10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the quarterly period ended September 30, 2021

OR

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

For the Transition period from ____ to ____

Commission file number 1-11314

LTC PROPERTIES, INC.

(Exact name of Registrant as specified in its charter)

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

2829 Townsgate Road, Suite 350

Westlake Village, California 91361

(Address of principal executive offices, including zip code)

(805) 981-8655

(Registrant’s telephone number, including area code)

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

Title of each class	Trading symbol(s)	Name of each exchange on which registered
Common stock, $.01 par value	LTC	New York Stock Exchange

Indicate by check mark whether registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes þ 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 þ No ◻

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

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

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

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes ☐ No þ

The number of shares of common stock outstanding on October 21, 2021 was 39,374,044.

LTC PROPERTIES, INC.

FORM 10-Q

September 30, 2021

INDEX

PART I -- Financial Information		Page
Item 1.	Financial Statements
	Consolidated Balance Sheets	3
	Consolidated Statements of Income and Comprehensive Income	4
	Consolidated Statements of Equity	5
	Consolidated Statements of Cash Flows	6
	Notes to Consolidated Financial Statements	7
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	25
Item 3.	Quantitative and Qualitative Disclosures about Market Risk	46
Item 4.	Controls and Procedures	46
PART II -- Other Information
Item 1.	Legal Proceedings	47
Item 1A.	Risk Factors	47
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	47
Item 6.	Exhibits	48

LTC PROPERTIES, INC.

CONSOLIDATED BALANCE SHEETS

(amounts in thousands, except per share)

	September 30, 2021		December 31, 2020
	(unaudited)		(audited)
ASSETS
Investments:
Land	$	123,239	$	127,774
Buildings and improvements		1,283,859		1,324,227
Accumulated depreciation and amortization		(365,182)		(349,643)
Real property investments, net		1,041,916		1,102,358
Mortgage loans receivable, net of loan loss reserve: 2021—$2,608; 2020—$2,592		258,829		257,251
Real estate investments, net		1,300,745		1,359,609
Notes receivable, net of loan loss reserve: 2021—$189; 2020—$146		18,675		14,465
Investments in unconsolidated joint ventures		19,340		11,340
Investments, net		1,338,760		1,385,414
Other assets:
Cash and cash equivalents		45,459		7,772
Debt issue costs related to bank borrowings		688		1,324
Interest receivable		37,476		32,746
Straight-line rent receivable		24,298		24,452
Lease incentives		2,726		2,462
Prepaid expenses and other assets		3,681		5,316
Total assets	$	1,453,088	$	1,459,486
LIABILITIES
Bank borrowings	$	134,400	$	89,900
Senior unsecured notes, net of debt issue costs: 2021—$551; 2020—$658		527,429		559,482
Accrued interest		3,172		4,216
Accrued expenses and other liabilities		35,157		30,082
Total liabilities		700,158		683,680
EQUITY
Stockholders’ equity:
Common stock: $0.01 par value; 60,000 shares authorized; shares issued and outstanding: 2021—39,374; 2020—39,242		394		392
Capital in excess of par value		854,921		852,780
Cumulative net income		1,431,798		1,388,775
Cumulative distributions		(1,542,596)		(1,474,545)
Total LTC Properties, Inc. stockholders’ equity		744,517		767,402
Non-controlling interests		8,413		8,404
Total equity		752,930		775,806
Total liabilities and equity	$	1,453,088	$	1,459,486

See accompanying notes.

3

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME

(amounts in thousands, except per share, unaudited)

	Three Months Ended				Nine Months Ended
	September 30,				September 30,
	2021		2020		2021		2020
Revenues:
Rental income	$	29,320	$	30,010	$	91,097	$	88,320
Interest income from mortgage loans		7,924		7,890		23,779		23,487
Interest and other income		228		273		1,005		1,257
Total revenues		37,472		38,173		115,881		113,064
Expenses:
Interest expense		6,610		7,361		20,442		22,617
Depreciation and amortization		9,462		9,766		28,847		29,232
Impairment charges		—		941		—		941
Provision (recovery) for credit losses		68		(2)		59		(1)
Transaction costs		4,046		63		4,271		197
Property tax expense		3,932		3,351		11,713		11,685
General and administrative expenses		5,318		4,814		15,688		14,494
Total expenses		29,436		26,294		81,020		79,165
Other operating income:
Gain on sale of real estate, net		2,702		30		7,392		44,073
Operating income		10,738		11,909		42,253		77,972
Gain from property insurance proceeds		—		373		—		373
Loss on unconsolidated joint ventures		—		—		—		(620)
Income from unconsolidated joint ventures		376		56		1,041		287
Net income		11,114		12,338		43,294		78,012
Income allocated to non-controlling interests		(92)		(121)		(271)		(292)
Net income attributable to LTC Properties, Inc.		11,022		12,217		43,023		77,720
Income allocated to participating securities		(113)		(103)		(346)		(339)
Net income available to common stockholders	$	10,909	$	12,114	$	42,677	$	77,381
Earnings per common share:
Basic	$	0.28	$	0.31	$	1.09	$	1.97
Diluted	$	0.28	$	0.31	$	1.09	$	1.97
Weighted average shares used to calculate earnings per common share:
Basic		39,177		39,061		39,149		39,218
Diluted		39,177		39,112		39,149		39,269
Dividends declared and paid per common share	$	0.57	$	0.57	$	1.71	$	1.71
Comprehensive Income:
Net income	$	11,114	$	12,338	$	43,294	$	78,012
Comprehensive income	$	11,114	$	12,338	$	43,294	$	78,012

See accompanying notes.

4

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF EQUITY

(In thousands)

					Capital in		Cumulative				Total		Non-
	Common Stock				Excess of		Net		Cumulative		Stockholder's		Controlling		Total
	Shares		Amount		Par Value		Income		Distributions		Equity		Interests		Equity
Balance—December 31, 2019	39,752	$	398	$	867,346	$	1,293,482	$	(1,384,283)	$	776,943	$	8,483	$	785,426
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,581)		(22,581)		—		(22,581)
Vesting of performance-based stock units	82		—		—		—		(586)		(586)		—		(586)
Issuance of restricted stock	76		1		(1)		—		—		—		—		—
Repurchase of common stock	(616)		(6)		(18,006)		—		—		(18,012)		—		(18,012)
Stock-based compensation expense	—		—		1,777		—		—		1,777		—		1,777
Net income	—		—		—		63,633		—		63,633		89		63,722
Non-controlling interest distributions	—		—		—		—		—		—		(146)		(146)
Other	(76)		(1)		(3,544)		—		—		(3,545)		—		(3,545)
Balance—March 31, 2020	39,218	$	392	$	847,572	$	1,357,115	$	(1,407,450)	$	797,629	$	8,426	$	806,055
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,359)		(22,359)		—		(22,359)
Issuance of restricted stock	25		—		(7)		—		—		(7)		—		(7)
Stock-based compensation expense	—		—		1,761		—		—		1,761		—		1,761
Net income	—		—		—		1,870		—		1,870		82		1,952
Non-controlling interest distributions	—		—		—		—		—		—		(97)		(97)
Balance—June 30, 2020	39,243	$	392	$	849,326	$	1,358,985	$	(1,429,809)	$	778,894	$	8,411	$	787,305
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,368)		(22,368)		—		(22,368)
Stock-based compensation expense	—		—		1,693		—		—		1,693		—		1,693
Net income	—		—		—		12,217		—		12,217		121		12,338
Non-controlling interest distributions	—		—		—		—		—		—		(128)		(128)
Other	(1)		—		(19)		—		—		(19)		—		(19)
Balance—September 30, 2020	39,242	$	392	$	851,000	$	1,371,202	$	(1,452,177)	$	770,417	$	8,404	$	778,821
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,368)		(22,368)		—		(22,368)
Issuance of restricted stock	—		—		(1)		—		—		(1)		—		(1)
Stock-based compensation expense	—		—		1,781		—		—		1,781		—		1,781
Net income	—		—		—		17,573		—		17,573		92		17,665
Non-controlling interest distributions	—		—		—		—		—		—		(92)		(92)
Balance—December 31, 2020	39,242	$	392	$	852,780	$	1,388,775	$	(1,474,545)	$	767,402	$	8,404	$	775,806
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,405)		(22,405)		—		(22,405)
Vesting of performance-based stock units, including the payment of distributions	109		1		(1)		—		(764)		(764)		—		(764)
Stock-based compensation expense	—		—		1,852		—		—		1,852		—		1,852
Net income	—		—		—		13,762		—		13,762		88		13,850
Non-controlling interest distributions	—		—		—		—		—		—		(88)		(88)
Cash paid for taxes in lieu of common shares	(84)		—		(3,470)		—		—		(3,470)		—		(3,470)
Other	95		1		(11)		—		—		(10)		—		(10)
Balance—March 31, 2021	39,362	$	394	$	851,150	$	1,402,537	$	(1,497,714)	$	756,367	$	8,404	$	764,771
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,439)		(22,439)		—		(22,439)
Vesting of performance-based stock units, including the payment of distributions							—				-		—		-
Stock-based compensation expense	—		—		1,958		—		—		1,958		—		1,958
Net income	—		—		—		18,239		—		18,239		91		18,330
Non-controlling interest distributions	—		—		—		—		—		—		(91)		(91)
Cash paid for taxes in lieu of common shares	(3)		—		(103)		—		—		(103)		—		(103)
Other	15		—		(46)		—		—		(46)		—		(46)
Balance—June 30, 2021	39,374	$	394	$	852,959	$	1,420,776	$	(1,520,153)	$	753,976	$	8,404	$	762,380
Common Stock cash distributions ($0.57 per share)	—		—		—		—		(22,443)		(22,443)		—		(22,443)
Stock-based compensation expense	—		—		1,975		—		—		1,975		—		1,975
Net income	—		—		—		11,022		—		11,022		92		11,114
Non-controlling interest distributions	—		—		—		—		—		—		(92)		(92)
Non-controlling interest contributions	—		—		—		—		—		—		9		9
Other	—		—		(13)		—		—		(13)		—		(13)
Balance—September 30, 2021	39,374	$	394	$	854,921	$	1,431,798	$	(1,542,596)	$	744,517	$	8,413	$	752,930

5

LTC PROPERTIES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(amounts in thousands, unaudited)

	Nine Months Ended September 30,
	2021		2020
OPERATING ACTIVITIES:
Net income	$	43,294	$	78,012
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		28,847		29,232
Stock-based compensation expense		5,785		5,231
Impairment charges		—		941
Gain on sale of real estate, net		(7,392)		(44,073)
Loss on unconsolidated joint ventures		—		620
Income from unconsolidated joint ventures		(1,041)		(287)
Income distributions from unconsolidated joint ventures		—		249
Straight-line rental income		(619)		(1,701)
Adjustment for collectibility of rental income and lease incentives		758		23,214
Lease incentives funded		(650)		(50)
Amortization of lease incentives		386		317
Provision (recovery) for credit losses		59		(1)
Other non-cash items, net		782		772
Increase in interest receivable		(4,730)		(4,662)
Decrease in accrued interest payable		(1,044)		(1,683)
Net change in other assets and liabilities		5,146		(502)
Net cash provided by operating activities		69,581		85,629
INVESTING ACTIVITIES:
Investment in real estate properties		—		(13,581)
Investment in real estate developments		—		(13,384)
Investment in real estate capital improvements		(4,839)		(3,955)
Capitalized interest		—		(354)
Proceeds from sale of real estate, net		43,628		72,141
Investment in real estate mortgage loans receivable		(2,081)		(4,176)
Principal payments received on mortgage loans receivable		625		565
Investments in unconsolidated joint ventures		(5,676)		(6,398)
Proceeds from liquidation of investments in unconsolidated joint ventures		—		17,758
Advances and originations under notes receivable		(6,453)		(1,366)
Principal payments received on notes receivable		2,553		4,732
Net cash provided by investing activities		27,757		51,982
FINANCING ACTIVITIES:
Bank borrowings		92,500		24,000
Repayment of bank borrowings		(48,000)		(28,000)
Principal payments on senior unsecured notes		(32,160)		(25,160)
Stock repurchase plan		—		(18,012)
Distributions paid to stockholders		(68,051)		(67,894)
Contribution from non-controlling interests		9		—
Distributions paid to non-controlling interests		(271)		(371)
Financing costs paid		(35)		(35)
Cash paid for taxes in lieu of shares upon vesting of restricted stock and performance-based stock units		(3,573)		(3,564)
Other		(70)		(8)
Net cash used in financing activities		(59,651)		(119,044)
Increase in cash, cash equivalents and restricted cash		37,687		18,567
Cash, cash equivalents and restricted cash, beginning of period		7,772		4,244
Cash, cash equivalents and restricted cash, end of period	$	45,459	$	22,811
Supplemental disclosure of cash flow information:
Interest paid	$	20,708	$	23,531
Non-cash investing and financing transactions:
Reclassification of notes receivable to lease incentives	$	—	$	300
Preferred return reserve related to investments in unconsolidated joint ventures (See Note 3)	$	2,324	$	—
Mortgage loan receivable reserve withheld at origination (See Note 2)	$	142	$	—
Notes receivable reserve withheld at origination (See Note 4)	$	353	$	—

See accompanying notes.

6

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

1. General

LTC Properties, Inc., a health care real estate investment trust (“REIT”), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in seniors housing and health care properties primarily through sale-leasebacks, mortgage financing, joint ventures and structured finance solutions including preferred equity and 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. We also invest in other (“OTH”) types of properties, such as land parcels, projects under development (“UDP”) and behavioral health care hospitals. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property classification and form of investment.

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company and its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2021 and 2020 are not necessarily indicative of the results for a full year.

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

New Accounting Pronouncements

In March 2020, the Financial Accounting Standards Board (“FASB”) issued guidance which provides temporary optional expedients and exceptions to the U.S. GAAP guidance on contract modifications and hedge accounting to ease the financial reporting burdens of the expected market transition from LIBOR and other interbank offered rates to alternative reference rates. The guidance is effective upon issuance and generally may be elected over time through December 31, 2022. The Company has not adopted any of the optional expedients or exceptions through September 30, 2021 but will continue to evaluate the possible adoption (including potential impact) of any such expedients or exceptions during the effective period as circumstances evolve.

2. Real Estate Investments

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

7

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

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

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

(i)a specified percentage increase over the prior year’s rent, generally between 2.0% and 2.5%;

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

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

(iv)specific dollar increases.

Our leases that contain fixed annual rental escalations and/or have annual rental escalations are contingent upon changes in the Consumer Price Index. Certain leases have annual rental escalations that are contingent upon changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved.

The following table summarizes our investments in owned properties at September 30, 2021 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	843,015	59.9	%	102	—	5,798	$	145.40
Skilled Nursing		552,723	39.3	%	50	6,154	212	$	86.82
Other (2)		11,360	0.8	%	1	118	—		—
Total	$	1,407,098	100.0	%	153	6,272	6,010

(1) We own properties in 26 states that are leased to 31 different operators.

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

Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy in December 2018. During 2019, while in bankruptcy, Senior Care assumed LTC’s master lease and, in March 2020, Senior Care emerged from bankruptcy. Concurrent with their emergence from bankruptcy, in accordance with the order confirming Senior Care’s plan of reorganization, Abri Health Services, LLC (“Abri Health”) was formed as the parent company of reorganized Senior Care and became co-tenant and co-obligor with reorganized Senior Care under our master lease. In March 2021, Senior Care and Abri Health (collectively, “Lessee”) failed to pay rent and additional obligations owed under the master lease. Accordingly, we sent a notice of default and applied proceeds from letters of credit to certain obligations owed under the master lease. Furthermore, we sent the Lessee a notice of termination of the master lease to be effective April 17, 2021. On April 16, 2021, the Lessee filed for Chapter 11 bankruptcy. In August 2021, the United States Bankruptcy Court approved a settlement agreement

8

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

between the Lessee and LTC. The settlement provides for, among other things, a one-time payment of $3,250,000 from LTC to the affiliates of the Lessee which we expensed as transaction costs during the three months ended September 30, 2021 and subsequently paid in October 2021.

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

	Cash
	Rent (1)
4Q 2021	$	27,175
2022		119,023
2023		104,210
2024		105,332
2025		87,144
Thereafter		329,267

(1) Represents contractual cash rent, except for certain master leases which are based on estimated cash payments and the Senior Care and Abri Health master lease. See Footnote 12 for further discussion about this lease.

We monitor the collectability of our receivable balances, including deferred rent receivable balances, on an ongoing basis. We write-off uncollectible operator receivable balances, including straight line rent receivable and lease incentives balances, as a reduction to rental income in the period such balances are no longer probable of being collected. Therefore, recognition of rental income is limited to the lesser of the amount of cash collected or rental income reflected on a “straight-line” basis for those customer receivable balances deemed uncollectible. As of September 30, 2021, we have 20 operators that are being accounted for on a “cash-basis” representing approximately 51% of our rental income for the three months ended September 30, 2021. We wrote-off straight-line rent receivable and lease incentives balances of $758,000 and $23,214,000 for the nine months ended September 30, 2021 and 2020, respectively.

We continue to take into account the current financial condition of our operators, including consideration of the impact of COVID-19, in our estimation of our uncollectible accounts and deferred rents receivable at September 30, 2021. We are closely monitoring the collectability of such rents and will adjust future estimations as appropriate as further information becomes known.

9

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

The following table summarizes components of our rental income for the three and nine months ended September 30, 2021 and 2020 (in thousands):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
Rental Income		2021			2020			2021			2020
Base cash rental income	$	25,934	(1)	$	32,006		$	80,967	(1)	$	98,357
Variable cash rental income		3,588	(2)		3,356	(2)		10,655	(2)		11,793	(2)
Straight-line rent		(44)	(3)		228			619	(3)		1,701
Adjustment for collectability of rental income and lease incentives		—			(5,472)	(4)		(758)	(4)		(23,214)	(4)
Amortization of lease incentives		(158)			(108)			(386)			(317)
Total	$	29,320		$	30,010		$	91,097		$	88,320

(1) Decreased primarily due to non-payment of lease obligations from Senior Lifestyle Corporation (“Senior Lifestyle”), unpaid lease obligations from Senior Care and Abri Health, abated and deferred rent and reduced rent from a property sale. This decrease was partially offset by increased rent from re-leasing 18 properties previously leased to Senior Lifestyle, completion of development projects and contractual rent increases.

(2) The variable rental income for the three and nine months ended September 30, 2021, includes reimbursement of real estate taxes by our lessees of $3,588 and $10,655, respectively. The variable rental income for the three and nine months ended September 30, 2020 includes contingent rental income of $4 and $108, respectively and reimbursement of real estate taxes by our lessees of $3,352 and $11,685, respectively.

(3) Decreased due to more leases accounted for on a cash basis.

(4) Represents straight-line rent receivable and lease incentives write-offs.

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 (dollar amounts in thousands):

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
California	ALF/MC	2	$	38,895	$	34,895	2024-2029
California	ALF	2		31,682		17,166	2021-TBD	(1)
Colorado	ALF	1		6,764		5,378	2022-2026
Florida	MC	1		15,201		13,069	2028-2029
Kentucky and Ohio	MC	2		30,421		26,798	2028-2029
Nebraska	ALF	3		7,633		3,248	TBD	(2)
Texas	MC	2		25,265		23,250	2021-2027
South Carolina	ALF/MC	1		11,680		9,777	2028-2029
Total			$	167,541	$	133,581

(1) The option window ending date will be either 24 months or 48 months after the option window commences, based on certain contingencies.

(2) Subject to the properties achieving certain coverage ratios.

On March 11, 2020, the World Health Organization declared the outbreak of COVID-19 as a pandemic, and on March 13, 2020, the United States declared a national emergency with regard to COVID-19. At September 30, 2021, in conjunction with the continued levels of uncertainty related to the adverse effects of COVID-19, we assessed the probability of collecting substantially all of our lease payments through maturity and concluded that we did not have sufficient information available to evaluate the impact of COVID-19 on the collectibility of our lease payments. The extent to which COVID-19 could impact our operators and the collectibility of our future lease payments will depend on

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(Unaudited)

the future developments including the financial impact significance, government support and subsidies and the duration of the pandemic.

In recognition of the pandemic impact affecting our operators, we have agreed to rent abatements totaling $2,639,000 and rent deferrals, net of repayments, for certain operators totaling $3,371,000 during the nine months ended September 30, 2021. The $6,010,000 in rent abatements and deferrals, net of repayments, during the nine months ended September 30, 2021, represented approximately 5.0% of our contractual rent for the nine months ended September 30, 2021. Additionally, we reduced 2021 rent and interest escalations by 50% to support eligible operators during the continuing COVID-19 crisis. The rent and interest escalation reductions were given in the form of a rent and interest credit in recognition of operators’ increased costs due to COVID-19. We have elected to recognize the rent credits given to the eligible operators where we accrue rent on a straight-line basis over the remaining life of those respective leases. During the nine months ended September 30, 2021, we recognized a decrease of $496,000 of GAAP revenue and $1,337,000 of cash revenue.

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2021 and 2020 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs		Costs		Properties	Beds/Units
2021	n/a	$	—	$	—	$	—	—	—
2020	Skilled Nursing (1)	$	13,500	$	81	$	13,581	1	140

(1) We acquired a SNF located in Texas.

During the nine months ended September 30, 2021 and 2020, we invested the following in development and improvement projects (in thousands):

	Nine Months Ended September 30,
	2021				2020
Type of Property	Developments		Improvements		Developments		Improvements
Assisted Living Communities	$	—	$	4,560	$	4,491	$	3,941
Skilled Nursing Centers		—		279		8,893		14
Total	$	—	$	4,839	$	13,384	$	3,955

Completed Developments. We had no completed developments during the nine months ended September 30, 2021. The following table summarized our completed developments during the nine months ended September 30, 2020 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of			Total
Year	Type of Project	Properties	Property	Beds/Units	State	Investment
2020	Development	1	ALF/MC	78	Oregon	$	18,447
	Development	1	SNF	90	Missouri		13,272
Total		2		168		$	31,719

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Properties Sold. The following table summarizes property sales during the nine months ended September 30, 2021 and 2020 (dollar amounts in thousands):

		Type	Number	Number
		of	of	of		Sales		Carrying		Net
Year	State	Properties	Properties	Beds/Units		Price		Value		Gain (loss) (1)
2021	n/a	n/a	—	—	$	—	$	—	$	292	(2) (3)
	Florida	ALF	1	—		2,000		2,626		(858)
	Nebraska	ALF	1	40		900		1,079		(198)
	Washington	SNF	1	123		7,700		4,528		2,562
	Wisconsin	ALF	3	263		35,000		28,295		5,594
Total 2021			6	426	$	45,600	$	36,528	$	7,392
2020	n/a	n/a	—	—	$	—	$	—	$	108	(2) (3)
	Arizona	SNF	1	194		12,550		2,229		10,292
	Colorado	SNF	3	275		15,000		4,271		10,364
	Iowa	SNF	7	544		14,500		4,886		9,029	(3)
	Kansas	SNF	3	250		9,750		7,438		1,993
	Texas	SNF	7	1,148		23,000		10,260		12,287
Total 2020			21	2,411	$	74,800	$	29,084	$	44,073

(

(1) Calculation of net gain (loss) includes cost of sales.

(2) We recognized additional gain due to the reassessment adjustment of the holdbacks related to properties sold during 2019 and 2020, under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(3) One of the transactions includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. During 2020, we received $150 of the holdback. The remaining holdback expires in March 2022. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471 at closing.

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Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2021 (dollar amounts in thousands):

					Type		Percentage		Number of					Investment
			Gross		of		of						SNF	per
Interest Rate (1)	Maturity	State	Investment		Property		Investment		Loans (2)		Properties (3)		Beds	Bed/Unit
7.5%	2022	MO	$	1,780	OTH	(4)	0.7	%	1		—	(4)	—	$	n/a
10.1%	2043	MI		185,859	SNF		71.1	%	1		15		1,875	$	99.12
9.3%	2045	MI		39,148	SNF		15.0	%	1		4		501	$	78.14
9.6%	2045	MI		19,750	SNF		7.5	%	1		2		205	$	96.34
9.6%	2045	MI		14,900	SNF		5.7	%	1		1		146	$	102.05
Total			$	261,437			100.0	%	5	(5)	22	(5)	2,727	$	95.87

(1) The majority of the mortgage loans provide for 2.25% annual increases in the interest rate after a certain time period.

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

(3) The properties securing these mortgage loans are operated by the same operator except for (4) below.

(4) Represents a mortgage loan secured by a parcel of land for the future development of a 91-bed post-acute SNF.

(5) Subsequent to September 30, 2021, we funded a $27,047 mortgage loan secured by a 189-bed SNF in Louisiana with a regional operator new to us. The mortgage loan has a three-year term, with one 12-month extension option and a yield of 7.5%. Additionally, we funded a $12,530 mortgage loan secured by a 68-unit ALF and MC community in Florida operated by a regional operator new to us. The mortgage loan term is approximately 4 years at a 7.75% yield and includes an additional $4,177 loan commitment for the construction of a memory care addition to the property to be funded at a later date subject to satisfaction of various conditions.

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
	2021			2020
Originations and funding under mortgage loans receivable	$	2,223	(1)	$	4,176
Scheduled principal payments received		(625)			(565)
Mortgage loan premium amortization		(4)			(3)
Provision for loan loss reserve		(16)			(36)
Net increase in mortgage loans receivable	$	1,578		$	3,572

(1) We originated a $1,780 mortgage loan secured by a parcel of land for the future development of a 91-bed post-acute SNF in Missouri and withheld a reserve of $142. The mortgage loan term is one year at a yield of 7.5%.

We apply ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) and the “expected loss” model to estimate our loan losses on our mortgage loans and notes receivable. In determining the expected losses on these receivables, we utilize the probability of default and discounted cash flow methods. Further, we stress-test the results to reflect the impact of unknown adverse future events including recessions.

As of September 30, 2021, the accrued interest receivable of $37,476,000 was not included in the measurement of expected credit losses on the mortgage loan receivable and notes receivable (see Note 4). We elected not to measure an allowance for expected credit losses on the related accrued interest receivable using the expected credit loss standard. Rather, we have elected to write-off accrued interest receivable by reversing interest income and/or recognizing credit loss expense as incurred. We review the collectability of the accrued interest receivable quarterly as part of our review of the mortgage loan or

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(Unaudited)

notes receivables including the performance of the underlying collateral. For the nine months ended September 30, 2021 and 2020, the Company did not write-off any accrued interest receivable.

3. Investment in Unconsolidated Joint Ventures

We had a preferred equity investment in an unconsolidated joint venture (“JV”) that owned four communities located in Arizona, providing independent living, assisted living and memory care services. During 2020, the JV sold the four properties comprising the JV and received liquidation proceeds totaling $17,848,000. As a result of this transaction, we incurred $620,000 of losses during the nine months ended September 30, 2020 and an additional $138,000 during the fourth quarter of 2020.

During 2020, we provided preferred capital contribution commitments to two joint ventures (“JVs”). We determined that each of these JVs meets the accounting criteria to be considered a variable interest entity (“VIE”). We are not the primary beneficiary of the JVs as we do not have the power to direct the activities that most significantly affect the JVs’ economic performance. However, we do have significant influence over the JVs. Therefore, we have accounted for the JVs using the equity method of accounting. The following table provides information regarding these preferred equity investments (dollar amounts in thousands):

	Type	Type		Total		Contractual		Number
	of	of		Preferred		Cash		of		Carrying
State	Properties	Investment		Return		Portion		Beds/ Units		Value
Washington	UDP	Preferred Equity	(1)	12	%	7	%	—	$	6,340	(1)
Washington	UDP	Preferred Equity	(2)	12	%	8	%	—		13,000	(2)
Total								—	$	19,340

(1) Invested $6,340 of preferred equity in an entity that will develop and own a 95-unit ALF and MC in Washington and withheld $1,425 as a reserve. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% until achieving an IRR ranging between 12% to 14%.

(2) Invested $13,000 of preferred equity in an entity that will develop and own a 267-unit ILF and ALF in Washington and withheld $3,777 as a reserve. Our investment represents 11.6% of the estimated total investment. The preferred equity investment earns an initial cash rate of 8% until achieving an IRR ranging between 12% and 14%.

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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 for the nine months ended September 30, 2021 and 2020 (in thousands):

	Type
	of			Capital			Income		Cash Interest
Year	Properties			Contribution			Recognized		Earned
2021	UDP	(1)	$	—		$	337	$	300
	UDP	(2)		8,000	(2)		704		616
Total			$	8,000		$	1,041	$	916
2020	ALF/MC/ILF	(3)	$	58	(3)	$	231	$	231
	UDP	(1)		6,340	(1)		56		18
Total			$	6,398		$	287	$	249

(1) During 2020, we provided a total preferred equity investment of $6,340 to a JV for the development of a 95-unit ALF and MC.

(2) During 2021, we funded the remaining $8,000 related to a $13,000 preferred equity investment commitment in an entity that will develop and own a 267-unit ILF and ALF in Washington. Additionally, we withheld $2,324 from the $8,000 funding for a total reserve of $3,777 related to this preferred equity investment.

(3) Relates to our preferred equity investment in Arizona discussed above. During 2020, the properties comprising the JV were sold.

4. Notes Receivable

Notes receivable consists of mezzanine loans and other loan arrangements. The following table is a summary of our notes receivable components as of September 30, 2021 and December 31, 2020 (in thousands):

	September 30, 2021			December 31, 2020
Mezzanine loans	$	11,816	(1)	$	8,445
Other loans		7,048	(2)		6,166
Notes receivable loan loss reserve		(189)			(146)
Total	$	18,675		$	14,465

(1) During the three months ended September 30, 2021, we originated a $4,355 mezzanine loan and held back a $353 interest reserve. The mezzanine loan has a three-year term with two 12-month extensions. The initial rate is 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return (“IRR”) of 10.5%.

(2) Subsequent to September 30, 2021, we provided HMG Healthcare, LLC (“HMG”) a $25,000 secured working capital loan maturing in September 2022 to facilitate the transition of the 11 properties from Senior Care and Abri Health.

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(Unaudited)

The following table summarizes our notes receivable activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
		2021			2020
Advances under notes receivable	$	6,453	(1)	$	1,366
Interest reserve withheld		353			—
Principal payments received under notes receivable		(2,553)			(4,732)
Reclassified to lease incentives		—			(300)	(2)
Notes receivable reserve		43			36
Net increase (decrease) in notes receivable	$	4,296		$	(3,630)

(1) Funding under working capital notes and mezzanine loans with interest ranging between 5% and 8% and maturities between 2022 and 2030.

(2) Represents interim working capital loans related to development projects which matured upon completion of the development projects and commencement of the master leases.

5. Lease Incentives

Our lease incentive balances at September 30, 2021(in thousands):

		September 30, 2021		December 31, 2020
Non-contingent lease incentives	$	2,726	$	2,462

The following table summarizes our lease incentives activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
	2021				2020
		Funding		Amortization		Funding		Amortization		Reclassification
Non-contingent lease incentives	$	650	$	(386)	$	50	$	(317)	$	115	(1)

(1) We reclassified a $300 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion. Additionally, we wrote-off $185 of lease incentive related to a master lease for which we determined it was not probable we will collect substantially all of the contractual lease obligations through maturity. See Note 2. Real Estate Investments for further discussion.

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.

6. Debt Obligations

Bank Borrowings. We have an unsecured credit agreement that provides for a revolving aggregate commitment of the lenders of up to $600,000,000 with the opportunity to increase the commitment size of the credit agreement up to a total of $1,000,000,000. The unsecured credit agreement matures on June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2021, the facility provides for interest annually at LIBOR plus

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(Unaudited)

115 basis points and a facility fee of 20 basis points. At September 30, 2021, we were in compliance with all covenants.

Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates ranging from 3.85% to 5.03%. The senior unsecured notes mature between 2021 and 2032.

The debt obligations by component as of September 30, 2021 and December 31, 2020 are as follows (dollar amounts in thousands):

		At September 30, 2021				At December 31, 2020
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings	1.23%	$	134,400	$	465,600	$	89,900	$	510,100
Senior unsecured notes, net of debt issue costs	4.34%		527,429		—		559,482		—
Total	3.71%	$	661,829	$	465,600	$	649,382	$	510,100

(1) Represents weighted average of interest rate as of September 30, 2021.

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

	Nine Months Ended September 30,
	2021				2020
Debt Obligations		Borrowings		Repayments	Borrowings		Repayments
Bank borrowings	$	92,500	$	(48,000)	$	24,000	$	(28,000)
Senior unsecured notes		—		(32,160)		—		(25,160)
Total	$	92,500	$	(80,160)	$	24,000	$	(53,160)

7. Equity

Non-controlling Interests. We have 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. As 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 on the consolidated financial statements.

As of September 30, 2021, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated		Non-Controlling
Year	Purpose	Type	State		Assets		Interests
2019	Owned real estate	ALF/MC	VA	$	16,895	$	919
2018	Owned real estate	ILF	OR		14,400		2,857
2018	Owned real estate and development	ALF/MC	OR		18,447		1,091
2017	Owned real estate and development	ILF/ALF/MC	WI		22,007		2,305
2017	Owned real estate	ALF/MC	SC		11,680		1,241
Total				$	83,429	$	8,413

Common Stock. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200,000,000 in aggregate offering price of shares of our common stock. As of September 30, 2021, no shares had been issued under the

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(Unaudited)

Equity Distribution Agreements. Accordingly, at September 30, 2021, we had $200,000,000 available under the Equity Distribution Agreements.

During the nine months ended September 30, 2021 and 2020, we acquired 87,249 shares and 76,574 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Stock Repurchase Plan. On March 12, 2020, our Board of Directors authorized the repurchase of up to 5,000,000 outstanding shares of common stock. Due to the rising level of uncertainty in financial markets and the adverse effects of COVID-19 on the public health and our operators, our Board of Directors terminated the stock repurchase plan on March 25, 2020. During 2020, we purchased 615,827 shares at an average price of $29.25 per share, including commissions, for a total purchase price of $18,012,000.

Available Shelf Registration. We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic shelf registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. Our shelf registration statement expires on February 28, 2022.

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

	Nine Months Ended September 30,
	2021						2020
	Declared			Paid			Declared			Paid
Common Stock (1)	$	68,051	(2)	$	68,051	(2)	$	67,894	(3)	$	67,894	(3)

(1) Represents $0.19 per share per month for the nine months ended September 30, 2021 and 2020.

(2) Includes $764 of distributions that were paid as a result of the vesting of performance-based stock units.

(3) Includes $586 of distributions that were paid as a result of the vesting of performance-based stock units.

In October 2021, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2021, payable on October 29, November 30, and December 31, 2021, respectively, to stockholders of record on October 21, November 19, and December 23, 2021, respectively.

Stock-Based Compensation. During the second quarter of 2021, we adopted and our shareholders approved the 2021 Equity Participation Plan (“the 2021 Plan”) which replaces the 2015 Equity Participation Plan (“the 2015 Plan”). Under the 2021 Plan, 1,900,000 shares of common stock have been authorized and reserved for awards, less one share for every one share that was subject to an award granted under the 2015 Plan after December 31, 2020 and prior to adoption. In addition, any shares that are not issued under outstanding awards under the 2015 Plan because the shares were forfeited or cancelled after December 31, 2020 will be added to and again be available for awards under the 2021 Plan. Under the 2021 Plan, the shares were authorized and reserved for awards to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2021 Plan and the

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(Unaudited)

2015 Plan are set by our compensation committee at its discretion.

At September 30, 2021, we had 15,000 stock options outstanding and exercisable. During the nine months ended September 30, 2021 and 2020, no stock options were granted or exercised.

The following table summarizes our restricted stock activity for the nine months ended September 30, 2021 and 2020:

	Nine Months Ended September 30,
	2021		2020
Outstanding, January 1		180,440		163,569
Granted		110,348		101,348
Vested		(93,366)		(84,477)
Outstanding, September 30		197,422		180,440

During the nine months ended September 30, 2021 and 2020, we granted 71,892 and 66,027, respectively, of performance-based stock units. Additionally, during the nine months ended September 30, 2021 and 2020, the number of performance-based stock units that vested were 108,720 and 81,574, respectively.

During the nine months ended September 30, 2021 and 2020, we granted restricted stock and performance-based stock units as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2021	95,293	$	42.27	ratably over 3 years
	71,892	$	42.27	TSR targets (1)
	12,055	$	39.40	May 26, 2022
	3,000	$	43.14	April 1, 2022
	182,240
2020	76,464	$	48.95	ratably over 3 years
	66,027	$	49.98	TSR targets (1)
	9,884	$	38.45	May 27, 2021
	15,000	$	38.45	ratably over 3 years
	167,375

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

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(Unaudited)

Compensation expense recognized related to the vesting of restricted common stock and performance-based stock units for the nine months ended September 30, 2021 and 2020 were $5,785,000 and $5,231,000, respectively. At September 30, 2021, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows (in thousands):

	Remaining
	Compensation
Vesting Date	Expense
2021	$	1,974
2022		5,447
2023		2,855
2024		303
Total	$	10,579

8. Commitments and Contingencies

At September 30, 2021, we had commitments as follows (in thousands):

						Total
	Investment			2021		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties (Note 2. Real Estate Investments)	$	19,670	(1)	$	3,770	$	10,228	$	9,442
Accrued incentives and earn-out liabilities (Note 5. Lease Incentives)		9,130			50		50		9,080
Mortgage loans (Note 2. Real Estate Investments)		21,000	(2)		318		3,699		17,301
Notes receivable (Note 4. Notes Receivable)		1,925			643		1,247		678
Total	$	51,725		$	4,781	$	15,224	$	36,501

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

(2) Represents $3,000 of commitments to expand and renovate seniors housing and health care properties securing mortgage loans and $18,000 of commitments which are contingent upon the borrower achieving certain coverage ratios.

Also, some of our lease agreements provide purchase options allowing the lessee to purchase the properties they currently lease from us. See Note 2. Real Estate Investments for a table summarizing information about our purchase options.

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.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

9. Major Operators

We have one operator that derives 10% or more of our combined rental revenue and interest income from mortgage loans. The following table sets forth information regarding our major operator as of September 30, 2021:

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets (2)
Prestige Healthcare (3)	24	—	2,845	93	21.4	%	18.3	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of September 30, 2021.

(2) Represents the net carrying value of the mortgage loans and properties we own divided by the Total assets on the Consolidated Balance Sheets.

(3) The majority of the revenue derived from this operator relates to interest income from mortgage loans.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare 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, impact upon services or occupancy levels due to COVID-19, or in the event any such operator does not renew and/or extend its relationship with us.

21

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

10. Earnings per Share

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

	Three Months Ended					Nine Months Ended
	September 30,					September 30,
	2021			2020		2021			2020
Net income	$	11,114		$	12,338	$	43,294		$	78,012
Less income allocated to non-controlling interests		(92)			(121)		(271)			(292)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(113)			(103)		(346)			(294)
Income allocated to participating securities		—			—		—			(45)
Total net income allocated to participating securities		(113)			(103)		(346)			(339)
Net income available to common stockholders		10,909			12,114		42,677			77,381
Effect of dilutive securities:
Participating securities (1)		—			—		—			—
Net income for diluted net income per share	$	10,909		$	12,114	$	42,677		$	77,381
Shares for basic net income per share		39,177			39,061		39,149			39,218
Effect of dilutive securities:
Stock options (1)		—			—		—			—
Performance-based stock units		—	(2)		51		—	(2)		51
Participating securities (1)		—			—		—			—
Total effect of dilutive securities		—			51		—			51
Shares for diluted net income per share		39,177			39,112		39,149			39,269
Basic net income per share	$	0.28		$	0.31	$	1.09		$	1.97
Diluted net income per share	$	0.28		$	0.31	$	1.09		$	1.97

(1) For the three and nine months ended September 30, 2021, and 2020, the stock options and participating securities have been excluded from the computation of diluted net income per share as such inclusion would be anti-dilutive.

(2) For the three and nine months ended September 30, 2021, no performance-based stock units would be earned based on TSR targets.

11. Fair Value Measurements

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

22

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

The carrying amount of cash and cash equivalents, prepaid expenses and other assets, accrued interest, accrued expenses and other liabilities approximates fair value because of the short-term maturity of these instruments. We do not invest our cash in auction rate securities. The carrying value and fair value of our financial instruments as of September 30, 2021 and December 31, 2020 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2021					At December 31, 2020
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable, net of loan loss reserve	$	258,829	$	298,677	(1)	$	257,251	$	299,751	(1)
Notes receivable, net of loan loss reserve		18,675		18,552	(2)		14,465		13,893	(2)
Bank borrowings		134,400		134,400	(3)		89,900		89,900	(3)
Senior unsecured notes, net of debt issue costs		527,429		556,841	(4)		559,482		560,140	(4)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2021 and December 31, 2020 was 10.1% and 10.0%, respectively.

(2) Our investments in notes receivable are classified as Level 3. 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 flows of the notes receivable at September 30, 2021 and December 31, 2020, were 6.5% and 6.6%, respectively.

(3) Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2021 and December 31, 2020 based upon prevailing market interest rates for similar debt arrangements.

(4) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2021, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.00% for those maturing before year 2030 and 3.25% for those maturing at or beyond year 2030. At December 31, 2020, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.25% for those maturing before year 2026 and 3.50% for those maturing at or beyond year 2026.

12. Subsequent Events

Subsequent to September 30, 2021 the following events occurred:

Real Estate Investments: We transitioned 11 properties previously leased to Senior Care and Abri Health to HMG under a one-year master lease with rent based on cash flows, and payment subject to a deferral of up to six months. We intend to add these 11 properties to their current master lease after establishing a stabilized rent during the first lease year. We also funded the following mortgage loans:

● A $27,047,000 mortgage loan secured by a 189-bed skilled nursing center in Louisiana with a regional operator new to us. The mortgage loan has a three-year term with one 12-month extension option and a yield of 7.5%; and

● A $12,530,000 mortgage loan secured by a 68-unit assisted living and memory care community in Florida operated by a regional operator new to us. The mortgage loan term is approximately 4 years at a 7.75% yield and includes an additional $4,177,000 loan commitment for the construction of a memory care addition to the property to be funded at a later date subject to satisfaction of various conditions.

23

LTC PROPERTIES, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS CONTINUED

(Unaudited)

Notes Receivable: We provided HMG a $25,000,000 secured working capital loan maturing in September 2022 to facilitate the transition of the 11 properties from Senior Care and Abri Health.

Equity: We declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2021, payable on October 29, November 30, and December 31, 2021, respectively to stockholders of record on October 21, November 19, and December 23, 2021, respectively.

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

Cautionary Statement Regarding Forward-Looking Statements

This quarterly report contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, adopted pursuant to the Private Securities Litigation Reform Act of 1995. Statements that are not purely historical may be forward-looking. You can identify some of the forward-looking statements by their use of forward-looking words, such as “believes,” “expects,” “may,” “will,” “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, our dependence on our operators for revenue and cash flow; the duration and extent of the effects of the COVID-19 pandemic; government regulation of the health care industry; federal and state health care cost containment measures including reductions in reimbursement from third-party payors such as Medicare and Medicaid; required regulatory approvals for operation of health care facilities; a failure to comply with federal, state, or local regulations for the operation of health care facilities; the adequacy of insurance coverage maintained by our operators; our reliance on a few major operators; our ability to renew leases or enter into favorable terms of renewals or new leases; operator financial or legal difficulties; the sufficiency of collateral securing mortgage loans; an impairment of our real estate investments; the relative illiquidity of our real estate investments; our ability to develop and complete construction projects; our ability to invest cash proceeds for health care properties; a failure to qualify as a REIT; our ability to grow if access to capital is limited; and a failure to maintain or increase our dividend. For a discussion of these and other factors that could cause actual results to differ from those contemplated in the forward-looking statements, please see the discussion under “Risk Factors” contained in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 and in our publicly available filings with the Securities and Exchange Commission. We do not undertake any responsibility to update or revise any of these factors or to announce publicly any revisions to forward-looking statements, whether as a result of new information, future events or otherwise.

Executive Overview

Business and Investment Strategy

We are a real estate investment trust (“REIT”) that invests in seniors housing and health care properties through sale-leaseback transactions, mortgage financing, joint ventures, construction financing 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.

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The following graph summarizes our gross investments as of September 30, 2021:

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. We conduct and manage our business as one operating segment, rather than multiple operating segments, for internal reporting and internal decision-making purposes. For purposes of this quarterly report and other presentations, we generally include ALF, ILF, MC, and combinations thereof in the ALF classification. As of September 30, 2021, seniors housing and long-term health care properties comprised approximately 99.2% of our real estate investment portfolio. We have been operating since August 1992.

Substantially all of our revenues and sources of cash flows from operations are derived from operating lease rentals, interest earned on outstanding loans receivable and income from investments in unconsolidated joint ventures. Income from 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-

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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, proceeds from periodic asset sales, 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.

COVID-19

On March 11, 2020, the World Health Organization declared the outbreak of coronavirus (“COVID-19”) as a pandemic, and on March 13, 2020, the United States declared a national emergency with regard to COVID-19. The COVID-19 pandemic has had repercussions across regional and global economies and financial markets. The outbreak of COVID-19 in many countries, including the United States, has significantly and adversely impacted public health and economic activity, and has contributed to significant volatility, dislocations and liquidity disruptions in financial markets.

The operations and occupancy levels at our properties have been adversely affected by COVID-19 and could be further adversely affected by COVID-19 or another pandemic especially if there are infections on a large scale at our properties. The impact of COVID-19 has included, and another pandemic could include, early resident move-outs, our operators delaying accepting new residents due to quarantines, potential occupants postponing moves to our operators’ facilities, and/or hospitals cancelling or significantly reducing elective surgeries thereby there were fewer people in need of skilled nursing care. Additionally, as our operators have responded to the pandemic, operating costs have begun to rise. A decrease in occupancy, ability to collect rents from residents and/or increase in operating costs could have a material adverse effect on the ability of our operators to meet their financial and other contractual obligations to us, including the payment of rent. In recognition of the pandemic impact affecting our operators, we have agreed to rent abatements totaling $3.8 million and rent deferrals for certain operators totaling $6.1 million between April 2020 and September 2021, of which $1.7 million subsequently has been repaid. The $8.2 million in rent abatements and deferrals, net of repayments, represented approximately 2.9% of our April 2020 through September 2021 contractual rent and interest. The remaining balance of deferred rent is due to us over the next 36 months or upon receipt of government funds from the U.S. Coronavirus Aid, Relief, and Economic Security (the “CARES Act”).

During the nine months ended September 30, 2021, we proactively provided additional financial support to the majority of our operators by reducing 2021 rent and interest escalations by 50%. The rent and interest escalation reduction were given in the form of a rent and interest credit in recognition of operators’ increased costs due to COVID-19. During nine months ended September 30, 2021, we recognized a GAAP revenue decrease of $0.5 million and a cash revenue decrease of $1.3 million related

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to the 50% escalation reduction. We expect the escalation reductions to have a de minimis effect on GAAP revenue during the fourth quarter of 2021.

Real Estate Portfolio Overview

The following tables summarize our real estate investment portfolio by owned properties and mortgage loans and by property type, as of September 30, 2021 (dollar amounts in thousands):

					Nine Months Ended
			Percentage		September 30, 2021				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Owned Properties	Investments		Investments		Income (1)		Income		Revenues		Properties (2)	Beds (3)	Units (3)
Assisted Living	$	843,015	50.5	%	$	40,236	$	—	38.5	%	102	—	5,798
Skilled Nursing		552,723	33.1	%		39,809		—	38.1	%	50	6,154	212
Other (4)		11,360	0.7	%		725		—	0.7	%	1	118	—
Total Owned Properties		1,407,098	84.3	%		80,770		—	77.3	%	153	6,272	6,010
Mortgage Loans
Skilled Nursing		259,657	15.6	%		—		23,779	22.7	%	22	2,727	—
Other (4)		1,780	0.1	%		—		—	—	%	—	—	—
Total Mortgage Loans		261,437	15.7	%		—		23,779	22.7	%	22	2,727	—
Total Portfolio	$	1,668,535	100.0	%	$	80,770	$	23,779	100.0	%	175	8,999	6,010

					Nine Months Ended
			Percentage		September 30, 2021				Percentage		Number	Number of
	Gross		of		Rental		Interest		of		of	SNF	ALF
Summary of Properties by Type	Investments		Investments		Income (1)		Income		Revenues		Properties (2)	Beds (3)	Units (3)
Assisted Living	$	843,015	50.5	%	$	40,236	$	—	38.5	%	102	—	5,798
Skilled Nursing		812,380	48.7	%		39,809		23,779	60.8	%	72	8,881	212
Other (4)		13,140	0.8	%		725		—	0.7	%	1	118	—
Total Portfolio	$	1,668,535	100.0	%	$	80,770	$	23,779	100.0	%	175	8,999	6,010

(1) Excludes variable rental income from lessee reimbursement and rental income from sold properties.

(2) We have investments in owned properties and mortgage loans in 26 states leased or mortgaged to 31 different operators.

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

(4) Includes three parcels of land held-for-use, one behavioral health care hospital and one parcel of land securing a first mortgage held for future development of a post-acute skilled nursing center.

As of September 30, 2021, we had $1.3 billion in net carrying value of real estate investments, consisting of $1.0 billion or 80.1% invested in owned and leased properties and $0.3 billion or 19.9% invested in mortgage loans secured by first mortgages. Our investment in mortgage loans mature between 2022 and 2045 and contain interest rates between 7.5% and 10.1%.

For the nine months ended September 30, 2021, rental income represented 78.6% of total gross revenues, interest income from mortgage loans represented 20.5% of total gross revenues and interest and other income represented 0.9% of total gross revenues. In most instances, our lease structure contains fixed annual rental escalations and/or annual rental escalations that are contingent upon changes in the Consumer Price Index. Certain leases have annual rental escalations that are contingent upon changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved.

For the nine months ended September 30, 2021, we recorded $0.6 million in straight-line rental income and amortization of lease incentive cost of $0.4 million. During the nine months ended September 30, 2021, we received $91.6 million of cash rental income, which includes $10.7 million of operator reimbursements for our real estate taxes. At September 30, 2021, the straight-line rent receivable balance, net of write-offs for uncollectible amounts, on the balance sheet was $24.3 million.

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Update on Certain Operators

Senior Care Centers, LLC

Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy in December 2018. During 2019, while in bankruptcy, Senior Care assumed LTC’s master lease and, in March 2020, Senior Care emerged from bankruptcy. Concurrent with their emergence from bankruptcy, in accordance with the order confirming Senior Care’s plan of reorganization, Abri Health Services, LLC (“Abri Health”) was formed as the parent company of reorganized Senior Care and became co-tenant and co-obligor with reorganized Senior Care under our master lease. In March 2021, Senior Care and Abri Health (collectively, “Lessee”) failed to pay rent and additional obligations owed under the master lease. Accordingly, we sent a notice of default and applied proceeds from letters of credit to certain obligations owed under the master lease. Furthermore, we sent the Lessee a notice of termination of the master lease to be effective April 17, 2021. On April 16, 2021, the Lessee filed for Chapter 11 bankruptcy. In August 2021, the United States Bankruptcy Court approved a settlement agreement between Lessee and LTC. The settlement provides for, among other things, a one-time payment of $3.3 million from LTC to the affiliates of Lessee in exchange for cooperation and assistance in facilitating an orderly transition of the 11 skilled nursing centers from the Lessee and its affiliates to affiliates of HMG Healthcare, LLC which occurred on October 1, 2021.

Brookdale Senior Living Communities, Inc

Brookdale Senior Living Communities, Inc’s (“Brookdale”) master lease was scheduled for expiration on December 31, 2021. During the first quarter of 2021, we extended their term by one year through an amended master lease, with a new maturity date of December 31, 2022. Also, the renewal options under the amended master lease will remain the same which provides three renewal options consisting of a three-year renewal option, a five-year renewal option and a 10-year renewal option. The notice period for the first renewal option is January 1, 2022 to April 30, 2022. During 2020, we extended a $4.0 million capital commitment to Brookdale, which is available through December 31, 2021 at a 7% yield. As of September 30, 2021, we have funded $3.3 million under this agreement and our remaining commitment is $0.7 million. Brookdale is current on rent payments through October 2021.

Senior Lifestyle Corporation

During 2020, an affiliate of Senior Lifestyle (“Senior Lifestyle”) paid us $13.8 million of their $18.4 million contractual rent and we applied their letter of credit and deposits totaling $3.7 million to past due rent of $3.6 million and to their outstanding notes receivable of $0.1 million. Accordingly, we wrote-off a total $17.7 million of straight-line rent receivable and lease incentives related to this master lease and transitioned rental revenue recognition to cash basis effective July 2020. During 2020, we recognized $17.4 million of rental revenue from Senior Lifestyle. To date in 2021, Senior Lifestyle has not paid rent or its other obligations under the master lease. During 2021, we transition 18 assisted living communities previously leased to Senior Lifestyle to five operators. These communities are located in Illinois, Ohio, Wisconsin, Colorado, Pennsylvania and Nebraska. Also, during 2021, we sold three Wisconsin communities and a closed community in Nebraska previously leased to Senior Lifestyle for a combined total of $35.9 million. We received total proceeds of $34.8 million and recorded a net gain on sale of $5.4 million. We expect to transition the remaining New Jersey community to an existing operator during the fourth quarter of 2021.

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Genesis Healthcare, Inc

Genesis reported doubt regarding its ability to continue as a going concern on its Quarterly Report on Form 10-Q filed in August 2020. As a result, we wrote-off $4.3 million of straight-line rent receivable related to this master lease during the third quarter of 2020 and transitioned rental revenue recognition to cash basis effective September 2020. During the first quarter of 2021, Genesis delisted its Class A common stock from the New York Stock Exchange. Genesis is current on rent payments through October 2021.

Other Operators

During the third quarter of 2020, an operator failed to pay its full contractual rent. Accordingly, we wrote-off $1.2 million of straight-line rent receivable related to this master lease. During 2020, we consolidated our two master leases with this operator into one combined master lease and agreed to abate $0.7 million of rent and allow the operator to defer rent as needed through March 31, 2021. During 2021, the combined master lease was amended to extend the rent deferral period through December 31, 2021. The operator deferred rent of $1.2 million for the third quarter of 2021 and $0.4 million for October 2021. The deferred balance due from this operator is $4.1 million as of October 2021. The operator can defer rent up to $0.4 million for each of November and December 2021.

2021 Rent deferrals, net of repayments, and abatements (in thousands):

	Three Months Ended
		March 31, 2021		June 30, 2021		September 30, 2021		October 2021
Rent deferrals, net of repayments	$	1,122	$	1,121	$	1,300	$	438
Rent abatements		600		1,069		970		240
50% reduction of 2021 rent & interest escalations		1,204		133		—		—
	$	2,926	$	2,323	$	2,270	$	678

Subsequent to September 30, 2021, we have agreed to provide rent deferrals up to $0.4 million and abatements up to $0.2 million for each of November and December 2021.

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2021 Activities Overview

The following tables summarize our transactions during the nine months ended September 30, 2021 (dollar amounts in thousands):

Investment in Development and Improvement projects

	Developments		Improvements
Assisted Living Communities	$	—	$	4,560
Skilled Nursing Centers		—		279
Total	$	—	$	4,839

Properties Sold

	Type	Number	Number
	of	of	of		Sales		Carrying		Net
State	Properties	Properties	Beds/Units		Price		Value		Gain (loss) (1)
n/a	n/a	—	—	$	—	$	—	$	292	(2) (3)​
Florida	ALF	1	—		2,000		2,626		(858)
Nebraska	ALF	1	40		900		1,079		(198)
Washington	SNF	1	123		7,700		4,528		2,562
Wisconsin	ALF	3	263		35,000		28,295		5,594
		6	426	$	45,600	$	36,528	$	7,392

(1) Calculation of net gain (loss) includes cost of sales.

(2) We recognized additional gain due to the reassessment adjustment of the holdbacks related to properties sold during 2019 and 2020, under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(3) One of the transactions includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. During 2020, we received $150 of the holdback. The remaining holdback expires in March 2022. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471 at closing.

Investment in Mortgage Loans

Originations and funding under mortgage loans receivable	$	2,223	(1)​
Scheduled principal payments received		(625)
Mortgage loan premium amortization		(4)
Provision for loan loss reserve		(16)
Net increase in mortgage loans receivable	$	1,578

(1) Subsequent to September 30, 2021, we funded a $27,047 mortgage loan secured by a 189-bed SNF in Louisiana with a regional operator new to us. The mortgage loan has a three-year term, with one 12-month extension option and a yield of 7.5%. Additionally, we funded a $12,530 mortgage loan secured by a 68-unit ALF and MC community in Florida operated by a regional operator new to us. The mortgage loan term is approximately 4 years at a 7.75% yield and includes an additional $4,177 loan commitment for the construction of a memory care addition to the property to be funded at a later date subject to satisfaction of various conditions.

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Investment in Unconsolidated Joint Ventures

	Type	Type		Total		Contractual		Number				2021				Cash
	of	of		Preferred		Cash		of		Carrying		Capital		Income		Interest
State	Properties	Investment		Return		Portion		Beds/ Units		Value		Contribution		Recognized		Received
Washington (1)	UDP	Preferred Equity	(1)​	12	%	7	%	—	$	6,340	$	—	$	337	$	300
Washington (2)	UDP	Preferred Equity	(2)​	12	%	8	%	—		13,000		8,000		704		616
								—	$	19,340	$	8,000	$	1,041	$	916

(1) Invested $6,340 of preferred equity in an entity that will develop and own a 95-unit ALF/MC in Washington and withheld $1,425 as a reserve. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% until achieving an IRR ranging between 12% to 14%.

(2) Invested $13,000 of preferred equity in an entity that will develop and own a 267-unit ILF/ALF in Washington and withheld $3,777 as a reserve. Our investment represents 11.6% of the estimated total investment. The preferred equity investment earns an initial cash rate of 8% until achieving an IRR ranging between 12% and 14%.

Notes Receivable

Advances under notes receivable	$	6,453	(1) (2)​
Interest reserve withheld		353
Principal payments received under notes receivable		(2,553)
Notes receivable reserve		43
Net increase in notes receivable	$	4,296

(1) Funding under working capital notes and mezzanine loans with interest ranging between 5% and 8% and maturities between 2022 and 2030.

(2) Subsequent to September 30, 2021, we provided HMG a $25,000 secured working capital loan maturing in September 2022 to facilitate the transition of the 11 properties from Senior Care and Abri Health.

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Health Care Regulatory Climate

The Centers for Medicare & Medicaid Services (“CMS”) annually updates Medicare skilled nursing facility (“SNF”) prospective payment system rates and other policies. On July 30, 2019, CMS issued its final fiscal year 2020 Medicare skilled nursing facility update. Under the final rule, CMS projected aggregate payments to SNFs would increase by $851 million, or 2.4%, for fiscal year 2020 compared with fiscal year 2019. The final rule also addressed implementation of the new Patient-Driven Payment Model case mix classification system that became effective on October 1, 2019, changes to the group therapy definition in the skilled nursing facility setting, and various SNF Value-Based Purchasing and quality reporting program policies. On April 10, 2020, CMS issued a proposed rule to update SNF rates and policies for fiscal year 2021, which started October 1, 2020, and issued the final rule on July 31, 2020. CMS estimated that payments to SNFs would increase by $750 million, or 2.2%, for fiscal year 2021 compared to fiscal year 2020. CMS also adopted revised geographic delineations to identify a provider’s status as an urban or rural facility and to calculate the wage index, applying a 5% cap on any decreases in a provider’s wage index from fiscal year 2020 to fiscal year 2021. Finally, CMS also finalized updates to the SNF value-based purchasing program to reflect previously finalized policies, updated the 30-day phase one review and correction deadline for the baseline period quality measure quarterly report, and announced performance periods and performance standards for the fiscal year 2023 program year. On April 8, 2021, CMS issued a proposed rule to update SNF rates and policies for fiscal year 2022, which started October 1, 2021, and issued the final rule on July 29, 2021. CMS estimated that the aggregate impact of the payment policies in the final rule would result in an increase of approximately $410 million in Medicare Part A payments to SNFs in fiscal year 2022. The final rule also includes several policies that update the SNF Quality Reporting Program and the SNF Value-Based Program for fiscal year 2022.

Since the announcement of the COVID-19 pandemic and beginning as of March 13, 2020, CMS has issued numerous temporary regulatory waivers and new rules to assist health care providers, including SNFs, respond to the COVID-19 pandemic. These include waiving the SNF 3-day qualifying inpatient hospital stay requirement, flexibility in calculating a new Medicare benefit period, waiving timing for completing functional assessments, waiving requirements for health care professional licensure, survey and certification, provider enrollment, and reimbursement for services performed by telehealth, among many others. CMS also announced a temporary expansion of its Accelerated and Advance Payment Program to allow SNFs and certain other Medicare providers to request accelerated or advance payments in an amount up to 100% of the Medicare Part A payments they received from October–December 2019; this expansion was suspended April 26, 2020 in light of other CARES Act funding relief. The Continuing Appropriations Acts, 2021 and Other Extensions Act, enacted on October 1, 2020, amended the repayment terms for all providers and suppliers that requested and received accelerated and advance payments during the COVID-19 public health emergency. Specifically, Congress gave providers and suppliers that received Medicare accelerated and advance payment(s) one year from when the first loan payment was made to begin making repayments. In addition, CMS has also enhanced requirements for nursing facilities to report COVID-19 infections to local, state and federal authorities. On October 15, 2021, HHS Secretary Becerra announced that he had renewed, effective October 18, 2021, the declared public health emergency for an additional 90-day period.

On March 26, 2020, President Trump signed into law the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”), sweeping legislation intended to bolster the nation’s response to the COVID-19 pandemic. In addition to offering economic relief to individuals and impacted businesses, the law expands coverage of COVID-19 testing and preventative services, addresses health care workforce needs, eases restrictions on telehealth services during the crisis, and increases Medicare regulatory flexibility, among many other provisions. Notably, the CARES Act temporarily suspended the 2% across-the-board “sequestration” reduction during the period May 1, 2020 through December 31, 2020, and

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extends the current Medicare sequester requirement through fiscal year 2030. In addition, the law provides $100 billion in grants to eligible health care providers for health care related expenses or lost revenues that are attributable to COVID-19. On April 10, 2020, CMS announced the distribution of $30 billion in funds to Medicare providers based upon their 2019 Medicare fee for service revenues. Eligible providers were required to agree to certain terms and conditions in receiving these grants. In addition, the Department of Health and Human Services (“HHS”) authorized $20 billion of additional funding for providers that have already received funds from the initial distribution of $30 billion. Unlike the first round of funds, which came automatically, providers were required to apply for these additional funds and submit the required supporting documentation, using the online portal provided by HHS. Providers were required to attest to and agree to specific terms and conditions for the use of such funds. HHS expressed a goal of allocating the whole $50 billion proportionally across all providers based on those providers’ proportional share of 2018 net Medicare fee-for-service revenue, so that some providers will not be eligible for additional funds. On May 22, 2020, HHS announced that it had begun distributing $4.9 billion in additional relief funds to SNFs to offset revenue losses and assist nursing homes with additional costs related to responding to the COVID-19 public health emergency and the shipments of personal protective equipment provided to nursing homes by the Federal Emergency Management Agency. On June 9, 2020, HHS announced that it expected to distribute approximately $15 billion to eligible providers that participate in state Medicaid and Children’s Health Insurance Program (“CHIP”) programs and have not received a payment from the Provider Relief Fund General Allocation. On July 22, 2020, President Trump announced that HHS would devote $5 billion in Provider Relief Funds to Medicare-certified long-term care facilities and state veterans’ homes to build nursing home skills and enhance nursing homes’ response to COVID-19, including enhanced infection control. Nursing homes were required to t participate in the Nursing Home COVID-19 training to qualify for this funding. On August 27, 2020, HHS announced that it had distributed almost $2.5 billion to nursing homes to support increased testing, staffing, and personal protective equipment needs. On September 3, 2020, HHS announced a $2 billion performance-based incentive payment distribution to nursing homes and SNFs. Finally, on October 1, 2020, the Trump Administration announced $20 billion in additional funding for several types of providers, including those who previously received, rejected, or accepted a general distribution provider relief fund payment. The application deadline for these Phase 3 funds was November 6, 2020.

On December 27, 2020, President Trump signed the Consolidated Appropriations Act, 2021 (H.R. 133). The $1.4 trillion omnibus appropriations legislation funds the government through September 30, 2021 and was attached to a $900 billion COVID-19 relief package. Of the $900 billion in COVID-19 relief, $73 billion was allocated to HHS. Notably, the bill adds an additional $3 billion to the Provider Relief Fund, includes language specific to reporting requirements, and allows providers to use any reasonable method to calculate lost revenue, including the difference between such provider’s budgeted and actual revenue budget if such budget had been established and approved prior to March 27, 2020, to demonstrate entitlement for these funds. This change reverts to HHS’ previous guidance from June 2020 on how to calculate lost revenues. The Consolidated Appropriations Act, 2021, also extended the CARES Act’s sequestration suspension to March 31, 2021. On January 15, 2021, HHS announced that it would be amending the reporting timeline for Provider Relief Funds and indicated that it was working to update the Provider Relief Fund requirements to be consistent with the passage of the Consolidated Appropriations Act, 2021.

On April 14, 2021, President Biden signed an Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes (H.R. 1868), which extended the sequestration suspension period to December 31, 2021. On June 11, 2021, HHS issued revised reporting requirements for recipients of Provider Relief Fund payments. The announcement included expanding the amount of time providers would have to report information, aimed to reduce burdens on smaller providers, and extended key deadlines for expending Provider Relief Fund payments for recipients who received payments after June 30, 2020. The revised reporting requirements are applicable to providers who received one or more

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payments exceeding, in the aggregate, $10,000 during a single Payment Received Period from the PRF General Distributions, Targeted Distributions, and/or Skilled Nursing Facility and Nursing Home Infection Control Distributions. On July 1, 2021, HHS, through the Health Resources and Services Administration (“HRSA”), notified recipients of Provider Relief Fund payments by e-mail that the Provider Relief Fund Reporting Portal was open for recipients who were required to report on the use of funds in Reporting Period 1, as described by HHS’s June 11, 2021 update to the reporting requirements. On September 10, 2021, HHS announced a final 60-day grace period of the September 30, 2021 reporting deadline for Provider Relief Funds exceeding $10,000 in aggregate payments received from April 10, 2020 to June 30, 2020. Although the September 30, 2021 reporting deadline remained in place, HHS has explained that recoupment or other enforcement actions will not be initiated during the 60-day grace period, which began on October 1, 2021 and will end on November 30, 2021.

On September 10, 2021, the Biden Administration announced that HHS would be making available $25.5 billion in new funding for health care providers affected by the COVID-19 pandemic, including $8.5 billion in American Rescue Plan (“ARP”) resources for providers who serve rural Medicaid, CHIP, or Medicare patients, and an additional $17 billion for Phase 4 Provider Relief Funds for a broad range of providers who can document revenue loss and expenses associated with the pandemic, including assisted living facilities that were state-licensed/certified on or before December 31, 2020. Approximately 25% of the Phase 4 allocation will be put towards bonus payments based on the amount and type of services provided to Medicaid, CHIP, and Medicare beneficiaries from January 1, 2019 through September 30, 2020. The deadline for submitting applications for Phase 4 funds is October 26, 2021.

On July 18, 2019, CMS published a final rule that eliminated the prohibition on pre-dispute binding arbitration agreements between long-term care facilities and their residents. The rule also strengthened the transparency of arbitration agreements and makes other changes to arbitration requirements for long-term care facilities. There can be no assurance that these rules or future regulations modifying Medicare skilled nursing facility payment rates or other requirements for Medicare and/or Medicaid participation will not have an adverse effect on the financial condition of our borrowers and lessees which could, in turn, adversely impact the timing or level of their payments to us.

Congress periodically considers legislation revising Medicare and Medicaid policies, including legislation that could have the impact of reducing Medicare reimbursement for SNFs and other Medicare providers, limiting state Medicaid funding allotments, encouraging home and community-based long-term care services as an alternative to institutional settings, or otherwise reforming payment policy for post-acute care services. Congress continues to consider further legislative action in response to the COVID-19 pandemic. There can be no assurances that enacted or future legislation will not have an adverse impact on the financial condition of our lessees and borrowers, which subsequently could materially adversely impact our company.

Additional reforms affecting the payment for and availability of health care services have been proposed at the federal and state level and adopted by certain states. Increasingly, state Medicaid programs are providing coverage through managed care programs under contracts with private health plans, which is intended to decrease state Medicaid costs. State Medicaid budgets may experience shortfalls due to increased costs in addressing the COVID-19 pandemic. Congress and state legislatures can be expected to continue to review and assess alternative health care delivery systems and payment methodologies. Changes in the law, new interpretations of existing laws, or changes in payment methodologies may have a dramatic effect on the definition of permissible or impermissible activities, the relative costs associated with doing business and the amount of reimbursement by the government and other third-party payors.

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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 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 investments that are real property or mortgage loans. 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. Investment mix measures the portion of our investments that relate to our various property classifications. Operator mix measures the portion of our investments that relate to our top five operators. Geographic mix measures the portion of our real estate investment that relate to our top five states.

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

	9/30/21		6/30/21		3/31/21		12/31/20		9/30/20
Asset mix:
Real property	$	1,407,098	$	1,412,329	$	1,449,062	$	1,452,001	$	1,448,764
Loans receivable		261,437		259,641		259,874		259,843		260,267
Real estate investment mix:
Assisted living communities	$	843,015	$	840,502	$	877,233	$	880,172	$	880,307
Skilled nursing centers		812,380		820,108		820,343		820,312		817,364
Other (1)		13,140		11,360		11,360		11,360		11,360
Operator mix:
Prestige Healthcare (1)	$	272,789	$	272,773	$	273,007	$	272,976	$	273,399
Senior Care Centers/ Abri Health Services		138,315		138,109		138,109		138,109		138,109
Anthem Memory Care		136,483		136,483		136,483		136,483		136,483
Carespring Health Care Management		102,520		102,520		102,520		102,520		102,520
Brookdale Senior Living		102,261		101,240		101,012		100,613		98,921
Remaining operators		916,167		920,845		957,805		961,143		959,599
Geographic mix:
Michigan	$	282,022	$	281,762	$	281,995	$	281,963	$	282,103
Texas		274,204		273,588		273,468		273,287		273,075
Wisconsin		114,288		114,250		149,403		149,403		149,403
California		105,997		105,892		105,352		105,163		104,924
Colorado		104,445		104,347		104,307		104,090		106,879
Remaining states		787,579		792,131		794,411		797,938		792,647

(1) Includes three parcels of land located adjacent to properties securing the Prestige Healthcare mortgage loan and are managed by Prestige.

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 Sheets 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 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:

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Balance Sheet Metrics

	Year to Date		Quarter Ended
	9/30/21		9/30/21			6/30/21			3/31/21			12/31/20			9/30/20
Debt to gross asset value	36.3	%	36.3	%	(1)​	34.8	%	(3)​	36.3	%	(1)​	35.8	%	(3)​	36.5	%
Debt to market capitalization ratio	34.7	%	34.7	%	(2)​	29.0	%	(4)​	28.7	%	(6)​	29.8	%	(7)​	32.7	%
Interest coverage ratio (9)	4.4	x	4.3	x		4.3	x	(5)​	4.6	x	(5)​	5.3	x	(8)​	4.8	x
Fixed charge coverage ratio (9)	4.4	x	4.3	x		4.3	x	(5)​	4.6	x	(5)​	5.3	x	(8)​	4.8	x

(1) Increased due to increase in outstanding debt partially offset by increase in gross asset value.

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

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

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

(5) Decreased due to decrease in rental income partially offset by decrease in interest expense.

(6) Decreased due to increase in market capitalization partially offset by increase in outstanding debt.

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

(8) Increased due to decrease in interest expense and increase in rental income.

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

	Year to Date			Quarter Ended
	9/30/21			9/30/21			6/30/21			3/31/21			12/31/20			9/30/20
Net income	$	43,294		$	11,114		$	18,330		$	13,850		$	17,665		$	12,338
Less/Add: (Gain)/ loss on sale		(7,392)			(2,702)			(5,463)			773			(44)			(30)
Add: Loss on unconsolidated joint ventures		—			—			—			—			138			—
Add: Impairment loss		—			—			—			—			3,036			941
Add: Interest expense		20,442			6,610			6,860			6,972			7,088			7,361
Add: Depreciation and amortization		28,847			9,462			9,508			9,877			9,839			9,766
EBITDAre	$	85,191		$	24,484		$	29,235		$	31,472		$	37,722		$	30,376
Add (less): Non-recurring one-time items		4,653			3,895	(1)​		—			758	(2)​		—			5,099	(3)​
Adjusted EBITDAre	$	89,844		$	28,379		$	29,235		$	32,230		$	37,722		$	35,475
Interest expense	$	20,442		$	6,610		$	6,860		$	6,972		$	7,088		$	7,361
Add: Capitalized interest		—			—			—			—			—			77
Interest incurred	$	20,442		$	6,610		$	6,860		$	6,972		$	7,088		$	7,438
Interest coverage ratio		4.4	x		4.3	x		4.3	x		4.6	x		5.3	x		4.8	x
Interest incurred	$	20,442		$	6,610		$	6,860		$	6,972		$	7,088		$	7,438
Total fixed charges	$	20,442		$	6,610		$	6,860		$	6,972		$	7,088		$	7,438
Fixed charge coverage ratio		4.4	x		4.3	x		4.3	x		4.6	x		5.3	x		4.8	x

(1) Represents the Senior Care and Abri Health settlement and related fees.

(2) Represents the write-off of straight-line rent related to an operator.

(3) Represents the write-off of straight-line rent receivable related to Genesis and another operator offset by the gain from insurance proceeds related to a previously sold property.

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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.

Additionally, as described in the Executive Overview above, COVID-19 is adversely affecting and is expected to continue to adversely affect our business, results of operations, cash flows and financial condition. Depending on the future developments regarding COVID-19, the duration, spread and severity of the outbreak, historical trends reflected in our balance sheet metrics may not be achieved in the future.

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

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Operating Results (unaudited, in thousands)

	Three Months Ended
	September 30,
	2021			2020			Difference
Revenues:
Rental income	$	29,320		$	30,010		$	(690)	(1)​
Interest income from mortgage loans		7,924			7,890			34
Interest and other income		228			273			(45)
Total revenues		37,472			38,173			(701)
Expenses:
Interest expense		6,610			7,361			751	(2)​
Depreciation and amortization		9,462			9,766			304
Impairment charges		—			941	(3)​		941
Provision (recovery) for credit losses		68			(2)			(70)
Transaction costs		4,046			63			(3,983)	(4)​
Property tax expense		3,932			3,351			(581)	(5)​
General and administrative expenses		5,318			4,814			(504)	(6)​
Total expenses		29,436			26,294			(3,142)
Other operating income:
Gain on sale of real estate, net		2,702	(7)​		30	(8)​		2,672
Operating income		10,738			11,909			(1,171)
Gain from property insurance proceeds		—			373	(9)​		(373)
Loss on unconsolidated joint ventures		—			—			—
Income from unconsolidated joint ventures		376			56			320	(10)​
Net income		11,114			12,338			(1,224)
Income allocated to non-controlling interests		(92)			(121)			29
Net income attributable to LTC Properties, Inc.		11,022			12,217			(1,195)
Income allocated to participating securities		(113)			(103)			(10)
Net income available to common stockholders	$	10,909		$	12,114		$	(1,205)

(1) Decreased primarily due to unpaid rent from Senior Care and Abri Health, Senior Lifestyle non-payment of lease obligations, abated and deferred rent and reduced income from a sold SNF in Washington partially offset by a $5,472 write-off of straight-line rent receivable balances related to two operators during the third quarter of 2020, increased rent from re-leasing 18 properties previously leased to Senior Lifestyle, completed development projects, an increase in property tax revenue and contractual rent increases.

(2) Decreased primarily due to scheduled principal paydowns on our senior unsecured notes and lower rates and a lower average outstanding balance under our unsecured revolving line of credit.

(3) Represents an impairment loss related to a closed ALF in Florida which was sold during the first quarter of 2021.

(4) Increased due to the Senior Care and Abri Health settlement and related fees.

(5) Increased primarily due to higher property tax expense related to Senior Lifestyle’s default of their contractual obligations to pay real estate taxes.

(6) Increased primarily due to higher incentive compensation projected in 2021 than in prior year and an increase in non-cash restricted stock and performance-based stock vesting expense.

(7) Represents the net gain on sale of $2,562 related to a SNF in Washington and (8) below.

(8) Represents recognition of additional gain due to quarterly reassessment of prior years’ sale holdbacks.

(9) Represents gain on insurance proceeds related to roof damage at a 114-bed SNF in Texas sold during the first quarter of 2020.

(10) Increased due to preferred equity investments in two unconsolidated joint ventures.

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	Nine Months Ended
	September 30,
	2021			2020			Difference
Revenues:
Rental income	$	91,097		$	88,320		$	2,777	(1)​
Interest income from mortgage loans		23,779			23,487			292	(2)​
Interest and other income		1,005			1,257			(252)	(3)​
Total revenues		115,881			113,064			2,817
Expenses:
Interest expense		20,442			22,617			2,175	(4)​
Depreciation and amortization		28,847			29,232			385
Impairment charges		—			941	(5)​		941
Provision (recovery) for credit losses		59			(1)			(60)
Transaction costs		4,271			197			(4,074)	(6)​
Property tax expense		11,713			11,685			(28)
General and administrative expenses		15,688			14,494			(1,194)	(7)​
Total expenses		81,020			79,165			(1,855)
Other operating income:
Gain on sale of real estate, net		7,392	(8)​		44,073	(9)​		(36,681)
Operating income		42,253			77,972			(35,719)
Gain from property insurance proceeds		—			373	(10)​		(373)
Loss on unconsolidated joint ventures		—			(620)	(11)​		620
Income from unconsolidated joint ventures		1,041			287			754	(12)​
Net income		43,294			78,012			(34,718)
Income allocated to non-controlling interests		(271)			(292)			21
Net income attributable to LTC Properties, Inc.		43,023			77,720			(34,697)
Income allocated to participating securities		(346)			(339)			(7)
Net income available to common stockholders	$	42,677		$	77,381		$	(34,704)

(1) Increased primarily due to a $23,214 write-off of straight-line rent receivable and lease incentive balances related to three operators during 2020, increased rent from re-leasing 18 properties previously leased to Senior Lifestyle, completed development projects and contractual rent increases partially offset due to non-payment of lease obligations from Senior Lifestyle, unpaid lease obligations from Senior Care and Abri Health, abated and deferred rent, net of repayment, a $758 straight-line rent receivable write-off during 2021, a decrease in property tax revenue, reduced rent from sold properties and 50% reduction of 2021 rent escalations.

(2) Increased due to mortgage originations and capital improvement funding offset by scheduled principal paydowns and 50% reduction of 2021 interest escalation.

(3) Decreased primarily due to the payoff of a mezzanine loan offset by additional notes receivable funding.

(4) Decreased primarily due to scheduled principal payments on our senior unsecured notes and lower interest rates and a lower average outstanding balance under our unsecured revolving line of credit.

(5) Represents an impairment loss related to a closed ALF in Florida which was sold during the first quarter of 2021.

(6) Increased primarily due to the Senior Care and Abri Health settlement and related fees.

(7) Increased primarily due to higher incentive compensation projected in 2021 than in prior year and an increase in non-cash restricted stock and performance-based stock vesting expense.

(8) Represents the net gain on sale of $2,562 related to a SNF in Washington, $5,594 related to three ALFs in Wisconsin and $292 of quarterly reassessment of the prior years’ sale holdbacks partially offset by the net loss on sale of $198 related to a closed ALF in Nebraska and the net loss on sale of $858 related to a closed property in Florida.

(9) Represents net gain on sale of 21 SNFs within the Preferred Care portfolio and recognition of additional gain due to quarterly reassessment of prior years’ sale holdbacks.

(10) Represents gain on insurance proceeds related to roof damage at a 114-bed SNF in Texas sold during the first quarter of 2020.

(11) Relates to the sale of properties comprising a joint venture in which we had a preferred equity investment.

(12) Increased due to preferred equity investments in two unconsolidated joint ventures.

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Funds From Operations Available to Common Stockholders

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

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

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

	Three Months Ended					Nine Months Ended
	September 30,					September 30,
	2021		2020			2021		2020
GAAP net income available to common stockholders	$	10,909	$	12,114		$	42,677	$	77,381
Add: Depreciation and amortization		9,462		9,766			28,847		29,232
Add: Impairment loss from investments		—		941			—		941
Add: Loss on unconsolidated joint ventures		—		—			—		620
Less: Gain on sale of real estate, net		(2,702)		(30)			(7,392)		(44,073)
NAREIT FFO attributable to common stockholders	$	17,669	$	22,791		$	64,132	$	64,101
NAREIT FFO attributable to common stockholders per share:
Basic	$	0.45	$	0.58		$	1.64	$	1.63
Diluted	$	0.45	$	0.58	(1)​	$	1.64	$	1.63
Weighted average shares used to calculate NAREIT FFO per share:
Basic		39,177		39,061			39,149		39,218
Diluted		39,177		39,293	(2)​		39,149		39,269	(3)​

(1) Includes the effect of participating securities.

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

(3) Includes the effect of performance-based stock units.

Liquidity and Capital Resources

Sources and Uses of Cash

As of September 30, 2021, we had a total of $45.5 million of cash and cash equivalents, $465.6 million available under our unsecured revolving line of credit and the potential ability to access the capital

42

markets through the issuance of $200.0 million of common stock under our Equity Distribution Agreements. Furthermore, we have the ability to access the capital markets through the issuance of debt and/ or equity securities under an automatic shelf registration statement.

We believe that our current cash balance, cash flow from operations available for distribution or reinvestment, our borrowing capacity and our potential ability to access the capital markets are sufficient to provide for payment of our current operating costs, meet debt obligations and pay common dividends at least sufficient to maintain our REIT status and repay borrowings at, or prior to, their maturity. The timing, source and amount of cash flows used in financing and investing activities are sensitive to the capital markets environment, especially to changes in interest rates. In addition, as described in “Item 1A. Risk Factors”, COVID-19 has adversely affected and is expected to continue to adversely affect our operators’ business, results of operations, cash flows and financial condition which could, in turn, adversely affect our financial position.

The operating results of the facilities will be impacted by various factors over which the operators/owners may have no control. Those factors include, without limitation, the health of the economy, changes in supply of or demand for competing seniors housing and health care facilities, ability to control rising operating costs, the potential for significant reforms in the health care industry, and the impact of COVID-19. 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, and the impact of COVID-19. 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.

Depending on the duration, spread and severity of the outbreak, our borrowing capacity, compliance with financial covenants, ability to access the capital markets, and the payment of dividends may be negatively impacted. We continuously evaluate the availability of cost-effective capital and believe we have sufficient liquidity for corporate expenses and additional capital investments in 2021 and 2022.

Our investments, principally our investments in owned properties and mortgage loans, 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 leases have agreed upon annual increases and our loans have predetermined increases in interest rates. Inasmuch as we may initially fund some of our investments with variable interest rate debt, we would be at risk of net interest margin deterioration if medium and long-term rates were to increase.

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

43

administrative expenses. These sources and uses of cash are reflected in our Consolidated Statements of Cash Flows as summarized below (in thousands):

	Nine Months Ended September 30,					Change
Cash provided by (used in):	2021		2020			$
Operating activities	$	69,581	$	85,629	$	(16,048)
Investing activities		27,757		51,982		(24,225)
Financing activities		(59,651)		(119,044)		59,393
Increase in cash, cash equivalents and restricted cash		37,687		18,567		19,120
Cash, cash equivalents and restricted cash, beginning of period		7,772		4,244		3,528
Cash, cash equivalents and restricted cash, end of period	$	45,459	$	22,811	$	22,648

Debt Obligations

Bank Borrowings. We have an Unsecured Credit Agreement that provides for a revolving line of credit up to $600.0 million in aggregate commitment of the lenders and the opportunity to increase the commitment size of the credit agreement up to a total of $1.0 billion. The Unsecured Credit Agreement matures on June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2021, the facility provides for interest annually at LIBOR plus 115 basis points and a facility fee of 20 basis points. At September 30, 2021, we were in compliance with all covenants.

Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates ranging from 3.85% to 5.03%. The senior unsecured notes mature between 2021 and 2032.

The debt obligations by component as of September 30, 2021 are as follows (dollar amounts in thousands):

	Applicable			Available
	Interest	Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing
Bank borrowings	1.23%	$	134,400	$	465,600
Senior unsecured notes, net of debt issue costs	4.34%		527,429		—
Total	3.71%	$	661,829	$	465,600

(1) Represents weighted average of interest rate as of September 30, 2021.

Our debt borrowings and repayments during the nine months ended September 30, 2021 are as follows (in thousands):

Debt Obligations		Borrowings		Repayments
Bank borrowings	$	92,500	$	(48,000)
Senior unsecured notes		—		(32,160)
Total	$	92,500	$	(80,160)

Equity

At September 30, 2021, we had 39,374,044 shares of common stock outstanding, equity on our balance sheet totaled $752.9 million and our equity securities had a market value of $1.2 billion. During the nine months ended September 30, 2021, we declared and paid $68.1 million of cash dividends.

Subsequent to September 30, 2021, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2021, payable on October 29,

44

November 30, and December 31, 2021, respectively, to stockholders of record on October 21, November 19, and December 23, 2021, respectively.

At-The-Market Program. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200.0 in aggregate offering price of shares of our common stock. As of September 30, 2021, no shares had been issued under the Equity Distribution Agreements. Accordingly, at September 30,2021, we had $200.0 available under the Equity Distribution Agreements.

Available Shelf Registrations. We have an automatic shelf registration statement on file with the SEC and currently have the ability to file additional automatic shelf registration statements to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. Our shelf registration statement expires on February 28, 2022.

Stock-Based Compensation. During the second quarter of 2021, we adopted and our shareholders approved the 2021 Equity Participation Plan (“the 2021 Plan”) which replaces the 2015 Equity Participation Plan (“the 2015 Plan”). Under the 2021 Plan, 1,900,000 shares of common stock have been authorized and reserved for awards, less one share for every one share that was subject to an award granted under the 2015 Plan after December 31, 2020 and prior to adoption. In addition, any shares that are not issued under outstanding awards under the 2015 Plan because the shares were forfeited or cancelled after December 31, 2020 will be added to and again be available for awards under the 2021 Plan. Under the 2021 Plan, the shares were authorized and reserved for awards to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2021 Plan and the 2015 Plan are set by our compensation committee at its discretion.

During the nine months ended September 30, 2021, we granted restricted stock and performance-based stock units as follows:

No. of	Price per
Shares	Share		Vesting Period
95,293	$	42.27	ratably over 3 years
71,892	$	42.27	TSR targets (1)
12,055	$	39.40	May 26, 2022
3,000	$	43.14	April 1, 2022
182,240

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

Critical Accounting Policies

Our consolidated financial statements included in Part I, Item 1 of this Quarterly Report on Form 10-Q are prepared in conformity with U.S. generally accepted accounting principles for interim financial information set forth in the Accounting Standards Codification as published by the Financial Accounting Standards Board, which require us to make estimates and assumptions regarding future events that affect the amounts reported in our financial statements and accompanying footnotes. We base these estimates on our experience and assumptions regarding future events we believe to be reasonable under the circumstances. Actual results could differ from those estimates and such differences may be material to the consolidated financial statements. We have described our most critical accounting policies in our

45

Annual Report on Form 10-K for the year ended December 31, 2020. There have been no material changes to our critical accounting policies or estimates since December 31, 2020.

Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

There were no material changes in our market risk during the nine months ended September 30, 2021. For additional information, refer to Item 7A as presented in our Annual Report on Form 10-K for the year ended December 31, 2020.

Item 4. CONTROLS AND PROCEDURES

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

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

46

PART II

OTHER INFORMATION

Item 1. LEGAL PROCEEDINGS

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

Item 1A. RISK FACTORS

The additional risk factor below should be read in conjunction with the risk factors set forth in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020.

Inflation Could Adversely Impact Our Tenants And Our Results Of Operations.

Inflation, both real or anticipated as well as any resulting governmental policies, could adversely affect the economy and the costs of labor, goods and services to our tenants. Our long-term leases and loans typically contain provisions, such as rent escalators, designed to mitigate the adverse impact of inflation. However, in 2021 we provided deferred and abated rent to certain operators and reduced 2021 rent and interest escalations by 50% to support eligible operators during the continuing COVID-19 crisis. Because tenants are typically required to pay all property operating expenses, increases in property-level expenses at our leased properties generally do not directly affect us. Increased operating costs could have an adverse impact on our tenants if increases in their operating expenses exceed increases in their revenue, which may adversely affect our tenants’ ability to pay rent owed to us. An increase in our tenants’ expenses and a failure of their revenues to increase at least with inflation could adversely impact our tenants’ and our financial condition and our results of operations.

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

None.

47

Item 6. EXHIBITS

3.1	LTC Properties, Inc. Articles of Restatement (incorporated by reference to Exhibit 3.1.2 to the registrant’s Current Report on Form 8-K filed June 6, 2016)
3.2	Bylaws of LTC Properties, Inc. (incorporated by reference to Exhibit 3.2.2 to the registrant’s Annual Report on Form 10-K filed February 18, 2021)
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.INS	Inline XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH	Inline XBRL Taxonomy Extension Schema Document
101.CAL	Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF	Inline XBRL Taxonomy Extension Definitions Linkbase Document
101.LAB	Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE	Inline XBRL Taxonomy Extension Presentation Linkbase Document
104	Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

48

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

	LTC PROPERTIES, INC.
	Registrant
Dated: October 28, 2021	By:	/s/ Caroline Chikhale
		Caroline Chikhale
		Executive Vice President, Chief Accounting Officer and Treasurer
		(Principal Accounting Officer)

49

EX-31.1

Exhibit 31.1

CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER

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

I, Wendy L. Simpson, certify that:

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

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an quarterly report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

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

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

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

/s/ Wendy L. Simpson

Wendy L. Simpson

Chairman and Chief Executive Officer

(Principal Executive Officer)

October 28, 2021

EX-31.2

Exhibit 31.2

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER

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

I, Pam Kessler, certify that:

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

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

a.Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b.Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

c.Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d.Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an quarterly report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

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

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

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

/s/ Pam Kessler

Pam Kessler

Co-President, Chief Financial Officer

and Corporate Secretary

(Principal Financial Officer)

October 28, 2021

EX-32

Exhibit 32

CERTIFICATIONS PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, each of the undersigned officers of LTC Properties, Inc. (the “Company”) hereby certifies with respect to the Quarterly Report on Form 10-Q of the Company for the quarter ended September 30, 2021 as filed with the Securities and Exchange Commission (the “Report”) that to her knowledge:

(1) The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: October 28, 2021	/s/ Wendy L. Simpson
	Wendy L. Simpson Chairman and Chief Executive Officer
Date: October 28, 2021	/s/ Pam Kessler
	Pam Kessler Co-President, Chief Financial Officer and Corporate Secretary

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

XML

Document and Entity Information - shares	9 Months Ended
	Sep. 30, 2021	Oct. 21, 2021
Document and Entity Information
Document Type	10-Q
Document Quarterly Report	true
Document Transition Report	false
Document Period End Date	Sep. 30, 2021
Entity File Number	1-11314
Entity Registrant Name	LTC PROPERTIES INC
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	71-0720518
Entity Address, Address Line One	2829 Townsgate Road, Suite 350
Entity Address, City or Town	Westlake Village
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	91361
City Area Code	805
Local Phone Number	981-8655
Title of 12(b) Security	Common stock, $.01 par value
Trading Symbol	LTC
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		39,374,044
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	Q3
Entity Central Index Key	0000887905
Amendment Flag	false

XML

CONSOLIDATED BALANCE SHEETS - USD ($)	Sep. 30, 2021	Dec. 31, 2020
Investments:
Land	$ 123,239,000	$ 127,774,000
Buildings and improvements	1,283,859,000	1,324,227,000
Accumulated depreciation and amortization	(365,182,000)	(349,643,000)
Real property investments, net	1,041,916,000	1,102,358,000
Mortgage loans receivable, net of loan loss reserve: 2021-$2,608; 2020-$2,592	258,829,000	257,251,000
Real estate investments, net	1,300,745,000	1,359,609,000
Notes receivable, net of loan loss reserve: 2021-$186; 2020-$146	18,675,000	14,465,000
Investments in unconsolidated joint ventures	19,340,000	11,340,000
Investments, net	1,338,760,000	1,385,414,000
Other assets:
Cash and cash equivalents	45,459,000	7,772,000
Debt issue costs related to bank borrowings	688,000	1,324,000
Interest receivable	37,476,000	32,746,000
Straight-line rent receivable	24,298,000	24,452,000
Lease incentives	2,726,000	2,462,000
Prepaid expenses and other assets	3,681,000	5,316,000
Total assets	1,453,088,000	1,459,486,000
LIABILITIES
Bank borrowings	134,400,000	89,900,000
Senior unsecured notes, net of debt issue costs: 2021-$551; 2020-$658	527,429,000	559,482,000
Accrued interest	3,172,000	4,216,000
Accrued expenses and other liabilities	35,157,000	30,082,000
Total liabilities	700,158,000	683,680,000
Stockholders' equity:
Common stock: $0.01 par value; 60,000 shares authorized; shares issued and outstanding: 2021-39,374; 2020-39,242	394,000	392,000
Capital in excess of par value	854,921,000	852,780,000
Cumulative net income	1,431,798,000	1,388,775,000
Cumulative distributions	(1,542,596,000)	(1,474,545,000)
Total LTC Properties, Inc. stockholders' equity	744,517,000	767,402,000
Non-controlling interests	8,413,000	8,404,000
Total equity	752,930,000	775,806,000
Total liabilities and equity	$ 1,453,088,000	$ 1,459,486,000

XML

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	Sep. 30, 2021	Dec. 31, 2020
Mortgage loans receivable, loan loss reserve	$ 2,608	$ 2,592
Notes receivable, loan loss reserve	$ 189	$ 146
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	60,000	60,000
Common stock, shares issued	39,374	39,242
Common stock, shares outstanding	39,374	39,242
Senior Unsecured Notes
Debt issue costs, net	$ 551	$ 658

XML

CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Sep. 30, 2021	Sep. 30, 2020
Revenues:
Rental income	$ 29,320	$ 30,010	$ 91,097	$ 88,320
Interest income from mortgage loans	7,924	7,890	23,779	23,487
Interest and other income	228	273	1,005	1,257
Total revenues	37,472	38,173	115,881	113,064
Expenses:
Interest expense	6,610	7,361	20,442	22,617
Depreciation and amortization	9,462	9,766	28,847	29,232
Impairment charges		941		941
Provision (recovery) for credit losses	68	(2)	59	(1)
Transaction costs	4,046	63	4,271	197
Property tax expense	3,932	3,351	11,713	11,685
General and administrative expenses	5,318	4,814	15,688	14,494
Total expenses	29,436	26,294	81,020	79,165
Other operating income:
Gain on sale of real estate, net	2,702	30	7,392	44,073
Operating income	10,738	11,909	42,253	77,972
Gain from property insurance proceeds		373		373
Loss on unconsolidated joint ventures				(620)
Income from unconsolidated joint ventures	376	56	1,041	287
Net income	11,114	12,338	43,294	78,012
Income allocated to non-controlling interests	(92)	(121)	(271)	(292)
Net income attributable to LTC Properties, Inc.	11,022	12,217	43,023	77,720
Income allocated to participating securities	(113)	(103)	(346)	(339)
Net income available to common stockholders	$ 10,909	$ 12,114	$ 42,677	$ 77,381
Earnings per common share:
Basic (in dollars per share)	$ 0.28	$ 0.31	$ 1.09	$ 1.97
Diluted (in dollars per share)	$ 0.28	$ 0.31	$ 1.09	$ 1.97
Weighted average shares used to calculate earnings per common share:
Basic (in shares)	39,177	39,061	39,149	39,218
Diluted (in shares)	39,177	39,112	39,149	39,269
Dividends declared and paid per common share	$ 0.57	$ 0.57	$ 1.71	$ 1.71
Comprehensive Income:
Net income	$ 11,114	$ 12,338	$ 43,294	$ 78,012
Comprehensive income	$ 11,114	$ 12,338	$ 43,294	$ 78,012

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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	Cumulative Distributions	Non-controlling Interests	Total
Balance at beginning of period at Dec. 31, 2019	$ 776,943	$ 398	$ 867,346	$ 1,293,482	$ (1,384,283)	$ 8,483	$ 785,426
Balance (in shares) at Dec. 31, 2019		39,752
Equity activity
Common stock cash distributions	(22,581)				(22,581)		(22,581)
Vesting of performance-based stock units, including the payment of distributions	(586)				(586)		(586)
Vesting of performance-based stock units, including the payment of distributions (in shares)		82
Issuance of restricted stock		$ 1	(1)
Issuance of restricted stock (in shares)		76
Repurchase of common stock	(18,012)	$ (6)	(18,006)				(18,012)
Repurchase of common stock (in shares)		(616)
Stock-based compensation expense	1,777		1,777				1,777
Net income	63,633			63,633		89	63,722
Non-controlling interest distributions						(146)	(146)
Other	(3,545)	$ (1)	(3,544)				(3,545)
Other (in shares)		(76)
Balance at end of period at Mar. 31, 2020	797,629	$ 392	847,572	1,357,115	(1,407,450)	8,426	806,055
Balance (in shares) at Mar. 31, 2020		39,218
Balance at beginning of period at Dec. 31, 2019	776,943	$ 398	867,346	1,293,482	(1,384,283)	8,483	785,426
Balance (in shares) at Dec. 31, 2019		39,752
Equity activity
Net income							78,012
Balance at end of period at Sep. 30, 2020	770,417	$ 392	851,000	1,371,202	(1,452,177)	8,404	778,821
Balance (in shares) at Sep. 30, 2020		39,242
Balance at beginning of period at Mar. 31, 2020	797,629	$ 392	847,572	1,357,115	(1,407,450)	8,426	806,055
Balance (in shares) at Mar. 31, 2020		39,218
Equity activity
Common stock cash distributions	(22,359)				(22,359)		(22,359)
Issuance of restricted stock	(7)		(7)				(7)
Issuance of restricted stock (in shares)		25
Stock-based compensation expense	1,761		1,761				1,761
Net income	1,870			1,870		82	1,952
Non-controlling interest distributions						(97)	(97)
Balance at end of period at Jun. 30, 2020	778,894	$ 392	849,326	1,358,985	(1,429,809)	8,411	787,305
Balance (in shares) at Jun. 30, 2020		39,243
Equity activity
Common stock cash distributions	(22,368)				(22,368)		(22,368)
Stock-based compensation expense	1,693		1,693				1,693
Net income	12,217			12,217		121	12,338
Non-controlling interest distributions						(128)	(128)
Other	(19)		(19)				(19)
Other (in shares)		(1)
Balance at end of period at Sep. 30, 2020	770,417	$ 392	851,000	1,371,202	(1,452,177)	8,404	778,821
Balance (in shares) at Sep. 30, 2020		39,242
Equity activity
Common stock cash distributions	(22,368)				(22,368)		(22,368)
Issuance of restricted stock	(1)		(1)				(1)
Stock-based compensation expense	1,781		1,781				1,781
Net income	17,573			17,573		92	17,665
Non-controlling interest distributions						(92)	(92)
Balance at end of period at Dec. 31, 2020	767,402	$ 392	852,780	1,388,775	(1,474,545)	8,404	775,806
Balance (in shares) at Dec. 31, 2020		39,242
Equity activity
Common stock cash distributions	(22,405)				(22,405)		(22,405)
Vesting of performance-based stock units, including the payment of distributions	(764)	$ 1	(1)		(764)		(764)
Vesting of performance-based stock units, including the payment of distributions (in shares)		109
Stock-based compensation expense	1,852		1,852				1,852
Net income	13,762			13,762		88	13,850
Non-controlling interest distributions						(88)	(88)
Cash paid for taxes in lieu of common shares	(3,470)		(3,470)				(3,470)
Cash paid for taxes in lieu of common shares (in shares)		(84)
Other	(10)	$ 1	(11)				(10)
Other (in shares)		95
Balance at end of period at Mar. 31, 2021	756,367	$ 394	851,150	1,402,537	(1,497,714)	8,404	764,771
Balance (in shares) at Mar. 31, 2021		39,362
Balance at beginning of period at Dec. 31, 2020	767,402	$ 392	852,780	1,388,775	(1,474,545)	8,404	775,806
Balance (in shares) at Dec. 31, 2020		39,242
Equity activity
Net income							43,294
Balance at end of period at Sep. 30, 2021	744,517	$ 394	854,921	1,431,798	(1,542,596)	8,413	752,930
Balance (in shares) at Sep. 30, 2021		39,374
Balance at beginning of period at Mar. 31, 2021	756,367	$ 394	851,150	1,402,537	(1,497,714)	8,404	764,771
Balance (in shares) at Mar. 31, 2021		39,362
Equity activity
Common stock cash distributions	(22,439)				(22,439)		(22,439)
Stock-based compensation expense	1,958		1,958				1,958
Net income	18,239			18,239		91	18,330
Non-controlling interest distributions						(91)	(91)
Cash paid for taxes in lieu of common shares	(103)		(103)				(103)
Cash paid for taxes in lieu of common shares (in shares)		(3)
Other	(46)		(46)				(46)
Other (in shares)		15
Balance at end of period at Jun. 30, 2021	753,976	$ 394	852,959	1,420,776	(1,520,153)	8,404	762,380
Balance (in shares) at Jun. 30, 2021		39,374
Equity activity
Common stock cash distributions	(22,443)				(22,443)		(22,443)
Stock-based compensation expense	1,975		1,975				1,975
Net income	11,022			11,022		92	11,114
Non-controlling interests contributions						9	9
Non-controlling interest distributions						(92)	(92)
Other	(13)		(13)				(13)
Balance at end of period at Sep. 30, 2021	$ 744,517	$ 394	$ 854,921	$ 1,431,798	$ (1,542,596)	$ 8,413	$ 752,930
Balance (in shares) at Sep. 30, 2021		39,374

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CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - $ / shares	3 Months Ended
	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Dec. 31, 2020	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020
CONSOLIDATED STATEMENTS OF EQUITY
Common Stock cash distributions	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	3 Months Ended					9 Months Ended		12 Months Ended
	Sep. 30, 2021	Mar. 31, 2021	Dec. 31, 2020	Sep. 30, 2020	Mar. 31, 2020	Sep. 30, 2021	Sep. 30, 2020	Dec. 31, 2020
OPERATING ACTIVITIES:
Net income	$ 11,114	$ 13,850	$ 17,665	$ 12,338	$ 63,722	$ 43,294	$ 78,012
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization						28,847	29,232
Stock-based compensation expense						5,785	5,231
Impairment charges							941
Gain on sale of real estate, net	(2,702)			(30)		(7,392)	(44,073)
Loss on unconsolidated joint ventures							620
Income from unconsolidated joint ventures						(1,041)	(287)
Income distributions from unconsolidated joint ventures							249
Straight-line rental income	44			(228)		(619)	(1,701)
Adjustment for collectibility of rental income and lease incentives				5,472		758	23,214
Lease incentives funded						(650)	(50)
Amortization of lease incentives	158			108		386	317
Provision (recovery) for credit losses	68			(2)		59	(1)
Other non-cash items, net						782	772
Increase in interest receivable						(4,730)	(4,662)
Decrease in accrued interest payable						(1,044)	(1,683)
Net change in other assets and liabilities						5,146	(502)
Net cash provided by operating activities						69,581	85,629
INVESTING ACTIVITIES:
Investment in real estate properties							(13,581)
Investment in real estate developments							(13,384)
Investment in real estate capital improvements						(4,839)	(3,955)
Capitalized interest							(354)
Proceeds from sale of real estate, net						43,628	72,141
Investment in real estate mortgage loans receivable						(2,081)	(4,176)
Principal payments received on mortgage loans receivable						625	565
Investments in unconsolidated joint ventures						(5,676)	(6,398)
Proceeds from liquidation of investments in unconsolidated joint ventures							17,758
Advances and originations under notes receivable						(6,453)	(1,366)
Principal payments received on notes receivable						2,553	4,732
Net cash provided by investing activities						27,757	51,982
FINANCING ACTIVITIES:
Bank borrowings						92,500	24,000
Repayment of bank borrowings						(48,000)	(28,000)
Principal payments on senior unsecured notes						(32,160)	(25,160)
Stock repurchase plan							(18,012)
Distributions paid to stockholders						(68,051)	(67,894)
Contribution from non-controlling interests						9
Distributions paid to non-controlling interests						(271)	(371)
Financing costs paid						(35)	(35)
Cash paid for taxes in lieu of shares upon vesting of restricted stock and performance-based stock units						(3,573)	(3,564)
Other						(70)	(8)
Net cash used in financing activities						(59,651)	(119,044)
(Decrease) increase in cash, cash equivalents and restricted cash						37,687	18,567
Cash, cash equivalents and restricted cash, beginning of period		$ 7,772	22,811		$ 4,244	7,772	4,244	$ 4,244
Cash, cash equivalents and restricted cash, end of period	$ 45,459		$ 7,772	$ 22,811		45,459	22,811	$ 7,772
Supplemental disclosure of cash flow information:
Interest paid						20,708	23,531
Non-cash investing and financing transactions:
Reclassification of notes receivable to lease incentives							$ 300
Preferred return reserve related to investments in unconsolidated joint ventures (See Note 3)						2,324
Mortgage loan receivable reserve withheld at origination (See Note 2)						142
Notes receivable reserve withheld at origination (See Note 4)						$ 353

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General

9 Months Ended

Sep. 30, 2021

General

General

1. General

LTC Properties, Inc., a health care real estate investment trust (“REIT”), was incorporated on May 12, 1992 in the State of Maryland and commenced operations on August 25, 1992. We invest primarily in seniors housing and health care properties primarily through sale-leasebacks, mortgage financing, joint ventures and structured finance solutions including preferred equity and 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. We also invest in other (“OTH”) types of properties, such as land parcels, projects under development (“UDP”) and behavioral health care hospitals. To meet these objectives, we attempt to invest in properties that provide opportunity for additional value and current returns to our stockholders and diversify our investment portfolio by geographic location, operator, property classification and form of investment.

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company and its wholly-owned subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2021 and 2020 are not necessarily indicative of the results for a full year.

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

New Accounting Pronouncements

In March 2020, the Financial Accounting Standards Board (“FASB”) issued guidance which provides temporary optional expedients and exceptions to the U.S. GAAP guidance on contract modifications and hedge accounting to ease the financial reporting burdens of the expected market transition from LIBOR and other interbank offered rates to alternative reference rates. The guidance is effective upon issuance and generally may be elected over time through December 31, 2022. The Company has not adopted any of the optional expedients or exceptions through September 30, 2021 but will continue to evaluate the possible adoption (including potential impact) of any such expedients or exceptions during the effective period as circumstances evolve.

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Real Estate Investments

9 Months Ended

Sep. 30, 2021

Real Estate Investments

Real Estate Investments

2. Real Estate Investments

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

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

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

(i)a specified percentage increase over the prior year’s rent, generally between 2.0% and 2.5%;

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

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

(iv)specific dollar increases.

Our leases that contain fixed annual rental escalations and/or have annual rental escalations are contingent upon changes in the Consumer Price Index. Certain leases have annual rental escalations that are contingent upon changes in the gross operating revenues of the property. This revenue is not recognized until the appropriate contingencies have been resolved.

The following table summarizes our investments in owned properties at September 30, 2021 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	843,015	59.9	%	102	—	5,798	$	145.40
Skilled Nursing		552,723	39.3	%	50	6,154	212	$	86.82
Other (2)		11,360	0.8	%	1	118	—		—
Total	$	1,407,098	100.0	%	153	6,272	6,010

(1) We own properties in 26 states that are leased to 31 different operators.

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

Senior Care Centers, LLC and affiliates and subsidiaries (“Senior Care”) filed for Chapter 11 bankruptcy in December 2018. During 2019, while in bankruptcy, Senior Care assumed LTC’s master lease and, in March 2020, Senior Care emerged from bankruptcy. Concurrent with their emergence from bankruptcy, in accordance with the order confirming Senior Care’s plan of reorganization, Abri Health Services, LLC (“Abri Health”) was formed as the parent company of reorganized Senior Care and became co-tenant and co-obligor with reorganized Senior Care under our master lease. In March 2021, Senior Care and Abri Health (collectively, “Lessee”) failed to pay rent and additional obligations owed under the master lease. Accordingly, we sent a notice of default and applied proceeds from letters of credit to certain obligations owed under the master lease. Furthermore, we sent the Lessee a notice of termination of the master lease to be effective April 17, 2021. On April 16, 2021, the Lessee filed for Chapter 11 bankruptcy. In August 2021, the United States Bankruptcy Court approved a settlement agreement

between the Lessee and LTC. The settlement provides for, among other things, a one-time payment of $3,250,000 from LTC to the affiliates of the Lessee which we expensed as transaction costs during the three months ended September 30, 2021 and subsequently paid in October 2021.

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

	Cash
	Rent (1)
4Q 2021	$	27,175
2022		119,023
2023		104,210
2024		105,332
2025		87,144
Thereafter		329,267

(1) Represents contractual cash rent, except for certain master leases which are based on estimated cash payments and the Senior Care and Abri Health master lease. See Footnote 12 for further discussion about this lease.

We monitor the collectability of our receivable balances, including deferred rent receivable balances, on an ongoing basis. We write-off uncollectible operator receivable balances, including straight line rent receivable and lease incentives balances, as a reduction to rental income in the period such balances are no longer probable of being collected. Therefore, recognition of rental income is limited to the lesser of the amount of cash collected or rental income reflected on a “straight-line” basis for those customer receivable balances deemed uncollectible. As of September 30, 2021, we have 20 operators that are being accounted for on a “cash-basis” representing approximately 51% of our rental income for the three months ended September 30, 2021. We wrote-off straight-line rent receivable and lease incentives balances of $758,000 and $23,214,000 for the nine months ended September 30, 2021 and 2020, respectively.

We continue to take into account the current financial condition of our operators, including consideration of the impact of COVID-19, in our estimation of our uncollectible accounts and deferred rents receivable at September 30, 2021. We are closely monitoring the collectability of such rents and will adjust future estimations as appropriate as further information becomes known.

The following table summarizes components of our rental income for the three and nine months ended September 30, 2021 and 2020 (in thousands):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
Rental Income		2021			2020			2021			2020
Base cash rental income	$	25,934	(1)	$	32,006		$	80,967	(1)	$	98,357
Variable cash rental income		3,588	(2)		3,356	(2)		10,655	(2)		11,793	(2)
Straight-line rent		(44)	(3)		228			619	(3)		1,701
Adjustment for collectability of rental income and lease incentives		—			(5,472)	(4)		(758)	(4)		(23,214)	(4)
Amortization of lease incentives		(158)			(108)			(386)			(317)
Total	$	29,320		$	30,010		$	91,097		$	88,320

(1) Decreased primarily due to non-payment of lease obligations from Senior Lifestyle Corporation (“Senior Lifestyle”), unpaid lease obligations from Senior Care and Abri Health, abated and deferred rent and reduced rent from a property sale. This decrease was partially offset by increased rent from re-leasing 18 properties previously leased to Senior Lifestyle, completion of development projects and contractual rent increases.

(2) The variable rental income for the three and nine months ended September 30, 2021, includes reimbursement of real estate taxes by our lessees of $3,588 and $10,655, respectively. The variable rental income for the three and nine months ended September 30, 2020 includes contingent rental income of $4 and $108, respectively and reimbursement of real estate taxes by our lessees of $3,352 and $11,685, respectively.

(3) Decreased due to more leases accounted for on a cash basis.

(4) Represents straight-line rent receivable and lease incentives write-offs.

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 (dollar amounts in thousands):

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
California	ALF/MC	2	$	38,895	$	34,895	2024-2029
California	ALF	2		31,682		17,166	2021-TBD	(1)
Colorado	ALF	1		6,764		5,378	2022-2026
Florida	MC	1		15,201		13,069	2028-2029
Kentucky and Ohio	MC	2		30,421		26,798	2028-2029
Nebraska	ALF	3		7,633		3,248	TBD	(2)
Texas	MC	2		25,265		23,250	2021-2027
South Carolina	ALF/MC	1		11,680		9,777	2028-2029
Total			$	167,541	$	133,581

(1) The option window ending date will be either 24 months or 48 months after the option window commences, based on certain contingencies.

(2) Subject to the properties achieving certain coverage ratios.

On March 11, 2020, the World Health Organization declared the outbreak of COVID-19 as a pandemic, and on March 13, 2020, the United States declared a national emergency with regard to COVID-19. At September 30, 2021, in conjunction with the continued levels of uncertainty related to the adverse effects of COVID-19, we assessed the probability of collecting substantially all of our lease payments through maturity and concluded that we did not have sufficient information available to evaluate the impact of COVID-19 on the collectibility of our lease payments. The extent to which COVID-19 could impact our operators and the collectibility of our future lease payments will depend on

the future developments including the financial impact significance, government support and subsidies and the duration of the pandemic.

In recognition of the pandemic impact affecting our operators, we have agreed to rent abatements totaling $2,639,000 and rent deferrals, net of repayments, for certain operators totaling $3,371,000 during the nine months ended September 30, 2021. The $6,010,000 in rent abatements and deferrals, net of repayments, during the nine months ended September 30, 2021, represented approximately 5.0% of our contractual rent for the nine months ended September 30, 2021. Additionally, we reduced 2021 rent and interest escalations by 50% to support eligible operators during the continuing COVID-19 crisis. The rent and interest escalation reductions were given in the form of a rent and interest credit in recognition of operators’ increased costs due to COVID-19. We have elected to recognize the rent credits given to the eligible operators where we accrue rent on a straight-line basis over the remaining life of those respective leases. During the nine months ended September 30, 2021, we recognized a decrease of $496,000 of GAAP revenue and $1,337,000 of cash revenue.

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2021 and 2020 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs		Costs		Properties	Beds/Units
2021	n/a	$	—	$	—	$	—	—	—
2020	Skilled Nursing (1)	$	13,500	$	81	$	13,581	1	140

(1) We acquired a SNF located in Texas.

During the nine months ended September 30, 2021 and 2020, we invested the following in development and improvement projects (in thousands):

	Nine Months Ended September 30,
	2021				2020
Type of Property	Developments		Improvements		Developments		Improvements
Assisted Living Communities	$	—	$	4,560	$	4,491	$	3,941
Skilled Nursing Centers		—		279		8,893		14
Total	$	—	$	4,839	$	13,384	$	3,955

Completed Developments. We had no completed developments during the nine months ended September 30, 2021. The following table summarized our completed developments during the nine months ended September 30, 2020 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of			Total
Year	Type of Project	Properties	Property	Beds/Units	State	Investment
2020	Development	1	ALF/MC	78	Oregon	$	18,447
	Development	1	SNF	90	Missouri		13,272
Total		2		168		$	31,719

Properties Sold. The following table summarizes property sales during the nine months ended September 30, 2021 and 2020 (dollar amounts in thousands):

		Type	Number	Number
		of	of	of		Sales		Carrying		Net
Year	State	Properties	Properties	Beds/Units		Price		Value		Gain (loss) (1)
2021	n/a	n/a	—	—	$	—	$	—	$	292	(2) (3)
	Florida	ALF	1	—		2,000		2,626		(858)
	Nebraska	ALF	1	40		900		1,079		(198)
	Washington	SNF	1	123		7,700		4,528		2,562
	Wisconsin	ALF	3	263		35,000		28,295		5,594
Total 2021			6	426	$	45,600	$	36,528	$	7,392
2020	n/a	n/a	—	—	$	—	$	—	$	108	(2) (3)
	Arizona	SNF	1	194		12,550		2,229		10,292
	Colorado	SNF	3	275		15,000		4,271		10,364
	Iowa	SNF	7	544		14,500		4,886		9,029	(3)
	Kansas	SNF	3	250		9,750		7,438		1,993
	Texas	SNF	7	1,148		23,000		10,260		12,287
Total 2020			21	2,411	$	74,800	$	29,084	$	44,073

(

(1) Calculation of net gain (loss) includes cost of sales.

(2) We recognized additional gain due to the reassessment adjustment of the holdbacks related to properties sold during 2019 and 2020, under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(3) One of the transactions includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. During 2020, we received $150 of the holdback. The remaining holdback expires in March 2022. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471 at closing.

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2021 (dollar amounts in thousands):

					Type		Percentage		Number of					Investment
			Gross		of		of						SNF	per
Interest Rate (1)	Maturity	State	Investment		Property		Investment		Loans (2)		Properties (3)		Beds	Bed/Unit
7.5%	2022	MO	$	1,780	OTH	(4)	0.7	%	1		—	(4)	—	$	n/a
10.1%	2043	MI		185,859	SNF		71.1	%	1		15		1,875	$	99.12
9.3%	2045	MI		39,148	SNF		15.0	%	1		4		501	$	78.14
9.6%	2045	MI		19,750	SNF		7.5	%	1		2		205	$	96.34
9.6%	2045	MI		14,900	SNF		5.7	%	1		1		146	$	102.05
Total			$	261,437			100.0	%	5	(5)	22	(5)	2,727	$	95.87

(1) The majority of the mortgage loans provide for 2.25% annual increases in the interest rate after a certain time period.

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

(3) The properties securing these mortgage loans are operated by the same operator except for (4) below.

(4) Represents a mortgage loan secured by a parcel of land for the future development of a 91-bed post-acute SNF.

(5) Subsequent to September 30, 2021, we funded a $27,047 mortgage loan secured by a 189-bed SNF in Louisiana with a regional operator new to us. The mortgage loan has a three-year term, with one 12-month extension option and a yield of 7.5%. Additionally, we funded a $12,530 mortgage loan secured by a 68-unit ALF and MC community in Florida operated by a regional operator new to us. The mortgage loan term is approximately 4 years at a 7.75% yield and includes an additional $4,177 loan commitment for the construction of a memory care addition to the property to be funded at a later date subject to satisfaction of various conditions.

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
	2021			2020
Originations and funding under mortgage loans receivable	$	2,223	(1)	$	4,176
Scheduled principal payments received		(625)			(565)
Mortgage loan premium amortization		(4)			(3)
Provision for loan loss reserve		(16)			(36)
Net increase in mortgage loans receivable	$	1,578		$	3,572

(1) We originated a $1,780 mortgage loan secured by a parcel of land for the future development of a 91-bed post-acute SNF in Missouri and withheld a reserve of $142. The mortgage loan term is one year at a yield of 7.5%.

We apply ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”) and the “expected loss” model to estimate our loan losses on our mortgage loans and notes receivable. In determining the expected losses on these receivables, we utilize the probability of default and discounted cash flow methods. Further, we stress-test the results to reflect the impact of unknown adverse future events including recessions.

As of September 30, 2021, the accrued interest receivable of $37,476,000 was not included in the measurement of expected credit losses on the mortgage loan receivable and notes receivable (see Note 4). We elected not to measure an allowance for expected credit losses on the related accrued interest receivable using the expected credit loss standard. Rather, we have elected to write-off accrued interest receivable by reversing interest income and/or recognizing credit loss expense as incurred. We review the collectability of the accrued interest receivable quarterly as part of our review of the mortgage loan or

notes receivables including the performance of the underlying collateral. For the nine months ended September 30, 2021 and 2020, the Company did not write-off any accrued interest receivable.

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Investment in Unconsolidated Joint Ventures

9 Months Ended

Sep. 30, 2021

Investment in Unconsolidated Joint Ventures

Investment in Unconsolidated Joint Ventures

3. Investment in Unconsolidated Joint Ventures

We had a preferred equity investment in an unconsolidated joint venture (“JV”) that owned four communities located in Arizona, providing independent living, assisted living and memory care services. During 2020, the JV sold the four properties comprising the JV and received liquidation proceeds totaling $17,848,000. As a result of this transaction, we incurred $620,000 of losses during the nine months ended September 30, 2020 and an additional $138,000 during the fourth quarter of 2020.

During 2020, we provided preferred capital contribution commitments to two joint ventures (“JVs”). We determined that each of these JVs meets the accounting criteria to be considered a variable interest entity (“VIE”). We are not the primary beneficiary of the JVs as we do not have the power to direct the activities that most significantly affect the JVs’ economic performance. However, we do have significant influence over the JVs. Therefore, we have accounted for the JVs using the equity method of accounting. The following table provides information regarding these preferred equity investments (dollar amounts in thousands):

	Type	Type		Total		Contractual		Number
	of	of		Preferred		Cash		of		Carrying
State	Properties	Investment		Return		Portion		Beds/ Units		Value
Washington	UDP	Preferred Equity	(1)	12	%	7	%	—	$	6,340	(1)
Washington	UDP	Preferred Equity	(2)	12	%	8	%	—		13,000	(2)
Total								—	$	19,340

(1) Invested $6,340 of preferred equity in an entity that will develop and own a 95-unit ALF and MC in Washington and withheld $1,425 as a reserve. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% until achieving an IRR ranging between 12% to 14%.

(2) Invested $13,000 of preferred equity in an entity that will develop and own a 267-unit ILF and ALF in Washington and withheld $3,777 as a reserve. Our investment represents 11.6% of the estimated total investment. The preferred equity investment earns an initial cash rate of 8% until achieving an IRR ranging between 12% and 14%.

The following table summarizes our capital contributions, income recognized, and cash interest received related to our investments in unconsolidated joint ventures for the nine months ended September 30, 2021 and 2020 (in thousands):

	Type
	of			Capital			Income		Cash Interest
Year	Properties			Contribution			Recognized		Earned
2021	UDP	(1)	$	—		$	337	$	300
	UDP	(2)		8,000	(2)		704		616
Total			$	8,000		$	1,041	$	916
2020	ALF/MC/ILF	(3)	$	58	(3)	$	231	$	231
	UDP	(1)		6,340	(1)		56		18
Total			$	6,398		$	287	$	249

(1) During 2020, we provided a total preferred equity investment of $6,340 to a JV for the development of a 95-unit ALF and MC.

(2) During 2021, we funded the remaining $8,000 related to a $13,000 preferred equity investment commitment in an entity that will develop and own a 267-unit ILF and ALF in Washington. Additionally, we withheld $2,324 from the $8,000 funding for a total reserve of $3,777 related to this preferred equity investment.

(3) Relates to our preferred equity investment in Arizona discussed above. During 2020, the properties comprising the JV were sold.

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Notes Receivable

9 Months Ended

Sep. 30, 2021

Notes Receivable.

Notes Receivable

4. Notes Receivable

Notes receivable consists of mezzanine loans and other loan arrangements. The following table is a summary of our notes receivable components as of September 30, 2021 and December 31, 2020 (in thousands):

	September 30, 2021			December 31, 2020
Mezzanine loans	$	11,816	(1)	$	8,445
Other loans		7,048	(2)		6,166
Notes receivable loan loss reserve		(189)			(146)
Total	$	18,675		$	14,465

(1) During the three months ended September 30, 2021, we originated a $4,355 mezzanine loan and held back a $353 interest reserve. The mezzanine loan has a three-year term with two 12-month extensions. The initial rate is 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return (“IRR”) of 10.5%.

(2) Subsequent to September 30, 2021, we provided HMG Healthcare, LLC (“HMG”) a $25,000 secured working capital loan maturing in September 2022 to facilitate the transition of the 11 properties from Senior Care and Abri Health.

The following table summarizes our notes receivable activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
		2021			2020
Advances under notes receivable	$	6,453	(1)	$	1,366
Interest reserve withheld		353			—
Principal payments received under notes receivable		(2,553)			(4,732)
Reclassified to lease incentives		—			(300)	(2)
Notes receivable reserve		43			36
Net increase (decrease) in notes receivable	$	4,296		$	(3,630)

(1) Funding under working capital notes and mezzanine loans with interest ranging between 5% and 8% and maturities between 2022 and 2030.

(2) Represents interim working capital loans related to development projects which matured upon completion of the development projects and commencement of the master leases.

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Lease Incentives

9 Months Ended

Sep. 30, 2021

Lease Incentives

Lease Incentives

5. Lease Incentives

Our lease incentive balances at September 30, 2021(in thousands):

		September 30, 2021		December 31, 2020
Non-contingent lease incentives	$	2,726	$	2,462

The following table summarizes our lease incentives activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
	2021				2020
		Funding		Amortization		Funding		Amortization		Reclassification
Non-contingent lease incentives	$	650	$	(386)	$	50	$	(317)	$	115	(1)

(1) We reclassified a $300 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion. Additionally, we wrote-off $185 of lease incentive related to a master lease for which we determined it was not probable we will collect substantially all of the contractual lease obligations through maturity. See Note 2. Real Estate Investments for further discussion.

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

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Debt Obligations

9 Months Ended

Sep. 30, 2021

Debt Obligations

Debt Obligations

6. Debt Obligations

Bank Borrowings. We have an unsecured credit agreement that provides for a revolving aggregate commitment of the lenders of up to $600,000,000 with the opportunity to increase the commitment size of the credit agreement up to a total of $1,000,000,000. The unsecured credit agreement matures on June 27, 2022 and provides for a one-year extension option at our discretion, subject to customary conditions. Based on our leverage at September 30, 2021, the facility provides for interest annually at LIBOR plus

115 basis points and a facility fee of 20 basis points. At September 30, 2021, we were in compliance with all covenants.

Senior Unsecured Notes. We have senior unsecured notes held by institutional investors with interest rates ranging from 3.85% to 5.03%. The senior unsecured notes mature between 2021 and 2032.

The debt obligations by component as of September 30, 2021 and December 31, 2020 are as follows (dollar amounts in thousands):

		At September 30, 2021				At December 31, 2020
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings	1.23%	$	134,400	$	465,600	$	89,900	$	510,100
Senior unsecured notes, net of debt issue costs	4.34%		527,429		—		559,482		—
Total	3.71%	$	661,829	$	465,600	$	649,382	$	510,100

(1) Represents weighted average of interest rate as of September 30, 2021.

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

	Nine Months Ended September 30,
	2021				2020
Debt Obligations		Borrowings		Repayments	Borrowings		Repayments
Bank borrowings	$	92,500	$	(48,000)	$	24,000	$	(28,000)
Senior unsecured notes		—		(32,160)		—		(25,160)
Total	$	92,500	$	(80,160)	$	24,000	$	(53,160)

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Equity

9 Months Ended

Sep. 30, 2021

Equity

Equity

7. Equity

Non-controlling Interests. We have 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. As 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 on the consolidated financial statements.

As of September 30, 2021, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated		Non-Controlling
Year	Purpose	Type	State		Assets		Interests
2019	Owned real estate	ALF/MC	VA	$	16,895	$	919
2018	Owned real estate	ILF	OR		14,400		2,857
2018	Owned real estate and development	ALF/MC	OR		18,447		1,091
2017	Owned real estate and development	ILF/ALF/MC	WI		22,007		2,305
2017	Owned real estate	ALF/MC	SC		11,680		1,241
Total				$	83,429	$	8,413

Common Stock. We have separate equity distribution agreements (collectively, “Equity Distribution Agreements”) to offer and sell, from time to time, up to $200,000,000 in aggregate offering price of shares of our common stock. As of September 30, 2021, no shares had been issued under the

Equity Distribution Agreements. Accordingly, at September 30, 2021, we had $200,000,000 available under the Equity Distribution Agreements.

During the nine months ended September 30, 2021 and 2020, we acquired 87,249 shares and 76,574 shares, respectively, of common stock held by employees who tendered owned shares to satisfy tax withholding obligations.

Stock Repurchase Plan. On March 12, 2020, our Board of Directors authorized the repurchase of up to 5,000,000 outstanding shares of common stock. Due to the rising level of uncertainty in financial markets and the adverse effects of COVID-19 on the public health and our operators, our Board of Directors terminated the stock repurchase plan on March 25, 2020. During 2020, we purchased 615,827 shares at an average price of $29.25 per share, including commissions, for a total purchase price of $18,012,000.

Available Shelf Registration. We have an automatic shelf registration statement on file with the SEC, and currently have the ability to file additional automatic shelf registration statements, to provide us with capacity to publicly offer an indeterminate amount of common stock, preferred stock, warrants, debt, depositary shares, or units. We may from time to time raise capital under our automatic shelf registration statement in amounts, at prices, and on terms to be announced when and if the securities are offered. The specifics of any future offerings, along with the use of proceeds of any securities offered, will be described in detail in a prospectus supplement, or other offering materials, at the time of the offering. Our shelf registration statement expires on February 28, 2022.

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

	Nine Months Ended September 30,
	2021						2020
	Declared			Paid			Declared			Paid
Common Stock (1)	$	68,051	(2)	$	68,051	(2)	$	67,894	(3)	$	67,894	(3)

(1) Represents $0.19 per share per month for the nine months ended September 30, 2021 and 2020.

(2) Includes $764 of distributions that were paid as a result of the vesting of performance-based stock units.

(3) Includes $586 of distributions that were paid as a result of the vesting of performance-based stock units.

In October 2021, we declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2021, payable on October 29, November 30, and December 31, 2021, respectively, to stockholders of record on October 21, November 19, and December 23, 2021, respectively.

Stock-Based Compensation. During the second quarter of 2021, we adopted and our shareholders approved the 2021 Equity Participation Plan (“the 2021 Plan”) which replaces the 2015 Equity Participation Plan (“the 2015 Plan”). Under the 2021 Plan, 1,900,000 shares of common stock have been authorized and reserved for awards, less one share for every one share that was subject to an award granted under the 2015 Plan after December 31, 2020 and prior to adoption. In addition, any shares that are not issued under outstanding awards under the 2015 Plan because the shares were forfeited or cancelled after December 31, 2020 will be added to and again be available for awards under the 2021 Plan. Under the 2021 Plan, the shares were authorized and reserved for awards to officers, employees, non-employee directors and consultants. The terms of the awards granted under the 2021 Plan and the

2015 Plan are set by our compensation committee at its discretion.

At September 30, 2021, we had 15,000 stock options outstanding and exercisable. During the nine months ended September 30, 2021 and 2020, no stock options were granted or exercised.

The following table summarizes our restricted stock activity for the nine months ended September 30, 2021 and 2020:

	Nine Months Ended September 30,
	2021		2020
Outstanding, January 1		180,440		163,569
Granted		110,348		101,348
Vested		(93,366)		(84,477)
Outstanding, September 30		197,422		180,440

During the nine months ended September 30, 2021 and 2020, we granted 71,892 and 66,027, respectively, of performance-based stock units. Additionally, during the nine months ended September 30, 2021 and 2020, the number of performance-based stock units that vested were 108,720 and 81,574, respectively.

During the nine months ended September 30, 2021 and 2020, we granted restricted stock and performance-based stock units as follows:

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2021	95,293	$	42.27	ratably over 3 years
	71,892	$	42.27	TSR targets (1)
	12,055	$	39.40	May 26, 2022
	3,000	$	43.14	April 1, 2022
	182,240
2020	76,464	$	48.95	ratably over 3 years
	66,027	$	49.98	TSR targets (1)
	9,884	$	38.45	May 27, 2021
	15,000	$	38.45	ratably over 3 years
	167,375

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

Compensation expense recognized related to the vesting of restricted common stock and performance-based stock units for the nine months ended September 30, 2021 and 2020 were $5,785,000 and $5,231,000, respectively. At September 30, 2021, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows (in thousands):

	Remaining
	Compensation
Vesting Date	Expense
2021	$	1,974
2022		5,447
2023		2,855
2024		303
Total	$	10,579

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Commitments and Contingencies

9 Months Ended

Sep. 30, 2021

Commitments and Contingencies

Commitments and Contingencies

8. Commitments and Contingencies

At September 30, 2021, we had commitments as follows (in thousands):

						Total
	Investment			2021		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties (Note 2. Real Estate Investments)	$	19,670	(1)	$	3,770	$	10,228	$	9,442
Accrued incentives and earn-out liabilities (Note 5. Lease Incentives)		9,130			50		50		9,080
Mortgage loans (Note 2. Real Estate Investments)		21,000	(2)		318		3,699		17,301
Notes receivable (Note 4. Notes Receivable)		1,925			643		1,247		678
Total	$	51,725		$	4,781	$	15,224	$	36,501

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

(2) Represents $3,000 of commitments to expand and renovate seniors housing and health care properties securing mortgage loans and $18,000 of commitments which are contingent upon the borrower achieving certain coverage ratios.

Also, some of our lease agreements provide purchase options allowing the lessee to purchase the properties they currently lease from us. See Note 2. Real Estate Investments for a table summarizing information about our purchase options.

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

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Major Operators

9 Months Ended

Sep. 30, 2021

Major Operators

Major Operators

9. Major Operators

We have one operator that derives 10% or more of our combined rental revenue and interest income from mortgage loans. The following table sets forth information regarding our major operator as of September 30, 2021:

	Number of		Number of		Percentage of
			SNF	ALF	Total		Total
Operator	SNF	ALF	Beds	Units	Revenue (1)		Assets (2)
Prestige Healthcare (3)	24	—	2,845	93	21.4	%	18.3	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of September 30, 2021.

(2) Represents the net carrying value of the mortgage loans and properties we own divided by the Total assets on the Consolidated Balance Sheets.

(3) The majority of the revenue derived from this operator relates to interest income from mortgage loans.

Our financial position and ability to make distributions may be adversely affected if Prestige Healthcare 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, impact upon services or occupancy levels due to COVID-19, or in the event any such operator does not renew and/or extend its relationship with us.

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Earnings per Share

9 Months Ended

Sep. 30, 2021

Earnings per Share

Earnings per Share

10. Earnings per Share

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

	Three Months Ended					Nine Months Ended
	September 30,					September 30,
	2021			2020		2021			2020
Net income	$	11,114		$	12,338	$	43,294		$	78,012
Less income allocated to non-controlling interests		(92)			(121)		(271)			(292)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(113)			(103)		(346)			(294)
Income allocated to participating securities		—			—		—			(45)
Total net income allocated to participating securities		(113)			(103)		(346)			(339)
Net income available to common stockholders		10,909			12,114		42,677			77,381
Effect of dilutive securities:
Participating securities (1)		—			—		—			—
Net income for diluted net income per share	$	10,909		$	12,114	$	42,677		$	77,381
Shares for basic net income per share		39,177			39,061		39,149			39,218
Effect of dilutive securities:
Stock options (1)		—			—		—			—
Performance-based stock units		—	(2)		51		—	(2)		51
Participating securities (1)		—			—		—			—
Total effect of dilutive securities		—			51		—			51
Shares for diluted net income per share		39,177			39,112		39,149			39,269
Basic net income per share	$	0.28		$	0.31	$	1.09		$	1.97
Diluted net income per share	$	0.28		$	0.31	$	1.09		$	1.97

(1) For the three and nine months ended September 30, 2021, and 2020, the stock options and participating securities have been excluded from the computation of diluted net income per share as such inclusion would be anti-dilutive.

(2) For the three and nine months ended September 30, 2021, no performance-based stock units would be earned based on TSR targets.

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Fair Value Measurements

9 Months Ended

Sep. 30, 2021

Fair Value Measurements

Fair Value Measurements

11. Fair Value Measurements

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

The carrying amount of cash and cash equivalents, prepaid expenses and other assets, accrued interest, accrued expenses and other liabilities approximates fair value because of the short-term maturity of these instruments. We do not invest our cash in auction rate securities. The carrying value and fair value of our financial instruments as of September 30, 2021 and December 31, 2020 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2021					At December 31, 2020
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable, net of loan loss reserve	$	258,829	$	298,677	(1)	$	257,251	$	299,751	(1)
Notes receivable, net of loan loss reserve		18,675		18,552	(2)		14,465		13,893	(2)
Bank borrowings		134,400		134,400	(3)		89,900		89,900	(3)
Senior unsecured notes, net of debt issue costs		527,429		556,841	(4)		559,482		560,140	(4)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2021 and December 31, 2020 was 10.1% and 10.0%, respectively.

(2) Our investments in notes receivable are classified as Level 3. 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 flows of the notes receivable at September 30, 2021 and December 31, 2020, were 6.5% and 6.6%, respectively.

(3) Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2021 and December 31, 2020 based upon prevailing market interest rates for similar debt arrangements.

(4) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2021, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.00% for those maturing before year 2030 and 3.25% for those maturing at or beyond year 2030. At December 31, 2020, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.25% for those maturing before year 2026 and 3.50% for those maturing at or beyond year 2026.

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Subsequent Events

9 Months Ended

Sep. 30, 2021

Subsequent Events

Subsequent Events

12. Subsequent Events

Subsequent to September 30, 2021 the following events occurred:

Real Estate Investments: We transitioned 11 properties previously leased to Senior Care and Abri Health to HMG under a one-year master lease with rent based on cash flows, and payment subject to a deferral of up to six months. We intend to add these 11 properties to their current master lease after establishing a stabilized rent during the first lease year. We also funded the following mortgage loans:

● A $27,047,000 mortgage loan secured by a 189-bed skilled nursing center in Louisiana with a regional operator new to us. The mortgage loan has a three-year term with one 12-month extension option and a yield of 7.5%; and

● A $12,530,000 mortgage loan secured by a 68-unit assisted living and memory care community in Florida operated by a regional operator new to us. The mortgage loan term is approximately 4 years at a 7.75% yield and includes an additional $4,177,000 loan commitment for the construction of a memory care addition to the property to be funded at a later date subject to satisfaction of various conditions.

Notes Receivable: We provided HMG a $25,000,000 secured working capital loan maturing in September 2022 to facilitate the transition of the 11 properties from Senior Care and Abri Health.

Equity: We declared a monthly cash dividend of $0.19 per share on our common stock for the months of October, November and December 2021, payable on October 29, November 30, and December 31, 2021, respectively to stockholders of record on October 21, November 19, and December 23, 2021, respectively.

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General (Policies)

9 Months Ended

Sep. 30, 2021

General

Basis of Presentation

We have prepared consolidated financial statements included herein without audit and in the opinion of management have included all adjustments necessary for a fair presentation of the consolidated financial statements pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Certain information and note disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to rules and regulations governing the presentation of interim financial statements. The accompanying consolidated financial statements include the accounts of our company and its wholly-owned subsidiaries.

Reclassifications

All significant intercompany accounts and transactions have been eliminated in consolidation. The results of operations for the three and nine months ended September 30, 2021 and 2020 are not necessarily indicative of the results for a full year.

Income taxes

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

New Accounting Pronouncements

New Accounting Pronouncements

In March 2020, the Financial Accounting Standards Board (“FASB”) issued guidance which provides temporary optional expedients and exceptions to the U.S. GAAP guidance on contract modifications and hedge accounting to ease the financial reporting burdens of the expected market transition from LIBOR and other interbank offered rates to alternative reference rates. The guidance is effective upon issuance and generally may be elected over time through December 31, 2022. The Company has not adopted any of the optional expedients or exceptions through September 30, 2021 but will continue to evaluate the possible adoption (including potential impact) of any such expedients or exceptions during the effective period as circumstances evolve.

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Real Estate Investments (Tables)

9 Months Ended

Sep. 30, 2021

Real Estate Investments

Summary of investments in owned properties

The following table summarizes our investments in owned properties at September 30, 2021 (dollar amounts in thousands):

								Average
			Percentage		Number	Number of		Investment
	Gross		of		of	SNF	ALF	per
Type of Property	Investment		Investment		Properties (1)	Beds	Units	Bed/Unit
Assisted Living	$	843,015	59.9	%	102	—	5,798	$	145.40
Skilled Nursing		552,723	39.3	%	50	6,154	212	$	86.82
Other (2)		11,360	0.8	%	1	118	—		—
Total	$	1,407,098	100.0	%	153	6,272	6,010

(1) We own properties in 26 states that are leased to 31 different operators.

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

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 receivable, amortization of lease incentives and renewal options are as follows (in thousands):

	Cash
	Rent (1)
4Q 2021	$	27,175
2022		119,023
2023		104,210
2024		105,332
2025		87,144
Thereafter		329,267

(1) Represents contractual cash rent, except for certain master leases which are based on estimated cash payments and the Senior Care and Abri Health master lease. See Footnote 12 for further discussion about this lease.

Summary of components of our rental income

The following table summarizes components of our rental income for the three and nine months ended September 30, 2021 and 2020 (in thousands):

	Three Months Ended						Nine Months Ended
	September 30,						September 30,
Rental Income		2021			2020			2021			2020
Base cash rental income	$	25,934	(1)	$	32,006		$	80,967	(1)	$	98,357
Variable cash rental income		3,588	(2)		3,356	(2)		10,655	(2)		11,793	(2)
Straight-line rent		(44)	(3)		228			619	(3)		1,701
Adjustment for collectability of rental income and lease incentives		—			(5,472)	(4)		(758)	(4)		(23,214)	(4)
Amortization of lease incentives		(158)			(108)			(386)			(317)
Total	$	29,320		$	30,010		$	91,097		$	88,320

(1) Decreased primarily due to non-payment of lease obligations from Senior Lifestyle Corporation (“Senior Lifestyle”), unpaid lease obligations from Senior Care and Abri Health, abated and deferred rent and reduced rent from a property sale. This decrease was partially offset by increased rent from re-leasing 18 properties previously leased to Senior Lifestyle, completion of development projects and contractual rent increases.

(2) The variable rental income for the three and nine months ended September 30, 2021, includes reimbursement of real estate taxes by our lessees of $3,588 and $10,655, respectively. The variable rental income for the three and nine months ended September 30, 2020 includes contingent rental income of $4 and $108, respectively and reimbursement of real estate taxes by our lessees of $3,352 and $11,685, respectively.

(3) Decreased due to more leases accounted for on a cash basis.

(4) Represents straight-line rent receivable and lease incentives write-offs.

Summary of information about purchase options included in our lease agreements

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 (dollar amounts in thousands):

	Type	Number
	of	of		Gross		Carrying	Option
State	Property	Properties		Investments		Value	Window
California	ALF/MC	2	$	38,895	$	34,895	2024-2029
California	ALF	2		31,682		17,166	2021-TBD	(1)
Colorado	ALF	1		6,764		5,378	2022-2026
Florida	MC	1		15,201		13,069	2028-2029
Kentucky and Ohio	MC	2		30,421		26,798	2028-2029
Nebraska	ALF	3		7,633		3,248	TBD	(2)
Texas	MC	2		25,265		23,250	2021-2027
South Carolina	ALF/MC	1		11,680		9,777	2028-2029
Total			$	167,541	$	133,581

(1) The option window ending date will be either 24 months or 48 months after the option window commences, based on certain contingencies.

(2) Subject to the properties achieving certain coverage ratios.

Summary of acquisitions

Acquisitions and Developments: The following table summarizes our acquisitions for the nine months ended September 30, 2021 and 2020 (dollar amounts in thousands):

						Total		Number	Number
		Purchase		Transaction		Acquisition		of	of
Year	Type of Property	Price		Costs		Costs		Properties	Beds/Units
2021	n/a	$	—	$	—	$	—	—	—
2020	Skilled Nursing (1)	$	13,500	$	81	$	13,581	1	140

(1) We acquired a SNF located in Texas.

Schedule of development and improvement projects

During the nine months ended September 30, 2021 and 2020, we invested the following in development and improvement projects (in thousands):

	Nine Months Ended September 30,
	2021				2020
Type of Property	Developments		Improvements		Developments		Improvements
Assisted Living Communities	$	—	$	4,560	$	4,491	$	3,941
Skilled Nursing Centers		—		279		8,893		14
Total	$	—	$	4,839	$	13,384	$	3,955

Schedule of completed developments

Completed Developments. We had no completed developments during the nine months ended September 30, 2021. The following table summarized our completed developments during the nine months ended September 30, 2020 (dollar amounts in thousands):

		Number	Type	Number
		of	of	of			Total
Year	Type of Project	Properties	Property	Beds/Units	State	Investment
2020	Development	1	ALF/MC	78	Oregon	$	18,447
	Development	1	SNF	90	Missouri		13,272
Total		2		168		$	31,719

Schedule of property sold

Properties Sold. The following table summarizes property sales during the nine months ended September 30, 2021 and 2020 (dollar amounts in thousands):

		Type	Number	Number
		of	of	of		Sales		Carrying		Net
Year	State	Properties	Properties	Beds/Units		Price		Value		Gain (loss) (1)
2021	n/a	n/a	—	—	$	—	$	—	$	292	(2) (3)
	Florida	ALF	1	—		2,000		2,626		(858)
	Nebraska	ALF	1	40		900		1,079		(198)
	Washington	SNF	1	123		7,700		4,528		2,562
	Wisconsin	ALF	3	263		35,000		28,295		5,594
Total 2021			6	426	$	45,600	$	36,528	$	7,392
2020	n/a	n/a	—	—	$	—	$	—	$	108	(2) (3)
	Arizona	SNF	1	194		12,550		2,229		10,292
	Colorado	SNF	3	275		15,000		4,271		10,364
	Iowa	SNF	7	544		14,500		4,886		9,029	(3)
	Kansas	SNF	3	250		9,750		7,438		1,993
	Texas	SNF	7	1,148		23,000		10,260		12,287
Total 2020			21	2,411	$	74,800	$	29,084	$	44,073

(

(1) Calculation of net gain (loss) includes cost of sales.

(2) We recognized additional gain due to the reassessment adjustment of the holdbacks related to properties sold during 2019 and 2020, under the expected value model per ASC Topic 606, Contracts with Customers (“ASC 606”).

(3) One of the transactions includes a holdback of $838 which is held in an interest-bearing account with an escrow holder on behalf of the buyer for potential specific losses. During 2020, we received $150 of the holdback. The remaining holdback expires in March 2022. Using the expected value model per ASC 606, we estimated and recorded the holdback value of $471 at closing.

Summary of investments in mortgage loans secured by first mortgages

Mortgage Loans. The following table summarizes our investments in mortgage loans secured by first mortgages at September 30, 2021 (dollar amounts in thousands):

					Type		Percentage		Number of					Investment
			Gross		of		of						SNF	per
Interest Rate (1)	Maturity	State	Investment		Property		Investment		Loans (2)		Properties (3)		Beds	Bed/Unit
7.5%	2022	MO	$	1,780	OTH	(4)	0.7	%	1		—	(4)	—	$	n/a
10.1%	2043	MI		185,859	SNF		71.1	%	1		15		1,875	$	99.12
9.3%	2045	MI		39,148	SNF		15.0	%	1		4		501	$	78.14
9.6%	2045	MI		19,750	SNF		7.5	%	1		2		205	$	96.34
9.6%	2045	MI		14,900	SNF		5.7	%	1		1		146	$	102.05
Total			$	261,437			100.0	%	5	(5)	22	(5)	2,727	$	95.87

(1) The majority of the mortgage loans provide for 2.25% annual increases in the interest rate after a certain time period.

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

(3) The properties securing these mortgage loans are operated by the same operator except for (4) below.

(4) Represents a mortgage loan secured by a parcel of land for the future development of a 91-bed post-acute SNF.

(5) Subsequent to September 30, 2021, we funded a $27,047 mortgage loan secured by a 189-bed SNF in Louisiana with a regional operator new to us. The mortgage loan has a three-year term, with one 12-month extension option and a yield of 7.5%. Additionally, we funded a $12,530 mortgage loan secured by a 68-unit ALF and MC community in Florida operated by a regional operator new to us. The mortgage loan term is approximately 4 years at a 7.75% yield and includes an additional $4,177 loan commitment for the construction of a memory care addition to the property to be funded at a later date subject to satisfaction of various conditions.

Schedule of mortgage loan activity

The following table summarizes our mortgage loan activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
	2021			2020
Originations and funding under mortgage loans receivable	$	2,223	(1)	$	4,176
Scheduled principal payments received		(625)			(565)
Mortgage loan premium amortization		(4)			(3)
Provision for loan loss reserve		(16)			(36)
Net increase in mortgage loans receivable	$	1,578		$	3,572

(1) We originated a $1,780 mortgage loan secured by a parcel of land for the future development of a 91-bed post-acute SNF in Missouri and withheld a reserve of $142. The mortgage loan term is one year at a yield of 7.5%.

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Investment in Unconsolidated Joint Ventures (Tables)

9 Months Ended

Sep. 30, 2021

Investment in Unconsolidated Joint Ventures

Summary of the preferred equity investments

	Type	Type		Total		Contractual		Number
	of	of		Preferred		Cash		of		Carrying
State	Properties	Investment		Return		Portion		Beds/ Units		Value
Washington	UDP	Preferred Equity	(1)	12	%	7	%	—	$	6,340	(1)
Washington	UDP	Preferred Equity	(2)	12	%	8	%	—		13,000	(2)
Total								—	$	19,340

(1) Invested $6,340 of preferred equity in an entity that will develop and own a 95-unit ALF and MC in Washington and withheld $1,425 as a reserve. Our investment represents 15.5% of the estimated total investment. The preferred equity investment earns an initial cash rate of 7% increasing to 9% in year four until the internal rate of return (“IRR”) is 8%. After achieving an 8% IRR, the cash rate drops to 8% until achieving an IRR ranging between 12% to 14%.

(2) Invested $13,000 of preferred equity in an entity that will develop and own a 267-unit ILF and ALF in Washington and withheld $3,777 as a reserve. Our investment represents 11.6% of the estimated total investment. The preferred equity investment earns an initial cash rate of 8% until achieving an IRR ranging between 12% and 14%.

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 for the nine months ended September 30, 2021 and 2020 (in thousands):

	Type
	of			Capital			Income		Cash Interest
Year	Properties			Contribution			Recognized		Earned
2021	UDP	(1)	$	—		$	337	$	300
	UDP	(2)		8,000	(2)		704		616
Total			$	8,000		$	1,041	$	916
2020	ALF/MC/ILF	(3)	$	58	(3)	$	231	$	231
	UDP	(1)		6,340	(1)		56		18
Total			$	6,398		$	287	$	249

(1) During 2020, we provided a total preferred equity investment of $6,340 to a JV for the development of a 95-unit ALF and MC.

(2) During 2021, we funded the remaining $8,000 related to a $13,000 preferred equity investment commitment in an entity that will develop and own a 267-unit ILF and ALF in Washington. Additionally, we withheld $2,324 from the $8,000 funding for a total reserve of $3,777 related to this preferred equity investment.

(3) Relates to our preferred equity investment in Arizona discussed above. During 2020, the properties comprising the JV were sold.

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Notes Receivable (Tables)

9 Months Ended

Sep. 30, 2021

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 as of September 30, 2021 and December 31, 2020 (in thousands):

	September 30, 2021			December 31, 2020
Mezzanine loans	$	11,816	(1)	$	8,445
Other loans		7,048	(2)		6,166
Notes receivable loan loss reserve		(189)			(146)
Total	$	18,675		$	14,465

(1) During the three months ended September 30, 2021, we originated a $4,355 mezzanine loan and held back a $353 interest reserve. The mezzanine loan has a three-year term with two 12-month extensions. The initial rate is 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return (“IRR”) of 10.5%.

(2) Subsequent to September 30, 2021, we provided HMG Healthcare, LLC (“HMG”) a $25,000 secured working capital loan maturing in September 2022 to facilitate the transition of the 11 properties from Senior Care and Abri Health.

Summary of notes receivable activity

The following table summarizes our notes receivable activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
		2021			2020
Advances under notes receivable	$	6,453	(1)	$	1,366
Interest reserve withheld		353			—
Principal payments received under notes receivable		(2,553)			(4,732)
Reclassified to lease incentives		—			(300)	(2)
Notes receivable reserve		43			36
Net increase (decrease) in notes receivable	$	4,296		$	(3,630)

(1) Funding under working capital notes and mezzanine loans with interest ranging between 5% and 8% and maturities between 2022 and 2030.

(2) Represents interim working capital loans related to development projects which matured upon completion of the development projects and commencement of the master leases.

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Lease Incentives (Tables)

9 Months Ended

Sep. 30, 2021

Lease Incentives

Summary of lease incentives by component

Our lease incentive balances at September 30, 2021(in thousands):

		September 30, 2021		December 31, 2020
Non-contingent lease incentives	$	2,726	$	2,462

Summary of lease incentive activity

The following table summarizes our lease incentives activity for the nine months ended September 30, 2021 and 2020 (in thousands):

	Nine Months Ended September 30,
	2021				2020
		Funding		Amortization		Funding		Amortization		Reclassification
Non-contingent lease incentives	$	650	$	(386)	$	50	$	(317)	$	115	(1)

(1) We reclassified a $300 interim working capital loan as lease incentive. See Note 4. Notes Receivable for further discussion. Additionally, we wrote-off $185 of lease incentive related to a master lease for which we determined it was not probable we will collect substantially all of the contractual lease obligations through maturity. See Note 2. Real Estate Investments for further discussion.

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Debt Obligations (Tables)

9 Months Ended

Sep. 30, 2021

Debt Obligations

Schedule of Debt Obligations

The debt obligations by component as of September 30, 2021 and December 31, 2020 are as follows (dollar amounts in thousands):

		At September 30, 2021				At December 31, 2020
	Applicable			Available				Available
	Interest	Outstanding		for		Outstanding		for
Debt Obligations	Rate (1)	Balance		Borrowing		Balance		Borrowing
Bank borrowings	1.23%	$	134,400	$	465,600	$	89,900	$	510,100
Senior unsecured notes, net of debt issue costs	4.34%		527,429		—		559,482		—
Total	3.71%	$	661,829	$	465,600	$	649,382	$	510,100

(1) Represents weighted average of interest rate as of September 30, 2021.

Schedule of borrowings and repayments

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

	Nine Months Ended September 30,
	2021				2020
Debt Obligations		Borrowings		Repayments	Borrowings		Repayments
Bank borrowings	$	92,500	$	(48,000)	$	24,000	$	(28,000)
Senior unsecured notes		—		(32,160)		—		(25,160)
Total	$	92,500	$	(80,160)	$	24,000	$	(53,160)

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Equity (Tables)

9 Months Ended

Sep. 30, 2021

Equity

Schedule of consolidated VIEs

As of September 30, 2021, we have the following consolidated VIEs (in thousands):

					Gross
Investment		Property			Consolidated		Non-Controlling
Year	Purpose	Type	State		Assets		Interests
2019	Owned real estate	ALF/MC	VA	$	16,895	$	919
2018	Owned real estate	ILF	OR		14,400		2,857
2018	Owned real estate and development	ALF/MC	OR		18,447		1,091
2017	Owned real estate and development	ILF/ALF/MC	WI		22,007		2,305
2017	Owned real estate	ALF/MC	SC		11,680		1,241
Total				$	83,429	$	8,413

Schedule of cash dividends declared and paid

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

	Nine Months Ended September 30,
	2021						2020
	Declared			Paid			Declared			Paid
Common Stock (1)	$	68,051	(2)	$	68,051	(2)	$	67,894	(3)	$	67,894	(3)

(1) Represents $0.19 per share per month for the nine months ended September 30, 2021 and 2020.

(2) Includes $764 of distributions that were paid as a result of the vesting of performance-based stock units.

(3) Includes $586 of distributions that were paid as a result of the vesting of performance-based stock units.

Schedule of restricted stock activity

The following table summarizes our restricted stock activity for the nine months ended September 30, 2021 and 2020:

	Nine Months Ended September 30,
	2021		2020
Outstanding, January 1		180,440		163,569
Granted		110,348		101,348
Vested		(93,366)		(84,477)
Outstanding, September 30		197,422		180,440

Schedule of restricted stock granted

	No. of	Price per
Year	Shares/Units	Share		Vesting Period
2021	95,293	$	42.27	ratably over 3 years
	71,892	$	42.27	TSR targets (1)
	12,055	$	39.40	May 26, 2022
	3,000	$	43.14	April 1, 2022
	182,240
2020	76,464	$	48.95	ratably over 3 years
	66,027	$	49.98	TSR targets (1)
	9,884	$	38.45	May 27, 2021
	15,000	$	38.45	ratably over 3 years
	167,375

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

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

At September 30, 2021, the remaining compensation expense to be recognized related to the future service period of unvested outstanding restricted common stock and performance-based stock units are as follows (in thousands):

	Remaining
	Compensation
Vesting Date	Expense
2021	$	1,974
2022		5,447
2023		2,855
2024		303
Total	$	10,579

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Commitments and Contingencies (Tables)

9 Months Ended

Sep. 30, 2021

Commitments and Contingencies

Schedule of commitments

At September 30, 2021, we had commitments as follows (in thousands):

						Total
	Investment			2021		Commitment		Remaining
	Commitment			Funding		Funded		Commitment
Real estate properties (Note 2. Real Estate Investments)	$	19,670	(1)	$	3,770	$	10,228	$	9,442
Accrued incentives and earn-out liabilities (Note 5. Lease Incentives)		9,130			50		50		9,080
Mortgage loans (Note 2. Real Estate Investments)		21,000	(2)		318		3,699		17,301
Notes receivable (Note 4. Notes Receivable)		1,925			643		1,247		678
Total	$	51,725		$	4,781	$	15,224	$	36,501

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

(2) Represents $3,000 of commitments to expand and renovate seniors housing and health care properties securing mortgage loans and $18,000 of commitments which are contingent upon the borrower achieving certain coverage ratios.

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Major Operators (Tables)

9 Months Ended

Sep. 30, 2021

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 (2)
Prestige Healthcare (3)	24	—	2,845	93	21.4	%	18.3	%

(1) Includes rental income from owned properties and interest income from mortgage loans as of September 30, 2021.

(2) Represents the net carrying value of the mortgage loans and properties we own divided by the Total assets on the Consolidated Balance Sheets.

(3) The majority of the revenue derived from this operator relates to interest income from mortgage loans.

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Earnings per Share (Tables)

9 Months Ended

Sep. 30, 2021

Earnings per Share

Schedule of basic and diluted net income per share

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

	Three Months Ended					Nine Months Ended
	September 30,					September 30,
	2021			2020		2021			2020
Net income	$	11,114		$	12,338	$	43,294		$	78,012
Less income allocated to non-controlling interests		(92)			(121)		(271)			(292)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities		(113)			(103)		(346)			(294)
Income allocated to participating securities		—			—		—			(45)
Total net income allocated to participating securities		(113)			(103)		(346)			(339)
Net income available to common stockholders		10,909			12,114		42,677			77,381
Effect of dilutive securities:
Participating securities (1)		—			—		—			—
Net income for diluted net income per share	$	10,909		$	12,114	$	42,677		$	77,381
Shares for basic net income per share		39,177			39,061		39,149			39,218
Effect of dilutive securities:
Stock options (1)		—			—		—			—
Performance-based stock units		—	(2)		51		—	(2)		51
Participating securities (1)		—			—		—			—
Total effect of dilutive securities		—			51		—			51
Shares for diluted net income per share		39,177			39,112		39,149			39,269
Basic net income per share	$	0.28		$	0.31	$	1.09		$	1.97
Diluted net income per share	$	0.28		$	0.31	$	1.09		$	1.97

(1) For the three and nine months ended September 30, 2021, and 2020, the stock options and participating securities have been excluded from the computation of diluted net income per share as such inclusion would be anti-dilutive.

(2) For the three and nine months ended September 30, 2021, no performance-based stock units would be earned based on TSR targets.

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Fair Value Measurements (Tables)

9 Months Ended

Sep. 30, 2021

Fair Value Measurements

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

The carrying value and fair value of our financial instruments as of September 30, 2021 and December 31, 2020 assuming election of fair value for our financial assets and financial liabilities were as follows (in thousands):

	At September 30, 2021					At December 31, 2020
	Carrying		Fair			Carrying		Fair
	Value		Value			Value		Value
Mortgage loans receivable, net of loan loss reserve	$	258,829	$	298,677	(1)	$	257,251	$	299,751	(1)
Notes receivable, net of loan loss reserve		18,675		18,552	(2)		14,465		13,893	(2)
Bank borrowings		134,400		134,400	(3)		89,900		89,900	(3)
Senior unsecured notes, net of debt issue costs		527,429		556,841	(4)		559,482		560,140	(4)

(1) Our investment in mortgage loans receivable is classified as Level 3. The fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is determined using our assumption on market conditions adjusted for market and credit risk and current returns on our investments. The discount rate used to value our future cash inflows of the mortgage loans receivable at September 30, 2021 and December 31, 2020 was 10.1% and 10.0%, respectively.

(2) Our investments in notes receivable are classified as Level 3. 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 flows of the notes receivable at September 30, 2021 and December 31, 2020, were 6.5% and 6.6%, respectively.

(3) Our bank borrowings bear interest at a variable interest rate. The estimated fair value of our bank borrowings approximated their carrying values at September 30, 2021 and December 31, 2020 based upon prevailing market interest rates for similar debt arrangements.

(4) Our obligation under our senior unsecured notes is classified as Level 3 and thus the fair value is determined using a widely accepted valuation technique, discounted cash flow analysis on the expected cash flows. The discount rate is measured based upon management’s estimates of rates currently prevailing for comparable loans available to us, and instruments of comparable maturities. At September 30, 2021, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.00% for those maturing before year 2030 and 3.25% for those maturing at or beyond year 2030. At December 31, 2020, the discount rate used to value our future cash outflow of our senior unsecured notes was 3.25% for those maturing before year 2026 and 3.50% for those maturing at or beyond year 2026.

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General (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2021 USD ($) segment
General
Number of operating segments | segment	1
Provision for federal or state income taxes | $	$ 0

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Real Estate Investments - Owned Properties (Details) - Real Estate Investment	3 Months Ended	9 Months Ended
	Sep. 30, 2021 USD ($) item property state	Sep. 30, 2021 USD ($) item property state $ / item
Real Estate [Line Items]
Gross Investment | $	$ 1,407,098,000	$ 1,407,098,000
Percentage of Investment	100.00%	100.00%
Number of properties | property	153	153
Number of states | state	26	26
Number of operators	31	31
Payment to affiliates | $	$ 3,250,000
Operating leases
Number of ways to compute annual rent increases		4
Minimum
Operating leases
Initial lease term	10 years	10 years
Specified annual increase over the prior year's rent (as a percent)		2.00%
Maximum
Operating leases
Initial lease term	15 years	15 years
Specified annual increase over the prior year's rent (as a percent)		2.50%
SNF Beds
Real Estate [Line Items]
Number of beds/units	6,272	6,272
ALF Units
Real Estate [Line Items]
Number of beds/units	6,010	6,010
ALF
Real Estate [Line Items]
Gross Investment | $	$ 843,015,000	$ 843,015,000
Percentage of Investment	59.90%	59.90%
Number of properties | property	102	102
Investment per Bed/Unit | $ / item		145.40
ALF | ALF Units
Real Estate [Line Items]
Number of beds/units	5,798	5,798
SNF
Real Estate [Line Items]
Gross Investment | $	$ 552,723,000	$ 552,723,000
Percentage of Investment	39.30%	39.30%
Number of properties | property	50	50
Investment per Bed/Unit | $ / item		86.82
SNF | SNF Beds
Real Estate [Line Items]
Number of beds/units	6,154	6,154
SNF | ALF Units
Real Estate [Line Items]
Number of beds/units	212	212
Other
Real Estate [Line Items]
Gross Investment | $	$ 11,360,000	$ 11,360,000
Percentage of Investment	0.80%	0.80%
Number of properties | property	1	1
Number of parcels of land		3
Other | SNF Beds
Real Estate [Line Items]
Number of beds/units	118	118
Hospital
Real Estate [Line Items]
Number of properties | property	1	1

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Real Estate Investments - Base Rents (Details) $ in Thousands	Sep. 30, 2021 USD ($)
Future minimum base rents receivable
4Q 2021	$ 27,175
2022	119,023
2023	104,210
2024	105,332
2025	87,144
Thereafter	$ 329,267

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Real Estate Investments - Lease (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2021 USD ($) property	Sep. 30, 2020 USD ($)	Sep. 30, 2021 USD ($) property item	Sep. 30, 2020 USD ($)	Dec. 31, 2020 USD ($)
Real estate investments
Number of operators | item			20
Rental income on cash basis	51
Write-off of straight-line rent and lease incentives balances			$ 758,000	$ 23,214,000
Carrying value	$ 1,041,916,000		1,041,916,000		$ 1,102,358,000
Income and Expenses, Lessor [Abstract]
Base cash rental income	25,934,000	$ 32,006,000	80,967,000	98,357,000
Variable cash rental income	3,588,000	3,356,000	10,655,000	11,793,000
Straight-Line Rent	(44,000)	228,000	619,000	1,701,000
Adjustment for collectability of rental income and lease incentives		(5,472,000)	(758,000)	(23,214,000)
Amortization of Lease Incentives	(158,000)	(108,000)	(386,000)	(317,000)
Total Rental Income	29,320,000	30,010,000	91,097,000	88,320,000
Real estate taxes reimbursed	3,588,000	3,352,000	10,655,000	11,685,000
Contingent rental income		$ 4,000		$ 108,000
Rent deferrals	3,371,000		3,371,000
Rent abatements			2,639,000
Rent abatements and deferrals			$ 6,010,000
Percentage of contractual rent			5.00%
Percentage of reduction in rent and interest escalations			50.00%
Decrease of revenue			$ (496,000)
Decrease in cash			(1,337,000)
Purchase Option in Lease Arrangements
Real estate investments
Gross Investment	167,541,000		167,541,000
Carrying value	$ 133,581,000		$ 133,581,000
ALF | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property	2		2
Gross Investment	$ 31,682,000		$ 31,682,000
Carrying value	$ 17,166,000		$ 17,166,000
ALF | Purchase Option in Lease Arrangements | California | Minimum
Real estate investments
Purchase option ending period			24 months
ALF | Purchase Option in Lease Arrangements | California | Maximum
Real estate investments
Purchase option ending period			48 months
ALF | Purchase Option in Lease Arrangements | Colorado
Real estate investments
Number of properties | property	1		1
Gross Investment	$ 6,764,000		$ 6,764,000
Carrying value	$ 5,378,000		$ 5,378,000
ALF | Purchase Option in Lease Arrangements | Nebraska
Real estate investments
Number of properties | property	3		3
Gross Investment	$ 7,633,000		$ 7,633,000
Carrying value	$ 3,248,000		$ 3,248,000
MC | Purchase Option in Lease Arrangements | Florida
Real estate investments
Number of properties | property	1		1
Gross Investment	$ 15,201,000		$ 15,201,000
Carrying value	$ 13,069,000		$ 13,069,000
MC | Purchase Option in Lease Arrangements | Kentucky and Ohio
Real estate investments
Number of properties | property	2		2
Gross Investment	$ 30,421,000		$ 30,421,000
Carrying value	$ 26,798,000		$ 26,798,000
MC | Purchase Option in Lease Arrangements | Texas
Real estate investments
Number of properties | property	2		2
Gross Investment	$ 25,265,000		$ 25,265,000
Carrying value	$ 23,250,000		$ 23,250,000
ALF and MC | Purchase Option in Lease Arrangements | California
Real estate investments
Number of properties | property	2		2
Gross Investment	$ 38,895,000		$ 38,895,000
Carrying value	$ 34,895,000		$ 34,895,000
ALF and MC | Purchase Option in Lease Arrangements | South Carolina
Real estate investments
Number of properties | property	1		1
Gross Investment	$ 11,680,000		$ 11,680,000
Carrying value	$ 9,777,000		$ 9,777,000
Real Estate Investment
Real estate investments
Number of properties | property	153		153
Gross Investment	$ 1,407,098,000		$ 1,407,098,000
Real Estate Investment | ALF
Real estate investments
Number of properties | property	102		102
Gross Investment	$ 843,015,000		$ 843,015,000

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Real Estate Investments - Acquisitions and Developments (Details) - 2020 Acquisitions - SNF	9 Months Ended
	Sep. 30, 2020 USD ($) item
Real estate investments
Purchase Price	$ 13,500,000
Transaction Costs	81,000
Total Acquisition Costs	$ 13,581,000
Number of properties acquired	1
Number of beds/units acquired | item	140

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Real Estate Investments - Types of property Development and Improvement (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
Real estate investments
Invested in projects	$ 4,781
Developments | Development and Improvement Commitments
Real estate investments
Invested in projects		$ 13,384
Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	4,839	3,955
ALF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects		4,491
ALF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	4,560	3,941
SNF | Developments | Development and Improvement Commitments
Real estate investments
Invested in projects		8,893
SNF | Improvements | Development and Improvement Commitments
Real estate investments
Invested in projects	$ 279	$ 14

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Real Estate Investments - Development and Improvement Projects (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2020 USD ($) property item
Completed development and improvement projects
Number of Properties | property	2
Number of Beds/Units | item	168
Total Investment | $	$ 31,719
SNF | Developments | Real Estate Development Commitments | Real Estate Investment Completed Projects
Completed development and improvement projects
Number of Properties | property	1
Number of Beds/Units | item	90
Total Investment | $	$ 13,272
ALF and MC | Developments | Real Estate Development Commitments | Real Estate Investment Completed Projects
Completed development and improvement projects
Number of Properties | property	1
Number of Beds/Units | item	78
Total Investment | $	$ 18,447

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Real Estate Investments - Property Sales (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2021 USD ($)	Sep. 30, 2020 USD ($)	Sep. 30, 2021 USD ($) item property	Sep. 30, 2020 USD ($) item property	Dec. 31, 2020 USD ($)
Disposals and other
Carrying value	$ 1,041,916		$ 1,041,916		$ 1,102,358
Net Gain (loss)	2,702	$ 30	$ 7,392	$ 44,073
Impairment charges		941		$ 941
Properties sold
Disposals and other
Number of properties sold | property			6	21
Number of beds or units in property sold | item			426	2,411
Sales price			$ 45,600	$ 74,800
Carrying value	36,528	29,084	36,528	29,084
Net Gain (loss)			7,392	44,073
Net Gain (loss)			$ 292	108
Holdback amount		838		$ 838
Properties sold | SNF | Arizona
Disposals and other
Number of properties sold | property				1
Number of beds or units in property sold | item				194
Sales price				$ 12,550
Carrying value		2,229		2,229
Net Gain (loss)				$ 10,292
Properties sold | SNF | Colorado
Disposals and other
Number of properties sold | property				3
Number of beds or units in property sold | item				275
Sales price				$ 15,000
Carrying value		4,271		4,271
Net Gain (loss)				$ 10,364
Properties sold | SNF | Iowa
Disposals and other
Number of properties sold | property				7
Number of beds or units in property sold | item				544
Sales price				$ 14,500
Carrying value		4,886		4,886
Net Gain (loss)				9,029
Holdback amount					$ 150
Realizable holdback amount				$ 471
Properties sold | SNF | Kansas
Disposals and other
Number of properties sold | property				3
Number of beds or units in property sold | item				250
Sales price				$ 9,750
Carrying value		7,438		7,438
Net Gain (loss)				$ 1,993
Properties sold | SNF | Texas
Disposals and other
Number of properties sold | property				7
Number of beds or units in property sold | item				1,148
Sales price				$ 23,000
Carrying value		$ 10,260		10,260
Net Gain (loss)				$ 12,287
Properties sold | SNF | Washington
Disposals and other
Number of properties sold | property			1
Number of beds or units in property sold | item			123
Sales price			$ 7,700
Carrying value	4,528		4,528
Net Gain (loss)			$ 2,562
Properties sold | ALF | Florida
Disposals and other
Number of properties sold | property			1
Sales price			$ 2,000
Carrying value	2,626		2,626
Net Gain (loss)			$ (858)
Properties sold | ALF | Nebraska
Disposals and other
Number of properties sold | property			1
Number of beds or units in property sold | item			40
Sales price			$ 900
Carrying value	1,079		1,079
Net Gain (loss)			$ (198)
Properties sold | ALF | Wisconsin
Disposals and other
Number of properties sold | property			3
Number of beds or units in property sold | item			263
Sales price			$ 35,000
Carrying value	$ 28,295		28,295
Net Gain (loss)			$ 5,594

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Real Estate Investments - Properties held-for-sale (Details) $ in Thousands	Oct. 29, 2021 property	Sep. 30, 2021 USD ($)	Dec. 31, 2020 USD ($)
Real estate investments
Accumulated depreciation | $		$ 365,182	$ 349,643
Subsequent Event
Real estate investments
Number of beds/units | property	11

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Real Estate Investments - Mortgage Loan (Details)		3 Months Ended	9 Months Ended
	Oct. 29, 2021 USD ($) property item	Sep. 30, 2021 USD ($) item property	Sep. 30, 2021 USD ($) item loan property $ / item
Real Estate [Line Items]
Loan Term			1 year
Subsequent Event
Real Estate [Line Items]
Number of beds/units | property	11
Mortgage loans with 7.5% Interest Maturing 2022 | ALF and MC | Combination ALF and MC community | Florida | Subsequent Event
Real Estate [Line Items]
Number of beds/units | property	68
Mortgages With 7.75% Interest | ALF and MC | Combination ALF and MC community
Real Estate [Line Items]
Interest rate (as a percent)	7.75%
Mortgage Loans
Real Estate [Line Items]
Gross Investment		$ 261,437,000	$ 261,437,000
Percentage of Investment		100.00%	100.00%
Number of Loans | loan			5
Number of properties | property		22	22
Investment per Bed/Unit | $ / item			95.87
Specified basis points for annual increase in interest rate (as a percent)			2.25%
Loan Term			30 years
Mortgage Loans | SNF Beds
Real Estate [Line Items]
Number of beds/units | item		2,727	2,727
Mortgage Loans | SNF | Subsequent Event
Real Estate [Line Items]
Gross Investment	$ 27,047,000
Percentage of Investment	7.50%
Number of beds/units | property	189
Mortgage Loans | ALF and MC | Combination ALF and MC community | Subsequent Event
Real Estate [Line Items]
Number of beds/units | property	68
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2022 | SNF
Real Estate [Line Items]
Interest rate (as a percent)		7.50%
Gross Investment		$ 1,780,000	$ 1,780,000
Number of beds/units | item		91	91
Amount With held in Reserve		$ 142,000	$ 142,000
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2022 | OTH
Real Estate [Line Items]
Interest rate (as a percent)			7.50%
Gross Investment		$ 1,780,000	$ 1,780,000
Percentage of Investment		0.70%	0.70%
Number of Loans | loan			1
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2022 | OTH | SNF Beds
Real Estate [Line Items]
Number of beds/units | item		91	91
Mortgage Loans | Mortgage loans with 7.5% Interest Maturing 2022 | ALF and MC
Real Estate [Line Items]
Gross Investment	$ 12,530
Mortgage Loans | Mortgages With 7.75% Interest | SNF | Subsequent Event
Real Estate [Line Items]
Loan Term	12 months
Mortgage Loans | Mortgages With 7.75% Interest | ALF and MC | Subsequent Event
Real Estate [Line Items]
Gross Investment	$ 12,530,000
Percentage of Investment	7.75%
Loan Term	4 years
Loan Commitments	$ 4,177,000
Mortgage Loans | Mortgages With 7.5 Percent Interest | SNF
Real Estate [Line Items]
Extension term	12 months
Mortgage Loans | Mortgages With 7.5 Percent Interest | SNF | Subsequent Event
Real Estate [Line Items]
Interest rate (as a percent)	7.50%
Gross Investment	$ 27,047,000
Loan Term	3 years
Extension term number of options | item	1
Mortgage Loans | Mortgages With 7.5 Percent Interest | SNF | SNF Beds | LAOS | Subsequent Event
Real Estate [Line Items]
Number of beds/units | property	189
Mortgage Loans | Mortgage loans with 10.1% Interest Maturing 2043 | SNF
Real Estate [Line Items]
Interest rate (as a percent)			10.10%
Gross Investment		$ 185,859,000	$ 185,859,000
Percentage of Investment		71.10%	71.10%
Number of Loans | loan			1
Number of properties | property		15	15
Investment per Bed/Unit | $ / item			99.12
Mortgage Loans | Mortgage loans with 10.1% Interest Maturing 2043 | SNF | SNF Beds
Real Estate [Line Items]
Number of beds/units | item		1,875	1,875
Mortgage Loans | Mortgage loans with 9.3% Interest Maturing 2045 | SNF
Real Estate [Line Items]
Interest rate (as a percent)			9.30%
Gross Investment		$ 39,148,000	$ 39,148,000
Percentage of Investment		15.00%	15.00%
Number of Loans | loan			1
Number of properties | property		4	4
Investment per Bed/Unit | $ / item			78.14
Mortgage Loans | Mortgage loans with 9.3% Interest Maturing 2045 | SNF | SNF Beds
Real Estate [Line Items]
Number of beds/units | item		501	501
Mortgage Loans | Mortgage loans with 9.6% Interest Maturing 2045, A | SNF
Real Estate [Line Items]
Interest rate (as a percent)			9.60%
Gross Investment		$ 19,750,000	$ 19,750,000
Percentage of Investment		7.50%	7.50%
Number of Loans | loan			1
Number of properties | property		2	2
Investment per Bed/Unit | $ / item			96.34
Mortgage Loans | Mortgage loans with 9.6% Interest Maturing 2045, A | SNF | SNF Beds
Real Estate [Line Items]
Number of beds/units | item		205	205
Mortgage Loans | Mortgage loans with 9.6% Interest Maturing 2045, B | SNF
Real Estate [Line Items]
Interest rate (as a percent)			9.60%
Gross Investment		$ 14,900,000	$ 14,900,000
Percentage of Investment		5.70%	5.70%
Number of Loans | loan			1
Number of properties | property		1	1
Investment per Bed/Unit | $ / item			102.05
Mortgage Loans | Mortgage loans with 9.6% Interest Maturing 2045, B | SNF | SNF Beds
Real Estate [Line Items]
Number of beds/units | item		146	146

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Real Estate Investments - Mortgage Loans Activity (Details) - USD ($)	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Dec. 31, 2020
Mortgage Loans
Originations and funding under mortgage loans receivable	$ 2,223,000	$ 4,176,000
Scheduled principal payments received	(625,000)	(565,000)
Mortgage loan premium amortization	(4,000)	(3,000)
Provision for loan loss reserve	(16,000)	(36,000)
Net (decrease) increase in mortgage loans receivable	1,578,000	3,572,000
Interest receivable	37,476,000		$ 32,746,000
Write-off of accrued interest receivable	$ 0	$ 0

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Investment in Unconsolidated Joint Ventures - Investment (Details)	3 Months Ended	9 Months Ended		12 Months Ended
	Dec. 31, 2020 USD ($) item property	Sep. 30, 2021 USD ($) property item	Sep. 30, 2020 USD ($)	Dec. 31, 2020 USD ($) item property	Oct. 29, 2021 property
Investment in Unconsolidated Joint Ventures
Carrying Value	$ 11,340,000	$ 19,340,000		$ 11,340,000
Income Recognized		$ 1,041,000	$ 287,000
Cash Interest Received			249,000
Liquidation proceeds			17,758,000
Subsequent Event
Investment in Unconsolidated Joint Ventures
Number of beds/units | property					11
Joint Venture
Investment in Unconsolidated Joint Ventures
Number of properties owned by joint venture for sale | property	4			4
Liquidation proceeds				$ 17,848,000
Amount of gains (losses) on liquidation	$ 138,000		(620,000)
Joint Venture | Preferred Equity Investment | Arizona
Investment in Unconsolidated Joint Ventures
Number of properties owned by joint venture | property		4
Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions		$ 8,000,000	6,398,000
Income Recognized		1,041,000	287,000
Cash Interest Received		916,000	249,000
Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Carrying Value		19,340,000
Combination ALF, MC, ILF | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions			58,000
Income Recognized			231,000
Cash Interest Received			231,000
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Number of beds/units | item	95			95
Capital Contributions			6,340,000	$ 6,340,000
Income Recognized		337,000	56,000
Cash Interest Received		$ 300,000	$ 18,000
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington
Investment in Unconsolidated Joint Ventures
Preferred return percentage		12.00%
Contractual cash portion		7.00%
Number of beds/units | item		95
Carrying Value		$ 6,340,000
Reserve withheld		$ 1,425,000
Percentage of Investment		15.50%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent
Investment in Unconsolidated Joint Ventures
Percentage of cash return		8.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Minimum
Investment in Unconsolidated Joint Ventures
Percentage of cash return		7.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent | Maximum
Investment in Unconsolidated Joint Ventures
Percentage of cash return		9.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum
Investment in Unconsolidated Joint Ventures
Percentage of cash return		12.00%
Combination ALF/MC | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum
Investment in Unconsolidated Joint Ventures
Percentage of cash return		14.00%
Combination ILF/ALF | Joint Venture | Not primary beneficiary | Preferred Equity Investment | Washington
Investment in Unconsolidated Joint Ventures
Reserve withheld		$ 2,324
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary
Investment in Unconsolidated Joint Ventures
Capital Contributions		8,000,000
Income Recognized		704,000
Cash Interest Received		$ 616,000
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington
Investment in Unconsolidated Joint Ventures
Preferred return percentage		12.00%
Contractual cash portion		8.00%
Number of beds/units | item		267
Carrying Value		$ 13,000,000
Reserve withheld		$ 3,777,000
Percentage of Investment		11.60%
Additional preferred capital contributions in joint venture committed		$ 8,000,000
Amount of joint venture investment		13,000,000
Reserve for preferred equity investment		$ 3,777
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | Internal Rate of Return is Until Eight Percent
Investment in Unconsolidated Joint Ventures
Percentage of cash return		8.00%
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Minimum
Investment in Unconsolidated Joint Ventures
Percentage of Investment		12.00%
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Washington | The Internal Rate of Return is Between Twelve and Fourteen Percent | Maximum
Investment in Unconsolidated Joint Ventures
Percentage of Investment		14.00%
Combination ILF/ALF | Preferred Equity Investment | Joint Venture | Not primary beneficiary | Preferred Equity Investment | Washington
Investment in Unconsolidated Joint Ventures
Additional preferred capital contributions in joint venture committed		$ 8,000

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Notes Receivable - Components (Details) - USD ($) $ in Thousands	Sep. 30, 2021	Dec. 31, 2020
Notes receivable activities
Notes receivable loan loss reserve	$ (189)	$ (146)
Total	18,675	14,465
Mezzanine loan
Notes receivable activities
Mezzanine loan	11,816	8,445
Other loans
Notes receivable activities
Mezzanine loan	$ 7,048	$ 6,166

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Notes Receivable - Notes Receivable Activity (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
Notes receivable activities
Advances under notes receivable	$ 6,453	$ 1,366
Interest reserve withheld	353
Principal payments received under notes receivable	(2,553)	(4,732)
Reclassified to lease incentives		(300)
Notes receivable reserve	43	36
Net increase (decrease) in notes receivable	$ 4,296	$ (3,630)

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Notes Receivable - New Loan Commitment (Details)	1 Months Ended	3 Months Ended	9 Months Ended
	Oct. 31, 2021 USD ($) property	Sep. 30, 2021 USD ($) loan	Sep. 30, 2021 USD ($) loan	Dec. 31, 2020 USD ($)
Notes receivable activities
Loan Term			1 year
Minimum
Notes receivable activities
Interest rate (as a percent)			5.00%
Maximum
Notes receivable activities
Interest rate (as a percent)			8.00%
Mezzanine loan
Notes receivable activities
Financing Receivable, Gross		$ 11,816,000	$ 11,816,000	$ 8,445,000
Mezzanine loan | Loan with 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return ("IRR") of 10.5%.
Notes receivable activities
Financing Receivable, Gross		4,355	4,355
Interest reserve withheld		$ 353	$ 353
Loan Term		3 years
Extension term number of options | loan		2	2
Extension term		12 months
Mezzanine loan | Loan with 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return ("IRR") of 10.5%. | Internal Rate Of Return To 10.5 Thereafter
Notes receivable activities
Interest rate (as a percent)		10.50%
Mezzanine loan | Loan with 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return ("IRR") of 10.5%. | Internal Rate Of Return is 8.0%
Notes receivable activities
Interest rate (as a percent)		8.00%
Mezzanine loan | Loan with 8.0% for the first 18 months increasing to 10.5% thereafter with an internal rate of return ("IRR") of 10.5%. | Internal Rate Of Return of 10.5%
Notes receivable activities
Interest rate (as a percent)		10.50%
HMG Healthcare, LLC | Subsequent Event | Secured loan maturing in September 2022
Notes receivable activities
Financing Receivable, Gross	$ 25,000
Number of properties in transition | property	11

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Lease Incentives (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Dec. 31, 2020
Lease Incentives
Non-contingent lease incentives	$ 2,726		$ 2,462
Non-contingent lease incentives, funding	650	$ 50
Non-contingent lease incentives, Amortization	$ (386)	(317)
Lease adjustment		115
Reclassified to lease incentives		300
Non-contingent lease incentives, Write off		$ 185

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Debt Obligations - Bank Borrowings (Details) - Bank Borrowings - USD ($)	9 Months Ended
	Sep. 30, 2021	Dec. 31, 2018
Debt Obligations
Maximum available under facility	$ 1,000,000,000	$ 600,000,000
Additional extension period option	1 year
Unused commitment fee (as a percent)	0.20%
LIBOR
Debt Obligations
Basis spread over base rate (as a percent)	1.15%

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Debt Obligations - Component (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Dec. 31, 2020
Debt Obligations
Applicable Interest Rate (as a percent)	3.71%
Outstanding Balance	$ 661,829	$ 649,382
Available for borrowing	$ 465,600	510,100
Minimum
Debt Obligations
Interest rate (as a percent)	5.00%
Maximum
Debt Obligations
Interest rate (as a percent)	8.00%
Bank Borrowings
Debt Obligations
Applicable Interest Rate (as a percent)	1.23%
Outstanding Balance	$ 134,400	89,900
Available for borrowing	$ 465,600	510,100
Senior Unsecured Notes
Debt Obligations
Applicable Interest Rate (as a percent)	4.34%
Outstanding Balance	$ 527,429	$ 559,482
Senior Unsecured Notes | Minimum
Debt Obligations
Interest rate (as a percent)	3.85%
Senior Unsecured Notes | Maximum
Debt Obligations
Interest rate (as a percent)	5.03%

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Debt Obligations - Borrowings and Repayments (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020	Dec. 31, 2020
Borrowings
Bank borrowings	$ 92,500	$ 24,000
Total	92,500	24,000
Repayments
Bank borrowings	(48,000)	(28,000)
Senior unsecured notes	(32,160)	(25,160)
Total	(80,160)	(53,160)
Outstanding Balance	661,829		$ 649,382
Available for borrowing	465,600		510,100
Bank Borrowings
Borrowings
Bank borrowings	92,500	24,000
Repayments
Bank borrowings	(48,000)	(28,000)
Outstanding Balance	134,400		89,900
Available for borrowing	465,600		510,100
Senior Unsecured Notes
Repayments
Senior unsecured notes	(32,160)	$ (25,160)
Outstanding Balance	$ 527,429		$ 559,482

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Equity - Noncontrolling Interest (Details) - USD ($) $ in Thousands	Sep. 30, 2021	Dec. 31, 2020
Noncontrolling interest
Gross Consolidated Assets	$ 1,453,088	$ 1,459,486
Non-controlling interests	8,413	$ 8,404
Partnership
Noncontrolling interest
Gross Consolidated Assets	83,429
Non-controlling interests	8,413
Virginia | 2019 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets	16,895
Non-controlling interests	919
Oregon | 2018 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets	18,447
Non-controlling interests	1,091
Oregon | 2018 Acquisitions | Partnership | ILF
Noncontrolling interest
Gross Consolidated Assets	14,400
Non-controlling interests	2,857
Wisconsin | 2017 Acquisitions | Partnership | ILF/ALF/MC
Noncontrolling interest
Gross Consolidated Assets	22,007
Non-controlling interests	2,305
South Carolina | 2017 Acquisitions | Partnership | ALF and MC
Noncontrolling interest
Gross Consolidated Assets	11,680
Non-controlling interests	$ 1,241

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Equity - Common Stock (Details) - Common Stock - USD ($)	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
Equity
Number of shares repurchased	87,249	76,574
Equity Distribution Agreements
Equity
Maximum offering capacity under shelf registration statement	$ 200,000,000
Shares common stock sold	0
Amount available under effective shelf registration statement	$ 200,000,000

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Equity - Stock Repurchase Plan (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Mar. 12, 2020
Equity
Shares authorized for repurchase		5,000,000
Number of shares purchased	615,827
Average price per share	$ 29.25
Total purchase price of shares	$ 18,012,000

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Equity - Distributions (Details) - USD ($) $ / shares in Units, $ in Thousands	1 Months Ended			3 Months Ended							9 Months Ended
	Dec. 31, 2021	Nov. 30, 2021	Oct. 31, 2021	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Dec. 31, 2020	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Sep. 30, 2021	Sep. 30, 2020
Dividend Distributions
Paid											$ 68,051	$ 67,894
Common Stock cash distributions				$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57	$ 0.57
Dividends declared and paid per common share				$ 0.57				$ 0.57			$ 1.71	$ 1.71
Subsequent Event | Dividend Payable, July 30, 2021
Dividend Distributions
Dividends declared and paid per common share			$ 0.19
Subsequent Event | Dividend Payable, August 31, 2021
Dividend Distributions
Dividends declared and paid per common share		$ 0.19
Subsequent Event | Dividend Payable, September 30, 2021
Dividend Distributions
Dividends declared and paid per common share	$ 0.19
Common Stock
Dividend Distributions
Declared				$ 68,051				$ 67,894			$ 68,051	$ 67,894
Paid											$ 68,051	$ 67,894
Common Stock cash distributions											$ 0.19	$ 0.19
Common Stock | Subsequent Event | Dividend Payable, July 30, 2021
Dividend Distributions
Dividends declared and paid per common share			0.19
Common Stock | Subsequent Event | Dividend Payable, August 31, 2021
Dividend Distributions
Dividends declared and paid per common share		$ 0.19	$ 0.19
Common Stock | Subsequent Event | Dividend Payable, September 30, 2021
Dividend Distributions
Dividends declared and paid per common share	$ 0.19
Common Stock | Performance-based stock units
Dividend Distributions
Paid											$ 764	$ 586

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Equity - Stock-Based Compensation (Details)	9 Months Ended
	Sep. 30, 2021 shares	Sep. 30, 2020 shares
Stock Based Compensation Plans
Options outstanding (in shares)	15,000
Options exercisable (in shares)	15,000
Stock options granted (in shares)	0	0
2015 Plan
Stock Based Compensation Plans
Ratio of shares subject to award granted	1
2021 Plan
Stock Based Compensation Plans
Total shares reserved for issuance of common stock related to the conversion of preferred stock	1,900,000

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Equity - Restricted Stock and performance-based stock units (Details) - shares	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
Restricted stock and performance-based stock units
Restricted stock and performance based stock units activity
Granted (in shares)	182,240	167,375
Performance-based stock units
Restricted stock and performance based stock units activity
Granted (in shares)	71,892	66,027
Vested (in shares)	(108,720)	(81,574)
Outstanding at the end of the period (in shares)	0
Restricted stock
Restricted stock and performance based stock units activity
Outstanding at the beginning of the period (in shares)	180,440	163,569
Granted (in shares)	110,348	101,348
Vested (in shares)	(93,366)	(84,477)
Outstanding at the end of the period (in shares)	197,422	180,440

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Equity - Restricted Stock (Details) - USD ($)	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
Restricted stock
Restricted stock awards
Number of shares granted	110,348	101,348
Number of vesting of performance-based stock units (in shares)	93,366	84,477
Performance-based stock units
Restricted stock awards
Number of shares granted	71,892	66,027
Number of vesting of performance-based stock units (in shares)	108,720	81,574
Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted	182,240	167,375
Compensation expense related to share-based award	$ 5,785,000	$ 5,231,000
Nonvested awards
Remaining compensation expense	10,579,000
2021 | Restricted stock and performance-based stock units
Nonvested awards
Remaining compensation expense	1,974,000
2022 | Restricted stock and performance-based stock units
Nonvested awards
Remaining compensation expense	5,447,000
2023 | Restricted stock and performance-based stock units
Nonvested awards
Remaining compensation expense	2,855,000
2023 | Restricted stock and performance-based stock units
Nonvested awards
Remaining compensation expense	$ 303,000
Grant Date Price 42.27 | Three year vesting | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted	95,293
Granted (in dollars per share)	$ 42.27
Vesting period	3 years
Grant Date Price 42.27 | TSR Targets | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted	71,892
Granted (in dollars per share)	$ 42.27
Vesting period	4 years
Grant Date Price 42.27 | Accelerated TSR Targets | Restricted stock and performance-based stock units
Restricted stock awards
Vesting period	3 years
Grant Date Price $48.95 | Three year vesting | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted		76,464
Granted (in dollars per share)		$ 48.95
Vesting period		3 years
Grant Date Price $49.98 | TSR Targets | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted		66,027
Granted (in dollars per share)		$ 49.98
Vesting period		4 years
Grant Date Price $49.98 | Accelerated TSR Targets | Restricted stock and performance-based stock units
Restricted stock awards
Vesting period		3 years
Grant Date Price $39.40 | Vesting Date, May 26, 2021 | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted	12,055
Granted (in dollars per share)	$ 39.40
Grant Date Price $43.14 | Three year vesting | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted	3,000
Granted (in dollars per share)	$ 43.14
Grant Date Price $38.45 | Three year vesting | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted		15,000
Granted (in dollars per share)		$ 38.45
Vesting period		3 years
Grant Date Price $38.45 | Vesting Date, May 27, 2021 | Restricted stock and performance-based stock units
Restricted stock awards
Number of shares granted		9,884
Granted (in dollars per share)		$ 38.45

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Commitments and Contingencies - Summary of Commitments (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2021 USD ($)
Commitments and Contingencies
Investment Commitment	$ 51,725
2021 Funding	4,781
Total Commitment funded	15,224
Remaining commitment	36,501
Real estate properties
Commitments and Contingencies
Investment Commitment	19,670
2021 Funding	3,770
Total Commitment funded	10,228
Remaining commitment	9,442
Accrued incentives and earn-out liabilities
Commitments and Contingencies
Investment Commitment	9,130
2021 Funding	50
Total Commitment funded	50
Remaining commitment	9,080
Mortgage loans
Commitments and Contingencies
Investment Commitment	21,000
2021 Funding	318
Total Commitment funded	3,699
Remaining commitment	17,301
Commitments To Expand and Renovate Properties
Commitments and Contingencies
Investment Commitment	3,000
Contingent Funding Commitments
Commitments and Contingencies
Investment Commitment	18,000
Notes receivable
Commitments and Contingencies
Investment Commitment	1,925
2021 Funding	643
Total Commitment funded	1,247
Remaining commitment	$ 678

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Major Operators (Details)	9 Months Ended
	Sep. 30, 2021 item property
Major Operators
Number of major operators	1
Prestige Healthcare | SNF
Major Operators
Number of beds | property	24
Number of beds/units	2,845
Prestige Healthcare | ALF
Major Operators
Number of beds/units	93
Total Revenue | Operator Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)	21.40%
Total Assets | Credit Concentration Risk | Prestige Healthcare
Major Operators
Concentration risk (as a percent)	18.30%

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Earnings per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended							9 Months Ended
	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Dec. 31, 2020	Sep. 30, 2020	Jun. 30, 2020	Mar. 31, 2020	Sep. 30, 2021	Sep. 30, 2020
Net income	$ 11,114	$ 18,330	$ 13,850	$ 17,665	$ 12,338	$ 1,952	$ 63,722	$ 43,294	$ 78,012
Less income allocated to non-controlling interests	(92)				(121)			(271)	(292)
Less income allocated to participating securities:
Non-forfeitable dividends on participating securities	(113)				(103)			(346)	(294)
Income allocated to participating securities									(45)
Total net income allocated to participating securities	(113)				(103)			(346)	(339)
Net income available to common stockholders	10,909				12,114			42,677	77,381
Net income for diluted net income per share	$ 10,909				$ 12,114			$ 42,677	$ 77,381
Reconciliation of shares
Shares for basic net income per share	39,177,000				39,061,000			39,149,000	39,218,000
Effect of dilutive securities:
Total effect of dilutive securities (in shares)					51,000				51,000
Shares for diluted net income per share	39,177,000				39,112,000			39,149,000	39,269,000
Basic net income per share (in dollars per share)	$ 0.28				$ 0.31			$ 1.09	$ 1.97
Diluted net income per share (in dollars per share)	$ 0.28				$ 0.31			$ 1.09	$ 1.97
Performance-based stock units
Effect of dilutive securities:
Stock options and performance-based stock units (in shares)					51,000				51,000
Performance-based stock units would be earned based on TSR targets	0							0

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Fair Value Measurements (Details) $ in Thousands	Sep. 30, 2021 USD ($) item	Dec. 31, 2020 USD ($) item
Fair value measurements
Mortgage loans receivable, net of loan loss reserve	$ 258,829	$ 257,251
Mortgage loans receivable, net of loan loss reserve	18,675	14,465
Senior unsecured notes, net of debt issue costs	$ 527,429	$ 559,482
Level 3 | Senior Unsecured Notes maturing before 2030 | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	0.0300
Level 3 | Senior Unsecured Notes maturing 2030 and after | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item	0.0325
Level 3 | Senior Unsecured Notes maturing before 2026 | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item		0.0325
Level 3 | Senior Unsecured Notes maturing 2026 and after | Discount Rate
Fair value measurements
Future cash outflows discount rate (as a percent) | item		0.0350
Level 3 | Mortgage Loans Receivable | Discount Rate
Fair value measurements
Future cash inflows discount rate (as a percent)	0.101	0.100
Level 3 | Notes Receivable | Discount Rate
Fair value measurements
Future cash inflows discount rate (as a percent) | item	0.065	0.066
Carrying Value
Fair value measurements
Mortgage loans receivable, net of loan loss reserve	$ 258,829	$ 257,251
Mortgage loans receivable, net of loan loss reserve	18,675	14,465
Bank borrowings	134,400	89,900
Senior unsecured notes, net of debt issue costs	527,429	559,482
Fair Value
Fair value measurements
Mortgage loans receivable, net of loan loss reserve	18,552	13,893
Bank borrowings	134,400	89,900
Fair Value | Level 3
Fair value measurements
Mortgage loans receivable, net of loan loss reserve	298,677	299,751
Senior unsecured notes, net of debt issue costs	$ 556,841	$ 560,140

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Subsequent Events (Details)		1 Months Ended			3 Months Ended		9 Months Ended
	Oct. 29, 2021 USD ($) property	Dec. 31, 2021 $ / shares	Nov. 30, 2021 $ / shares	Oct. 31, 2021 $ / shares	Sep. 30, 2021 USD ($) property $ / shares	Sep. 30, 2020 $ / shares	Sep. 30, 2021 USD ($) property $ / shares	Sep. 30, 2020 USD ($) $ / shares	Dec. 31, 2020 USD ($)
Real Estate Investments
Mortgage Loans on Real Estate, Amortization Period							1 year
First lease year					$ 119,023,000		$ 119,023,000
Second lease year					104,210,000		104,210,000
Third lease year					105,332,000		105,332,000
Debt:
Amount borrowed							92,500,000	$ 24,000,000
Outstanding Balance					661,829,000		661,829,000		$ 649,382,000
Available for borrowing					465,600,000		465,600,000		510,100,000
Repayment paid							48,000,000	$ 28,000,000
Unsecured revolving line of credit					$ 134,400,000		$ 134,400,000		89,900,000
Equity
Dividends declared and paid per common share | $ / shares					$ 0.57	$ 0.57	$ 1.71	$ 1.71
Mortgage Loans
Real Estate Investments
Real Estate Investment Property, at Cost					$ 261,437,000		$ 261,437,000
Mortgage Loans on Real Estate, Amortization Period							30 years
Real Estate Investments, Percentage					100.00%		100.00%
Number of properties | property					22		22
Bank Borrowings
Debt:
Amount borrowed							$ 92,500,000	$ 24,000,000
Outstanding Balance					$ 134,400,000		134,400,000		89,900,000
Available for borrowing					$ 465,600,000		465,600,000		$ 510,100,000
Repayment paid							$ 48,000,000	$ 28,000,000
Subsequent Event
Real Estate Investments
Number of Units in Real Estate Property | property	11
Subsequent Event | Dividend Payable, July 30, 2021
Equity
Dividends declared and paid per common share | $ / shares				$ 0.19
Subsequent Event | Dividend Payable, August 31, 2021
Equity
Dividends declared and paid per common share | $ / shares			$ 0.19
Subsequent Event | Dividend Payable, September 30, 2021
Equity
Dividends declared and paid per common share | $ / shares		$ 0.19
Subsequent Event | HMG Healthcare, LLC | Master lease agreement
Real Estate Investments
Number of Properties Transitioned | property	11
Agreement Term	1 year
Real Estate Investment Property, at Cost	$ 25,000,000
Subsequent Event | Common Stock | Dividend Payable, July 30, 2021
Equity
Dividends declared and paid per common share | $ / shares				0.19
Subsequent Event | Common Stock | Dividend Payable, August 31, 2021
Equity
Dividends declared and paid per common share | $ / shares			$ 0.19	$ 0.19
Subsequent Event | Common Stock | Dividend Payable, September 30, 2021
Equity
Dividends declared and paid per common share | $ / shares		$ 0.19
Subsequent Event | SNF | Mortgage Loans
Real Estate Investments
Real Estate Investment Property, at Cost	$ 27,047,000
Number of Units in Real Estate Property | property	189
Real Estate Investments, Percentage	7.50%
Lease term	3 years
Subsequent Event | SNF | Mortgage Loans | Mortgages With 7.75% Interest
Real Estate Investments
Mortgage Loans on Real Estate, Amortization Period	12 months
Subsequent Event | ALF and MC | Mortgage Loans | Combination ALF and MC community
Real Estate Investments
Number of Units in Real Estate Property | property	68
Subsequent Event | ALF and MC | Mortgage Loans | Mortgages With 7.75% Interest
Real Estate Investments
Real Estate Investment Property, at Cost	$ 12,530,000
Mortgage Loans on Real Estate, Amortization Period	4 years
Real Estate Investments, Percentage	7.75%
Loan Commitments	$ 4,177,000