequent Event | 2015 Plan | Restricted stock and performance-based stock units | TSR Targets | Grant Date Price $38.18
Equity
Number of shares granted																																					60,836
Vesting period																																					4 years
Subsequent Event | 2015 Plan | Restricted stock and performance-based stock units | Accelerated TSR Targets | Grant Date Price $38.18
Equity
Vesting period																																					3 years
Subsequent Event | Common Stock
Equity
Number of shares repurchased																																					20,345
Dividend Payable, October 2018 | Subsequent Event
Equity
Dividends declared and paid per common share (in dollars per share)																																					$ 0.19
Dividends payable, date to be paid																																					Jan. 31, 2019
Dividends payable, date of record																																					Jan. 23, 2019
Dividend Payable, November 2018 | Subsequent Event
Equity
Dividends declared and paid per common share (in dollars per share)																																					$ 0.19
Dividends payable, date to be paid																																					Feb. 28, 2019
Dividends payable, date of record																																					Feb. 20, 2019
Dividend Payable, December 2018 28, 2018 | Subsequent Event
Equity
Dividends declared and paid per common share (in dollars per share)																																					$ 0.19
Dividends payable, date to be paid																																					Mar. 29, 2019
Dividends payable, date of record																																					Mar. 21, 2019

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SCHEDULE II VALUATION AND QUALIFYING ACCOUNTS (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Valuation and qualifying accounts
Balance at beginning of period	$ 3,235	$ 3,441	$ 3,023
(Recovered) charged to costs and expenses	86	(206)	457
Deductions			(39)
Balance at end of period	3,321	3,235	3,441
Loan loss reserves
Valuation and qualifying accounts
Balance at beginning of period	2,255	2,315	2,190
(Recovered) charged to costs and expenses	192	(60)	125
Balance at end of period	2,447	2,255	2,315
Other notes receivable allowance
Valuation and qualifying accounts
Balance at beginning of period	166	166
(Recovered) charged to costs and expenses	(38)		166
Balance at end of period	128	166	166
Straight-line rent receivable allowance
Valuation and qualifying accounts
Balance at beginning of period	814	960	833
(Recovered) charged to costs and expenses	(68)	(146)	166
Deductions			(39)
Balance at end of period	$ 746	$ 814	$ 960

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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION - By Property (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Initial Cost to Company
Land	$ 125,691
Buildings and Improvements	1,205,553
Costs Capitalized Subsequent to acquisition	90,212
Gross Amount at Which Carried As of Year End
Land	125,691
Buildings and Improvements	1,295,765
Total	1,421,456	$ 1,392,122	$ 1,301,563	$ 1,198,686
Accum Deprec	314,875	$ 306,033	$ 275,861	$ 251,265
SNF
Initial Cost to Company
Land	49,593
Buildings and Improvements	463,714
Costs Capitalized Subsequent to acquisition	51,877
Gross Amount at Which Carried As of Year End
Land	49,593
Buildings and Improvements	515,591
Total	565,184
Accum Deprec	172,196
ALF
Initial Cost to Company
Land	70,772
Buildings and Improvements	695,763
Costs Capitalized Subsequent to acquisition	37,486
Gross Amount at Which Carried As of Year End
Land	70,772
Buildings and Improvements	733,249
Total	804,021
Accum Deprec	142,002
Other School and Land
Initial Cost to Company
Land	2,908
Buildings and Improvements	7,308
Costs Capitalized Subsequent to acquisition	849
Gross Amount at Which Carried As of Year End
Land	2,908
Buildings and Improvements	8,157
Total	11,065
Accum Deprec	677
School
Initial Cost to Company
Land	1,965
Buildings and Improvements	7,308
Costs Capitalized Subsequent to acquisition	849
Gross Amount at Which Carried As of Year End
Land	1,965
Buildings and Improvements	8,157
Total	10,122
Accum Deprec	677
Land
Initial Cost to Company
Land	943
Gross Amount at Which Carried As of Year End
Land	943
Total	943
Properties under Development
Initial Cost to Company
Land	2,418
Buildings and Improvements	38,768
Gross Amount at Which Carried As of Year End
Land	2,418
Buildings and Improvements	38,768
Total	41,186
134 Alamogordo, NM | SNF
Initial Cost to Company
Land	210
Buildings and Improvements	2,593
Costs Capitalized Subsequent to acquisition	641
Gross Amount at Which Carried As of Year End
Land	210
Buildings and Improvements	3,234
Total	3,444
Accum Deprec	1,408
218 Albuquerque, NM | SNF
Initial Cost to Company
Land	1,696
Buildings and Improvements	3,891
Costs Capitalized Subsequent to acquisition	530
Gross Amount at Which Carried As of Year End
Land	1,696
Buildings and Improvements	4,421
Total	6,117
Accum Deprec	1,841
219 Albuquerque, NM | SNF
Initial Cost to Company
Land	1,950
Buildings and Improvements	8,910
Costs Capitalized Subsequent to acquisition	207
Gross Amount at Which Carried As of Year End
Land	1,950
Buildings and Improvements	9,117
Total	11,067
Accum Deprec	3,670
220 Albuquerque, NM | SNF
Initial Cost to Company
Land	2,463
Buildings and Improvements	7,647
Costs Capitalized Subsequent to acquisition	9
Gross Amount at Which Carried As of Year End
Land	2,463
Buildings and Improvements	7,656
Total	10,119
Accum Deprec	3,062
042 Altoona, IA | SNF
Initial Cost to Company
Land	105
Buildings and Improvements	2,309
Costs Capitalized Subsequent to acquisition	444
Gross Amount at Which Carried As of Year End
Land	105
Buildings and Improvements	2,753
Total	2,858
Accum Deprec	1,920
252 Amarillo, TX | SNF
Initial Cost to Company
Land	844
Costs Capitalized Subsequent to acquisition	7,925
Gross Amount at Which Carried As of Year End
Land	844
Buildings and Improvements	7,925
Total	8,769
Accum Deprec	1,871
214 Aransas Pass, TX | SNF
Initial Cost to Company
Land	154
Buildings and Improvements	1,276
Costs Capitalized Subsequent to acquisition	589
Gross Amount at Which Carried As of Year End
Land	154
Buildings and Improvements	1,865
Total	2,019
Accum Deprec	888
247 Arlington, TX | SNF
Initial Cost to Company
Land	1,016
Buildings and Improvements	13,649
Gross Amount at Which Carried As of Year End
Land	1,016
Buildings and Improvements	13,649
Total	14,665
Accum Deprec	3,801
221 Beaumont, TX | SNF
Initial Cost to Company
Land	370
Buildings and Improvements	1,141
Costs Capitalized Subsequent to acquisition	106
Gross Amount at Which Carried As of Year End
Land	370
Buildings and Improvements	1,247
Total	1,617
Accum Deprec	541
213 Beeville, TX | SNF
Initial Cost to Company
Land	186
Buildings and Improvements	1,197
Costs Capitalized Subsequent to acquisition	70
Gross Amount at Which Carried As of Year End
Land	186
Buildings and Improvements	1,267
Total	1,453
Accum Deprec	493
007 Bradenton, FL | SNF
Initial Cost to Company
Land	330
Buildings and Improvements	2,720
Costs Capitalized Subsequent to acquisition	160
Gross Amount at Which Carried As of Year End
Land	330
Buildings and Improvements	2,880
Total	3,210
Accum Deprec	2,112
256 Brownwood, TX | SNF
Initial Cost to Company
Land	164
Buildings and Improvements	6,336
Gross Amount at Which Carried As of Year End
Land	164
Buildings and Improvements	6,336
Total	6,500
Accum Deprec	1,354
043 Carroll, IA | SNF
Initial Cost to Company
Land	47
Buildings and Improvements	1,033
Costs Capitalized Subsequent to acquisition	213
Gross Amount at Which Carried As of Year End
Land	47
Buildings and Improvements	1,246
Total	1,293
Accum Deprec	867
177 Chesapeake, VA | SNF
Initial Cost to Company
Land	388
Buildings and Improvements	3,469
Costs Capitalized Subsequent to acquisition	2,777
Gross Amount at Which Carried As of Year End
Land	388
Buildings and Improvements	6,246
Total	6,634
Accum Deprec	3,395
257 Cincinnati, OH | SNF
Initial Cost to Company
Land	1,890
Buildings and Improvements	25,110
Gross Amount at Which Carried As of Year End
Land	1,890
Buildings and Improvements	25,110
Total	27,000
Accum Deprec	3,694
125 Clovis, NM | SNF
Initial Cost to Company
Land	561
Buildings and Improvements	5,539
Costs Capitalized Subsequent to acquisition	307
Gross Amount at Which Carried As of Year End
Land	561
Buildings and Improvements	5,846
Total	6,407
Accum Deprec	2,588
129 Clovis, NM | SNF
Initial Cost to Company
Land	598
Buildings and Improvements	5,902
Costs Capitalized Subsequent to acquisition	59
Gross Amount at Which Carried As of Year End
Land	598
Buildings and Improvements	5,961
Total	6,559
Accum Deprec	2,662
268 Coldspring, KY | SNF
Initial Cost to Company
Land	2,050
Buildings and Improvements	21,496
Gross Amount at Which Carried As of Year End
Land	2,050
Buildings and Improvements	21,496
Total	23,546
Accum Deprec	4,091
253 Colton, CA | SNF
Initial Cost to Company
Land	2,342
Buildings and Improvements	15,158
Gross Amount at Which Carried As of Year End
Land	2,342
Buildings and Improvements	15,158
Total	17,500
Accum Deprec	3,082
211 Commerce City, CO | SNF
Initial Cost to Company
Land	236
Buildings and Improvements	3,217
Costs Capitalized Subsequent to acquisition	167
Gross Amount at Which Carried As of Year End
Land	236
Buildings and Improvements	3,384
Total	3,620
Accum Deprec	1,529
212 Commerce City, CO | SNF
Initial Cost to Company
Land	161
Buildings and Improvements	2,160
Costs Capitalized Subsequent to acquisition	95
Gross Amount at Which Carried As of Year End
Land	161
Buildings and Improvements	2,255
Total	2,416
Accum Deprec	999
246 Crowley, TX | SNF
Initial Cost to Company
Land	2,247
Buildings and Improvements	14,276
Gross Amount at Which Carried As of Year End
Land	2,247
Buildings and Improvements	14,276
Total	16,523
Accum Deprec	3,841
235 Daleville, VA | SNF
Initial Cost to Company
Land	279
Buildings and Improvements	8,382
Gross Amount at Which Carried As of Year End
Land	279
Buildings and Improvements	8,382
Total	8,661
Accum Deprec	2,421
258 Dayton, OH | SNF
Initial Cost to Company
Land	373
Buildings and Improvements	26,627
Gross Amount at Which Carried As of Year End
Land	373
Buildings and Improvements	26,627
Total	27,000
Accum Deprec	3,945
168 Des Moines, IA | SNF
Initial Cost to Company
Land	115
Buildings and Improvements	2,096
Costs Capitalized Subsequent to acquisition	1,433
Gross Amount at Which Carried As of Year End
Land	115
Buildings and Improvements	3,529
Total	3,644
Accum Deprec	2,114
196 Dresden, TN | SNF
Initial Cost to Company
Land	31
Buildings and Improvements	1,529
Costs Capitalized Subsequent to acquisition	1,073
Gross Amount at Which Carried As of Year End
Land	31
Buildings and Improvements	2,602
Total	2,633
Accum Deprec	1,095
298 Forth Worth, TX | SNF
Initial Cost to Company
Land	2,785
Buildings and Improvements	7,546
Gross Amount at Which Carried As of Year End
Land	2,785
Buildings and Improvements	7,546
Total	10,331
Accum Deprec	1,341
026 Gardendale, AL | SNF
Initial Cost to Company
Land	100
Buildings and Improvements	7,550
Costs Capitalized Subsequent to acquisition	2,084
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	9,634
Total	9,734
Accum Deprec	5,863
185 Gardner, KS | SNF
Initial Cost to Company
Land	896
Buildings and Improvements	4,478
Costs Capitalized Subsequent to acquisition	4,150
Gross Amount at Which Carried As of Year End
Land	896
Buildings and Improvements	8,628
Total	9,524
Accum Deprec	3,773
248 Granbury, TX | SNF
Initial Cost to Company
Land	836
Buildings and Improvements	6,693
Gross Amount at Which Carried As of Year End
Land	836
Buildings and Improvements	6,693
Total	7,529
Accum Deprec	2,473
044 Granger, IA | SNF
Initial Cost to Company
Land	62
Buildings and Improvements	1,356
Costs Capitalized Subsequent to acquisition	221
Gross Amount at Which Carried As of Year End
Land	62
Buildings and Improvements	1,577
Total	1,639
Accum Deprec	1,072
205 Grapevine, TX | SNF
Initial Cost to Company
Land	431
Buildings and Improvements	1,449
Costs Capitalized Subsequent to acquisition	188
Gross Amount at Which Carried As of Year End
Land	431
Buildings and Improvements	1,637
Total	2,068
Accum Deprec	912
172 Griffin, GA | SNF
Initial Cost to Company
Land	500
Buildings and Improvements	2,900
Gross Amount at Which Carried As of Year End
Land	500
Buildings and Improvements	2,900
Total	3,400
Accum Deprec	1,711
250 Hewitt, TX | SNF
Initial Cost to Company
Land	1,780
Buildings and Improvements	8,220
Costs Capitalized Subsequent to acquisition	99
Gross Amount at Which Carried As of Year End
Land	1,780
Buildings and Improvements	8,319
Total	10,099
Accum Deprec	1,815
194 Holyoke, CO | SNF
Initial Cost to Company
Land	211
Buildings and Improvements	1,513
Costs Capitalized Subsequent to acquisition	283
Gross Amount at Which Carried As of Year End
Land	211
Buildings and Improvements	1,796
Total	2,007
Accum Deprec	1,085
051 Houston, TX | SNF
Initial Cost to Company
Land	365
Buildings and Improvements	3,769
Costs Capitalized Subsequent to acquisition	1,598
Gross Amount at Which Carried As of Year End
Land	365
Buildings and Improvements	5,367
Total	5,732
Accum Deprec	3,508
054 Houston, TX | SNF
Initial Cost to Company
Land	202
Buildings and Improvements	4,458
Costs Capitalized Subsequent to acquisition	1,426
Gross Amount at Which Carried As of Year End
Land	202
Buildings and Improvements	5,884
Total	6,086
Accum Deprec	3,996
055 Houston, TX | SNF
Initial Cost to Company
Land	202
Buildings and Improvements	4,458
Costs Capitalized Subsequent to acquisition	1,359
Gross Amount at Which Carried As of Year End
Land	202
Buildings and Improvements	5,817
Total	6,019
Accum Deprec	3,880
045 Jefferson, IA | SNF
Initial Cost to Company
Land	86
Buildings and Improvements	1,883
Costs Capitalized Subsequent to acquisition	296
Gross Amount at Which Carried As of Year End
Land	86
Buildings and Improvements	2,179
Total	2,265
Accum Deprec	1,464
008 Lecanto, FL | SNF
Initial Cost to Company
Land	351
Buildings and Improvements	2,665
Costs Capitalized Subsequent to acquisition	2,737
Gross Amount at Which Carried As of Year End
Land	351
Buildings and Improvements	5,402
Total	5,753
Accum Deprec	3,735
300 Mansfield, TX | SNF
Initial Cost to Company
Land	2,890
Buildings and Improvements	13,110
Gross Amount at Which Carried As of Year End
Land	2,890
Buildings and Improvements	13,110
Total	16,000
Accum Deprec	1,424
053 Mesa, AZ | SNF
Initial Cost to Company
Land	305
Buildings and Improvements	6,909
Costs Capitalized Subsequent to acquisition	1,876
Gross Amount at Which Carried As of Year End
Land	305
Buildings and Improvements	8,785
Total	9,090
Accum Deprec	5,632
226 Mesa, AZ | SNF
Initial Cost to Company
Land	1,095
Buildings and Improvements	2,330
Costs Capitalized Subsequent to acquisition	4,673
Gross Amount at Which Carried As of Year End
Land	1,095
Buildings and Improvements	7,003
Total	8,098
Accum Deprec	1,407
242 Mission, TX | SNF
Initial Cost to Company
Land	1,111
Buildings and Improvements	16,602
Gross Amount at Which Carried As of Year End
Land	1,111
Buildings and Improvements	16,602
Total	17,713
Accum Deprec	4,014
115 Nacogdoches, TX | SNF
Initial Cost to Company
Land	100
Buildings and Improvements	1,738
Costs Capitalized Subsequent to acquisition	168
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,906
Total	2,006
Accum Deprec	1,164
233 Nacogdoches, TX | SNF
Initial Cost to Company
Land	394
Buildings and Improvements	7,456
Costs Capitalized Subsequent to acquisition	268
Gross Amount at Which Carried As of Year End
Land	394
Buildings and Improvements	7,724
Total	8,118
Accum Deprec	2,077
249 Nacogdoches, TX | SNF
Initial Cost to Company
Land	1,015
Buildings and Improvements	11,109
Gross Amount at Which Carried As of Year End
Land	1,015
Buildings and Improvements	11,109
Total	12,124
Accum Deprec	3,451
245 Newberry, SC | SNF
Initial Cost to Company
Land	439
Buildings and Improvements	4,639
Costs Capitalized Subsequent to acquisition	608
Gross Amount at Which Carried As of Year End
Land	439
Buildings and Improvements	5,247
Total	5,686
Accum Deprec	1,744
244 Newberry, SC | SNF
Initial Cost to Company
Land	919
Buildings and Improvements	5,454
Costs Capitalized Subsequent to acquisition	131
Gross Amount at Which Carried As of Year End
Land	919
Buildings and Improvements	5,585
Total	6,504
Accum Deprec	1,634
046 Norwalk, IA | SNF
Initial Cost to Company
Land	47
Buildings and Improvements	1,033
Costs Capitalized Subsequent to acquisition	239
Gross Amount at Which Carried As of Year End
Land	47
Buildings and Improvements	1,272
Total	1,319
Accum Deprec	895
176 Olathe, KS | SNF
Initial Cost to Company
Land	520
Buildings and Improvements	1,872
Costs Capitalized Subsequent to acquisition	313
Gross Amount at Which Carried As of Year End
Land	520
Buildings and Improvements	2,185
Total	2,705
Accum Deprec	1,393
251 Pasadena, TX | SNF
Initial Cost to Company
Land	1,155
Buildings and Improvements	14,345
Costs Capitalized Subsequent to acquisition	522
Gross Amount at Which Carried As of Year End
Land	1,155
Buildings and Improvements	14,867
Total	16,022
Accum Deprec	3,012
210 Phoenix, AZ | SNF
Initial Cost to Company
Land	334
Buildings and Improvements	3,383
Costs Capitalized Subsequent to acquisition	456
Gross Amount at Which Carried As of Year End
Land	334
Buildings and Improvements	3,839
Total	4,173
Accum Deprec	1,844
193 Phoenix, AZ | SNF
Initial Cost to Company
Land	300
Buildings and Improvements	9,703
Costs Capitalized Subsequent to acquisition	92
Gross Amount at Which Carried As of Year End
Land	300
Buildings and Improvements	9,795
Total	10,095
Accum Deprec	5,601
047 Polk City, IA | SNF
Initial Cost to Company
Land	63
Buildings and Improvements	1,376
Costs Capitalized Subsequent to acquisition	153
Gross Amount at Which Carried As of Year End
Land	63
Buildings and Improvements	1,529
Total	1,592
Accum Deprec	1,046
094 Portland, OR | SNF
Initial Cost to Company
Land	100
Buildings and Improvements	1,925
Costs Capitalized Subsequent to acquisition	3,152
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	5,077
Total	5,177
Accum Deprec	3,166
254 Red Oak, TX | SNF
Initial Cost to Company
Land	1,427
Buildings and Improvements	17,173
Gross Amount at Which Carried As of Year End
Land	1,427
Buildings and Improvements	17,173
Total	18,600
Accum Deprec	3,479
124 Richland Hills, TX | SNF
Initial Cost to Company
Land	144
Buildings and Improvements	1,656
Costs Capitalized Subsequent to acquisition	427
Gross Amount at Which Carried As of Year End
Land	144
Buildings and Improvements	2,083
Total	2,227
Accum Deprec	1,155
197 Ripley, TN | SNF
Initial Cost to Company
Land	20
Buildings and Improvements	985
Costs Capitalized Subsequent to acquisition	1,638
Gross Amount at Which Carried As of Year End
Land	20
Buildings and Improvements	2,623
Total	2,643
Accum Deprec	1,101
133 Roswell, NM | SNF
Initial Cost to Company
Land	568
Buildings and Improvements	5,235
Costs Capitalized Subsequent to acquisition	1,396
Gross Amount at Which Carried As of Year End
Land	568
Buildings and Improvements	6,631
Total	7,199
Accum Deprec	2,782
081 Sacramento, CA | SNF
Initial Cost to Company
Land	220
Buildings and Improvements	2,929
Costs Capitalized Subsequent to acquisition	1,481
Gross Amount at Which Carried As of Year End
Land	220
Buildings and Improvements	4,410
Total	4,630
Accum Deprec	2,330
085 Salina, KS | SNF
Initial Cost to Company
Land	100
Buildings and Improvements	1,153
Costs Capitalized Subsequent to acquisition	628
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,781
Total	1,881
Accum Deprec	1,201
281 Slinger, WI | SNF
Initial Cost to Company
Land	464
Buildings and Improvements	13,482
Gross Amount at Which Carried As of Year End
Land	464
Buildings and Improvements	13,482
Total	13,946
Accum Deprec	2,040
234 St. Petersburg, FL | SNF
Initial Cost to Company
Land	1,070
Buildings and Improvements	7,930
Costs Capitalized Subsequent to acquisition	500
Gross Amount at Which Carried As of Year End
Land	1,070
Buildings and Improvements	8,430
Total	9,500
Accum Deprec	2,084
243 Stephenville TX | SNF
Initial Cost to Company
Land	670
Buildings and Improvements	10,117
Costs Capitalized Subsequent to acquisition	500
Gross Amount at Which Carried As of Year End
Land	670
Buildings and Improvements	10,617
Total	11,287
Accum Deprec	2,627
225 Tacoma, WA | SNF
Initial Cost to Company
Land	723
Buildings and Improvements	6,401
Costs Capitalized Subsequent to acquisition	901
Gross Amount at Which Carried As of Year End
Land	723
Buildings and Improvements	7,302
Total	8,025
Accum Deprec	3,105
178 Tappahannock, VA | SNF
Initial Cost to Company
Land	375
Buildings and Improvements	1,327
Costs Capitalized Subsequent to acquisition	397
Gross Amount at Which Carried As of Year End
Land	375
Buildings and Improvements	1,724
Total	2,099
Accum Deprec	1,487
270 Trinity, FL | SNF
Initial Cost to Company
Land	1,653
Buildings and Improvements	12,748
Gross Amount at Which Carried As of Year End
Land	1,653
Buildings and Improvements	12,748
Total	14,401
Accum Deprec	2,131
192 Tucson, AZ | SNF
Initial Cost to Company
Land	276
Buildings and Improvements	8,924
Costs Capitalized Subsequent to acquisition	112
Gross Amount at Which Carried As of Year End
Land	276
Buildings and Improvements	9,036
Total	9,312
Accum Deprec	5,162
299 Weatherford, TX | SNF
Initial Cost to Company
Land	836
Buildings and Improvements	11,902
Gross Amount at Which Carried As of Year End
Land	836
Buildings and Improvements	11,902
Total	12,738
Accum Deprec	1,726
236 Wytheville, VA | SNF
Initial Cost to Company
Land	647
Buildings and Improvements	12,167
Gross Amount at Which Carried As of Year End
Land	647
Buildings and Improvements	12,167
Total	12,814
Accum Deprec	4,370
077 Ada, OK | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,650
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,650
Total	1,750
Accum Deprec	926
105 Arvada, CO | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,810
Costs Capitalized Subsequent to acquisition	6,960
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	9,770
Total	9,870
Accum Deprec	2,955
304 Athens, GA | ALF
Initial Cost to Company
Land	1,056
Buildings and Improvements	13,326
Gross Amount at Which Carried As of Year End
Land	1,056
Buildings and Improvements	13,326
Total	14,382
Accum Deprec	948
063 Athens, TX | ALF
Initial Cost to Company
Land	96
Buildings and Improvements	1,510
Costs Capitalized Subsequent to acquisition	104
Gross Amount at Which Carried As of Year End
Land	96
Buildings and Improvements	1,614
Total	1,710
Accum Deprec	929
269 Aurora, CO | ALF
Initial Cost to Company
Land	850
Buildings and Improvements	8,583
Gross Amount at Which Carried As of Year End
Land	850
Buildings and Improvements	8,583
Total	9,433
Accum Deprec	1,548
260 Aurora, CO | ALF
Initial Cost to Company
Land	831
Buildings and Improvements	10,071
Gross Amount at Which Carried As of Year End
Land	831
Buildings and Improvements	10,071
Total	10,902
Accum Deprec	1,819
203 Bakersfield, CA | ALF
Initial Cost to Company
Land	834
Buildings and Improvements	11,986
Costs Capitalized Subsequent to acquisition	812
Gross Amount at Which Carried As of Year End
Land	834
Buildings and Improvements	12,798
Total	13,632
Accum Deprec	6,115
117 Beatrice, NE | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,173
Costs Capitalized Subsequent to acquisition	183
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,356
Total	2,456
Accum Deprec	1,211
277 Burr Ridge, IL | ALF
Initial Cost to Company
Land	1,400
Buildings and Improvements	11,102
Gross Amount at Which Carried As of Year End
Land	1,400
Buildings and Improvements	11,102
Total	12,502
Accum Deprec	1,229
278 Castle Rock, CO | ALF
Initial Cost to Company
Land	759
Buildings and Improvements	9,041
Gross Amount at Which Carried As of Year End
Land	759
Buildings and Improvements	9,041
Total	9,800
Accum Deprec	823
160 Central, SC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,321
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,321
Total	2,421
Accum Deprec	1,050
263 Chatham, NJ | ALF
Initial Cost to Company
Land	5,365
Buildings and Improvements	36,399
Gross Amount at Which Carried As of Year End
Land	5,365
Buildings and Improvements	36,399
Total	41,764
Accum Deprec	6,297
307 Clovis, CA | ALF
Initial Cost to Company
Land	2,542
Buildings and Improvements	19,126
Gross Amount at Which Carried As of Year End
Land	2,542
Buildings and Improvements	19,126
Total	21,668
Accum Deprec	824
308 Clovis, CA | ALF
Initial Cost to Company
Land	3,054
Buildings and Improvements	14,172
Gross Amount at Which Carried As of Year End
Land	3,054
Buildings and Improvements	14,172
Total	17,226
Accum Deprec	587
279 Corpus Christi, TX | ALF
Initial Cost to Company
Land	880
Buildings and Improvements	11,440
Gross Amount at Which Carried As of Year End
Land	880
Buildings and Improvements	11,440
Total	12,320
Accum Deprec	1,166
292 De Forest, WI | ALF
Initial Cost to Company
Land	485
Buildings and Improvements	5,568
Costs Capitalized Subsequent to acquisition	8
Gross Amount at Which Carried As of Year End
Land	485
Buildings and Improvements	5,576
Total	6,061
Accum Deprec	594
057 Dodge City, KS | ALF
Initial Cost to Company
Land	84
Buildings and Improvements	1,666
Costs Capitalized Subsequent to acquisition	4
Gross Amount at Which Carried As of Year End
Land	84
Buildings and Improvements	1,670
Total	1,754
Accum Deprec	994
083 Durant, OK | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,769
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,769
Total	1,869
Accum Deprec	977
107 Edmond, OK | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,365
Costs Capitalized Subsequent to acquisition	526
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,891
Total	1,991
Accum Deprec	1,024
163 Ft. Collins, CO | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,961
Costs Capitalized Subsequent to acquisition	3,405
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	6,366
Total	6,466
Accum Deprec	2,258
170 Ft. Collins, CO | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	3,400
Costs Capitalized Subsequent to acquisition	4,622
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	8,022
Total	8,122
Accum Deprec	2,510
132 Ft. Meyers, FL | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,728
Costs Capitalized Subsequent to acquisition	9
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,737
Total	2,837
Accum Deprec	1,440
229 Ft. Worth, TX | ALF
Initial Cost to Company
Land	333
Buildings and Improvements	4,385
Costs Capitalized Subsequent to acquisition	1,028
Gross Amount at Which Carried As of Year End
Land	333
Buildings and Improvements	5,413
Total	5,746
Accum Deprec	1,916
315 Ft. Worth, TX | ALF
Initial Cost to Company
Land	1,534
Buildings and Improvements	11,099
Gross Amount at Which Carried As of Year End
Land	1,534
Buildings and Improvements	11,099
Total	12,633
Accum Deprec	158
100 Fremont ,OH | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,435
Costs Capitalized Subsequent to acquisition	106
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,541
Total	2,641
Accum Deprec	1,363
267 Frisco, TX | ALF
Initial Cost to Company
Land	1,000
Buildings and Improvements	5,154
Gross Amount at Which Carried As of Year End
Land	1,000
Buildings and Improvements	5,154
Total	6,154
Accum Deprec	977
314 Frisco, TX | ALF
Initial Cost to Company
Land	2,216
Buildings and Improvements	10,417
Gross Amount at Which Carried As of Year End
Land	2,216
Buildings and Improvements	10,417
Total	12,633
Accum Deprec	152
296 Glenview, IL | ALF
Initial Cost to Company
Land	2,800
Buildings and Improvements	14,248
Gross Amount at Which Carried As of Year End
Land	2,800
Buildings and Improvements	14,248
Total	17,048
Accum Deprec	568
167 Goldsboro, NC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,385
Costs Capitalized Subsequent to acquisition	1
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,386
Total	2,486
Accum Deprec	1,006
056 Great Bend, KS | ALF
Initial Cost to Company
Land	80
Buildings and Improvements	1,570
Costs Capitalized Subsequent to acquisition	21
Gross Amount at Which Carried As of Year End
Land	80
Buildings and Improvements	1,591
Total	1,671
Accum Deprec	1,052
102 Greeley, CO | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,310
Costs Capitalized Subsequent to acquisition	270
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,580
Total	2,680
Accum Deprec	1,395
284 Green Bay, WI | ALF
Initial Cost to Company
Land	1,660
Buildings and Improvements	19,079
Costs Capitalized Subsequent to acquisition	356
Gross Amount at Which Carried As of Year End
Land	1,660
Buildings and Improvements	19,435
Total	21,095
Accum Deprec	2,015
164 Greenville, NC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,478
Costs Capitalized Subsequent to acquisition	2
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,480
Total	2,580
Accum Deprec	1,175
062 Greenville, TX | ALF
Initial Cost to Company
Land	42
Buildings and Improvements	1,565
Costs Capitalized Subsequent to acquisition	84
Gross Amount at Which Carried As of Year End
Land	42
Buildings and Improvements	1,649
Total	1,691
Accum Deprec	947
161 Greenwood, SC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,638
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,638
Total	2,738
Accum Deprec	1,278
241 Gulf Breeze, FL | ALF
Initial Cost to Company
Land	720
Buildings and Improvements	3,780
Costs Capitalized Subsequent to acquisition	261
Gross Amount at Which Carried As of Year End
Land	720
Buildings and Improvements	4,041
Total	4,761
Accum Deprec	1,093
295 Jacksonville, FL | ALF
Initial Cost to Company
Land	1,389
Buildings and Improvements	12,756
Costs Capitalized Subsequent to acquisition	39
Gross Amount at Which Carried As of Year End
Land	1,389
Buildings and Improvements	12,795
Total	14,184
Accum Deprec	1,098
066 Jacksonville, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,900
Costs Capitalized Subsequent to acquisition	77
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,977
Total	2,077
Accum Deprec	1,137
310 Kansas City, MO | ALF
Initial Cost to Company
Land	1,072
Buildings and Improvements	15,552
Gross Amount at Which Carried As of Year End
Land	1,072
Buildings and Improvements	15,552
Total	16,624
Accum Deprec	448
285 Kenosha, WI | ALF
Initial Cost to Company
Land	936
Buildings and Improvements	12,361
Costs Capitalized Subsequent to acquisition	165
Gross Amount at Which Carried As of Year End
Land	936
Buildings and Improvements	12,526
Total	13,462
Accum Deprec	1,155
255 Littleton, CO | ALF
Initial Cost to Company
Land	1,882
Buildings and Improvements	8,248
Gross Amount at Which Carried As of Year End
Land	1,882
Buildings and Improvements	8,248
Total	10,130
Accum Deprec	1,548
268 Littleton, CO | ALF
Initial Cost to Company
Land	1,200
Buildings and Improvements	8,688
Gross Amount at Which Carried As of Year End
Land	1,200
Buildings and Improvements	8,688
Total	9,888
Accum Deprec	1,690
148 Longmont, CO | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,640
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,640
Total	2,740
Accum Deprec	1,378
060 Longview, TX | ALF
Initial Cost to Company
Land	38
Buildings and Improvements	1,568
Costs Capitalized Subsequent to acquisition	127
Gross Amount at Which Carried As of Year End
Land	38
Buildings and Improvements	1,695
Total	1,733
Accum Deprec	978
261 Louisville, CO | ALF
Initial Cost to Company
Land	911
Buildings and Improvements	11,703
Gross Amount at Which Carried As of Year End
Land	911
Buildings and Improvements	11,703
Total	12,614
Accum Deprec	2,069
301 Louisville, KY | ALF
Initial Cost to Company
Land	1,021
Buildings and Improvements	13,157
Gross Amount at Which Carried As of Year End
Land	1,021
Buildings and Improvements	13,157
Total	14,178
Accum Deprec	937
114 Loveland, CO | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,865
Costs Capitalized Subsequent to acquisition	270
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	3,135
Total	3,235
Accum Deprec	1,681
068 Lufkin, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,950
Costs Capitalized Subsequent to acquisition	94
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,044
Total	2,144
Accum Deprec	1,167
061 Marshall, TX | ALF
Initial Cost to Company
Land	38
Buildings and Improvements	1,568
Costs Capitalized Subsequent to acquisition	534
Gross Amount at Which Carried As of Year End
Land	38
Buildings and Improvements	2,102
Total	2,140
Accum Deprec	1,235
293 McHenry, IL | ALF
Initial Cost to Company
Land	1,289
Buildings and Improvements	28,976
Costs Capitalized Subsequent to acquisition	123
Gross Amount at Which Carried As of Year End
Land	1,289
Buildings and Improvements	29,099
Total	30,388
Accum Deprec	2,978
058 McPherson, KS | ALF
Initial Cost to Company
Land	79
Buildings and Improvements	1,571
Costs Capitalized Subsequent to acquisition	4
Gross Amount at Which Carried As of Year End
Land	79
Buildings and Improvements	1,575
Total	1,654
Accum Deprec	1,041
316 Medford, OR | ALF
Initial Cost to Company
Land	750
Buildings and Improvements	13,650
Gross Amount at Which Carried As of Year End
Land	750
Buildings and Improvements	13,650
Total	14,400
Accum Deprec	144
239 Merritt Island, FL | ALF
Initial Cost to Company
Land	550
Buildings and Improvements	8,150
Costs Capitalized Subsequent to acquisition	100
Gross Amount at Which Carried As of Year End
Land	550
Buildings and Improvements	8,250
Total	8,800
Accum Deprec	2,107
104 Millville, NJ | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,825
Costs Capitalized Subsequent to acquisition	708
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	3,533
Total	3,633
Accum Deprec	1,631
286 Milwaukee, WI | ALF
Initial Cost to Company
Land	818
Buildings and Improvements	8,014
Costs Capitalized Subsequent to acquisition	56
Gross Amount at Which Carried As of Year End
Land	818
Buildings and Improvements	8,070
Total	8,888
Accum Deprec	861
231 Monroeville, PA | ALF
Initial Cost to Company
Land	526
Buildings and Improvements	5,334
Costs Capitalized Subsequent to acquisition	435
Gross Amount at Which Carried As of Year End
Land	526
Buildings and Improvements	5,769
Total	6,295
Accum Deprec	1,714
280 Merrells Inlet, SC | ALF
Initial Cost to Company
Land	2,490
Buildings and Improvements	14,185
Gross Amount at Which Carried As of Year End
Land	2,490
Buildings and Improvements	14,185
Total	16,675
Accum Deprec	1,207
294 Murrieta, CA | ALF
Initial Cost to Company
Land	2,022
Buildings and Improvements	11,136
Gross Amount at Which Carried As of Year End
Land	2,022
Buildings and Improvements	11,136
Total	13,158
Accum Deprec	993
289 Neenah, WI | ALF
Initial Cost to Company
Land	694
Buildings and Improvements	20,839
Costs Capitalized Subsequent to acquisition	212
Gross Amount at Which Carried As of Year End
Land	694
Buildings and Improvements	21,051
Total	21,745
Accum Deprec	2,028
166 New Bern, NC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,427
Costs Capitalized Subsequent to acquisition	1
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,428
Total	2,528
Accum Deprec	1,044
118 Newark, OH | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,435
Costs Capitalized Subsequent to acquisition	275
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,710
Total	2,810
Accum Deprec	1,351
143 Niceville, FL | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,680
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,680
Total	2,780
Accum Deprec	1,399
095 Norfolk, NE | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,123
Costs Capitalized Subsequent to acquisition	165
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,288
Total	2,388
Accum Deprec	1,191
290 Oshkosh, WI | ALF
Initial Cost to Company
Land	1,525
Buildings and Improvements	9,192
Costs Capitalized Subsequent to acquisition	108
Gross Amount at Which Carried As of Year End
Land	1,525
Buildings and Improvements	9,300
Total	10,825
Accum Deprec	1,930
291 Oshkosh, WI | ALF
Initial Cost to Company
Land	475
Buildings and Improvements	7,364
Costs Capitalized Subsequent to acquisition	40
Gross Amount at Which Carried As of Year End
Land	475
Buildings and Improvements	7,404
Total	7,879
Accum Deprec	776
302 Overland Park, KS | ALF
Initial Cost to Company
Land	1,951
Buildings and Improvements	11,882
Costs Capitalized Subsequent to acquisition	259
Gross Amount at Which Carried As of Year End
Land	1,951
Buildings and Improvements	12,141
Total	14,092
Accum Deprec	958
232 Pittsburgh, PA | ALF
Initial Cost to Company
Land	470
Buildings and Improvements	2,615
Costs Capitalized Subsequent to acquisition	333
Gross Amount at Which Carried As of Year End
Land	470
Buildings and Improvements	2,948
Total	3,418
Accum Deprec	972
165 Rocky Mount, NC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,494
Costs Capitalized Subsequent to acquisition	1
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,495
Total	2,595
Accum Deprec	1,103
059 Salina, KS | ALF
Initial Cost to Company
Land	79
Buildings and Improvements	1,571
Costs Capitalized Subsequent to acquisition	4
Gross Amount at Which Carried As of Year End
Land	79
Buildings and Improvements	1,575
Total	1,654
Accum Deprec	1,041
084 San Antonio, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,900
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,900
Total	2,000
Accum Deprec	1,048
092 San Antonio, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,055
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,055
Total	2,155
Accum Deprec	1,128
288 Sheboygan, WI | ALF
Initial Cost to Company
Land	1,168
Buildings and Improvements	5,382
Costs Capitalized Subsequent to acquisition	180
Gross Amount at Which Carried As of Year End
Land	1,168
Buildings and Improvements	5,562
Total	6,730
Accum Deprec	660
149 Shelby, NC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,805
Costs Capitalized Subsequent to acquisition	2
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,807
Total	2,907
Accum Deprec	1,464
312 Spartanburg, SC | ALF
Initial Cost to Company
Land	254
Buildings and Improvements	9,906
Costs Capitalized Subsequent to acquisition	1,035
Gross Amount at Which Carried As of Year End
Land	254
Buildings and Improvements	10,941
Total	11,195
Accum Deprec	407
150 Spring Hill, FL | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,650
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,650
Total	2,750
Accum Deprec	1,383
103 Springfield, OH | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,035
Costs Capitalized Subsequent to acquisition	270
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,305
Total	2,405
Accum Deprec	1,244
162 Sumter, SC | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,351
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,351
Total	2,451
Accum Deprec	1,091
140 Tallahassee, FL | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	3,075
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	3,075
Total	3,175
Accum Deprec	1,608
098 Tiffin, OH | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,435
Costs Capitalized Subsequent to acquisition	94
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,529
Total	2,629
Accum Deprec	1,346
282 Tinley Park, IL | ALF
Initial Cost to Company
Land	702
Buildings and Improvements	11,481
Gross Amount at Which Carried As of Year End
Land	702
Buildings and Improvements	11,481
Total	12,183
Accum Deprec	1,076
088 Troy, OH | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,435
Costs Capitalized Subsequent to acquisition	593
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	3,028
Total	3,128
Accum Deprec	1,548
080 Tulsa, OK | ALF
Initial Cost to Company
Land	200
Buildings and Improvements	1,650
Gross Amount at Which Carried As of Year End
Land	200
Buildings and Improvements	1,650
Total	1,850
Accum Deprec	919
093 Tulsa, OK | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,395
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,395
Total	2,495
Accum Deprec	1,311
238 Tupelo, MS | ALF
Initial Cost to Company
Land	1,170
Buildings and Improvements	8,230
Costs Capitalized Subsequent to acquisition	30
Gross Amount at Which Carried As of Year End
Land	1,170
Buildings and Improvements	8,260
Total	9,430
Accum Deprec	2,203
075 Tyler, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,800
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,800
Total	1,900
Accum Deprec	1,008
202 Vacaville, CA | ALF
Initial Cost to Company
Land	1,662
Buildings and Improvements	11,634
Costs Capitalized Subsequent to acquisition	1,141
Gross Amount at Which Carried As of Year End
Land	1,662
Buildings and Improvements	12,775
Total	14,437
Accum Deprec	6,098
091 Waco, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,235
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,235
Total	2,335
Accum Deprec	1,225
096 Wahoo, NE | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,318
Costs Capitalized Subsequent to acquisition	119
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,437
Total	2,537
Accum Deprec	1,293
108 Watauga, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,668
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,668
Total	1,768
Accum Deprec	908
287 Waukesha, WI | ALF
Initial Cost to Company
Land	992
Buildings and Improvements	15,183
Costs Capitalized Subsequent to acquisition	187
Gross Amount at Which Carried As of Year End
Land	992
Buildings and Improvements	15,370
Total	16,362
Accum Deprec	1,435
109 Weatherford, OK | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,669
Costs Capitalized Subsequent to acquisition	592
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,261
Total	2,361
Accum Deprec	1,222
309 West Chester, OH | ALF
Initial Cost to Company
Land	2,355
Buildings and Improvements	13,553
Gross Amount at Which Carried As of Year End
Land	2,355
Buildings and Improvements	13,553
Total	15,908
Accum Deprec	587
276 Westminster, CO | ALF
Initial Cost to Company
Land	1,425
Buildings and Improvements	9,575
Gross Amount at Which Carried As of Year End
Land	1,425
Buildings and Improvements	9,575
Total	11,000
Accum Deprec	1,480
110 Wheelersburg, OH | ALF
Initial Cost to Company
Land	29
Buildings and Improvements	2,435
Costs Capitalized Subsequent to acquisition	239
Gross Amount at Which Carried As of Year End
Land	29
Buildings and Improvements	2,674
Total	2,703
Accum Deprec	1,344
303 Wichita, KS | ALF
Initial Cost to Company
Land	1,422
Buildings and Improvements	9,957
Costs Capitalized Subsequent to acquisition	221
Gross Amount at Which Carried As of Year End
Land	1,422
Buildings and Improvements	10,178
Total	11,600
Accum Deprec	828
259 Wichita, KS | ALF
Initial Cost to Company
Land	730
Costs Capitalized Subsequent to acquisition	9,682
Gross Amount at Which Carried As of Year End
Land	730
Buildings and Improvements	9,682
Total	10,412
Accum Deprec	2,057
283 Wichita, KS | ALF
Initial Cost to Company
Land	624
Buildings and Improvements	13,846
Gross Amount at Which Carried As of Year End
Land	624
Buildings and Improvements	13,846
Total	14,470
Accum Deprec	837
076 Wichita Falls, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	1,850
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	1,850
Total	1,950
Accum Deprec	1,036
120 Wichita Falls, TX | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,750
Costs Capitalized Subsequent to acquisition	131
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,881
Total	2,981
Accum Deprec	1,526
265 Williamstown, NJ | ALF
Initial Cost to Company
Land	711
Buildings and Improvements	6,637
Gross Amount at Which Carried As of Year End
Land	711
Buildings and Improvements	6,637
Total	7,348
Accum Deprec	1,287
264 Williamstown, NJ | ALF
Initial Cost to Company
Land	711
Buildings and Improvements	8,649
Gross Amount at Which Carried As of Year End
Land	711
Buildings and Improvements	8,649
Total	9,360
Accum Deprec	1,516
099 York, NE | ALF
Initial Cost to Company
Land	100
Buildings and Improvements	2,318
Costs Capitalized Subsequent to acquisition	78
Gross Amount at Which Carried As of Year End
Land	100
Buildings and Improvements	2,396
Total	2,496
Accum Deprec	1,289
297 Las Vegas, NV | School
Initial Cost to Company
Land	1,965
Buildings and Improvements	7,308
Costs Capitalized Subsequent to acquisition	849
Gross Amount at Which Carried As of Year End
Land	1,965
Buildings and Improvements	8,157
Total	10,122
Accum Deprec	677
271 Howell, MI | Land
Initial Cost to Company
Land	420
Gross Amount at Which Carried As of Year End
Land	420
Total	420
272 Milford, MI
Initial Cost to Company
Land	450
Gross Amount at Which Carried As of Year End
Land	450
Total	450
275 Yale, MI | Land
Initial Cost to Company
Land	73
Gross Amount at Which Carried As of Year End
Land	73
Total	73
305 Union, KY | Properties under Development
Initial Cost to Company
Land	858
Buildings and Improvements	19,057
Gross Amount at Which Carried As of Year End
Land	858
Buildings and Improvements	19,057
Total	19,915
311 Cedarburg, WI | Properties under Development
Initial Cost to Company
Land	924
Buildings and Improvements	15,741
Gross Amount at Which Carried As of Year End
Land	924
Buildings and Improvements	15,741
Total	16,665
306 Oaklawn, IL | ALF
Initial Cost to Company
Land	1,591
Buildings and Improvements	13,772
Gross Amount at Which Carried As of Year End
Land	1,591
Buildings and Improvements	13,772
Total	15,363
Accum Deprec	281
313 Medford, OR | Properties under Development
Initial Cost to Company
Land	636
Buildings and Improvements	3,970
Gross Amount at Which Carried As of Year End
Land	636
Buildings and Improvements	3,970
Total	$ 4,606

XML

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION - Additional Information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($)
Real Estate and Accumulated Depreciation
Aggregate cost basis for Federal income tax purposes	$ 1,435,334
Computer Equipment | Minimum
Real Estate and Accumulated Depreciation
Useful life	3 years
Computer Equipment | Maximum
Real Estate and Accumulated Depreciation
Useful life	5 years
Furniture and Fixtures | Minimum
Real Estate and Accumulated Depreciation
Useful life	5 years
Furniture and Fixtures | Maximum
Real Estate and Accumulated Depreciation
Useful life	15 years
Building | Minimum
Real Estate and Accumulated Depreciation
Useful life	35 years
Building | Maximum
Real Estate and Accumulated Depreciation
Useful life	50 years
Site Improvements | Minimum
Real Estate and Accumulated Depreciation
Useful life	10 years
Site Improvements | Maximum
Real Estate and Accumulated Depreciation
Useful life	15 years
Building Improvements | Minimum
Real Estate and Accumulated Depreciation
Useful life	10 years
Building Improvements | Maximum
Real Estate and Accumulated Depreciation
Useful life	20 years

XML

SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION - Summary (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Carrying cost
Balance at beginning of period	$ 1,392,122	$ 1,301,563	$ 1,198,686
Acquisitions	40,408	82,405	74,923
Improvements	38,528	25,800	49,134
Capitalized interest	1,248	908	1,408
Other non-cash items (See Note 4)			2,460
Cost of real estate sold	(50,850)	(18,554)	(24,282)
Impairment on real estate for sale			(766)
Ending balance	1,421,456	1,392,122	1,301,563
Accumulated depreciation
Balance at beginning of period	306,033	275,861	251,265
Depreciation expense	37,416	37,492	35,809
Cost of real estate sold	(28,574)	(7,320)	(11,213)
Ending balance	$ 314,875	$ 306,033	$ 275,861

XML

SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE - Summary (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) item property	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)
Mortgage loans on real estate
Number of properties | property	22
Number of beds/units | item	2,892
Balloon Amount	$ 215,748
Current Monthly Debt Service	1,963
Face amount of originated mortgages	247,253
Carrying Amount of Mortgages	242,939	$ 223,907	$ 229,801	$ 217,529
Principal Amount of Loans Subject to Delinquent Principal or Interest	$ 0
Michigan | Mortgage Loans on Real Estate Maturing in 2043
Mortgage loans on real estate
Number of properties | property	15
Number of beds/units | item	2,029
Interest rate (as a percent)	9.71%
Balloon Amount	$ 160,855
Current Monthly Debt Service	1,500
Face amount of originated mortgages	187,855
Carrying Amount of Mortgages	$ 184,160
Michigan | Mortgage Loans on Real Estate Maturing in 2045 | Property with 501 Beds/Units
Mortgage loans on real estate
Number of properties | property	4
Number of beds/units | item	501
Interest rate (as a percent)	9.22%
Balloon Amount	$ 29,487
Current Monthly Debt Service	257
Face amount of originated mortgages	33,317
Carrying Amount of Mortgages	$ 32,984
Michigan | Mortgage Loans on Real Estate Maturing in 2045 | Property with 157 Beds/Units
Mortgage loans on real estate
Number of properties | property	1
Number of beds/units | item	157
Interest rate (as a percent)	9.41%
Balloon Amount	$ 14,325
Current Monthly Debt Service	117
Face amount of originated mortgages	15,000
Carrying Amount of Mortgages	$ 14,825
Michigan | Mortgage Loans On Real Estate Maturing In 2020
Mortgage loans on real estate
Number of properties | property	2
Number of beds/units | item	205
Interest rate (as a percent)	9.41%
Balloon Amount	$ 11,081
Current Monthly Debt Service	89
Face amount of originated mortgages	11,081
Carrying Amount of Mortgages	10,970
Principal Amount of Loans Subject to Delinquent Principal or Interest	$ 0
Mortgage Loans
Mortgage loans on real estate
General amortization schedule of mortgage loans	30 years
Mortgage Loans | Minimum
Mortgage loans on real estate
Interest rate (as a percent)	9.20%
General amortization schedule of mortgage loans	30 years
Mortgage Loans | Maximum
Mortgage loans on real estate
Interest rate (as a percent)	9.70%

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SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE - Number of Loans (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018 USD ($) loan
Mortgage loans on real estate
Original loan amounts	$ 247,253
First-lien mortgage loans | Mortgage Loans between 500,000 and 2,000,000
Mortgage loans on real estate
Number of Loans | loan	0
First-lien mortgage loans | Mortgage Loans between 500,000 and 2,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 500
First-lien mortgage loans | Mortgage Loans between 500,000 and 2,000,000 | Maximum
Mortgage loans on real estate
Original loan amounts	$ 2,000
First-lien mortgage loans | Mortgage Loans between 2,001,000 and 3,000,000
Mortgage loans on real estate
Number of Loans | loan	0
First-lien mortgage loans | Mortgage Loans between 2,001,000 and 3,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 2,001
First-lien mortgage loans | Mortgage Loans between 2,001,000 and 3,000,000 | Maximum
Mortgage loans on real estate
Original loan amounts	$ 3,000
First-lien mortgage loans | Mortgage Loans between 3,001,000 and 4,000,000
Mortgage loans on real estate
Number of Loans | loan	0
First-lien mortgage loans | Mortgage Loans between 3,001,000 and 4,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 3,001
First-lien mortgage loans | Mortgage Loans between 3,001,000 and 4,000,000 | Maximum
Mortgage loans on real estate
Original loan amounts	$ 4,000
First-lien mortgage loans | Mortgage Loans between 4,001,000 and 5,000,000
Mortgage loans on real estate
Number of Loans | loan	0
First-lien mortgage loans | Mortgage Loans between 4,001,000 and 5,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 4,001
First-lien mortgage loans | Mortgage Loans between 4,001,000 and 5,000,000 | Maximum
Mortgage loans on real estate
Original loan amounts	$ 5,000
First-lien mortgage loans | Mortgage Loans between 5,001,000 and 6,000,000
Mortgage loans on real estate
Number of Loans | loan	0
First-lien mortgage loans | Mortgage Loans between 5,001,000 and 6,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 5,001
First-lien mortgage loans | Mortgage Loans between 5,001,000 and 6,000,000 | Maximum
Mortgage loans on real estate
Original loan amounts	$ 6,000
First-lien mortgage loans | Mortgage Loans between 6,001,000 and 7,000,000
Mortgage loans on real estate
Number of Loans | loan	0
First-lien mortgage loans | Mortgage Loans between 6,001,000 and 7,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 6,001
First-lien mortgage loans | Mortgage Loans between 6,001,000 and 7,000,000 | Maximum
Mortgage loans on real estate
Original loan amounts	$ 7,000
First-lien mortgage loans | Mortgage Loans over 7,000,000
Mortgage loans on real estate
Number of Loans | loan	4
First-lien mortgage loans | Mortgage Loans over 7,000,000 | Minimum
Mortgage loans on real estate
Original loan amounts	$ 7,001

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SCHEDULE IV MORTGAGE LOANS ON REAL ESTATE - Rollforward (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Mortgage loans on real estate
Balance at the beginning of the period	$ 223,907	$ 229,801	$ 217,529
New mortgage loans	14,525		13,250
Other additions	6,839	11,913	7,435
Land conveyance		(4)
Amortization of mortgage premium	(4)	(17,863)	(10)
Collections of principal	(2,136)		(8,278)
Foreclosures		60
Loan loss reserve	(192)		(125)
Balance at the end of the period	$ 242,939	$ 223,907	$ 229,801