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HEALTHPEAK PROPERTIES, INC. - Quarter Report: 2021 September (Form 10-Q)

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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 001-08895
Healthpeak Properties, Inc.
(Exact name of registrant as specified in its charter)
Maryland 33-0091377
(State or other jurisdiction of
incorporation or organization)
 (I.R.S. Employer
Identification No.)
5050 South Syracuse Street, Suite 800
Denver, CO 80237
(Address of principal executive offices) (Zip Code)
(720) 428-5050
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $1.00 par valuePEAKNew York Stock Exchange
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes  No ☐
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  Yes  No ☐
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller 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 
As of November 1, 2021, there were 539,072,223 shares of the registrant’s $1.00 par value common stock outstanding.


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HEALTHPEAK PROPERTIES, INC.
INDEX

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PART I. FINANCIAL INFORMATION
Item 1.  Financial Statements (Unaudited)
Healthpeak Properties, Inc.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
(Unaudited)
 September 30,
2021
December 31,
2020
ASSETS  
Real estate:  
Buildings and improvements$11,759,664 $11,048,433 
Development costs and construction in progress845,382 613,182 
Land2,206,422 1,867,278 
Accumulated depreciation and amortization(2,734,832)(2,409,135)
Net real estate12,076,636 11,119,758 
Net investment in direct financing leases44,706 44,706 
Loans receivable, net of reserves of $2,727 and $10,280
411,062 195,375 
Investments in and advances to unconsolidated joint ventures389,095 402,871 
Accounts receivable, net of allowance of $3,690 and $3,994
44,699 42,269 
Cash and cash equivalents201,099 44,226 
Restricted cash53,699 67,206 
Intangible assets, net520,335 519,917 
Assets held for sale and discontinued operations, net105,009 2,626,306 
Right-of-use asset, net218,524 192,349 
Other assets, net678,638 665,106 
Total assets$14,743,502 $15,920,089 
LIABILITIES AND EQUITY  
Bank line of credit and commercial paper$1,024,000 $129,590 
Term loan— 249,182 
Senior unsecured notes4,157,834 5,697,586 
Mortgage debt356,570 221,621 
Intangible liabilities, net144,004 144,199 
Liabilities related to assets held for sale and discontinued operations, net18,910 415,737 
Lease liability191,444 179,895 
Accounts payable, accrued liabilities, and other liabilities729,939 760,617 
Deferred revenue782,413 774,316 
Total liabilities7,405,114 8,572,743 
Commitments and contingencies
Redeemable noncontrolling interests119,591 57,396 
Common stock, $1.00 par value: 750,000,000 shares authorized; 539,066,131 and 538,405,393 shares issued and outstanding
539,066 538,405 
Additional paid-in capital10,122,112 10,175,235 
Cumulative dividends in excess of earnings(3,987,537)(3,976,232)
Accumulated other comprehensive income (loss)(3,281)(3,685)
Total stockholders’ equity6,670,360 6,733,723 
Joint venture partners347,180 357,069 
Non-managing member unitholders201,257 199,158 
Total noncontrolling interests548,437 556,227 
Total equity7,218,797 7,289,950 
Total liabilities and equity$14,743,502 $15,920,089 
See accompanying Notes to the Unaudited Consolidated Financial Statements.

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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)
(Unaudited)
 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
Revenues:  
Rental and related revenues$353,516 $301,941 $1,022,130 $872,511 
Resident fees and services119,022 115,031 352,458 320,737 
Income from direct financing leases2,179 2,150 6,522 7,569 
Interest income6,748 4,443 31,869 12,361 
Total revenues481,465 423,565 1,412,979 1,213,178 
Costs and expenses:  
Interest expense35,905 53,734 121,429 164,248 
Depreciation and amortization177,175 141,971 506,172 406,774 
Operating202,139 183,141 574,032 598,326 
General and administrative23,270 21,661 72,260 67,730 
Transaction costs— 1,984 1,417 16,920 
Impairments and loan loss reserves (recoveries), net285 (1,777)4,458 16,167 
Total costs and expenses438,774 400,714 1,279,768 1,270,165 
Other income (expense):  
Gain (loss) on sales of real estate, net14,635 2,283 189,873 85,636 
Gain (loss) on debt extinguishments(667)(17,921)(225,824)(42,912)
Other income (expense), net1,670 6,744 5,604 234,812 
Total other income (expense), net15,638 (8,894)(30,347)277,536 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures58,329 13,957 102,864 220,549 
Income tax benefit (expense)649 (22,970)1,404 6,792 
Equity income (loss) from unconsolidated joint ventures2,327 (18,749)4,517 (47,630)
Income (loss) from continuing operations61,305 (27,762)108,785 179,711 
Income (loss) from discontinued operations601 (31,819)384,569 98,297 
Net income (loss)61,906 (59,581)493,354 278,008 
Noncontrolling interests’ share in continuing operations(7,195)(3,616)(14,036)(10,565)
Noncontrolling interests’ share in discontinued operations— (220)(2,539)(274)
Net income (loss) attributable to Healthpeak Properties, Inc.54,711 (63,417)476,779 267,169 
Participating securities’ share in earnings(269)(351)(3,001)(2,151)
Net income (loss) applicable to common shares$54,442 $(63,768)$473,778 $265,018 
Basic earnings (loss) per common share:
Continuing operations$0.10 $(0.06)$0.17 $0.32 
Discontinued operations0.00 (0.06)0.71 0.18 
Net income (loss) applicable to common shares$0.10 $(0.12)$0.88 $0.50 
Diluted earnings (loss) per common share:
Continuing operations$0.10 $(0.06)$0.17 $0.32 
Discontinued operations0.00 (0.06)0.71 0.18 
Net income (loss) applicable to common shares$0.10 $(0.12)$0.88 $0.50 
Weighted average shares outstanding:
Basic539,021 538,333 538,879 527,908 
Diluted539,388 538,333 539,159 528,455 
See accompanying Notes to the Unaudited Consolidated Financial Statements.

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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(In thousands)
(Unaudited)
 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
Net income (loss)$61,906 $(59,581)$493,354 $278,008 
Other comprehensive income (loss):
Net unrealized gains (losses) on derivatives— (942)332 (651)
Change in Supplemental Executive Retirement Plan obligation and other108 (108)323 272 
Reclassification adjustment realized in net income (loss)— — (251)— 
Total other comprehensive income (loss)108 (1,050)404 (379)
Total comprehensive income (loss)62,014 (60,631)493,758 277,629 
Total comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operations(7,195)(3,616)(14,036)(10,565)
Total comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operations— (220)(2,539)(274)
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.$54,819 $(64,467)$477,183 $266,790 
See accompanying Notes to the Unaudited Consolidated Financial Statements.

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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF EQUITY AND REDEEMABLE NONCONTROLLING INTERESTS
(In thousands, except per share data)
(Unaudited)

For the three months ended September 30, 2021:
 Common StockAdditional Paid-In CapitalCumulative Dividends In Excess Of EarningsAccumulated Other Comprehensive Income (Loss)Total Stockholders’ EquityTotal Noncontrolling InterestsTotal
Equity
Redeemable Noncontrolling Interests
 SharesAmount
July 1, 2021538,955 $538,955 $10,147,230 $(3,880,253)$(3,389)$6,802,543 $548,867 $7,351,410 $85,367 
Net income (loss) — — — 54,711 — 54,711 7,172 61,883 23 
Other comprehensive income (loss) — — — — 108 108 — 108 — 
Issuance of common stock, net 20 20 358 — — 378 — 378 — 
Repurchase of common stock (2)(2)(71)— — (73)— (73)— 
Exercise of stock options 93 93 3,073 — — 3,166 — 3,166 — 
Amortization of stock-based compensation — — 5,666 — — 5,666 — 5,666 — 
Common dividends ($0.30 per share)
— — — (161,995)— (161,995)— (161,995)— 
Distributions to noncontrolling interests— — — — — — (7,602)(7,602)(43)
Contributions from noncontrolling interests— — — — — — — — 100 
Adjustments to redemption value of redeemable noncontrolling interests— — (34,144)— — (34,144)— (34,144)34,144 
September 30, 2021539,066 $539,066 $10,122,112 $(3,987,537)$(3,281)$6,670,360 $548,437 $7,218,797 $119,591 

For the three months ended September 30, 2020:
 Common StockAdditional Paid-In CapitalCumulative Dividends In Excess Of EarningsAccumulated Other Comprehensive Income (Loss)Total Stockholders’ EquityTotal Noncontrolling InterestsTotal
Equity
Redeemable Noncontrolling Interests
 SharesAmount
July 1, 2020538,318 $538,318 $10,191,263 $(3,660,187)$(2,186)$7,067,208 $570,048 $7,637,256 $34,054 
Net income (loss)— — — (63,417)— (63,417)3,836 (59,581)— 
Other comprehensive income (loss)— — — — (1,050)(1,050)— (1,050)— 
Issuance of common stock, net47 47 464 — — 511 — 511 — 
Repurchase of common stock(10)(10)(265)— — (275)— (275)— 
Amortization of stock-based compensation— — 5,159 — — 5,159 — 5,159 — 
Common dividends ($0.37 per share)
— — — (199,546)— (199,546)— (199,546)— 
Distributions to noncontrolling interests— — — — — — (7,631)(7,631)(13)
Contributions from noncontrolling interests— — — — — — — — 157 
Adjustments to redemption value of redeemable noncontrolling interests — — (12,652)— — (12,652)— (12,652)12,652 
September 30, 2020538,355 $538,355 $10,183,969 $(3,923,150)$(3,236)$6,795,938 $566,253 $7,362,191 $46,850 
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For the nine months ended September 30, 2021:
 Common StockAdditional Paid-In CapitalCumulative Dividends In Excess Of EarningsAccumulated Other Comprehensive Income (Loss)Total Stockholders’ EquityTotal Noncontrolling InterestsTotal
Equity
Redeemable Noncontrolling Interests
 SharesAmount
January 1, 2021538,405 $538,405 $10,175,235 $(3,976,232)$(3,685)$6,733,723 $556,227 $7,289,950 $57,396 
Net income (loss)— — — 476,779 — 476,779 16,552 493,331 23 
Other comprehensive income (loss)— — — — 404 404 — 404 — 
Issuance of common stock, net974 974 448 — — 1,422 — 1,422 — 
Repurchase of common stock(410)(410)(12,143)— — (12,553)— (12,553)— 
Exercise of stock options97 97 3,194 — — 3,291 — 3,291 — 
Amortization of stock-based compensation— — 17,224 — — 17,224 — 17,224 — 
Common dividends ($0.90 per share)
— — — (488,084)— (488,084)— (488,084)— 
Distributions to noncontrolling interests— — — — — — (24,277)(24,277)(95)
Purchase of noncontrolling interests— — (5)— — (5)(65)(70)— 
Contributions from noncontrolling interests— — — — — — — — 426 
Adjustments to redemption value of redeemable noncontrolling interests— — (61,841)— — (61,841)— (61,841)61,841 
September 30, 2021539,066 $539,066 $10,122,112 $(3,987,537)$(3,281)$6,670,360 $548,437 $7,218,797 $119,591 
For the nine months ended September 30, 2020:
 Common StockAdditional Paid-In CapitalCumulative Dividends In Excess Of EarningsAccumulated Other Comprehensive Income (Loss)Total Stockholders’ EquityTotal Noncontrolling InterestsTotal
Equity
Redeemable Noncontrolling Interests
 SharesAmount
December 31, 2019505,222 $505,222 $9,175,277 $(3,601,199)$(2,857)$6,076,443 $582,416 $6,658,859 $11,106 
Impact of adoption of ASU No. 2016-13(1)
— — — (1,524)— (1,524)— (1,524)— 
January 1, 2020505,222 505,222 9,175,277 (3,602,723)(2,857)6,074,919 582,416 6,657,335 11,106 
Net income (loss)— — — 267,169 — 267,169 10,839 278,008 — 
Other comprehensive income (loss)— — — — (379)(379)— (379)— 
Issuance of common stock, net33,248 33,248 1,032,652 — — 1,065,900 — 1,065,900 — 
Conversion of DownREIT units to common stock120 120 3,957 — — 4,077 (4,077)— — 
Repurchase of common stock(289)(289)(9,984)— — (10,273)— (10,273)— 
Exercise of stock options54 54 1,752 — — 1,806 — 1,806 — 
Amortization of stock-based compensation— — 15,817 — — 15,817 — 15,817 — 
Common dividends ($1.11 per share)
— — — (587,596)— (587,596)— (587,596)— 
Distributions to noncontrolling interests— — — — — — (22,925)(22,925)(32)
Contributions from noncontrolling interests— — — — — — — — 274 
Adjustments to redemption value of redeemable noncontrolling interests— — (35,502)— — (35,502)— (35,502)35,502 
September 30, 2020538,355 $538,355 $10,183,969 $(3,923,150)$(3,236)$6,795,938 $566,253 $7,362,191 $46,850 
_______________________________________
(1)On January 1, 2020, the Company adopted a series of Accounting Standards Updates (“ASUs”) related to accounting for credit losses and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.
See accompanying Notes to the Unaudited Consolidated Financial Statements.
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Healthpeak Properties, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
(Unaudited)
 Nine Months Ended
September 30,
 20212020
Cash flows from operating activities:
Net income (loss)$493,354 $278,008 
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation and amortization of real estate, in-place lease, and other intangibles506,172 541,394 
Amortization of stock-based compensation13,895 13,392 
Amortization of deferred financing costs6,677 7,670 
Straight-line rents(23,627)(24,086)
Amortization of nonrefundable entrance fees and above/below market lease intangibles(68,854)(58,849)
Equity loss (income) from unconsolidated joint ventures(9,508)48,545 
Distributions of earnings from unconsolidated joint ventures4,731 11,928 
Loss (gain) on sale of real estate under direct financing leases— (41,670)
Deferred income tax expense (benefit)(3,999)(8,245)
Impairments and loan loss reserves (recoveries), net37,194 97,723 
Loss (gain) on debt extinguishments225,824 42,912 
Loss (gain) on sales of real estate, net(598,531)(247,881)
Loss (gain) upon change of control, net(1,042)(173,222)
Casualty-related loss (recoveries), net1,632 469 
Other non-cash items(8,640)653 
Changes in:
Decrease (increase) in accounts receivable and other assets, net27,576 22,503 
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue(31,519)28,480 
Net cash provided by (used in) operating activities571,335 539,724 
Cash flows from investing activities:
Acquisitions of real estate(978,473)(340,405)
Development, redevelopment, and other major improvements of real estate(430,510)(577,524)
Leasing costs, tenant improvements, and recurring capital expenditures(72,112)(61,329)
Proceeds from sales of real estate, net2,383,017 568,828 
Acquisition of CCRC Portfolio— (394,177)
Contributions to unconsolidated joint ventures(12,828)(9,792)
Distributions in excess of earnings from unconsolidated joint ventures37,139 6,200 
Proceeds from sales/principal repayments on loans receivable and direct financing leases291,223 125,372 
Investments in loans receivable and other(13,781)(83,651)
Net cash provided by (used in) investing activities1,203,675 (766,478)
Cash flows from financing activities:
Borrowings under bank line of credit and commercial paper12,931,450 2,025,600 
Repayments under bank line of credit and commercial paper(12,037,040)(2,118,600)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper591,546 594,750 
Repayments and repurchase of debt, excluding bank line of credit and commercial paper(2,421,598)(559,725)
Payments for debt extinguishment and deferred financing costs(232,306)(47,149)
Issuance of common stock and exercise of options4,713 1,067,706 
Repurchase of common stock(12,553)(10,273)
Dividends paid on common stock(488,084)(587,596)
Distributions to and purchase of noncontrolling interests(24,443)(22,925)
Contributions from and issuance of noncontrolling interests426 — 
Net cash provided by (used in) financing activities(1,687,889)341,788 
Effect of foreign exchanges on cash, cash equivalents and restricted cash— (153)
Net increase (decrease) in cash, cash equivalents and restricted cash87,121 114,881 
Cash, cash equivalents and restricted cash, beginning of period181,685 184,657 
Cash, cash equivalents and restricted cash, end of period$268,806 $299,538 
See accompanying Notes to the Unaudited Consolidated Financial Statements.
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Healthpeak Properties, Inc.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited) 
NOTE 1.  Business
Overview
Healthpeak Properties, Inc., a Standard & Poor’s 500 company, is a Maryland corporation that is organized to qualify as a real estate investment trust (“REIT”) that, together with its consolidated entities (collectively, “Healthpeak” or the “Company”), invests primarily in real estate serving the healthcare industry in the United States (“U.S.”). Healthpeak® acquires, develops, leases, owns, and manages healthcare real estate. The Company’s diverse portfolio is comprised of investments in the following reportable healthcare segments: (i) life science; (ii) medical office; and (iii) continuing care retirement community (“CCRC”).
The Company’s corporate headquarters are in Denver, Colorado and it has additional offices in Irvine, California and Franklin, Tennessee.
Senior Housing Triple-Net and Senior Housing Operating Portfolio Dispositions
During 2020, the Company established and began executing a plan to dispose of its senior housing triple-net and Senior Housing Operating (“SHOP”) properties. As of December 31, 2020, the Company concluded that the planned dispositions represented a strategic shift that has had and will have a major effect on the Company’s operations and financial results. Therefore, senior housing triple-net and SHOP assets meeting the held for sale criteria on or before September 30, 2021 are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties. See Note 5 for further information.
COVID-19 Update
The coronavirus (“COVID-19”) pandemic has caused significant disruption to individuals, governments, financial markets, and businesses, including the Company. The Company’s tenants, operators, and borrowers have experienced significant cost increases as a result of increased health and safety measures, staffing shortages, increased governmental regulation and compliance, vaccine mandates, and other operational changes necessitated either directly or indirectly by the COVID-19 pandemic. The Company evaluated the impacts of COVID-19 on its business thus far and incorporated information concerning the impact of COVID-19 into its assessments of liquidity, impairments, and collectibility from tenants, residents, and borrowers as of September 30, 2021. The Company will continue to monitor such impacts and will adjust its estimates and assumptions based on the best available information.
NOTE 2.  Summary of Significant Accounting Policies
Basis of Presentation
The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) for interim financial information. Management is required to make estimates and assumptions in the preparation of financial statements in conformity with GAAP. These estimates and assumptions affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from management’s estimates.
The consolidated financial statements include the accounts of Healthpeak Properties, Inc., its wholly-owned subsidiaries, joint ventures (“JVs”), and variable interest entities (“VIEs”) that it controls through voting rights or other means. Intercompany transactions and balances have been eliminated upon consolidation. All adjustments (consisting of normal recurring adjustments) necessary to present fairly the Company’s financial position, results of operations, and cash flows have been included. Operating results for the three and nine months ended September 30, 2021 are not necessarily indicative of the results that may be expected for the year ending December 31, 2021. The accompanying unaudited interim financial information should be read in conjunction with the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020 filed with the U.S. Securities and Exchange Commission (“SEC”).
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Revision to Additional Paid-In Capital and Redeemable Noncontrolling Interests
During the third quarter of 2021, the Company identified and corrected immaterial errors in the classification and redemption value of redeemable noncontrolling interests of consolidated joint ventures in its Life Sciences segment. On the Consolidated Balance Sheet as of December 31, 2020, the Company corrected the classification of its redeemable noncontrolling interests and increased the balance to its estimated redemption value, with a corresponding decrease to additional paid-in capital (“APIC”) in accordance with ASC 480, Distinguishing Liabilities from Equity.
The increase in the unrealized value of the redeemable noncontrolling interests was largely attributable to rapidly rising rents and compressing capitalization rates in the market in which the entities operate, and was identified and corrected by management. The Company determined the impact of the adjustments to be immaterial, individually and in the aggregate, based on consideration of quantitative and qualitative factors. As such, the Company made these adjustments in its Quarterly Report on Form 10-Q for the three and nine months ended September 30, 2021.
These adjustments had no impact on the Consolidated Statements of Cash Flows, Consolidated Statements of Operations, or any per share amounts. The following table provides the impact of the adjustment to the Company’s previously reported Consolidated Balance Sheet as of December 31, 2020 (in thousands):
December 31, 2020
Previously ReportedAdjustmentsAs Corrected
Consolidated Balance Sheet
Accounts payable, accrued liabilities, and other liabilities
$763,391 $(2,774)$760,617 
Total liabilities8,575,517 (2,774)8,572,743 
Redeemable noncontrolling interests— 57,396 57,396 
Additional paid-in capital10,229,857 (54,622)10,175,235 
Total stockholders’ equity6,788,345 (54,622)6,733,723 
Total equity7,344,572 (54,622)7,289,950 
Total liabilities and equity15,920,089 — 15,920,089 
In addition to the changes made to reflect the impact of the correction described above, the Company made changes (all amounts in thousands) to the Consolidated Statements of Equity and Redeemable Noncontrolling Interests to decrease APIC, total stockholders’ equity, and total equity by $82,319, $44,117, and $31,465, as of July 1, 2021, September 30, 2020, and July 1, 2020, respectively, with a corresponding increase to redeemable noncontrolling interests of $85,367, $46,850, and $34,054, respectively, and a decrease to accounts payable, accrued liabilities, and other liabilities of $3,048, $2,733, and $2,589, respectively, on the Consolidated Balance Sheets.
The Company also made changes (all amounts in thousands) to the Consolidated Statement of Equity and Redeemable Noncontrolling Interests to decrease APIC, total stockholders’ equity, and total equity as of December 31, 2019 by $8,615 with a corresponding increase to redeemable noncontrolling interests of $11,106 and a decrease to accounts payable, accrued liabilities, and other liabilities as of December 31, 2019 of $2,491 on the Consolidated Balance Sheet.
Government Grant Income
On March 27, 2020, the federal government enacted the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) to provide financial aid to individuals, businesses, and state and local governments. During the three and nine months ended September 30, 2021 and 2020, the Company received government grants under the CARES Act primarily to cover increased expenses and lost revenue during the COVID-19 pandemic. Grant income is recognized when there is reasonable assurance that the grant will be received and the Company will comply with all conditions attached to the grant. Additionally, grants are recognized over the periods in which the Company recognizes the increased expenses and lost revenue the grants are intended to defray. As of September 30, 2021, the amount of qualifying expenditures and lost revenue exceeded grant income recognized and the Company believes it has complied and will continue to comply with all grant conditions.
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The following table summarizes information related to government grant income received and recognized by the Company (in thousands):
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Government grant income recorded in other income (expense), net$15 $1,761 $1,412 $13,632 
Government grant income recorded in equity income (loss) from unconsolidated joint ventures— 295 1,010 1,099 
Government grant income recorded in income (loss) from discontinued operations— 392 3,660 2,601 
Total government grants received$15 $2,448 $6,082 $17,332 
Recent Accounting Pronouncements
Adopted
Credit Losses. In June 2016, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2016-13, Measurement of Credit Losses on Financial Instruments (“ASU 2016-13”). ASU 2016-13 is intended to improve financial reporting by requiring timelier recognition of credit losses on loans and other financial instruments held by financial institutions and other organizations. The amendments in ASU 2016-13 eliminate the “probable” initial threshold for recognition of credit losses in previous accounting guidance and, instead, reflect an entity’s current estimate of all expected credit losses over the life of the financial instrument. Historically, when credit losses were measured under previous accounting guidance, an entity generally only considered past events and current conditions in measuring the incurred loss. The amendments in ASU 2016-13 broaden the information that an entity must consider in developing its expected credit loss estimate for assets measured either collectively or individually. The use of forecasted information incorporates more timely information in the estimate of expected credit loss.
As a result of adopting ASU 2016-13 on January 1, 2020 using the modified retrospective transition approach, the Company recognized a cumulative-effect adjustment to equity of $2 million as of January 1, 2020. Under ASU 2016-13, the Company began using a loss model that relies on future expected credit losses, rather than incurred losses, as was required under historical GAAP. Under the new model, the Company is required to recognize future credit losses expected to be incurred over the life of its finance receivables, including loans receivable, direct financing leases (“DFLs”), and certain accounts receivable, at inception of those instruments. The model emphasizes historical experience and future market expectations to determine a loss to be recognized at inception. However, the model continues to be applied on an individual basis and rely on counter-party specific information to ensure the most accurate estimate is recognized. The Company reassesses its reserves on finance receivables at each balance sheet date to determine if an adjustment to the previous reserve is necessary.
Accounting for Lease Concessions Related to COVID-19. In April 2020, the FASB staff issued a question-and-answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of COVID-19. Under Accounting Standards Codification (“ASC”) 842, Leases, the Company would have to determine, on a lease-by-lease basis, if a lease concession was the result of a new arrangement reached with the tenant (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A allows the Company, if certain criteria have been met, to bypass the lease-by-lease analysis, and instead elect to either apply the lease modification accounting framework or not, with such election applied consistently to leases with similar characteristics and similar circumstances. During the three and nine months ended September 30, 2020, the Company provided rent deferrals (to be repaid before the end of 2020) to certain tenants in its life science and medical office segments that were impacted by COVID-19 (discussed in further detail in Note 6). No such rent deferrals were provided to tenants during the three and nine months ended September 30, 2021. The Company elected to not assess these rent deferrals on a lease-by-lease basis and to continue recognizing rent revenue on a straight-line basis.
While the Company’s election for rent deferrals will be applied consistently to future deferrals with similar characteristics and similar circumstances, if the Company grants future lease concessions of a different type (such as rent abatements), it will make an election related to those concessions at that time.
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Not Yet Adopted
Reference Rate Reform. In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting (“ASU 2020-04”), which provides optional guidance for a limited period of time to ease the potential burden in accounting for, or recognizing the effects of, reference rate reform on financial reporting. In January 2021, the FASB issued ASU No. 2021-01, Reference Rate Reform (Topic 848): Scope (“ASU 2021-01”), which amends the scope of ASU 2020-04 to include derivative instruments that use an interest rate for margining, discounting, or contract price alignment that is modified as a result of reference rate reform. The amendments in ASU 2020-04 and ASU 2021-01 are effective immediately and may be applied through December 31, 2022. The Company is evaluating: (i) how the transition away from LIBOR will impact the Company, (ii) whether the optional relief provided by these standards will be adopted, and (iii) the impact that adopting ASU 2020-04 or ASU 2021-01 will have on its consolidated financial position, results of operations, cash flows, or disclosures.
NOTE 3.  Master Transactions and Cooperation Agreement with Brookdale
2019 Master Transactions and Cooperation Agreement with Brookdale
In October 2019, the Company and Brookdale Senior Living Inc. (“Brookdale”) entered into a Master Transactions and Cooperation Agreement (the “2019 MTCA”), which includes a series of transactions related to its previously jointly owned 15-campus CCRC portfolio (the “CCRC JV”) and the portfolio of senior housing properties Brookdale triple-net leased from the Company, which, at the time, included 43 properties.
In connection with the 2019 MTCA, the Company and Brookdale, and certain of their respective subsidiaries, closed the following transactions related to the CCRC JV on January 31, 2020:
The Company, which owned a 49% interest in the CCRC JV, purchased Brookdale’s 51% interest in 13 of the 15 communities in the CCRC JV based on a valuation of $1.06 billion (the “CCRC Acquisition”);
The management agreements related to the CCRC Acquisition communities were terminated and management transitioned (under new management agreements) from Brookdale to Life Care Services LLC (“LCS”); and
The Company paid a $100 million management termination fee to Brookdale.
In addition, pursuant to the 2019 MTCA, the Company and Brookdale closed the following transactions related to properties Brookdale triple-net leased from the Company on January 31, 2020:
Brookdale acquired 18 of the properties from the Company (the “Brookdale Acquisition Assets”) for cash proceeds of $385 million;
The remaining 24 properties (excludes one property transitioned and sold to a third party, as discussed below) were restructured into a single master lease with 2.4% annual rent escalators and a maturity date of December 31, 2027 (the “2019 Amended Master Lease”);
A portion of annual rent (amount in excess of 6.5% of sales proceeds) related to 14 of the 18 Brookdale Acquisition Assets was reallocated to the remaining properties under the 2019 Amended Master Lease; and
Brookdale paid down $20 million of future rent under the 2019 Amended Master Lease.
As agreed to by the Company and Brookdale under the 2019 MTCA, in December 2020, the Company terminated the triple-net lease related to one property and converted it to a structure permitted by the Housing and Economic Recovery Act of 2008, which includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”). During the quarter ended September 30, 2021, the Company sold this property (see Note 5).
The Company and Brookdale also agreed that the Company would provide up to $35 million of capital investment in the 2019 Amended Master Lease properties over a five-year term, which would increase rent by 7% of the amount spent, per annum. As of December 31, 2020, the Company had funded $5 million of this capital investment. Upon the Company’s sale of the 24 properties under the 2019 Amended Master Lease in January 2021 (see Note 5), the remaining capital investment obligation was transferred to the buyer.
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As a result of the above transactions, on January 31, 2020, the Company began consolidating the 13 CCRCs in which it acquired Brookdale’s interest. Accordingly, the Company derecognized its investment in the CCRC JV of $323 million and recognized a gain upon change of control of $170 million, which is included in other income (expense), net. In connection with consolidating the 13 CCRCs during the first quarter of 2020, the Company recognized real estate and intangible assets of $1.8 billion, refundable entrance fee liabilities of $308 million, contractual liabilities associated with previously collected non-refundable entrance fees of $436 million, debt assumed of $215 million, other net assets of $48 million, and cash paid of $396 million.
Upon sale of the Brookdale Acquisition Assets in January 2020, the Company recognized an aggregate gain on sales of real estate of $164 million, which is recorded within income (loss) from discontinued operations.
In May 2021, the CCRC JV sold the two remaining CCRCs subject to the 2019 MTCA for $38 million, $19 million of which represents the Company’s 49% interest in the CCRC JV, resulting in an immaterial gain on sale recorded within equity income (loss) from unconsolidated joint ventures (see Note 8).
Fair Value Measurement Techniques and Quantitative Information
At January 31, 2020, the Company performed a fair value assessment of each of the 2019 MTCA components that provided measurable economic benefit or detriment to the Company. Each fair value calculation was based on an income or market approach and relied on historical and forecasted net operating income (“NOI”), actuarial assumptions about the expected resident length of stay, and market data, including, but not limited to, discount rates ranging from 10% to 12%, annual rent escalators ranging from 2% to 3%, and real estate capitalization rates ranging from 7% to 9%. All assumptions were considered to be Level 3 measurements within the fair value hierarchy.
NOTE 4.  Real Estate Transactions
2021 Real Estate Investments
South San Francisco Land Site Acquisition
In October 2020, the Company executed a definitive agreement to acquire approximately 12 acres of land for $128 million. The acquisition site is located in South San Francisco, California, adjacent to two sites currently held by the Company as land for future development. The Company paid a $10 million nonrefundable deposit upon completing due diligence in November 2020. The first phase of the acquisition, with a purchase price of $61 million, closed in April 2021. The second phase of the acquisition, with a purchase price of $24 million, closed in September 2021. The final phase of the acquisition, with a purchase price of $43 million, closed in October 2021.
Westview Medical Plaza Acquisition
In February 2021, the Company acquired one medical office building (“MOB”) in Nashville, Tennessee for $13 million.
Pinnacle at Ridgegate Acquisition
In April 2021, the Company acquired one MOB in Denver, Colorado for $38 million.
MOB Portfolio Acquisition
In April 2021, the Company acquired 14 MOBs for $371 million (the “MOB Portfolio”). In conjunction with the acquisition, the Company originated $142 million of secured mortgage debt.
Westside Medical Plaza Acquisition
In June 2021, the Company acquired one MOB in Fort Lauderdale, Florida for $16 million.
Wesley Woodlawn Acquisition
In July 2021, the Company acquired one MOB in Wichita, Kansas for $50 million.
Atlantic Health Acquisition
In July 2021, the Company acquired three MOBs in Morristown, New Jersey for $155 million.
Baylor Centennial Acquisition
In September 2021, the Company acquired two MOBs in Dallas, Texas for $60 million.
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Concord Avenue Campus Acquisition
In September 2021, the Company acquired a life science campus, comprised of three buildings, in Cambridge, Massachusetts for $180 million.
10 Fawcett Acquisition
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $73 million.
Vista Sorrento Phase 1 Acquisition
In October 2021, the Company closed a life science acquisition in San Diego, California for $20 million.
Swedish Medical Acquisition
In October 2021, the Company acquired one MOB in Seattle, Washington for $43 million.
Lakeview Medical Pavilion
In October 2021, the Company acquired one MOB in New Orleans, Louisiana for $34 million.
Mooney Street Parcels
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $123 million.
725 Concord
In October 2021, the Company acquired an MOB and adjacent land parcel in Cambridge, Massachusetts for $80 million.
25 Spinelli
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $34 million.
68 Moulton
In October 2021, the Company closed a life science acquisition in Cambridge, Massachusetts for $18 million.
2020 Real Estate Investments
The Post Acquisition
In April 2020, the Company acquired a life science campus in Waltham, Massachusetts for $320 million.
Scottsdale Gateway Acquisition
In July 2020, the Company acquired one MOB in Scottsdale, Arizona for $27 million.
Midwest MOB Portfolio Acquisition
In October 2020, the Company acquired a portfolio of seven MOBs located in Indiana, Missouri, and Illinois for $169 million.
Cambridge Discovery Park Acquisition
In December 2020, the Company acquired three life science facilities in Cambridge, Massachusetts for $610 million and a 49% unconsolidated joint venture interest in a fourth property on the same campus for $54 million. If the fourth property is sold in a taxable transaction, the Company is generally obligated to indemnify its joint venture partner for its federal and state income taxes associated with the gain that existed at the time of the contribution to the joint venture.
Waldwick JV Interest Purchase
In October 2020, the Company acquired the remaining 15% equity interest of a senior housing joint venture structure (which owned one senior housing facility), in which the Company previously held an unconsolidated equity investment, for $4 million. Subsequent to the acquisition, the Company owned 100% of the equity, began consolidating the facility, and recognized a gain upon change of control of $6 million, which is recorded in other income (expense), net within income (loss) from discontinued operations. In December 2020, the Company sold the property as part of the Atria SHOP Portfolio disposition (see Note 5).
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MBK JV Dissolution
In November 2020, as part of the dissolution of a senior housing joint venture, the Company was distributed one property, one land parcel, and $11 million in cash. Upon consolidating the property and land parcel at the time of distribution, the Company recognized a loss upon change of control of $16 million, which is recorded in other income (expense), net within income (loss) from discontinued operations. In conjunction with the distribution of the property, the Company assumed $36 million of secured mortgage debt (classified as liabilities related to assets held for sale and discontinued operations, net) maturing in 2025, which was recorded at its fair value through asset acquisition accounting. During the quarter ended September 30, 2021, the Company sold the property and the related secured mortgage debt was assumed by the buyer (see Note 5).
Other Real Estate Acquisitions
In December 2020, the Company acquired one hospital in Dallas, Texas for $34 million.
Development Activities
The Company’s commitments, which are primarily related to development and redevelopment projects and tenant improvements, increased by $89 million, to $395 million at September 30, 2021, when compared to December 31, 2020, primarily as a result of increased commitments on existing projects and new projects started during 2021.
During the nine months ended September 30, 2021, management reviewed the estimated useful lives of certain life science properties in connection with future plans of densification on campuses where the Company has densification opportunities. These changes in the planned use of the properties resulted in the Company updating the estimated useful lives of the properties, which differ from the Company’s previous estimates. The estimated useful lives of these properties was reduced from a weighted average remaining useful life of 15 years to 11 years to reflect the timing of the planned densification projects. For the three and nine months ended September 30, 2021, these changes in estimate increased depreciation expense by $9 million and $22 million, respectively, resulting in a corresponding decrease to income (loss) from continuing operations and net income (loss), as well as a decrease to both basic and diluted earnings per share of approximately $0.02 and $0.04, respectively.
NOTE 5.  Dispositions of Real Estate and Discontinued Operations
2021 Dispositions of Real Estate
Sunrise Senior Housing Portfolio
In January 2021, the Company sold a portfolio of 32 SHOP assets (the “Sunrise Senior Housing Portfolio”) for $664 million, resulting in an immaterial loss on sale, which is recognized in income (loss) from discontinued operations, and provided the buyer with: (i) financing of $410 million (see Note 7) and (ii) a commitment to finance up to $92 million of additional debt for capital expenditures. The commitment to finance additional debt for capital expenditures was subsequently reduced to $56 million during June 2021, $0.4 million of which had been funded as of September 30, 2021 (see Note 7). Upon completion of the license transfer process in June 2021, the Company sold the two remaining Sunrise senior housing triple-net assets for $80 million, resulting in a gain on sale of $22 million, which is recognized in income (loss) from discontinued operations.
Brookdale Triple-Net Portfolio
In January 2021, the Company sold 24 senior housing assets in a triple-net lease with Brookdale for $510 million, resulting in total gain on sale of $169 million, which is recognized in income (loss) from discontinued operations.
Additional SHOP Portfolio
In January 2021, the Company sold a portfolio of 16 SHOP assets for $230 million, resulting in total gain on sale of $59 million, which is recognized in income (loss) from discontinued operations. The Company provided the buyer with financing of $150 million (see Note 7).
HRA Triple-Net Portfolio
In February 2021, the Company sold eight senior housing assets in a triple-net lease with Harbor Retirement Associates for $132 million, resulting in total gain on sale of $33 million, which is recognized in income (loss) from discontinued operations.
Oakmont SHOP Portfolio
In April 2021, the Company sold a portfolio of 12 SHOP assets for $564 million. In conjunction with the sale, mortgage debt held on two properties with a carrying value of $64 million was repaid and the remaining mortgage debt held on four properties with a carrying value of $107 million was assumed by the buyer. The transaction resulted in total gain on sale of $80 million, which is recognized in income (loss) from discontinued operations.
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Discovery SHOP Portfolio
In April 2021, the Company sold a portfolio of 10 SHOP assets for $334 million, resulting in total gain on sale of $9 million, which is recognized in income (loss) from discontinued operations. Also included in this transaction was the sale of two mezzanine loans and two preferred equity investments for $21 million, resulting in no gain or loss on sale of the investments (collectively, the “Discovery SHOP Portfolio”).
Sonata SHOP Portfolio
In April 2021, the Company sold a portfolio of five SHOP assets for $64 million, resulting in total gain on sale of $3 million, which is recognized in income (loss) from discontinued operations.
SLC SHOP Portfolio
In May 2021, the Company sold seven SHOP assets for $113 million and repaid $70 million of mortgage debt that was held on six of the assets, resulting in total gain on sale of $1 million, which is recognized in income (loss) from discontinued operations.
Hoag Hospital
In May 2021, the Company sold one hospital for $226 million through the exercise of a purchase option by a tenant, resulting in gain on sale of $172 million.
2021 Other Dispositions
During the three months ended September 30, 2021, the Company sold the following: (i) eight SHOP assets for $120 million, (ii) four senior housing triple-net assets for $12 million, and (iii) three MOBs for $36 million, resulting in total gain on sales of $42 million ($27 million of which is recognized in income (loss) from discontinued operations). In conjunction with one of the SHOP asset sales, mortgage debt held on the property with a carrying value of $36 million was assumed by the buyer.
In addition to the portfolio and individual sales discussed above, during the nine months ended September 30, 2021, the Company sold the following: (i) 15 SHOP assets for $169 million, (ii) 7 senior housing triple-net assets for $24 million, and (iii) 7 MOBs for $57 million, resulting in total gain on sales of $52 million ($34 million of which is recognized in income (loss) from discontinued operations).
2020 Dispositions of Real Estate
During the three months ended September 30, 2020, the Company sold the following: (i) four MOBs for $14 million, (ii) one undeveloped MOB land parcel for $2 million and (iii) one asset from other non-reportable segments for $1 million, resulting in total gain on sales of $2 million recognized in income (loss) from continuing operations. Additionally, during the three months ended September 30, 2020, the Company sold four SHOP assets for $12 million, resulting in total loss on sales of $2 million recognized in income (loss) from discontinued operations.
During the nine months ended September 30, 2020, the Company sold the following: (i) 13 SHOP assets for $76 million, (ii) 18 senior housing triple-net assets for $385 million (representative of the 18 facilities sold to Brookdale under the 2019 MTCA - see Note 3), (iii) 7 MOBs for $120 million (inclusive of the exercise of a purchase option by a tenant to acquire 3 MOBs in San Diego, California), (iv) one undeveloped MOB land parcel for $2 million and (v) one asset from other non-reportable segments for $1 million, resulting in total gain on sales of $248 million ($162 million of which is recognized in income (loss) from discontinued operations).
Aegis NNN Portfolio
In December 2020, the Company sold 10 senior housing triple-net assets (the “Aegis NNN Portfolio”) for $358 million and repaid $6 million of variable rate secured mortgage debt held on one asset, resulting in total gain on sale of $228 million, which is recognized in income (loss) from discontinued operations.
Atria SHOP Portfolio
In December 2020, the Company sold 12 SHOP assets (the “Atria SHOP Portfolio”) for $312 million, resulting in total gain on sale of $39 million, which is recognized in income (loss) from discontinued operations. The Company provided the buyer with financing of $61 million on four of the assets sold (see Note 7).
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2020 Other Dispositions
In addition to the portfolio sales discussed above, during the year ended December 31, 2020, the Company sold the following: (i) 23 SHOP assets for $190 million, (ii) 21 senior housing triple-net assets for $428 million (inclusive of the 18 facilities sold to Brookdale under the 2019 MTCA - see Note 3), (iii) 11 MOBs for $136 million (inclusive of the exercise of a purchase option by a tenant to acquire 3 MOBs in San Diego, California), (iv) 2 MOB land parcels for $3 million, and (v) 1 asset from other non-reportable segments for $1 million, resulting in total gain on sales of $283 million ($193 million of which is recognized in income (loss) from discontinued operations).
Held for Sale and Discontinued Operations
During 2020, the Company established and began executing a plan to dispose of its senior housing triple-net and SHOP properties. As of December 31, 2020, the Company concluded that the planned dispositions represented a strategic shift that has had and will have a major effect on the Company’s operations and financial results. Therefore, senior housing triple-net and SHOP assets meeting the held for sale criteria on or before September 30, 2021 are classified as discontinued operations in all periods presented herein. In September 2021, the Company successfully completed the disposition of the remaining senior housing triple-net and SHOP properties.
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The following summarizes the assets and liabilities classified as discontinued operations at September 30, 2021 and December 31, 2020, which are included in assets held for sale and discontinued operations, net and liabilities related to assets held for sale and discontinued operations, net, respectively, on the Consolidated Balance Sheets (in thousands):
September 30,
2021
December 31,
2020
ASSETS
Real estate:
Buildings and improvements$98 $2,553,254 
Development costs and construction in progress54 21,509 
Land— 355,803 
Accumulated depreciation and amortization— (615,708)
Net real estate152 2,314,858 
Investments in and advances to unconsolidated joint ventures— 5,842 
Accounts receivable, net of allowance of $4,583 and $5,873
4,826 20,500 
Cash and cash equivalents14,005 53,085 
Restricted cash17,168 
Intangible assets, net— 24,541 
Right-of-use asset, net30 4,109 
Other assets, net(1)
3,243 103,965 
Total assets of discontinued operations, net(2)
22,2592,544,068
Assets held for sale, net(3)
82,750 82,238 
Assets held for sale and discontinued operations, net$105,009 $2,626,306 
LIABILITIES
Mortgage debt(4)
$— $318,876 
Lease liability30 3,189 
Accounts payable, accrued liabilities, and other liabilities18,442 79,411 
Deferred revenue84 11,442 
Total liabilities of discontinued operations, net(2)
18,556 412,918 
Liabilities related to assets held for sale, net(3)
354 2,819 
Liabilities related to assets held for sale and discontinued operations, net$18,910 $415,737 
_______________________________________
(1)Includes goodwill of zero and $29 million as of September 30, 2021 and December 31, 2020, respectively.
(2)At September 30, 2021, there were no senior housing triple-net or SHOP facilities classified as held for sale and discontinued operations. At December 31, 2020, 41 senior housing triple-net facilities, 97 SHOP facilities, and 1 SHOP joint venture were classified as held for sale and discontinued operations.
(3)As of September 30, 2021, primarily comprised of the following: (i) five MOBs and one life science facility with net real estate assets of $30 million and right-of-use asset, net of $0.6 million and (ii) one loan receivable with a total carrying value of $51 million. As of December 31, 2020, primarily comprised of six MOBs with net real estate assets of $73 million and deferred revenue of $2 million.
(4)During the three months ended September 30, 2021 and 2020, the Company made full and partial repayments of mortgage debt classified as discontinued operations of $37 million and $1 million, respectively. During the nine months ended September 30, 2021 and 2020, the Company made full and partial repayments of mortgage debt classified as discontinued operations of $318 million and $7 million, respectively.

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The results of discontinued operations through September 30, 2021, or the disposal date of each asset or portfolio of assets if they have been sold, are included in the consolidated results for the three and nine months ended September 30, 2021 and 2020. Summarized financial information for discontinued operations for the three and nine months ended September 30, 2021 and 2020 are as follows (in thousands):
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Revenues:
Rental and related revenues$694 $24,589 $7,535 $81,070 
Resident fees and services8,507 149,585 111,777 477,081 
Total revenues9,201 174,174 119,312 558,151 
Costs and expenses:
Interest expense47 2,501 3,900 7,913 
Depreciation and amortization— 31,659 — 134,620 
Operating13,010 131,151 118,175 407,820 
Transaction costs— 602 76 1,141 
Impairments and loan loss reserves (recoveries), net21,740 36,327 32,736 81,556 
Total costs and expenses34,797 202,240 154,887 633,050 
Other income (expense):
Gain (loss) on sales of real estate, net26,758 (2,134)408,658 162,245 
Other income (expense), net(863)316 5,150 2,442 
Total other income (expense), net25,895 (1,818)413,808 164,687 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures299 (29,884)378,233 89,788 
Income tax benefit (expense)221 (1,204)1,345 9,424 
Equity income (loss) from unconsolidated joint ventures81 (731)4,991 (915)
Income (loss) from discontinued operations$601 $(31,819)$384,569 $98,297 
Impairments of Real Estate
2021
During the three and nine months ended September 30, 2021, the Company recognized an aggregate impairment charge of $2 million, which is reported in impairments and loan loss reserves (recoveries), net, related to two MOBs classified as held for sale. The Company wrote down the two properties’ aggregate carrying value of $13 million to their aggregate fair value, less estimated costs to sell, of $11 million.
Additionally, during the nine months ended September 30, 2021, the Company recognized an impairment charge of $4 million related to one SHOP asset classified as held for sale, which is reported in income (loss) from discontinued operations. Following a reduction in the expected sales price of the SHOP asset occurring in the second quarter of 2021, the Company wrote down its carrying value of $20 million to its fair value, less estimated costs to sell, of $16 million.
The fair values of the impaired assets were based on forecasted sales prices, which are considered to be Level 3 measurements within the fair value hierarchy. The Company’s forecasted sales prices are typically determined using an income approach and/or a market approach (comparable sales model), which rely on certain assumptions by management, including: (i) market capitalization rates, (ii) comparable market transactions, (iii) estimated prices per unit, (iv) negotiations with prospective buyers, and (v) forecasted cash flow streams (lease revenue rates, expense rates, growth rates, etc.). There are inherent uncertainties in making these assumptions. For the Company’s impairment calculation as of September 30, 2021, the Company’s fair value estimates primarily relied on a market approach and utilized comparable market transactions and negotiations with prospective buyers.
2020
During the three months ended September 30, 2020, the Company recognized an aggregate impairment charge of $37 million ($36 million of which is reported in income (loss) from discontinued operations) related to nine SHOP assets, one senior housing triple-net asset and one MOB as a result of being classified as held for sale and wrote down their aggregate carrying value of $200 million to their aggregate fair value, less estimated costs to sell, of $163 million.
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During the nine months ended September 30, 2020, the Company recognized an aggregate impairment charge of $87 million ($82 million of which is reported in income (loss) from discontinued operations) related to 28 SHOP assets, 5 senior housing triple-net assets, 2 MOBs, and 1 undeveloped MOB land parcel as a result of being classified as held for sale and wrote down their aggregate carrying value of $424 million to their aggregate fair value, less estimated costs to sell, of $337 million.
For the Company’s impairment calculations during the nine months ended and as of September 30, 2020, the Company’s fair value estimates primarily relied on a market approach and utilized prices per unit ranging from $33,000 to $300,000, with a weighted average price based on relative fair value of $136,000.
Goodwill Impairment
When testing goodwill for impairment, if the Company concludes that it is more likely than not that the fair value of a reporting unit is less than its carrying value, the Company recognizes an impairment loss for the amount by which the carrying value, including goodwill, exceeds the reporting unit’s fair value.
Following the disposition of the Company’s remaining senior housing triple-net and SHOP assets in September 2021, the Company performed an impairment assessment to evaluate the fair value of its reporting units as of September 30, 2021. During the three months ended September 30, 2021, the Company recognized a $22 million goodwill impairment charge reported in income (loss) from discontinued operations to reduce the associated goodwill balance to zero as no assets remained in the reporting units associated with the senior housing triple-net and SHOP portfolios as of the assessment date.
During the nine months ended September 30, 2021, the Company recognized a $29 million goodwill impairment charge reported in income (loss) from discontinued operations, $7 million of which was recognized during the second quarter of 2021, as the fair value of the remaining assets based on forecasted sales prices was less than the carrying value of the assets, including the related goodwill as of the assessment date.
During the three and nine months ended September 30, 2021, the fair value of the assets within each of the Company’s other reporting units was greater than the respective carrying value of the assets and related goodwill, and as a result, no impairment loss was recognized with respect to the other reporting units. During the three and nine months ended September 30, 2020, no goodwill impairment loss was recognized.
These fair value estimates primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be a Level 3 measurement within the fair value hierarchy, and are subject to inherent uncertainties.
Deferred Tax Asset Valuation Allowance
In conjunction with the Company establishing a plan during the year ended December 31, 2020 to dispose of all of its SHOP assets and classifying such assets as discontinued operations, the Company concluded it was more likely than not that it would no longer realize the future value of certain deferred tax assets generated by the net operating losses of its taxable REIT subsidiary entities. Accordingly, the Company recognized a deferred tax asset valuation allowance of $33 million as of December 31, 2020. As of September 30, 2021, the Company had a deferred tax asset valuation allowance of $36 million.
NOTE 6.  Leases
Lease Income
The following table summarizes the Company’s lease income, excluding discontinued operations (in thousands):
Three Months Ended
September 30,
Nine Months Ended
September 30,
2021202020212020
Fixed income from operating leases$276,430 $239,715 $807,677 $697,510 
Variable income from operating leases77,086 62,226 214,453 175,001 
Interest income from direct financing leases2,179 2,150 6,522 7,569 
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Direct Financing Leases
Net investment in DFLs consists of the following (in thousands):
 September 30,
2021
December 31,
2020
Present value of minimum lease payments receivable$3,399 $9,804 
Present value of estimated residual value44,706 44,706 
Less deferred selling profits(3,399)(9,804)
Net investment in direct financing leases$44,706 $44,706 
Direct Financing Lease Internal Ratings
At September 30, 2021 and December 31, 2020, the Company had one hospital under a DFL with a carrying amount of $45 million and an internal rating of “performing”.
2020 Direct Financing Lease Sale
During the first quarter of 2020, the Company sold a hospital under a DFL for $82 million and recognized a gain on sale of $42 million, which is included in other income (expense), net.
COVID-19 Rent Deferrals
During the second and third quarters of 2020, the Company agreed to defer rent from certain tenants in the medical office segment that were impacted by COVID-19, with the requirement that all deferred rent be repaid by the end of 2020. Under this program, through September 30, 2020, approximately $6 million of rent was deferred for the medical office segment, all of which had been collected as of December 31, 2020.
Additionally, through September 30, 2020, the Company granted approximately $1 million of rent deferrals to certain tenants in the life science segment that were impacted by COVID-19, all of which had been collected as of December 31, 2020.
No such deferrals were granted during the three and nine months ended September 30, 2021.
The rent deferrals granted do not impact the pattern of revenue recognition or amount of revenue recognized (refer to Note 2 for additional information).
NOTE 7.  Loans Receivable
The following table summarizes the Company’s loans receivable (in thousands):
 September 30, 2021December 31, 2020
Secured loans(1)
$395,303 $161,530 
Mezzanine and other23,701 44,347 
Unamortized discounts, fees, and costs(5,215)(222)
Reserve for loan losses(2,727)(10,280)
Loans receivable, net$411,062 $195,375 
_______________________________________
(1)At September 30, 2021, the Company had $59 million remaining of commitments to fund senior housing redevelopment and capital expenditure projects. At December 31, 2020, the Company had $11 million remaining of commitments to fund senior housing redevelopment and capital expenditure projects.
SHOP Seller Financing
In conjunction with the sale of 32 SHOP facilities in the Sunrise Senior Housing Portfolio for $664 million in January 2021 (see Note 5), the Company provided the buyer with initial financing of $410 million. The remainder of the sales price was received in cash at the time of sale. Additionally, the Company agreed to provide up to $92 million of additional financing for capital expenditures (up to 65% of the estimated cost of capital expenditures). The additional financing was subsequently reduced to $56 million in conjunction with the principal repayments discussed below, $0.4 million of which had been funded as of September 30, 2021. The initial and additional financing is secured by the buyer's equity ownership in each property.
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In June 2021, the Company received principal repayments of $246 million on the initial financing provided in conjunction with the sale of the Sunrise Senior Housing Portfolio in January 2021. The Company accelerated recognition of $7 million of the related mark-to-market discount, which is included in interest income in the Consolidated Statements of Operations for the nine months ended September 30, 2021.
In conjunction with the sale of 16 additional SHOP facilities for $230 million in January 2021 (see Note 5), the Company provided the buyer with financing of $150 million. The remainder of the sales price was received in cash at the time of sale. The financing is secured by the buyer's equity ownership in each property.
In December 2020, in conjunction with the sale of 4 of the 12 SHOP facilities in the Atria SHOP Portfolio for $94 million (see Note 5), the Company provided the buyer with financing of $61 million. The remainder of the sales price was received in cash at the time of sale. The financing is secured by the buyer's equity ownership in each of the four properties.
During the first quarter of 2021, the Company reduced the consideration and reported gain on sales of real estate and recognized a mark-to-market discount of $16 million for certain transactions with seller financing. The Company’s discount is based on the difference between the stated interest rates (ranging from 3.50% to 4.50%) and corresponding prevailing market rates of approximately 5.25% as of the transaction dates. The discount is recognized as interest income over the term of the discounted loans (ranging from one to three years) using the effective interest rate method. During the three and nine months ended September 30, 2021, the Company recognized $1 million and $12 million, respectively, of non-cash interest income related to the amortization of its mark-to-market discounts, of which $7 million was recognized during the nine months ended September 30, 2021 as a result of the accelerated recognition discussed above related to the Sunrise Senior Housing Portfolio. The Company did not recognize any non-cash interest income associated with seller financing notes receivable during the three and nine months ended September 30, 2020.
2021 Other Loans Receivable Transactions
The Company classifies a loan receivable as held for sale when management no longer has the intent or ability to hold the loan receivable for the foreseeable future or until maturity. If a loan receivable is classified as held for sale, previously recorded reserves for loan losses are reversed and the loan is reported at the lower of amortized cost or fair value. During the second quarter of 2021, two loans receivable with a total amortized cost of $64 million were classified as held for sale. Upon the transfer of these two loans to held for sale, the carrying value was decreased by $11 million to an estimated fair value of $53 million, $8 million of which was previously recognized as a reserve for loan losses. As a result, a $3 million net loss was recognized in impairments and loan loss reserves (recoveries), net during the nine months ended September 30, 2021.
These fair value estimates were made for each individual loan classified as held for sale and primarily relied on a market approach, utilizing comparable market transactions, forecasted sales prices, and negotiations with prospective buyers. These estimates are considered to be a Level 3 measurement within the fair value hierarchy, and are subject to inherent uncertainties.
In April 2021, the Company sold two mezzanine loans as part of the Discovery SHOP Portfolio disposition (see Note 5), resulting in no gain or loss on sale of the mezzanine loans.
In May 2021, the Company received a $10 million principal repayment related to one of its secured loans. In September 2021, the Company received repayment of the remaining $15 million balance.
In July 2021, the Company received full repayment of the outstanding balance of an $8 million secured loan.
In September 2021, the Company sold one of the loans previously classified as held for sale for its carrying value of $2 million. As of September 30, 2021, the Company had one loan receivable classified as held for sale with a carrying value of $51 million.
2020 Other Loans Receivable Transactions
For certain residents that qualify, CCRCs may offer to lend residents the necessary funds to satisfy the entrance fee requirements so that they are able to move into a community while still continuing the process of selling their previous home. The loans are due upon sale of the previous residence. Upon completing the CCRC Acquisition (see Note 3) in January 2020, the Company began consolidating 13 CCRCs, which held approximately $30 million of such notes receivable from various community residents at the time of acquisition. At September 30, 2021 and December 31, 2020, the Company held $23 million of such notes receivable, which are included in mezzanine and other in the table above.
In November 2020, the Company sold one mezzanine loan with a $10 million principal balance for $8 million, resulting in a $2 million loss recognized in impairments and loan loss reserves (recoveries), net.
In December 2020, the Company sold one secured loan with a $115 million principal balance for $109 million, resulting in a $6 million loss recognized in impairments and loan loss reserves (recoveries), net.
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Loans Receivable Internal Ratings
In connection with the Company’s quarterly review process or upon the occurrence of a significant event, loans receivable are reviewed and assigned an internal rating of Performing, Watch List, or Workout. Loans that are deemed Performing meet all present contractual obligations, and collection and timing of all amounts owed is reasonably assured. Watch List Loans are defined as loans that do not meet the definition of Performing or Workout. Workout Loans are defined as loans in which the Company has determined, based on current information and events, that: (i) it is probable it will be unable to collect all amounts due according to the contractual terms of the agreement, (ii) the borrower is delinquent on making payments under the contractual terms of the agreement, and (iii) the Company has commenced action or anticipates pursuing action in the near term to seek recovery of its investment.
The following table summarizes, by year of origination, the Company’s internal ratings for loans receivable, net of unamortized discounts, fees, and costs and reserves for loan losses, as of September 30, 2021 (in thousands):
Investment TypeYear of OriginationTotal
20212020201920182017Prior
Secured loans
Risk rating:
Performing loans$308,504 $76,749 $2,122 $— $— $— $387,375 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total secured loans$308,504 $76,749 $2,122 $— $— $— $387,375 
Mezzanine and other
Risk rating:
Performing loans$21,808 $1,777 $102 $— $— $— $23,687 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total mezzanine and other$21,808 $1,777 $102 $— $— $— $23,687 
Reserve for Loan Losses
The Company evaluates the liquidity and creditworthiness of its borrowers on a quarterly basis. The Company’s evaluation considers industry and economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. The Company’s borrowers furnish property, portfolio, and guarantor/operator-level financial statements, among other information, on a monthly or quarterly basis, which the Company utilizes to calculate the debt service coverages used in its assessment of internal ratings, which is a primary credit quality indicator. Debt service coverage information is evaluated together with other property, portfolio, and operator performance information, including revenue, expense, NOI, occupancy, rental rates, capital expenditures, and EBITDA (defined as earnings before interest, tax, and depreciation and amortization), along with other liquidity measures.
In its assessment of current expected credit losses for loans receivable and unfunded loan commitments, the Company utilizes past payment history of its borrowers, current economic conditions, and forecasted economic conditions through the maturity date of each loan to estimate a probability of default and a resulting loss for each loan receivable. Future economic conditions are based primarily on near-term economic forecasts from the Federal Reserve and reasonable assumptions for long-term economic trends.
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The following table summarizes the Company’s reserve for loan losses (in thousands):
 September 30, 2021December 31, 2020
 Secured LoansMezzanine and OtherTotalSecured LoansMezzanine and OtherTotal
Reserve for loan losses, beginning of period$3,152 $7,128 $10,280 $— $— $— 
Cumulative-effect of adopting of ASU 2016-13 to beginning retained earnings— — — 513 907 1,420 
Expected loan losses related to loans sold or repaid(1)
(1,643)(8,015)(9,658)(259)(8,135)(8,394)
Expected loan losses related to loans transferred to held for sale(2)
(498)— (498)— — — 
Provision for expected loan losses1,702 901 2,603 2,898 14,356 17,254 
Reserve for loan losses, end of period$2,713 $14 $2,727 $3,152 $7,128 $10,280 
_______________________________________
(1)Includes five loans sold or repaid during the nine months ended September 30, 2021 and three loans sold or repaid during the year ended December 31, 2020.
(2)Includes one loan held for sale at September 30, 2021.
Additionally, at September 30, 2021 and December 31, 2020, a liability of $0.3 million and $1 million, respectively, related to expected credit losses for unfunded loan commitments was included in accounts payable, accrued liabilities, and other liabilities.
Credit loss expenses and recoveries are recorded in impairments and loan loss reserves (recoveries), net. During the three months ended September 30, 2021 and 2020, the net credit loss recovery was $2 million and $3 million, respectively. During the nine months ended September 30, 2021 and 2020, the net credit loss expense was $3 million and $10 million, respectively. The change in the reserve for expected loan losses during the three months ended September 30, 2021 is primarily due to the following: (i) principal repayments on loans receivable, (ii) loans receivable sales, and (iii) a more positive economic outlook. Additionally, the change in the reserve for expected loan losses during the nine months ended September 30, 2021 is further impacted by (i) transfers of loans receivable held for investment to loans receivable held for sale and (ii) the sale of two mezzanine loans as part of the Discovery SHOP Portfolio disposition (see Note 5).
NOTE 8.  Investments in and Advances to Unconsolidated Joint Ventures
The Company owns interests in the following entities that are accounted for under the equity method, excluding investments classified as discontinued operations (dollars in thousands): 
   Carrying Amount
   September 30,December 31,
Entity(1)(2)
Segment
Property Count(3)
Ownership %(3)
20212020
SWF SH JVOther1954$354,534 $357,581 
Life Science JVLife science14925,135 24,879 
Medical Office JVs(4)
Medical office3
20 - 67
9,426 9,673 
Other JVs(5)
Other— 9,157 
CCRC JV(6)
CCRC— 1,581 
  $389,095 $402,871 
_______________________________________
(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.
(2)Excludes the Otay Ranch JV (90% ownership percentage), which was classified as discontinued operations and had an aggregate carrying value of $6 million at December 31, 2020 (see Note 5). In April 2021, the SHOP property in the Otay Ranch JV was sold, resulting in the Company’s share of proceeds of $32 million and a gain on sale of $5 million recognized in equity income (loss) from unconsolidated joint ventures within income (loss) from discontinued operations for the nine months ended September 30, 2021.
(3)Property count and ownership percentage are as of September 30, 2021.
(4)Includes three unconsolidated medical office joint ventures in which the Company holds an ownership percentage as follows: (i) Ventures IV (20%); (ii) Ventures III (30%); and (iii) Suburban Properties, LLC (67%).
(5)In April 2021, the Company sold its two preferred equity investments for their carrying value as part of the Discovery SHOP Portfolio disposition (see Note 5). At December 31, 2020, includes two unconsolidated other joint ventures in which the Company’s ownership percentage is as follows: (i) Discovery Naples JV (41%) and (ii) Discovery Sarasota JV (47%).
(6)See Note 3 for a discussion of the 2019 MTCA with Brookdale, including the acquisition of Brookdale’s interest in 13 of the 15 communities in the CCRC JV in January 2020. In May 2021, the two remaining CCRCs were sold for $38 million, $19 million of which represents the Company’s 49% interest, resulting in an immaterial gain on sale recorded within equity income (loss) from unconsolidated joint ventures for the nine months ended September 30, 2021.
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NOTE 9.  Intangibles
Intangible assets primarily consist of lease-up intangibles and above market tenant lease intangibles. The following table summarizes the Company’s intangible lease assets (dollars in thousands):
Intangible lease assetsSeptember 30,
2021
December 31,
2020
Gross intangible lease assets$823,362 $761,328 
Accumulated depreciation and amortization(303,027)(241,411)
Intangible assets, net(1)
$520,335 $519,917 
Weighted average remaining amortization period in years65
_______________________________________
(1)Excludes intangible assets reported in assets held for sale and discontinued operations, net of $25 million as of December 31, 2020.
Intangible liabilities consist of below market lease intangibles. The following table summarizes the Company’s intangible lease liabilities (dollars in thousands):
Intangible lease liabilitiesSeptember 30,
2021
December 31,
2020
Gross intangible lease liabilities$208,031 $194,565 
Accumulated depreciation and amortization(64,027)(50,366)
Intangible liabilities, net$144,004 $144,199 
Weighted average remaining amortization period in years88
During the nine months ended September 30, 2021, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $81 million and intangible liabilities of $17 million. The intangible assets and liabilities acquired had a weighted average amortization period at acquisition of 9 years and 8 years, respectively.
During the year ended December 31, 2020, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $352 million and intangible liabilities of $83 million. The intangible assets and intangible liabilities acquired had a weighted average amortization period at acquisition of 7 years and 9 years, respectively.
NOTE 10.  Debt
Bank Line of Credit and Term Loan
On May 23, 2019, the Company executed a $2.5 billion unsecured revolving line of credit facility, with a maturity date of May 23, 2023 and two six-month extension options, subject to certain customary conditions. Also in May 2019, the Company entered into a $250 million unsecured term loan facility, with a maturity date of May 23, 2024 (the “2019 Term Loan”). In July 2021, the Company repaid the $250 million 2019 Term Loan; therefore, at September 30, 2021, there was no outstanding balance. The outstanding balance on the 2019 Term Loan at December 31, 2020 was $250 million.
In September 2021, the Company executed an amended and restated unsecured revolving line of credit (the “Revolving Facility”) to increase total revolving commitments from $2.5 billion to $3.0 billion and extend the maturity date to January 20, 2026. This maturity date may be further extended pursuant to two six-month extension options, subject to certain customary conditions. Borrowings under the Revolving Facility accrue interest at the base rate or LIBOR (or other applicable rate with respect to non-dollar borrowings) plus a margin that depends on the credit ratings of the Company’s senior unsecured long-term debt. The Company also pays a facility fee on the entire revolving commitment that depends on its credit ratings. Based on the Company’s credit ratings at September 30, 2021, the margin on the Revolving Facility was 0.78% and the facility fee was 0.15%. At September 30, 2021 and December 31, 2020, the Company had no balance outstanding under the Revolving Facility.
The Revolving Facility includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to $750 million, subject to securing additional commitments. Further, the Revolving Facility includes customary LIBOR replacement language, including, but not limited to, the use of rates based on the secured overnight financing rate administered by the Federal Reserve Bank of New York. The Revolving Facility also includes a sustainability-linked pricing component whereby the applicable margin may be reduced by up to 0.025% based on the Company’s achievement of specified sustainability-linked metrics, subject to certain conditions.
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The Revolving Facility also contains certain financial restrictions and other customary requirements, including financial covenants and cross-default provisions to other indebtedness. Among other things, these covenants, using terms defined in the agreement: (i) limit the ratio of Enterprise Total Indebtedness to Enterprise Gross Asset Value to 60%; (ii) limit the ratio of Enterprise Secured Debt to Enterprise Gross Asset Value to 40%; (iii) limit the ratio of Enterprise Unsecured Debt to Enterprise Unencumbered Asset Value to 60%; (iv) require a minimum Fixed Charge Coverage ratio of 1.5 times; and (v) require a minimum Consolidated Tangible Net Worth of $7.7 billion. The Company believes it was in compliance with each of these covenants at September 30, 2021.
Commercial Paper Program
In September 2019, the Company established an unsecured commercial paper program (the “Commercial Paper Program”). Under the terms of the Commercial Paper Program, the Company may issue, from time to time, unsecured short-term debt securities with varying maturities. Amounts available under the Commercial Paper Program may be borrowed, repaid, and re-borrowed from time to time. During 2021, the Company increased the maximum aggregate face or principal amount that can be outstanding at any one time from $1.0 billion to $1.5 billion. Amounts borrowed under the Commercial Paper Program will be sold on terms that are customary for the U.S. commercial paper market and will be at least equal in right of payment with all of the Company’s other unsecured and unsubordinated indebtedness. The Company uses its Revolving Facility as a liquidity backstop for the repayment of unsecured short-term debt securities issued under the Commercial Paper Program. At September 30, 2021, the Company had $1.02 billion of securities outstanding under the Commercial Paper Program, with original maturities of approximately one month and a weighted average interest rate of 0.22%. At December 31, 2020, the Company had $130 million of securities outstanding under the Commercial Paper Program, with original maturities of approximately one month and a weighted average interest rate of 0.30%.
Senior Unsecured Notes
At September 30, 2021, the Company had senior unsecured notes outstanding with an aggregate principal balance of $4.2 billion. The senior unsecured notes contain certain covenants including limitations on debt, maintenance of unencumbered assets, cross-acceleration provisions and other customary terms. The Company believes it was in compliance with these covenants at September 30, 2021.
The following table summarizes the Company’s senior unsecured notes repurchases and redemptions during the nine months ended September 30, 2021 (dollars in thousands):
Payoff DateAmountCoupon RateMaturity Year
May 19, 2021(1)
$251,806 3.40 %2025
May 19, 2021(1)
298,194 4.00 %2025
February 26, 2021(2)
188,000 4.25 %2023
February 26, 2021(2)
149,000 4.20 %2024
February 26, 2021(2)
331,000 3.88 %2024
January 28, 2021(2)
112,000 4.25 %2023
January 28, 2021(2)
201,000 4.20 %2024
January 28, 2021(2)
469,000 3.88 %2024
_______________________________________
(1)Upon repurchasing a portion of the 3.40% and 4.00% senior unsecured notes due 2025, the Company recognized a $61 million loss on debt extinguishment during the nine months ended September 30, 2021.
(2)Upon completing the repurchases and redemptions of all outstanding 4.25%, 4.20%, and 3.88% senior unsecured notes due 2023 and 2024, the Company recognized a $164 million loss on debt extinguishment during the nine months ended September 30, 2021.
In July 2021, the Company completed its inaugural green bond offering. The net proceeds from the offering were allocated to the Company’s previous acquisition of Cambridge Discovery Park, completed in December 2020 (see Note 4), which has received LEED Gold certification and qualifies as an eligible green project. However, the Company may choose to allocate or re-allocate net proceeds to one more other eligible green projects. The senior unsecured notes were issued and the proceeds were received on July 12, 2021 as follows (dollars in thousands):
Issue DateAmountCoupon RateMaturity Year
July 12, 2021$450,000 1.35 %2027
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The following table summarizes the Company’s senior unsecured notes repurchases and redemptions during the year ended December 31, 2020 (dollars in thousands):
Payoff DateAmountCoupon RateMaturity Year
July 9, 2020(1)
$300,000 3.15 %2022
June 24, 2020(2)
250,000 4.25 %2023
_______________________________________
(1)Upon completing the redemption of all outstanding 3.15% senior unsecured notes due 2022, the Company recognized an $18 million loss on debt extinguishment during the three and nine months ended September 30, 2020.
(2)Upon repurchasing a portion of the 4.25% senior unsecured notes due 2023, the Company recognized a $26 million loss on debt extinguishment during the nine months ended September 30, 2020.
The following table summarizes the Company’s senior unsecured notes issuances during the year ended December 31, 2020 (dollars in thousands):
Issue DateAmountCoupon RateMaturity Year
June 23, 2020$600,000 2.88 %2031
Mortgage Debt
At September 30, 2021 and December 31, 2020, the Company had $355 million and $217 million, respectively, in aggregate principal of mortgage debt outstanding (excluding mortgage debt on assets held for sale and discontinued operations), which was secured by 19 and 6 healthcare facilities, respectively, with an aggregate carrying value of $835 million and $517 million, respectively.
Mortgage debt generally requires monthly principal and interest payments, is collateralized by real estate assets, and is non-recourse. Mortgage debt typically restricts transfer of the encumbered assets, prohibits additional liens, restricts prepayment, requires payment of real estate taxes, requires maintenance of the assets in good condition, requires insurance on the assets, and includes conditions to obtain lender consent to enter into or terminate material leases. Some of the mortgage debt may require tenants or operators to maintain compliance with the applicable leases or operating agreements of such real estate assets.
During the three and nine months ended September 30, 2021, the Company made aggregate principal repayments of mortgage debt of $1 million and $4 million, respectively (excluding mortgage debt on assets held for sale and discontinued operations). During the three and nine months ended September 30, 2020, the Company made aggregate principal repayments of mortgage debt of $1 million and $4 million, respectively (excluding mortgage debt on assets held for sale and discontinued operations).
In April 2021, in conjunction with the acquisition of the MOB Portfolio, the Company originated $142 million of secured mortgage debt (see Note 4) that matures in May 2026 and has a weighted average effective interest rate of 2.68% as of September 30, 2021.
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Debt Maturities
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at September 30, 2021 (dollars in thousands):
Senior Unsecured
Notes(2)
Mortgage
Debt(3)
YearBank Line of
Credit
Commercial Paper(1)
AmountInterest RateAmountInterest RateTotal
2021$— $— $— — %$8,731 4.86 %$8,731 
2022— — — — %4,843 3.80 %4,843 
2023— — — — %89,874 3.80 %89,874 
2024— — — — %3,050 3.80 %3,050 
2025— — 800,000 3.93 %3,209 3.80 %803,209 
Thereafter— 1,024,000 3,400,000 3.39 %244,889 3.12 %4,668,889 
 — 1,024,000 4,200,000 354,596 5,578,596 
(Discounts), premium and debt costs, net— — (42,166)1,974 (40,192)
$— $1,024,000 $4,157,834 $356,570 $5,538,404 
_______________________________________
(1)Commercial Paper Program borrowings are backstopped by the Revolving Facility. As such, the Company calculates the weighted average remaining term of its Commercial Paper Program borrowings using the maturity date of the Revolving Facility.
(2)Effective interest rates on the senior unsecured notes range from 1.54% to 6.91% with a weighted average effective interest rate of 3.51% and a weighted average maturity of 7 years.
(3)Effective interest rates on the mortgage debt range from 2.50% to 5.91% with a weighted average effective interest rate of 3.31% and a weighted average maturity of 4 years.
NOTE 11.  Commitments and Contingencies
Legal Proceedings
From time to time, the Company is a party to legal proceedings, lawsuits and other claims that arise in the ordinary course of the Company’s business. The Company is not aware of any legal proceedings or claims that it believes may have, individually or taken together, a material adverse effect on the Company’s financial condition, results of operations, or cash flows. The Company’s policy is to expense legal costs as they are incurred.
DownREITs
In connection with the formation of certain limited liability companies (“DownREITs”), members may contribute appreciated real estate to a DownREIT in exchange for DownREIT units. These contributions are generally tax-deferred, so that the pre-contribution gain related to the property is not taxed to the member. However, if a contributed property is later sold by the DownREIT, the unamortized pre-contribution gain that exists at the date of sale is specifically allocated and taxed to the contributing members. In many of the DownREITs, the Company has entered into indemnification agreements with those members who contributed appreciated property into the DownREIT. Under these indemnification agreements, if any of the appreciated real estate contributed by the members is sold by the DownREIT in a taxable transaction within a specified number of years, the Company will reimburse the affected members for the federal and state income taxes associated with the pre-contribution gain that is specially allocated to the affected member under the Code (“make-whole payments”). These make-whole payments include a tax gross-up provision. These indemnification agreements have expirations terms that range through 2039 on a total of 29 properties.
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NOTE 12.  Equity and Redeemable Noncontrolling Interests
Dividends
On October 27, 2021, the Company announced that its Board of Directors declared a quarterly cash dividend of $0.30 per share. The common stock cash dividend will be paid on November 19, 2021 to stockholders of record as of the close of business on November 8, 2021.
During the three months ended September 30, 2021 and 2020, the Company declared and paid common stock cash dividends of $0.30 per share and $0.37 per share, respectively. During the nine months ended September 30, 2021 and 2020, the Company declared and paid common stock cash dividends of $0.90 and $1.11 per share, respectively.
At-The-Market Equity Offering Program
The Company previously established an at-the-market equity offering program (“ATM Program”), which was most recently amended in May 2021 (as amended, the “2020 ATM Program”) to increase the size of the program from $1.25 billion to $1.5 billion, pursuant to which shares of common stock having an aggregate gross sales price of up to $1.5 billion may be sold (i) by the Company through a consortium of banks acting as sales agents or directly to the banks acting as principals or (ii) by a consortium of banks acting as forward sellers on behalf of any forward purchasers pursuant to a forward sale agreement (each, an “ATM forward contract”). The use of ATM forward contracts allows the Company to lock in a share price on the sale of shares at the time the ATM forward contract is effective, but defer receiving the proceeds from the sale of shares until a later date.
ATM forward contracts generally have a one to two year term. At any time during the term, the Company may settle a forward sale by delivery of physical shares of common stock to the forward seller or, at the Company’s election, in cash or net shares. The forward sale price the Company expects to receive upon settlement of outstanding ATM forward contracts will be the initial forward price established upon the effective date, subject to adjustments for: (i) accrued interest, (ii) the forward purchasers’ stock borrowing costs, and (iii) certain fixed price reductions during the term of the ATM forward contract.
At September 30, 2021, $1.18 billion of the Company’s common stock remained available for sale under the 2020 ATM Program.
ATM Forward Contracts
During the three and nine months ended September 30, 2021, the Company utilized the forward provisions under the 2020 ATM Program to allow for the sale of an aggregate of 9.1 million shares of its common stock at an initial weighted average net price of $35.25 per share, after commissions.
During the three and nine months ended September 30, 2021, no shares were settled under ATM forward contracts. Therefore, at September 30, 2021, 9.1 million shares remained outstanding under ATM forward contracts.
During the three months ended September 30, 2020, the Company did not utilize the forward provisions under any previous ATM Program. During the nine months ended September 30, 2020, the Company utilized the forward provisions under a previous ATM Program established in 2019 to allow for the sale of an aggregate of 2.0 million shares of its common stock at an initial weighted average net price of $35.23 per share, after commissions.
During the three months ended March 31, 2020, the Company settled all 16.8 million shares previously outstanding under ATM forward contracts at a weighted average net price of $31.38 per share, after commissions, resulting in net proceeds of $528 million. No shares were settled subsequent to March 31, 2020. At September 30, 2020, no shares remained outstanding under these prior ATM forward contracts.
ATM Direct Issuances
During the three and nine months ended September 30, 2021 and September 30, 2020, no shares of common stock were issued under any ATM Program.
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Forward Equity Offerings
November 2019 Offering. In November 2019, the Company entered into a forward equity sales agreement (the "2019 forward equity sales agreement") to sell an aggregate of 15.6 million shares of its common stock (including shares sold through the exercise of underwriters’ options) at an initial net price of $34.46 per share, after underwriting discounts and commissions, which was subject to adjustments for: (i) accrued interest, (ii) the forward purchasers’ stock borrowing costs, and (iii) certain fixed price reductions during the term of the agreement. During the three months ended March 31, 2020, the Company settled all 15.6 million shares under the 2019 forward equity sales agreement at a weighted average net price of $34.18 per share, resulting in net proceeds of $534 million (total net proceeds of $1.06 billion, when aggregated with the net proceeds from settling ATM forward contracts, as discussed above). Therefore, at September 30, 2021 and September 30, 2020, no shares remained outstanding under the 2019 forward equity sales agreement.
Accumulated Other Comprehensive Income (Loss)
The following table summarizes the Company’s accumulated other comprehensive income (loss) (in thousands):
 September 30,
2021
December 31,
2020
Unrealized gains (losses) on derivatives, net$— $(81)
Supplemental Executive Retirement Plan minimum liability(3,281)(3,604)
Total accumulated other comprehensive income (loss)$(3,281)$(3,685)
Redeemable Noncontrolling Interests
Arrangements with noncontrolling interest holders are assessed for appropriate balance sheet classification based on the redemption and other rights held by the noncontrolling interest holder. Certain of the Company’s noncontrolling interest holders have the ability to put their equity interests to the Company upon specified events or after the passage of a predetermined period of time. Each put option is payable in cash and subject to increases in redemption value in the event that the underlying property generates specified returns for the Company and meets certain promote thresholds pursuant to the respective agreements. Accordingly, the Company records redeemable noncontrolling interests outside of permanent equity and presents the redeemable noncontrolling interests at the greater of their carrying amount or redemption value at the end of each reporting period.
As of September 30, 2021, the put option related to $54 million of the redeemable noncontrolling interests balance was currently exercisable. The remaining redeemable noncontrolling interests had not yet met the conditions for redemption. Three of the interests will become redeemable following the passage of a predetermined amount of time, which will occur in 2022, 2023, and 2024. The fourth interest will become redeemable at the earlier of a predetermined passage of time or stabilization, which is expected to occur in 2023. The redemption values are subject to change based on the assessment of value at each redemption date. As of December 31, 2020, none of the redeemable noncontrolling interests were exercisable.
NOTE 13.  Earnings Per Common Share
Basic income (loss) per common share (“EPS”) is computed based on the weighted average number of common shares outstanding. Diluted income (loss) per common share is computed based on the weighted average number of common shares outstanding plus the impact of forward equity sales agreements using the treasury stock method and common shares issuable from the assumed conversion of DownREIT units, stock options, certain performance restricted stock units, and unvested restricted stock units. Only those instruments having a dilutive impact on the Company’s basic income (loss) per share are included in diluted income (loss) per share during the periods presented.
Restricted stock and certain performance restricted stock units are considered participating securities, because dividend payments are not forfeited even if the underlying award does not vest, and require use of the two-class method when computing basic and diluted earnings per share.
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Refer to Note 12 for a discussion of the sale of shares under and settlement of forward sales agreements during the periods presented. The Company considered the potential dilution resulting from the forward agreements to the calculation of earnings per share. At inception, the agreements do not have an effect on the computation of basic EPS as no shares are delivered until settlement. However, the Company uses the treasury stock method to calculate the dilution, if any, resulting from the forward sales agreements during the period of time prior to settlement. The aggregate effect on the Company’s diluted weighted-average common shares for the three months ended September 30, 2021 and 2020 was zero weighted-average incremental shares from the forward equity sales agreements. The aggregate effect on the Company’s diluted weighted-average common shares for the nine months ended September 30, 2021 and 2020 was zero and 0.3 million weighted-average incremental shares, respectively, from the forward equity sales agreements. 
The following table illustrates the computation of basic and diluted earnings per share (in thousands, except per share amounts):
 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
Numerator
Income (loss) from continuing operations$61,305 $(27,762)$108,785 $179,711 
Noncontrolling interests' share in continuing operations(7,195)(3,616)(14,036)(10,565)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc.54,110 (31,378)94,749 169,146 
Less: Participating securities' share in continuing operations(269)(351)(3,001)(2,151)
Income (loss) from continuing operations applicable to common shares53,841 (31,729)91,748 166,995 
Income (loss) from discontinued operations601 (31,819)384,569 98,297 
Noncontrolling interests' share in discontinued operations— (220)(2,539)(274)
Net income (loss) applicable to common shares$54,442 $(63,768)$473,778 $265,018 
Denominator  
Basic weighted average shares outstanding539,021 538,333 538,879 527,908 
Dilutive potential common shares - equity awards(1)
367 — 280 279 
Dilutive potential common shares - forward equity agreements(2)
— — — 268 
Diluted weighted average common shares539,388 538,333 539,159 528,455 
Basic earnings (loss) per common share
Continuing operations$0.10 $(0.06)$0.17 $0.32 
Discontinued operations0.00 (0.06)0.71 0.18 
Net income (loss) applicable to common shares$0.10 $(0.12)$0.88 $0.50 
Diluted earnings (loss) per common share  
Continuing operations$0.10 $(0.06)$0.17 $0.32 
Discontinued operations0.00 (0.06)0.71 0.18 
Net income (loss) applicable to common shares$0.10 $(0.12)$0.88 $0.50 
_______________________________________
(1)For all periods presented, represents the dilutive impact of 1 million outstanding equity awards (restricted stock units and stock options).
(2)For the three and nine months ended September 30, 2021, all 9 million shares that have not been settled as of September 30, 2021 were anti-dilutive. For the nine months ended September 30, 2020, represents the dilutive impact of 32 million shares that were settled during the nine months then ended. For the three months ended September 30, 2020, forward sales agreements had no dilutive impact as all agreements were settled prior to the start of the period.
For all periods presented in the table above, all 7 million shares issuable upon conversion of DownREIT units were not included because they were anti-dilutive.
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NOTE 14.  Segment Disclosures
The Company’s reportable segments, based on how its chief operating decision makers (“CODMs”) evaluates its business and allocates resources, are as follows: (i) life science, (ii) medical office, and (iii) CCRC. The Company has non-reportable segments that are comprised primarily of the Company’s interests in an unconsolidated senior housing joint venture and debt investments. The accounting policies of the segments are the same as those in Note 2 to the Consolidated Financial Statements in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020 filed with the SEC, as updated by Note 2 herein.
In December 2020, the Company’s senior housing triple-net and SHOP portfolios were classified as discontinued operations and are no longer reportable segments. See Notes 1 and 5 for further information.
In December 2020, as a result of a change in how operating results are reported to the Company’s CODMs, the Company’s hospitals were reclassified from other non-reportable segments to the medical office segment and the Company’s one remaining unconsolidated investment in a senior housing joint venture was reclassified from the SHOP segment to other non-reportable segments.
All prior period segment information has been recast to conform to the current period presentation.
The Company evaluates performance based on property Adjusted NOI. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses (which exclude transition costs); NOI excludes all other financial statement amounts included in net income (loss). Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense.
NOI and Adjusted NOI include the Company’s share of income (loss) from unconsolidated joint ventures and exclude noncontrolling interests’ share of income (loss) from consolidated joint ventures. Management believes that Adjusted NOI is an important supplemental measure because it provides relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and presenting it on an unlevered basis. Additionally, management believes that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items.
Non-segment assets consist of assets in the Company’s other non-reportable segments and corporate non-segment assets. Corporate non-segment assets consist primarily of corporate assets, including cash and cash equivalents, restricted cash, accounts receivable, net, loans receivable, marketable equity securities, other assets, real estate assets held for sale and discontinued operations, and liabilities related to assets held for sale.
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The following tables summarize information for the reportable segments (in thousands):
For the three months ended September 30, 2021:
Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$184,213 $171,482 $119,022 $6,748 $— $481,465 
Government grant income(1)
— — 15 — — 15 
Less: Interest income— — — (6,748)— (6,748)
Healthpeak’s share of unconsolidated joint venture total revenues1,521 737 — 17,109 — 19,367 
Healthpeak’s share of unconsolidated joint venture government grant income— — — — — — 
Noncontrolling interests’ share of consolidated joint venture total revenues(82)(8,954)— — — (9,036)
Operating expenses(44,923)(58,430)(98,799)13 — (202,139)
Healthpeak’s share of unconsolidated joint venture operating expenses(463)(305)(32)(13,450)— (14,250)
Noncontrolling interests’ share of consolidated joint venture operating expenses25 2,659 — — — 2,684 
Adjustments to NOI(2)
(11,021)(3,626)724 (100)— (14,023)
Adjusted NOI129,270 103,563 20,930 3,572 — 257,335 
Plus: Adjustments to NOI(2)
11,021 3,626 (724)100 — 14,023 
Interest income— — — 6,748 — 6,748 
Interest expense(46)(1,104)(1,936)— (32,819)(35,905)
Depreciation and amortization(79,570)(66,189)(31,416)— — (177,175)
General and administrative— — — — (23,270)(23,270)
Transaction costs— — — — — — 
Impairments and loan loss reserves— (1,952)— 1,667 — (285)
Gain (loss) on sales of real estate, net— 14,635 — — — 14,635 
Gain (loss) on debt extinguishments— — — — (667)(667)
Other income (expense), net22 (30)114 1,563 1,670 
Less: Government grant income— — (15)— — (15)
Less: Healthpeak’s share of unconsolidated joint venture NOI(1,058)(432)32 (3,659)— (5,117)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI57 6,295 — — — 6,352 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures59,696 58,412 (13,015)8,429 (55,193)58,329 
Income tax benefit (expense)— — — — 649 649 
Equity income (loss) from unconsolidated joint ventures630 220 845 632 — 2,327 
Income (loss) from continuing operations60,326 58,632 (12,170)9,061 (54,544)61,305 
Income (loss) from discontinued operations— — — — 601 601 
Net income (loss)$60,326 $58,632 $(12,170)$9,061 $(53,943)$61,906 
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.


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For the three months ended September 30, 2020:
 Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$148,702 $155,381 $115,031 $4,451 $— $423,565 
Government grant income(1)
— — 1,761 — — 1,761 
Less: Interest income— — — (4,443)— (4,443)
Healthpeak’s share of unconsolidated joint venture total revenues— 699 4,295 17,853 — 22,847 
Healthpeak’s share of unconsolidated joint venture government grant income— — 246 49 — 295 
Noncontrolling interests’ share of consolidated joint venture total revenues(66)(8,788)— — — (8,854)
Operating expenses(36,714)(51,435)(94,992)— — (183,141)
Healthpeak’s share of unconsolidated joint venture operating expenses— (296)(4,797)(13,485)— (18,578)
Noncontrolling interests’ share of consolidated joint venture operating expenses18 2,630 — — — 2,648 
Adjustments to NOI(2)
(8,330)(1,729)1,684 63 — (8,312)
Adjusted NOI103,610 96,462 23,228 4,488 — 227,788 
Plus: Adjustments to NOI(2)
8,330 1,729 (1,684)(63)— 8,312 
Interest income— — — 4,443 — 4,443 
Interest expense(57)(100)(1,983)— (51,594)(53,734)
Depreciation and amortization(57,170)(54,693)(30,106)(2)— (141,971)
General and administrative— — — — (21,661)(21,661)
Transaction costs(79)— (1,897)(8)— (1,984)
Impairments and loan loss reserves— (1,208)— 2,985 — 1,777 
Gain (loss) on sales of real estate, net— 2,283 — — — 2,283 
Gain (loss) on debt extinguishments— — — — (17,921)(17,921)
Other income (expense), net— — 3,903 — 2,841 6,744 
Less: Government grant income— — (1,761)— — (1,761)
Less: Healthpeak’s share of unconsolidated joint venture NOI— (403)256 (4,417)— (4,564)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI48 6,158 — — — 6,206 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures54,682 50,228 (10,044)7,426 (88,335)13,957 
Income tax benefit (expense)(3)
— — — — (22,970)(22,970)
Equity income (loss) from unconsolidated joint ventures— 198 (322)(18,625)— (18,749)
Income (loss) from continuing operations54,682 50,426 (10,366)(11,199)(111,305)(27,762)
Income (loss) from discontinued operations— — — — (31,819)(31,819)
Net income (loss)$54,682 $50,426 $(10,366)$(11,199)$(143,124)$(59,581)
______________________________________________________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
(3)Income tax benefit (expense) for the three months ended September 30, 2020 includes a $31 million income tax expense related to the valuation allowance on deferred tax assets that are no longer expected to be realized (see Note 5).
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For the nine months ended September 30, 2021:
 Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$531,674 $496,978 $352,458 $31,869 $— $1,412,979 
Government grant income(1)
— — 1,412 — — 1,412 
Less: Interest income— — — (31,869)— (31,869)
Healthpeak’s share of unconsolidated joint venture total revenues4,270 2,162 6,903 50,602 — 63,937 
Healthpeak’s share of unconsolidated joint venture government grant income— — 200 810 — 1,010 
Noncontrolling interests’ share of consolidated joint venture total revenues(222)(26,704)— — — (26,926)
Operating expenses(125,108)(164,198)(284,739)13 — (574,032)
Healthpeak’s share of unconsolidated joint venture operating expenses(1,316)(915)(6,985)(38,496)— (47,712)
Noncontrolling interests’ share of consolidated joint venture operating expenses66 7,714 — — — 7,780 
Adjustments to NOI(2)
(35,197)(7,553)1,971 (15)— (40,794)
Adjusted NOI374,167 307,484 71,220 12,914 — 765,785 
Plus: Adjustments to NOI(2)
35,197 7,553 (1,971)15 — 40,794 
Interest income— — — 31,869 — 31,869 
Interest expense(196)(1,985)(5,778)— (113,470)(121,429)
Depreciation and amortization(224,958)(187,512)(93,702)— — (506,172)
General and administrative— — — — (72,260)(72,260)
Transaction costs(11)(295)(1,090)(21)— (1,417)
Impairments and loan loss reserves— (1,952)— (2,506)— (4,458)
Gain (loss) on sales of real estate, net— 189,873 — — — 189,873 
Gain (loss) on debt extinguishments— — — — (225,824)(225,824)
Other income (expense), net54 (2,483)2,456 482 5,095 5,604 
Less: Government grant income— — (1,412)— — (1,412)
Less: Healthpeak’s share of unconsolidated joint venture NOI(2,954)(1,247)(118)(12,916)— (17,235)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI156 18,990 — — — 19,146 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures181,455 328,426 (30,395)29,837 (406,459)102,864 
Income tax benefit (expense)— — — — 1,404 1,404 
Equity income (loss) from unconsolidated joint ventures648 549 1,484 1,836 — 4,517 
Income (loss) from continuing operations182,103 328,975 (28,911)31,673 (405,055)108,785 
Income (loss) from discontinued operations— — — — 384,569 384,569 
Net income (loss)$182,103 $328,975 $(28,911)$31,673 $(20,486)$493,354 
______________________________________________________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
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For the nine months ended September 30, 2020:
 Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$416,081 $463,866 $320,737 $12,494 $— $1,213,178 
Government grant income(1)
— — 13,632 — — 13,632 
Less: Interest income— — — (12,361)— (12,361)
Healthpeak’s share of unconsolidated joint venture total revenues— 2,085 30,723 56,729 — 89,537 
Healthpeak’s share of unconsolidated joint venture government grant income— — 780 319 — 1,099 
Noncontrolling interests’ share of consolidated joint venture total revenues(175)(25,775)— — — (25,950)
Operating expenses(101,120)(151,484)(345,722)— — (598,326)
Healthpeak’s share of unconsolidated joint venture operating expenses— (846)(27,660)(40,444)— (68,950)
Noncontrolling interests’ share of consolidated joint venture operating expenses53 7,737 — — — 7,790 
Adjustments to NOI(2)
(15,389)(3,188)93,263 114 — 74,800 
Adjusted NOI299,450 292,395 85,753 16,851 — 694,449 
Plus: Adjustments to NOI(2)
15,389 3,188 (93,263)(114)— (74,800)
Interest income— — — 12,361 — 12,361 
Interest expense(180)(302)(5,256)— (158,510)(164,248)
Depreciation and amortization(159,737)(165,265)(81,760)(12)— (406,774)
General and administrative— — — — (67,730)(67,730)
Transaction costs(80)— (16,739)(101)— (16,920)
Impairments and loan loss reserves— (6,033)— (10,134)— (16,167)
Gain (loss) on sales of real estate, net— 85,676 — (40)— 85,636 
Gain (loss) on debt extinguishments— — — — (42,912)(42,912)
Other income (expense), net— — 188,377 41,707 4,728 234,812 
Less: Government grant income— — (13,632)— — (13,632)
Less: Healthpeak’s share of unconsolidated joint venture NOI— (1,239)(3,843)(16,604)— (21,686)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI122 18,038 — — — 18,160 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures154,964 226,458 59,637 43,914 (264,424)220,549 
Income tax benefit (expense)(3)
— — — — 6,792 6,792 
Equity income (loss) from unconsolidated joint ventures— 604 (1,801)(46,433)— (47,630)
Income (loss) from continuing operations154,964 227,062 57,836 (2,519)(257,632)179,711 
Income (loss) from discontinued operations— — — — 98,297 98,297 
Net income (loss)$154,964 $227,062 $57,836 $(2,519)$(159,335)$278,008 
______________________________________________________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations (see Note 2).
(2)Represents straight-line rents, DFL non-cash interest, amortization of market lease intangibles, net, actuarial reserves for insurance claims that have been incurred but not reported, deferral of community fees, and termination fees. Includes the Company’s share of income (loss) generated by unconsolidated joint ventures and excludes noncontrolling interests’ share of income (loss) generated by consolidated joint ventures.
(3)Income tax benefit (expense) for the nine months ended September 30, 2020 includes: (i) a $51 million tax benefit recognized in conjunction with internal restructuring activities, which resulted in the transfer of assets subject to certain deferred tax liabilities from taxable REIT subsidiaries to the REIT in connection with the 2019 MTCA (see Note 3), (ii) a $31 million income tax expense related to the valuation allowance on deferred tax assets that are no longer expected to be realized (see Note 5), and (iii) a $3.6 million net tax benefit recognized due to changes under the CARES Act, which resulted in net operating losses being utilized at a higher income tax rate than previously available.
 
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The following table summarizes the Company’s revenues by segment (in thousands):
 Three Months Ended
September 30,
Nine Months Ended
September 30,
Segment2021202020212020
Life science$184,213 $148,702 $531,674 $416,081 
Medical office171,482 155,381 496,978 463,866 
CCRC119,022 115,031 352,458 320,737 
Other non-reportable6,748 4,451 31,869 12,494 
Total revenues$481,465 $423,565 $1,412,979 $1,213,178 
See Notes 3, 4, and 5 for significant transactions impacting the Company’s segment assets during the periods presented.
NOTE 15.  Supplemental Cash Flow Information
The following table provides supplemental cash flow information (in thousands):
 Nine Months Ended September 30,
 20212020
Supplemental cash flow information:  
Interest paid, net of capitalized interest$167,062 $187,569 
Income taxes paid (refunded)4,258 261 
Capitalized interest17,022 20,570 
Supplemental schedule of non-cash investing and financing activities:
Accrued construction costs150,204 114,979 
Vesting of restricted stock units and conversion of non-managing member units into common stock907 4,729 
Net noncash impact from the consolidation of previously unconsolidated joint ventures— 323,138 
Mortgages assumed with real estate acquisitions— 215,335 
Carrying value of mortgages assumed by buyer in real estate dispositions143,676 — 
Refundable entrance fees assumed with real estate acquisitions— 307,954 
Seller financing provided on disposition of real estate asset559,745 12,480 
Increase in ROU asset in exchange for new lease liability related to operating leases15,329 24,984 
Decrease in ROU asset with corresponding change in lease liability related to operating leases8,410 — 
See Note 3 for a discussion of the impact of the 2019 MTCA with Brookdale on the Company’s Consolidated Balance Sheets and statements of operations.
The following table summarizes certain cash flow information related to assets classified as discontinued operations (in thousands):
Nine Months Ended September 30,
20212020
Depreciation and amortization of real estate, in-place lease, and other intangibles$— $134,620 
Development, redevelopment, and other major improvements of real estate5,361 26,879 
Leasing costs, tenant improvements, and recurring capital expenditures2,609 9,137 

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The following table summarizes cash, cash equivalents and restricted cash (in thousands):
Nine Months Ended September 30,
202120202021202020212020
Continuing operationsDiscontinued operationsTotal
Beginning of period:
Cash and cash equivalents$44,226 $80,398 $53,085 $63,834 $97,311 $144,232 
Restricted cash67,206 13,385 17,168 27,040 84,374 40,425 
Cash, cash equivalents and restricted cash$111,432 $93,783 $70,253 $90,874 $181,685 $184,657 
End of period:
Cash and cash equivalents$201,099 $139,797 $14,005 $57,322 $215,104 $197,119 
Restricted cash53,699 83,156 19,263 53,702 102,419 
Cash, cash equivalents and restricted cash$254,798 $222,953 $14,008 $76,585 $268,806 $299,538 
NOTE 16.  Variable Interest Entities
Unconsolidated Variable Interest Entities
At September 30, 2021, the Company had investments in: (i) one unconsolidated VIE joint venture and (ii) marketable debt securities of one VIE. At December 31, 2020, the Company had investments in: (i) two properties leased to a VIE tenant, (ii) four unconsolidated VIE joint ventures, (iii) marketable debt securities of one VIE, and (iv) one loan to a VIE borrower. The Company determined it is not the primary beneficiary of and therefore does not consolidate these VIEs because it does not have the ability to control the activities that most significantly impact their economic performance. Except for the Company’s equity interest in the unconsolidated joint ventures (the LLC investment discussed below), it has no formal involvement in these VIEs beyond its investments.
VIE Tenant. As of December 31, 2020, the Company leased two properties to one tenant that was identified as a VIE (the “VIE tenant”). The VIE tenant was a “thinly capitalized” entity that relied on the operating cash flows generated from the senior housing facilities to pay operating expenses, including the rent obligations under its leases. In June 2021, the Company sold these two properties as part of the Sunrise Senior Housing Portfolio (see Note 5).
CCRC OpCo. As of December 31, 2020, the Company held a 49% ownership interest in CCRC OpCo, a joint venture entity formed in August 2014 that operated senior housing properties and had been identified as a VIE. The equity members of CCRC OpCo “lacked power” because they shared certain operating rights with Brookdale, as manager of the CCRCs. The assets of CCRC OpCo primarily consisted of the CCRCs that it owned and leased, resident fees receivable, notes receivable, and cash and cash equivalents; its obligations primarily consisted of operating lease obligations to CCRC PropCo, debt service payments, capital expenditures, accounts payable, and expense accruals. Assets generated by the operations of CCRC OpCo (primarily rents from CCRC residents) of CCRC OpCo may only be used to settle its contractual obligations (primarily from debt service payments, capital expenditures, and rental costs and operating expenses incurred to manage such facilities). Refer to Note 3 for additional discussion related to transactions impacting CCRC OpCo. In May 2021, the CCRC JV sold the two remaining CCRCs.
LLC Investment. The Company holds a limited partner ownership interest in an unconsolidated LLC that has been identified as a VIE. The Company’s involvement in the entity is limited to its equity investment as a limited partner and it does not have any substantive participating rights or kick-out rights over the general partner. The assets and liabilities of the entity primarily consist of those associated with its senior housing real estate and development activities. Any assets generated by the entity may only be used to settle its contractual obligations (primarily development expenses and debt service payments).
Development Investments. As of December 31, 2020, the Company held investments (consisting of mezzanine debt and/or preferred equity) in two senior housing development joint ventures. The joint ventures were also capitalized by senior loans from a third party and equity from the third party managing-member, but were considered to be “thinly capitalized” as there was insufficient equity investment at risk. In April 2021, the Company sold two mezzanine loans and two preferred equity investments as part of the Discovery SHOP Portfolio disposition (see Note 5).
Debt Securities Investment. The Company holds commercial mortgage-backed securities (“CMBS”) issued by Federal Home Loan Mortgage Corporation (commonly referred to as Freddie MAC) through a special purpose entity that has been identified as a VIE because it is “thinly capitalized.” The CMBS issued by the VIE are backed by mortgage debt obligations on real estate assets. These securities are classified as held-to-maturity because the Company has the intent and ability to hold the securities until maturity.
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Loan Receivable. The Company provided seller financing related to its sale of seven senior housing triple-net facilities. The financing was provided in the form of a secured five-year mezzanine loan to a “thinly capitalized” borrower created to acquire the facilities. In September 2021, the Company sold this loan receivable (see Note 7).
The classification of the related assets and liabilities and the maximum loss exposure as a result of the Company’s involvement with these VIEs at September 30, 2021 was as follows (in thousands):
VIE TypeAsset Type
Maximum Loss
Exposure
and Carrying
Amount(1)
Continuing operations:
CMBS and LLC investmentOther assets, net$36,088 
_______________________________________
(1)The Company’s maximum loss exposure represents the aggregate carrying amount of such investments (including accrued interest).
As of September 30, 2021, the Company had not provided, and is not required to provide, financial support through a liquidity arrangement or otherwise, to its unconsolidated VIEs, including under circumstances in which it could be exposed to further losses (e.g., cash shortfalls).
See Notes 3, 7, and 8 for additional descriptions of the nature, purpose, and operating activities of the Company’s unconsolidated VIEs and interests therein.
Consolidated Variable Interest Entities
The Company’s consolidated total assets and total liabilities at September 30, 2021 and December 31, 2020 include certain assets of VIEs that can only be used to settle the liabilities of the related VIE. The VIE creditors do not have recourse to the Company.
Ventures V, LLC.  The Company holds a 51% ownership interest in and is the managing member of a joint venture entity formed in October 2015 that owns and leases MOBs (“Ventures V”). The Company classifies Ventures V as a VIE due to the non-managing member lacking substantive participation rights in the management of Ventures V or kick-out rights over the managing member. The Company consolidates Ventures V as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of Ventures V primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by Ventures V may only be used to settle its contractual obligations (primarily from capital expenditures).
Life Science JVs.  The Company holds a 99% ownership interest in multiple joint venture entities that own and lease life science assets (the “Life Science JVs”). The Life Science JVs are VIEs as the members share in control of the entities, but substantially all of the activities are performed on behalf of the Company. The Company consolidates the Life Science JVs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Life Science JVs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the Life Science JVs may only be used to settle their contractual obligations (primarily from capital expenditures). Refer to Note 12 for a discussion of certain put options associated with the Life Science JVs.
MSREI MOB JV. The Company holds a 51% ownership interest in, and is the managing member of, a joint venture entity formed in August 2018 that owns and leases MOBs (the “MSREI JV”). The MSREI JV is a VIE due to the non-managing member lacking substantive participation rights in the management of the joint venture or kick-out rights over the managing member. The Company consolidates the MSREI JV as the primary beneficiary because it has the ability to control the activities that most significantly impact the VIE’s economic performance. The assets of the MSREI JV primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; its obligations primarily consist of capital expenditures for the properties. Assets generated by the MSREI JV may only be used to settle its contractual obligations (primarily from capital expenditures).
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Consolidated Lessees. As of December 31, 2020, the Company leased seven senior housing properties to lessee entities under cash flow leases through which the Company received monthly rent equal to the residual cash flows of the properties. The lessee entities were classified as VIEs as they were "thinly capitalized" entities. The Company consolidated the lessee entities as it had the ability to control the activities that most significantly impacted the economic performance of the lessee entities. The lessee entities’ assets primarily consisted of leasehold interests in senior housing facilities (operating leases), resident fees receivable, and cash and cash equivalents; its obligations primarily consisted of lease payments to the Company and operating expenses of the senior housing facilities (accounts payable and accrued expenses). Assets generated by the senior housing operations (primarily from senior housing resident rents) could only be used to settle contractual obligations (primarily from the rental costs, operating expenses incurred to manage such facility and debt costs). During the nine months ended September 30, 2021, the Company sold these seven senior housing properties.
DownREITs.  The Company holds a controlling ownership interest in and is the managing member of seven DownREITs. The Company classifies the DownREITs as VIEs due to the non-managing members lacking substantive participation rights in the management of the DownREITs or kick-out rights over the managing member. The Company consolidates the DownREITs as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the DownREITs primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the DownREITs (primarily from resident rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Other Consolidated Real Estate Partnerships.  The Company holds a controlling ownership interest in and is the general partner (or managing member) of multiple partnerships that own and lease real estate assets (the “Partnerships”). The Company classifies the Partnerships as VIEs due to the limited partners (non-managing members) lacking substantive participation rights in the management of the Partnerships or kick-out rights over the general partner (managing member). The Company consolidates the Partnerships as the primary beneficiary because it has the ability to control the activities that most significantly impact these VIEs’ economic performance. The assets of the Partnerships primarily consist of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consist of debt service payments and capital expenditures for the properties. Assets generated by the Partnerships (primarily from resident rents) may only be used to settle their contractual obligations (primarily from debt service and capital expenditures).
Exchange Accommodation Titleholder. During the year ended December 31, 2020, the Company acquired seven MOBs, one hospital, and three life science facilities (the “acquired properties”) using reverse like-kind exchange structures pursuant to Section 1031 of the Code (a “reverse 1031 exchange”). As of December 31, 2020, the Company had not completed the reverse 1031 exchanges and as such, the acquired properties remained in the possession of Exchange Accommodation Titleholders (“EATs”). The EATs were classified as VIEs as they were “thinly capitalized” entities. The Company consolidated the EATs because it had the ability to control the activities that most significantly impacted the economic performance of the EATs and was, therefore, the primary beneficiary of the EATs. The properties held by the EATs were reflected as real estate with a carrying value of $813 million as of December 31, 2020. The assets of the EATs primarily consisted of leased properties (net real estate), rents receivable, and cash and cash equivalents; their obligations primarily consisted of capital expenditures for the properties. Assets generated by the EATs may only be used to settle its contractual obligations (primarily from capital expenditures). The reverse 1031 exchanges described above were completed during the three months ended June 30, 2021. Therefore, as of September 30, 2021, no properties remained in possession of an EAT.
In October 2021, the Company acquired two MOBs in reverse 1031 exchange structures. As of November 1, 2021, the Company had not completed the reverse 1031 exchanges and as such, the acquired properties remain in the possession of EATs and are classified as VIEs.
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Total assets and total liabilities include VIE assets and liabilities as follows (in thousands):
 September 30,
2021
December 31,
2020
Assets  
Buildings and improvements$2,419,928 $2,988,599 
Development costs and construction in progress62,400 85,595 
Land459,425 433,574 
Accumulated depreciation and amortization(541,890)(602,491)
Net real estate2,399,863 2,905,277 
Accounts receivable, net7,950 12,009 
Cash and cash equivalents31,670 16,550 
Restricted cash86 7,977 
Intangible assets, net117,073 179,027 
Assets held for sale and discontinued operations, net3,480 704,966 
Right-of-use asset, net107,492 95,407 
Other assets, net67,268 59,063 
Total assets$2,734,882 $3,980,276 
Liabilities  
Mortgage debt$144,333 $39,085 
Intangible liabilities, net24,863 56,467 
Liabilities related to assets held for sale and discontinued operations, net3,032 190,919 
Lease liability98,042 97,605 
Accounts payable, accrued liabilities, and other liabilities58,025 102,391 
Deferred revenue33,474 90,183 
Total liabilities $361,769 $576,650 
Total assets and liabilities related to assets held for sale and discontinued operations include VIE assets and liabilities as follows (in thousands):
September 30,
2021
December 31,
2020
Assets
Buildings and improvements$— $639,759 
Development costs and construction in progress— 68 
Land— 106,209 
Accumulated depreciation and amortization— (57,235)
Net real estate— 688,801 
Accounts receivable, net1,298 1,700 
Cash and cash equivalents1,419 6,306 
Restricted cash— 3,124 
Right-of-use asset, net— 1,391 
Other assets, net763 3,644 
Total assets $3,480 $704,966 
Liabilities
Mortgage debt$— $176,702 
Lease liability— 1,392 
Accounts payable, accrued liabilities, and other liabilities3,032 11,003 
Deferred revenue— 1,822 
Total liabilities $3,032 $190,919 
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NOTE 17.  Fair Value Measurements
Financial assets and liabilities measured at fair value on a recurring basis in the Consolidated Balance Sheets were immaterial at September 30, 2021 and December 31, 2020.
The table below summarizes the carrying amounts and fair values of the Company’s financial instruments (in thousands):
 
September 30, 2021(3)
December 31, 2020(3)
 Carrying
Value
Fair ValueCarrying
Value
Fair Value
Loans receivable, net(2)
$411,062 $411,082 $195,375 $201,228 
Marketable debt securities(2)
20,836 20,836 20,355 20,355 
Interest rate cap assets(2)
196 196 — — 
Bank line of credit and commercial paper(2)
1,024,000 1,024,000 129,590 129,590 
Term loan(2)
— — 249,182 249,182 
Senior unsecured notes(1)
4,157,834 4,606,692 5,697,586 6,517,650 
Mortgage debt(2)(4)
356,570 359,274 221,621 221,181 
Interest rate swap liabilities(2)
— — 81 81 
_______________________________________
(1)Level 1: Fair value calculated based on quoted prices in active markets.
(2)Level 2: Fair value based on (i) for marketable debt securities, quoted prices for similar or identical instruments in active or inactive markets, respectively, or (ii) for loans receivable, net, mortgage debt, swaps, and caps, standardized pricing models in which significant inputs or value drivers are observable in active markets. For bank line of credit, commercial paper, and term loan, the carrying values are a reasonable estimate of fair value because the borrowings are primarily based on market interest rates and the Company’s credit rating.
(3)During the nine months ended September 30, 2021 and year ended December 31, 2020, there were no material transfers of financial assets or liabilities within the fair value hierarchy.
(4)For the year ended December 31, 2020, excludes mortgage debt on assets held for sale and discontinued operations of $319 million.
NOTE 18.  Derivative Financial Instruments
The Company uses derivative instruments to mitigate the effects of interest rate fluctuations on specific forecasted transactions as well as recognized financial obligations or assets. Utilizing derivative instruments allows the Company to manage the risk of fluctuations in interest rates related to the potential impact these changes could have on future earnings and forecasted cash flows. The Company does not use derivative instruments for speculative or trading purposes.
In March 2021, the Company repaid $39 million of variable rate secured debt on two SHOP assets and terminated the two remaining related interest rate swap contracts. Therefore, at September 30, 2021, the Company had no remaining interest rate swap contracts.
In April 2021, the Company executed two interest rate cap agreements on its mortgage debt issued in conjunction with the acquisition of the MOB Portfolio (see Note 4). The following table summarizes the Company’s outstanding interest rate cap agreements as of September 30, 2021 (dollars in thousands):
Date EnteredMaturity DateHedge DesignationNotionalStrike RateIndex
Fair Value(1)
Interest rate:
April 2021(2)
May 2024Non-designated$142,100 2.00 %1 mo. USD-LIBOR-BBA$196 
_____________________________
(1)Derivative assets are recorded in other assets, net in the Consolidated Balance Sheets.
(2)Represents two interest rate cap agreements that manage the Company’s exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates.
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NOTE 19.    Accounts Payable, Accrued Liabilities, and Other Liabilities
The following table summarizes the Company’s accounts payable, accrued liabilities, and other liabilities, excluding accounts payable, accrued liabilities, and other liabilities related to assets classified as discontinued operations (in thousands):
 September 30,
2021
December 31,
2020
Refundable entrance fees(1)
$296,278 $317,444 
Accrued construction costs150,204 95,293 
Accrued interest31,313 78,735 
Other accounts payable and accrued liabilities252,144 269,145 
Accounts payable, accrued liabilities, and other liabilities$729,939 $760,617 
_______________________________________
(1)At September 30, 2021 and December 31, 2020, unamortized nonrefundable entrance fee liabilities were $491 million and $484 million, respectively, which are recorded within deferred revenue on the Consolidated Balance Sheets.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
All references in this report to “Healthpeak,” the “Company,” “we,” “us” or “our” mean Healthpeak Properties, Inc., together with its consolidated subsidiaries. Unless the context suggests otherwise, references to “Healthpeak Properties, Inc.” mean the parent company without its subsidiaries.
Cautionary Language Regarding Forward-Looking Statements
Statements in this Quarterly Report on Form 10-Q that are not historical factual statements are “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 (the “Exchange Act”). Forward-looking statements include, among other things, statements regarding our and our officers’ intent, belief or expectation as identified by the use of words such as “may,” “will,” “project,” “expect,” “believe,” “intend,” “anticipate,” “seek,” “target,” “forecast,” “plan,” “potential,” “estimate,” “could,” “would,” “should” and other comparable and derivative terms or the negatives thereof. Forward-looking statements reflect our current expectations and views about future events and are subject to risks and uncertainties that could cause actual results, including our future financial condition and results of operations, to differ materially from those expressed or implied by any forward-looking statements. You are urged to carefully review the disclosures we make concerning risks and uncertainties that may affect our business and future financial performance.
Forward-looking statements are based on certain assumptions and analysis made in light of our experience and perception of historical trends, current conditions and expected future developments as well as other factors that we believe are appropriate under the circumstances. While forward-looking statements reflect our good faith belief and assumptions we believe to be reasonable based upon current information, we can give no assurance that our expectations or forecasts will be attained. Further, we cannot guarantee the accuracy of any such forward-looking statement contained in this Quarterly Report.
As more fully set forth under Part I, Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020, risks and uncertainties that may cause our actual results to differ materially from the expectations contained in the forward-looking statements include, among other things:
the coronavirus (“COVID-19”) pandemic and health and safety measures intended to reduce its spread, the availability, effectiveness and public usage and acceptance of vaccines, and how quickly and to what extent normal economic and operating conditions can resume within the markets in which we operate;
operational risks associated with third party management contracts, including the additional regulation and liabilities of our properties operated through structures permitted by the Housing and Economic Recovery Act of 2008, which includes most of the provisions previously proposed in the REIT Investment Diversification and Empowerment Act of 2007 (commonly referred to as “RIDEA”);
the ability of our existing and future tenants, operators and borrowers to conduct their respective businesses in a manner sufficient to maintain or increase their revenues and manage their expenses in order to generate sufficient income to make rent and loan payments to us and our ability to recover investments made, if applicable, in their operations;
increased competition, operating costs and market changes affecting our tenants, operators and borrowers;
the financial condition of our tenants, operators and borrowers, including potential bankruptcies and downturns in their businesses, and their legal and regulatory proceedings;
our concentration of investments in the healthcare property sector, which makes us more vulnerable to a downturn in a specific sector than if we invested in multiple industries;
our ability to identify replacement tenants and operators and the potential renovation costs and regulatory approvals associated therewith;
our property development and redevelopment activity risks, including costs above original estimates, project delays and lower occupancy rates and rents than expected;
changes within the life science industry;
high levels of regulation, funding requirements, expense and uncertainty faced by our life science tenants;
the ability of the hospitals on whose campuses our medical office buildings (“MOBs”) are located and their affiliated healthcare systems to remain competitive or financially viable;
our ability to maintain or expand our hospital and health system client relationships;
economic and other conditions that negatively affect geographic areas from which we recognize a greater percentage of our revenue;
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uninsured or underinsured losses, which could result in significant losses and/or performance declines by us or our tenants and operators;
our investments in joint ventures and unconsolidated entities, including our lack of sole decision making authority and our reliance on our partners’ financial condition and continued cooperation;
our use of contingent rent provisions and/or rent escalators based on the Consumer Price Index;
competition for suitable healthcare properties to grow our investment portfolio;
our ability to make material acquisitions and successfully integrate them;
the potential impact on us and our tenants, operators and borrowers from litigation matters, including rising liability and insurance costs;
our ability to foreclose on collateral securing our real estate-related loans;
laws or regulations prohibiting eviction of our tenants;
the failure of our tenants and operators to comply with federal, state and local laws and regulations, including resident health and safety requirements, as well as licensure, certification and inspection requirements;
required regulatory approvals to transfer our healthcare properties;
compliance with the Americans with Disabilities Act and fire, safety and other health regulations;
the requirements of, or changes to, governmental reimbursement programs such as Medicare or Medicaid;
legislation to address federal government operations and administration decisions affecting the Centers for Medicare and Medicaid Services;
our participation in the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) Provider Relief Program and other COVID-19 related stimulus and relief programs;
volatility or uncertainty in the capital markets, the availability and cost of capital as impacted by interest rates, changes in our credit ratings and the value of our common stock, and other conditions that may adversely impact our ability to fund our obligations or consummate transactions, or reduce the earnings from potential transactions;
cash available for distribution to stockholders and our ability to make dividend distributions at expected levels;
our ability to manage our indebtedness level and covenants in and changes to the terms of such indebtedness;
changes in global, national and local economic and other conditions;
provisions of Maryland law and our charter that could prevent a transaction that may otherwise be in the interest of our stockholders;
environmental compliance costs and liabilities associated with our real estate investments;
our ability to maintain our qualification as a real estate investment trust (“REIT”);
changes to U.S. federal income tax laws, and potential deferred and contingent tax liabilities from corporate acquisitions;
calculating non-REIT tax earnings and profits distributions;
ownership limits in our charter that restrict ownership in our stock;
our reliance on information technology systems and the potential impact of system failures, disruptions or breaches;
unfavorable litigation resolution or disputes; and
the loss or limited availability of our key personnel.
Except as required by law, we do not undertake, and hereby disclaim, any obligation to update any forward-looking statements, which speak only as of the date on which they are made.
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Overview
The information set forth in this Item 2 is intended to provide readers with an understanding of our financial condition, changes in financial condition and results of operations. We will discuss and provide our analysis in the following order:
Executive Summary
COVID-19 Update
2021 Transaction Overview
Dividends
Results of Operations
Liquidity and Capital Resources
Contractual Obligations and Off-Balance Sheet Arrangements
Non-GAAP Financial Measures Reconciliations
Critical Accounting Policies and Recent Accounting Pronouncements
Executive Summary
Healthpeak Properties, Inc. is a Standard & Poor’s (“S&P”) 500 company that acquires, develops, owns, leases and manages healthcare real estate across the United States (“U.S.”). Our company was originally founded in 1985. We are a Maryland corporation and qualify as a self-administered REIT. In November 2020, we moved our corporate headquarters from Irvine, California to Denver, Colorado. With properties in nearly every state, the new headquarters provides a favorable mix of affordability and a centralized geographic location. We also operate offices in Irvine, California and Franklin, Tennessee.
During 2020, we began the process of disposing of our senior housing triple-net portfolio and senior housing operating (“SHOP”) portfolio. In September 2021, we successfully completed the disposition of both portfolios. Refer to a discussion of recent dispositions in “Item 2, Management’s Discussion and Analysis of Financial Condition and Results of Operations—2021 Transaction Overview”. As of December 31, 2020, we concluded that the planned dispositions represented a strategic shift that has had and will have a major effect on our operations and financial results and, therefore, the assets are classified as discontinued operations in all periods presented herein. Prior periods have been recast to conform to the current period presentation. See Note 5 to the Consolidated Financial Statements for further information regarding discontinued operations.
In conjunction with the disposal of our senior housing triple-net and SHOP portfolios, we focused our strategy on investing in a diversified portfolio of high-quality healthcare properties across our three core asset classes of life science, medical office, and continuing care retirement community (“CCRC”) real estate. Under the life science and medical office segments, we invest through the acquisition, development and management of life science buildings, MOBs, and hospitals. Under the CCRC segment, our properties are operated through RIDEA structures. We have other non-reportable segments that are comprised primarily of debt investments and an interest in an unconsolidated joint venture that owns 19 senior housing assets.
At September 30, 2021, our portfolio of investments, including properties in our unconsolidated joint ventures and excluding investments classified as discontinued operations, consisted of interests in 480 properties. The following table summarizes information for our reportable segments, excluding discontinued operations, for the three months ended September 30, 2021 (dollars in thousands):
Segment
Total Portfolio Adjusted NOI(1)(2)
Percentage of Total Portfolio Adjusted NOI(1)
Number of Properties
Life science$129,270 50 %146 
Medical office103,563 40 %300 
CCRC20,930 %15 
Other non-reportable3,572 %19 
Totals$257,335 100 %480 
_______________________________________
(1)Total Portfolio metrics include results of operations from disposed properties through the disposition date. See “Item 2, Management’s Discussion and Analysis of Financial Condition and Results of Operations—Non-GAAP Financial Measures” for additional information regarding Adjusted NOI and see Note 14 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(2)For the three months ended September 30, 2021, Adjusted NOI for our senior housing triple-net and SHOP portfolios was $1 million and $(3) million, respectively. Operating results for these portfolios are reported as discontinued operations for all periods presented herein.

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For a description of our significant activities during 2021, see “Item 2, Management’s Discussion and Analysis of Financial Condition and Results of Operations—2021 Transaction Overview” in this report.
We invest in and manage our real estate portfolio for the long-term to maximize benefit to our stockholders and support the growth of our dividends. Our strategy consists of four core elements:
(i)Our real estate: Our portfolio is grounded in high-quality properties in desirable locations. We focus on three purposely selected private pay asset classes, life science, medical office, and continuing care retirement community, to provide stability through inevitable market cycles.
(ii)Our financials: We maintain a strong investment-grade balance sheet with ample liquidity as well as long-term fixed-rate debt financing with staggered maturities to reduce our exposure to interest rate volatility and refinancing risk.
(iii)Our partnerships: We work with leading healthcare companies, operators and service providers and are responsive to their space and capital needs. We provide high-quality management services to encourage tenants to renew, expand and relocate into our properties, which drives increased occupancy, rental rates, and property values.
(iv)Our platform: We have a people-first culture that we believe attracts, develops and retains top talent. We continually strive to create and maintain an industry-leading platform, with systems and tools that allow us to effectively and efficiently manage our assets and investment activity.
COVID-19 Update
Our tenants, operators, and borrowers have experienced significant cost increases as a result of increased health and safety measures, staffing shortages, increased governmental regulation and compliance, vaccine mandates, and other operational changes necessitated either directly or indirectly by the COVID-19 pandemic. Labor costs in particular have increased as a result of higher staffing hours, increased hourly wages and bonuses, greater overtime, and increased usage of contract labor. We anticipate that many of these expenses will remain at these higher levels even after the pandemic passes, and may reduce margins in the business.
The impact of COVID-19 on the ability of our tenants to pay rent in the future is currently unknown. We have monitored, and will continue to monitor, the credit quality of each of our tenants and write off straight-line rent and accounts receivable, as necessary. In the event we conclude that substantially all of a tenant’s straight-line rent or accounts receivable is not probable of collection in the future, such amounts will be written off, which could have a material impact on our future results of operations.
All development, redevelopment, and tenant improvement projects that were previously delayed have been allowed to restart with infection control protocols in place, although future local, state, or federal orders could cause work to be suspended, and individual projects may be affected by outbreaks.
We remain well-positioned to navigate economic changes resulting from the pandemic, with approximately $2.1 billion of liquidity available, including $1.65 billion of borrowing capacity under our bank line of credit facility, $319 million of net proceeds expected from the future settlement of shares issued through our ATM forward contracts, and approximately $124 million of cash and cash equivalents as of November 1, 2021.
We have taken, and will continue to take, proactive measures to provide for the well-being of our employees. We have implemented systems and processes that have allowed us to work effectively and efficiently in the remote environment. The steps taken to protect our employees and afford them a safe working environment continue to evolve along with authoritative guidance on best practices.
Although the wide availability of the vaccine has reduced the negative impacts of the pandemic in our CCRC communities and senior housing facilities, we do not yet know the full, long-term economic impact of the COVID-19 pandemic or when occupancy and revenue will return to pre-pandemic levels. The increase in cases caused by recent variants has evidenced the fact that the course of the pandemic is highly uncertain and that unexpected surges or other factors could materially impact recovery from the pandemic, adversely disrupt operations, and/or cause significant reputational harm to us, our tenants, our operators, or our borrowers.
See Part I, Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 for additional discussion of the risks posed by the COVID-19 pandemic and uncertainties we and our tenants, operators, and borrowers may face as a result.
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2021 Transaction Overview
South San Francisco Land Site Acquisition
In October 2020, we executed a definitive agreement to acquire approximately 12 acres of land for $128 million. The acquisition site is located in South San Francisco, California, adjacent to two sites currently held by us as land for future development. We paid a $10 million nonrefundable deposit upon completing due diligence in November 2020. The first phase of the acquisition, with a purchase price of $61 million, closed in April 2021. The second phase of the acquisition, with a purchase price of $24 million, closed in September 2021. The final phase of the acquisition, with a purchase price of $43 million, closed in October 2021.
Westview Medical Plaza Acquisition
In February 2021, we acquired one MOB in Nashville, Tennessee for $13 million.
Pinnacle at Ridgegate Acquisition
In April 2021, we acquired one MOB in Denver, Colorado for $38 million.
MOB Portfolio Acquisition
In April 2021, we acquired 14 MOBs for $371 million and originated $142 million of secured mortgage debt (the “MOB Portfolio”).
Westside Medical Plaza Acquisition
In June 2021, we acquired one MOB in Fort Lauderdale, Florida for $16 million.
Wesley Woodlawn Acquisition
In July 2021, we acquired one MOB in Wichita, Kansas for $50 million.
Atlantic Health Acquisition
In July 2021, we acquired three MOBs in Morristown, New Jersey for $155 million.
Baylor Centennial Acquisitions
In September 2021, we acquired two MOBs in Dallas, Texas for $60 million.
Concord Avenue Campus Acquisition
In September 2021, we acquired a life science campus, comprised of three buildings, in Cambridge, Massachusetts for $180 million.
10 Fawcett Acquisition
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $73 million.
Vista Sorrento Phase 1 Acquisition
In October 2021, we closed a life science acquisition in San Diego, California for $20 million.
Swedish Medical Acquisition
In October 2021, we acquired one MOB in Seattle, Washington for $43 million.
Lakeview Medical Pavilion
In October 2021, we acquired one MOB in New Orleans, Louisiana for $34 million.
Mooney Street Parcels
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $123 million.
725 Concord
In October 2021, we acquired an MOB and adjacent land parcel in Cambridge, Massachusetts for $80 million.
25 Spinelli
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $34 million.
68 Moulton
In October 2021, we closed a life science acquisition in Cambridge, Massachusetts for $18 million.
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Senior Housing Portfolio Sales
In January 2021, we sold a portfolio of 32 SHOP assets (the “Sunrise Senior Housing Portfolio”) for $664 million and provided the buyer with: (i) financing of $410 million and (ii) a commitment to finance up to $92 million of additional debt for capital expenditures. In June 2021, we received principal repayments of $246 million on the January 2021 financing. As a result of this repayment, the commitment to finance additional debt for capital expenditures was reduced to $56 million, $0.4 million of which had been funded as of September 30, 2021.
In January 2021, we sold 24 senior housing assets under a triple-net lease with Brookdale Senior Living Inc. (“Brookdale”) for $510 million.
In January 2021, we sold a portfolio of 16 SHOP assets for $230 million and provided the buyer with financing of $150 million.
In February 2021, we sold eight senior housing assets in a triple-net lease with Harbor Retirement Associates for $132 million.
In April 2021, we sold a portfolio of 12 SHOP assets for $564 million.
In April 2021, we sold: (i) a portfolio of 10 SHOP assets for $334 million and (ii) 2 mezzanine loans and 2 preferred equity investments for $21 million.
In April 2021, we sold a portfolio of five SHOP assets for $64 million.
In May 2021, we sold a portfolio of seven SHOP assets for $113 million.
In June 2021, upon completion of the license transfer process, we sold the two remaining Sunrise senior housing triple-net assets for $80 million.
In addition to the transactions above, during the nine months ended September 30, 2021, we sold 15 SHOP assets for $169 million and 7 senior housing triple-net assets for $24 million. Therefore, as of September 30, 2021, we had successfully completed the disposition of our remaining senior housing triple-net and SHOP properties classified as discontinued operations.
Other Real Estate Transactions
In April 2021, the SHOP property in the Otay Ranch JV was sold, resulting in our share of proceeds of $32 million.
In May 2021, the CCRC JV sold the remaining two CCRCs for $38 million, $19 million of which represents our 49% interest.
In addition to the transactions above, during the nine months ended September 30, 2021, we sold seven MOBs for $57 million and one hospital for $226 million (through the exercise of a purchase option by a tenant).
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Financing Activities
In January 2021, we repurchased $112 million aggregate principal amount of our 4.25% senior unsecured notes due 2023, $201 million aggregate principal amount of our 4.20% senior unsecured notes due 2024, and $469 million aggregate principal amount of our 3.88% senior unsecured notes due 2024.
In February 2021, we used optional redemption provisions to redeem the remaining $188 million of our 4.25% senior unsecured notes due 2023, $149 million of our 4.20% senior unsecured notes due 2024, and $331 million of our 3.88% senior unsecured notes due 2024.
In May 2021, we repurchased $252 million of our 3.40% senior unsecured notes due 2025 and $298 million of our 4.00% senior unsecured notes due 2025.
In July 2021, we completed our inaugural green bond offering, issuing $450 million aggregate principal amount of 1.35% senior unsecured notes due 2027.
In July 2021, we repaid the $250 million outstanding balance on our unsecured term loan facility (“2019 Term Loan”).
In September 2021, we amended and restated our bank line of credit facility to increase total revolving commitments from $2.5 billion to $3.0 billion and extend the maturity date to January 20, 2026. This maturity date may be further extended pursuant to two six-month extension options, subject to certain customary conditions.
During the three months ended September 30, 2021, we utilized the forward provisions under the 2020 ATM Program (as defined below) to allow for the sale of an aggregate of 9.1 million shares of our common stock at an initial weighted average net price of $35.25 per share, after commissions.
In 2021, we increased the maximum aggregate face or principal amount that can be outstanding at any one time under our commercial paper program from $1.0 billion to $1.5 billion.
Development Activities
At September 30, 2021, we had five on-campus MOB developments in process with an aggregate total estimated cost of $122 million.
At September 30, 2021, we had seven life science development projects in process with an aggregate total estimated cost of approximately $1.2 billion.
During the nine months ended September 30, 2021, the following projects were placed in service: (i) one life science development project with a total project cost of $151 million at completion, (ii) one life science redevelopment project with a total project cost of $19 million at completion, and (iii) two redevelopment assets in an unconsolidated joint venture owning 19 SHOP assets with our aggregate share of total project costs of $23 million at completion.
Dividends
The following table summarizes our common stock cash dividends declared in 2021:
Declaration DateRecord DateAmount
Per Share
Dividend
Payment Date
February 9February 22$0.30 March 5
April 29May 100.30 May 21
July 29August 90.30 August 20
October 27November 80.30 November 19
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Results of Operations
We evaluate our business and allocate resources among our reportable business segments: (i) life science, (ii) medical office, and (iii) CCRC. Under the life science and medical office segments, we invest through the acquisition and development of life science facilities, MOBs, and hospitals, which generally require a greater level of property management. Our CCRCs are operated through RIDEA structures. We have other non-reportable segments that are comprised primarily of: (i) an interest in an unconsolidated joint venture that owns 19 senior housing assets and (ii) debt investments. We evaluate performance based upon property adjusted net operating income (“Adjusted NOI” or “Cash NOI”) in each segment. The accounting policies of the segments are the same as those described in the summary of significant accounting policies in Note 2 to the Consolidated Financial Statements in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 filed with the U.S. Securities and Exchange Commission (“SEC”), as updated by Note 2 to the Consolidated Financial Statements herein.
In conjunction with classifying our senior housing triple-net and SHOP portfolios as discontinued operations as of December 31, 2020, the results of operations related to those portfolios are no longer presented in reportable business segments. Accordingly, results of operations of those portfolios are not included in the reportable business segment analysis below. Refer to Note 5 to the Consolidated Financial Statements for further information regarding discontinued operations.
Non-GAAP Financial Measures
Net Operating Income
NOI and Adjusted NOI are non-U.S. generally accepted accounting principles (“GAAP”) supplemental financial measures used to evaluate the operating performance of real estate. NOI is defined as real estate revenues (inclusive of rental and related revenues, resident fees and services, income from direct financing leases, and government grant income and exclusive of interest income), less property level operating expenses (which exclude transition costs); NOI excludes all other financial statement amounts included in net income (loss) as presented in Note 14 to the Consolidated Financial Statements. Adjusted NOI is calculated as NOI after eliminating the effects of straight-line rents, DFL non-cash interest, amortization of market lease intangibles, termination fees, actuarial reserves for insurance claims that have been incurred but not reported, and the impact of deferred community fee income and expense. NOI and Adjusted NOI include our share of income (loss) generated by unconsolidated joint ventures and exclude noncontrolling interests’ share of income (loss) generated by consolidated joint ventures. Adjusted NOI is oftentimes referred to as “Cash NOI.” Management believes NOI and Adjusted NOI are important supplemental measures because they provide relevant and useful information by reflecting only income and operating expense items that are incurred at the property level and present them on an unlevered basis. We use NOI and Adjusted NOI to make decisions about resource allocations, to assess and compare property level performance, and to evaluate our Same-Store (“SS”) performance, as described below. We believe that net income (loss) is the most directly comparable GAAP measure to NOI and Adjusted NOI. NOI and Adjusted NOI should not be viewed as alternative measures of operating performance to net income (loss) as defined by GAAP since they do not reflect various excluded items. Further, our definitions of NOI and Adjusted NOI may not be comparable to the definitions used by other REITs or real estate companies, as they may use different methodologies for calculating NOI and Adjusted NOI. For a reconciliation of NOI and Adjusted NOI to net income (loss) by segment, refer to Note 14 to the Consolidated Financial Statements.
Operating expenses generally relate to leased medical office and life science properties, as well as SHOP and CCRC facilities. We generally recover all or a portion of our leased medical office and life science property expenses through tenant recoveries. We present expenses as operating or general and administrative based on the underlying nature of the expense.
Same-Store
Same-Store NOI and Adjusted (Cash) NOI information allows us to evaluate the performance of our property portfolio under a consistent population by eliminating changes in the composition of our consolidated portfolio of properties. Same-Store Adjusted NOI excludes amortization of deferred revenue from tenant-funded improvements and certain non-property specific operating expenses that are allocated to each operating segment on a consolidated basis.
Properties are included in Same-Store once they are stabilized for the full period in both comparison periods. Newly acquired operating assets are generally considered stabilized at the earlier of lease-up (typically when the tenant(s) control(s) the physical use of at least 80% of the space and rental payments have commenced) or 12 months from the acquisition date. Newly completed developments and redevelopments are considered stabilized at the earlier of lease-up or 24 months from the date the property is placed in service. Properties that experience a change in reporting structure are considered stabilized after 12 months in operations under a consistent reporting structure. A property is removed from Same-Store when it is classified as held for sale, sold, placed into redevelopment, experiences a casualty event that significantly impacts operations, a change in reporting structure or operator transition has been agreed to, or a significant tenant relocates from a Same-Store property to a non Same-Store property and that change results in a corresponding increase in revenue. We do not report Same-Store metrics for our other non-reportable segments. For a reconciliation of Same-Store to total portfolio Adjusted NOI and other relevant disclosures by segment, refer to our Segment Analysis below.
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Funds From Operations (“FFO”)
FFO encompasses Nareit FFO and FFO as Adjusted, each of which is described in detail below. We believe FFO applicable to common shares, diluted FFO applicable to common shares, and diluted FFO per common share are important supplemental non-GAAP measures of operating performance for a REIT. Because the historical cost accounting convention used for real estate assets utilizes straight-line depreciation (except on land), such accounting presentation implies that the value of real estate assets diminishes predictably over time. Since real estate values instead have historically risen and fallen with market conditions, presentations of operating results for a REIT that use historical cost accounting for depreciation could be less informative. The term FFO was designed by the REIT industry to address this issue.
Nareit FFO. FFO, as defined by the National Association of Real Estate Investment Trusts (“Nareit”), is net income (loss) applicable to common shares (computed in accordance with GAAP), excluding gains or losses from sales of depreciable property, including any current and deferred taxes directly associated with sales of depreciable property, impairments of, or related to, depreciable real estate, plus real estate and other real estate-related depreciation and amortization, and adjustments to compute our share of Nareit FFO and FFO as Adjusted (see below) from joint ventures. Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of Nareit FFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. For consolidated joint ventures in which we do not own 100%, we reflect our share of the equity by adjusting our Nareit FFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods. Our pro-rata share information is prepared on a basis consistent with the comparable consolidated amounts, is intended to reflect our proportionate economic interest in the operating results of properties in our portfolio and is calculated by applying our actual ownership percentage for the period. We do not control the unconsolidated joint ventures, and the pro-rata presentations of reconciling items included in Nareit FFO do not represent our legal claim to such items. The joint venture members or partners are entitled to profit or loss allocations and distributions of cash flows according to the joint venture agreements, which provide for such allocations generally according to their invested capital.
The presentation of pro-rata information has limitations, which include, but are not limited to, the following: (i) the amounts shown on the individual line items were derived by applying our overall economic ownership interest percentage determined when applying the equity method of accounting and do not necessarily represent our legal claim to the assets and liabilities, or the revenues and expenses and (ii) other companies in our industry may calculate their pro-rata interest differently, limiting the usefulness as a comparative measure. Because of these limitations, the pro-rata financial information should not be considered independently or as a substitute for our financial statements as reported under GAAP. We compensate for these limitations by relying primarily on our GAAP financial statements, using the pro-rata financial information as a supplement.
Nareit FFO does not represent cash generated from operating activities in accordance with GAAP, is not necessarily indicative of cash available to fund cash needs and should not be considered an alternative to net income (loss). We compute Nareit FFO in accordance with the current Nareit definition; however, other REITs may report Nareit FFO differently or have a different interpretation of the current Nareit definition from ours.
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FFO as Adjusted. In addition, we present Nareit FFO on an adjusted basis before the impact of non-comparable items including, but not limited to, transaction-related items, other impairments (recoveries) and other losses (gains), restructuring and severance related charges, prepayment costs (benefits) associated with early retirement or payment of debt, litigation costs (recoveries), casualty-related charges (recoveries), foreign currency remeasurement losses (gains), deferred tax asset valuation allowances, and changes in tax legislation (“FFO as Adjusted”). Transaction-related items include transaction expenses and gains/charges incurred as a result of mergers and acquisitions and lease amendment or termination activities. Prepayment costs (benefits) associated with early retirement of debt include the write-off of unamortized deferred financing fees, or additional costs, expenses, discounts, make-whole payments, penalties or premiums incurred as a result of early retirement or payment of debt. Other impairments (recoveries) and other losses (gains) include interest income associated with early and partial repayments of loans receivable and other losses or gains associated with non-depreciable assets including goodwill, DFLs, undeveloped land parcels, and loans receivable. Management believes that FFO as Adjusted provides a meaningful supplemental measurement of our FFO run-rate and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. At the same time that Nareit created and defined its FFO measure for the REIT industry, it also recognized that “management of each of its member companies has the responsibility and authority to publish financial information that it regards as useful to the financial community.” We believe stockholders, potential investors, and financial analysts who review our operating performance are best served by an FFO run-rate earnings measure that includes certain other adjustments to net income (loss), in addition to adjustments made to arrive at the Nareit defined measure of FFO. FFO as Adjusted is used by management in analyzing our business and the performance of our properties and we believe it is important that stockholders, potential investors, and financial analysts understand this measure used by management. We use FFO as Adjusted to: (i) evaluate our performance in comparison with expected results and results of previous periods, relative to resource allocation decisions, (ii) evaluate the performance of our management, (iii) budget and forecast future results to assist in the allocation of resources, (iv) assess our performance as compared with similar real estate companies and the industry in general, and (v) evaluate how a specific potential investment will impact our future results. Other REITs or real estate companies may use different methodologies for calculating an adjusted FFO measure, and accordingly, our FFO as Adjusted may not be comparable to those reported by other REITs. For a reconciliation of net income (loss) to Nareit FFO and FFO as Adjusted and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
Adjusted FFO (“AFFO”). AFFO is defined as FFO as Adjusted after excluding the impact of the following: (i) amortization of stock-based compensation, (ii) amortization of deferred financing costs, net, (iii) straight-line rents, (iv) deferred income taxes, and (v) other AFFO adjustments which includes: (a) amortization of acquired market lease intangibles, net, (b) non-cash interest related to DFLs and lease incentive amortization (reduction of straight-line rents), (c) actuarial reserves for insurance claims that have been incurred but not reported, and (d) amortization of deferred revenues, excluding amounts amortized into rental income that are associated with tenant funded improvements owned/recognized by us and up-front cash payments made by tenants to reduce their contractual rents. Also, AFFO is computed after deducting recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements, and includes adjustments to compute our share of AFFO from our unconsolidated joint ventures. More specifically, recurring capital expenditures, including second generation leasing costs and second generation tenant and capital improvements ("AFFO capital expenditures") excludes our share from unconsolidated joint ventures (reported in “other AFFO adjustments”). Adjustments for joint ventures are calculated to reflect our pro-rata share of both our consolidated and unconsolidated joint ventures. We reflect our share of AFFO for unconsolidated joint ventures by applying our actual ownership percentage for the period to the applicable reconciling items on an entity by entity basis. We reflect our share for consolidated joint ventures in which we do not own 100% of the equity by adjusting our AFFO to remove the third party ownership share of the applicable reconciling items based on actual ownership percentage for the applicable periods (reported in “other AFFO adjustments”). See FFO for further disclosure regarding our use of pro-rata share information and its limitations. Other REITs or real estate companies may use different methodologies for calculating AFFO, and accordingly, our AFFO may not be comparable to those reported by other REITs. Although our AFFO computation may not be comparable to that of other REITs, management believes AFFO provides a meaningful supplemental measure of our performance and is frequently used by analysts, investors, and other interested parties in the evaluation of our performance as a REIT. We believe AFFO is an alternative run-rate earnings measure that improves the understanding of our operating results among investors and makes comparisons with: (i) expected results, (ii) results of previous periods, and (iii) results among REITs more meaningful. AFFO does not represent cash generated from operating activities determined in accordance with GAAP and is not necessarily indicative of cash available to fund cash needs as it excludes the following items which generally flow through our cash flows from operating activities: (i) adjustments for changes in working capital or the actual timing of the payment of income or expense items that are accrued in the period, (ii) transaction-related costs, (iii) litigation settlement expenses, (iv) restructuring and severance-related charges, and (v) actual cash receipts from interest income recognized on loans receivable (in contrast to our AFFO adjustment to exclude non-cash interest and depreciation related to our investments in direct financing leases). Furthermore, AFFO is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. AFFO is a non-GAAP supplemental financial measure and should not be considered as an alternative to net income (loss) determined in accordance with GAAP. For a reconciliation of net income (loss) to AFFO and other relevant disclosure, refer to “Non-GAAP Financial Measures Reconciliations” below.
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Comparison of the Three and Nine Months Ended September 30, 2021 to the Three and Nine Months Ended September 30, 2020
Overview
Three Months Ended September 30, 2021 and 2020
The following table summarizes results for the three months ended September 30, 2021 and 2020 (in thousands):
 Three Months Ended September 30,
 20212020Change
Net income (loss) applicable to common shares $54,442 $(63,768)$118,210 
Nareit FFO194,914 164,603 30,311 
FFO as Adjusted217,471 213,529 3,942 
AFFO179,739 183,791 (4,052)
Net income (loss) applicable to common shares increased primarily as a result of the following:
NOI generated from our life science and medical office segments related to: (i) 2020 and 2021 acquisitions of real estate, (ii) development and redevelopment projects placed in service during 2020 and 2021, and (iii) new leasing activity during 2020 and 2021 (including the impact to straight-line rents);
an increase in income from discontinued operations, primarily due to an increase in gain on sales of real estate and lower impairments of depreciable real estate, partially offset by a goodwill impairment charge related to our senior housing triple-net and SHOP asset sales;
an increase in income tax benefit, primarily as a result of the income tax expense recognized during the third quarter of 2020 from the establishment of a deferred tax asset valuation allowance related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio;
an increase in our share of net income from an unconsolidated joint venture owning 19 SHOP assets;
a reduction in interest expense, primarily as a result of: (i) senior unsecured notes repurchases and redemptions in 2021 and (ii) repayment of the 2019 Term Loan in the third quarter of 2021;
a decrease in loss on debt extinguishments related to our redemption of certain outstanding senior notes in the third quarter of 2020;
an increase in gains on sale of depreciable real estate related to MOB asset sales during the third quarter of 2021;
a reduction in COVID-19 related expenses and increased rates for resident fees at our CCRCs; and
an increase in interest income, primarily as a result of seller financing, partially offset by principal repayments on loans receivable.
The increase in net income (loss) applicable to common shares was partially offset by:
an increase in depreciation, primarily as a result of: (i) 2020 and 2021 acquisitions of real estate, (ii) accelerated depreciation related to the change in estimated useful lives on certain of our densification projects, and (iii) development and redevelopment projects placed into service during 2020 and 2021; and
a reduction in other income, net as a result of a decline in government grant income received under the CARES Act.
Nareit FFO increased primarily as a result of the aforementioned events impacting net income (loss) applicable to common shares, except for the following, which are excluded from Nareit FFO:
net gain on sales of depreciable real estate;
impairment charges related to depreciable real estate; and
depreciation and amortization expense.
FFO as Adjusted increased primarily as a result of the aforementioned events impacting Nareit FFO, except for the following, which are excluded from FFO as Adjusted:
goodwill impairment charge related to our senior housing triple-net and SHOP asset sales; and
the loss on debt extinguishment.
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AFFO decreased primarily as a result of the aforementioned events impacting FFO as Adjusted, except for the impact of straight-line rents, which is excluded from AFFO. The decrease was further impacted by higher AFFO capital expenditures during the period.
Nine Months Ended September 30, 2021 and 2020
The following table summarizes results for the nine months ended September 30, 2021 and 2020 (in thousands):
 Nine Months Ended September 30,
 20212020Change
Net income (loss) applicable to common shares $473,778 $265,018 $208,760 
Nareit FFO384,877 518,519 (133,642)
FFO as Adjusted650,166 655,255 (5,089)
AFFO553,578 583,343 (29,765)
Net income (loss) applicable to common shares increased primarily as a result of the following:
an increase in income from discontinued operations, primarily due to an increase in gain on sales of real estate and lower impairments of depreciable real estate, partially offset by a goodwill impairment charge related to our senior housing triple-net and SHOP asset sales;
an increase in gains on sale of depreciable real estate related to MOB asset sales during 2021;
NOI generated from our life science and medical office segments related to: (i) 2020 and 2021 acquisitions of real estate, (ii) development and redevelopment projects placed in service during 2020 and 2021, and (iii) new leasing activity during 2020 and 2021 (including the impact to straight-line rents);
a reduction in operating expenses related to our CCRCs primarily as a result of the management termination fee paid to Brookdale in connection with transitioning management of 13 CCRCs to Life Care Services LLC (“LCS”) during the first quarter of 2020;
an increase in our share of net income from an unconsolidated joint venture owning 19 SHOP assets;
a reduction in interest expense, primarily as a result of: (i) senior unsecured notes repurchases and redemptions in 2021 and (ii) repayment of the 2019 Term Loan in the third quarter of 2021;
an increase in interest income, primarily as a result of: (i) seller financing and (ii) the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable, partially offset by principal repayments on loans receivable;
a reduction in transaction costs, primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in the first quarter of 2020;
a reduction in impairment charges related to: (i) depreciable real estate and (ii) loan loss reserves, primarily as a result of principal repayments on loans receivable and loans receivable sales; and
an increase in rates for resident fees at our CCRCs.
The increase in net income (loss) applicable to common shares was partially offset by:
a reduction in other income, net as a result of: (i) a gain upon change of control related to the acquisition of the outstanding equity interest in 13 CCRCs from Brookdale during the first quarter of 2020, (ii) a gain on sale related to the sale of a hospital underlying a DFL during the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act;
an increase in loss on debt extinguishments related to our repurchase and redemption of certain outstanding senior notes in the first and second quarters of 2021;
an increase in depreciation, primarily as a result of: (i) 2020 and 2021 acquisitions of real estate, (ii) accelerated depreciation related to the change in estimated useful lives on certain of our densification projects, (iii) development and redevelopment projects placed into service during 2020 and 2021, and (iv) the above-mentioned acquisition of the outstanding equity interest and consolidation of 13 CCRCs from Brookdale during the first quarter of 2020; and
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a decrease in income tax benefit, primarily as a result of the tax benefits recognized in the first quarter of 2020 related to the above-mentioned acquisition of the outstanding equity interest in 13 CCRCs from Brookdale and the management termination fee expense fee paid to Brookdale in connection with transitioning management to LCS, partially offset by the income tax expense recognized during the third quarter of 2020 from the establishment of a deferred tax asset valuation allowance related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio.
Nareit FFO decreased primarily as a result of the aforementioned events impacting net income (loss) applicable to common shares, except for the following, which are excluded from Nareit FFO:
net gain on sales of depreciable real estate;
the gain upon change of control related to the acquisition of Brookdale’s interest in 13 CCRCs;
depreciation and amortization expense; and
impairment charges related to depreciable real estate.
FFO as Adjusted decreased primarily as a result of the aforementioned events impacting Nareit FFO, except for the following, which are excluded from FFO as Adjusted:
the loss on debt extinguishment;
the management termination fee paid to Brookdale in connection with our acquisition of their interest in 13 CCRCs;
net gain on sales of assets underlying DFLs;
the transaction costs associated with transition of 13 CCRCs from Brookdale to LCS;
goodwill impairment charge related to senior housing triple-net and SHOP asset sales;
loan loss reserves; and
the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable.
AFFO decreased primarily as a result of the aforementioned events impacting FFO as Adjusted, except for the impact of straight-line rents, which is excluded from AFFO. The decrease was further impacted by higher AFFO capital expenditures during the period.
Segment Analysis 
The following tables provide selected operating information for our Same-Store and total property portfolio for each of our reportable segments. For the three months ended September 30, 2021, our Same-Store consists of 370 properties representing properties acquired or placed in service and stabilized on or prior to July 1, 2020 and that remained in operations under a consistent reporting structure through September 30, 2021. For the nine months ended September 30, 2021, our Same-Store consists of 351 properties representing properties acquired or placed in service and stabilized on or prior to January 1, 2020 and that remained in operations under a consistent reporting structure through September 30, 2021. Our total property portfolio consisted of 480 and 448 properties at September 30, 2021 and 2020, respectively.
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Life Science
The following table summarizes results at and for the three months ended September 30, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
 SSTotal Portfolio
 Three Months Ended September 30,Three Months Ended September 30,
 20212020Change20212020Change
Rental and related revenues$127,287 $121,337 $5,950 $184,213 $148,702 $35,511 
Healthpeak’s share of unconsolidated joint venture total revenues— — — 1,521 — 1,521 
Noncontrolling interests’ share of consolidated joint venture total revenues(56)(59)(82)(66)(16)
Operating expenses(31,340)(29,534)(1,806)(44,923)(36,714)(8,209)
Healthpeak’s share of unconsolidated joint venture operating expenses— — — (463)— (463)
Noncontrolling interests’ share of consolidated joint venture operating expenses17 16 25 18 
Adjustments to NOI(1)
(3,468)(5,177)1,709 (11,021)(8,330)(2,691)
Adjusted NOI$92,440 $86,583 $5,857 129,270 103,610 25,660 
Less: non-SS Adjusted NOI   (36,830)(17,027)(19,803)
SS Adjusted NOI   $92,440 $86,583 $5,857 
Adjusted NOI % change  6.8 %   
Property count(2)
111 111  146 136  
End of period occupancy97.1 %96.8 %97.1 %96.3 %
Average occupancy97.1 %97.2 % 97.1 %96.4 % 
Average occupied square feet7,550 7,555  10,021 8,844  
Average annual total revenues per occupied square foot(3)
$66 $62  $69 $63  
Average annual base rent per occupied square foot(4)
$51 $48  $54 $50  
_______________________________________
(1)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(2)From our third quarter 2020 presentation of Same-Store, we removed one life science facility that was classified as held for sale, one life science facility that was placed into development, and one life science facility related to a significant tenant relocation.
(3)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(4)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
annual rent escalations;
new leasing activity; and
mark-to-market lease renewals.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
NOI from (i) increased occupancy in developments and redevelopments placed into service in 2020 and 2021 and (ii) acquisitions in 2020.
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The following table summarizes results at and for the nine months ended September 30, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
 SSTotal Portfolio
 Nine Months Ended September 30,Nine Months Ended September 30,
 20212020Change20212020Change
Rental and related revenues$355,071 $332,408 $22,663 $531,674 $416,081 $115,593 
Healthpeak’s share of unconsolidated joint venture total revenues— — — 4,270 — 4,270 
Noncontrolling interests’ share of consolidated joint venture total revenues(163)(157)(6)(222)(175)(47)
Operating expenses(82,754)(78,479)(4,275)(125,108)(101,120)(23,988)
Healthpeak’s share of unconsolidated joint venture operating expenses— — — (1,316)— (1,316)
Noncontrolling interests’ share of consolidated joint venture operating expenses47 47 — 66 53 13 
Adjustments to NOI(1)
(11,814)(11,967)153 (35,197)(15,389)(19,808)
Adjusted NOI$260,387 $241,852 $18,535 374,167 299,450 74,717 
Less: non-SS Adjusted NOI   (113,780)(57,598)(56,182)
SS Adjusted NOI   $260,387 $241,852 $18,535 
Adjusted NOI % change  7.7 %   
Property count(2)
107 107  146 136  
End of period occupancy97.0 %96.7 %97.1 %96.3 %
Average occupancy97.3 %96.6 % 96.9 %95.8 % 
Average occupied square feet7,273 7,217  10,119 8,551  
Average annual total revenues per occupied square foot(3)
$63 $59  $66 $62  
Average annual base rent per occupied square foot(4)
$50 $47  $52 $50  
_______________________________________
(1)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(2)From our third quarter 2020 presentation of Same-Store, we removed one life science facility that was classified as held for sale and one life science facility that was placed into development.
(3)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
(4)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
annual rent escalations;
new leasing activity; and
mark-to-market lease renewals.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
NOI from (i) increased occupancy in developments and redevelopments placed into service in 2020 and 2021 and (ii) acquisitions in 2020.
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Medical Office
The following table summarizes results at and for the three months ended September 30, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
 SS
Total Portfolio(1)
 Three Months Ended September 30,Three Months Ended September 30,
 20212020Change20212020Change
Rental and related revenues$136,378 $132,633 $3,745 $169,303 $153,231 $16,072 
Income from direct financing leases2,179 2,150 29 2,179 2,150 29 
Healthpeak’s share of unconsolidated joint venture total revenues713 677 36 737 699 38 
Noncontrolling interests’ share of consolidated joint venture total revenues(8,659)(8,481)(178)(8,954)(8,788)(166)
Operating expenses(45,436)(43,732)(1,704)(58,430)(51,435)(6,995)
Healthpeak’s share of unconsolidated joint venture operating expenses(304)(297)(7)(305)(296)(9)
Noncontrolling interests’ share of consolidated joint venture operating expenses2,592 2,556 36 2,659 2,630 29 
Adjustments to NOI(2)
(1,727)(2,190)463 (3,626)(1,729)(1,897)
Adjusted NOI$85,736 $83,316 $2,420 103,563 96,462 7,101 
Less: non-SS Adjusted NOI   (17,827)(13,146)(4,681)
SS Adjusted NOI   $85,736 $83,316 $2,420 
Adjusted NOI % change  2.9 %   
Property count(3)
244 244  300 276  
End of period occupancy91.9 %92.4 %90.1 %91.0 %
Average occupancy91.8 %92.4 % 89.9 %91.3 % 
Average occupied square feet18,071 18,181  21,337 20,023  
Average annual total revenues per occupied square foot(4)
$31 $30  $31 $31  
Average annual base rent per occupied square foot(5)
$26 $25  $27 $27  
___________________________________
(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)From our third quarter 2020 presentation of Same-Store, we removed six MOBs that were sold, four MOBs that were classified as held for sale, and three MOBs that were placed into redevelopment.
(4)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
(5)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
mark-to-market lease renewals;
annual rent escalations; and
higher parking income and percentage-based rents.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned increases to Same-Store and the following Non-Same-Store impacts:
increased NOI from our 2020 and 2021 acquisitions;
increased occupancy in former redevelopment and development properties that have been placed into service; partially offset by
decreased NOI from our 2020 and 2021 dispositions.
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The following table summarizes results at and for the nine months ended September 30, 2021 and 2020 (dollars and square feet in thousands, except per square foot data):
 SS
Total Portfolio(1)
 Nine Months Ended September 30,Nine Months Ended September 30,
 20212020Change20212020Change
Rental and related revenues$400,668 $389,359 $11,309 $490,456 $456,297 $34,159 
Income from direct financing leases6,522 6,424 98 6,522 7,569 (1,047)
Healthpeak’s share of unconsolidated joint venture total revenues2,095 2,018 77 2,162 2,085 77 
Noncontrolling interests’ share of consolidated joint venture total revenues(25,728)(24,865)(863)(26,704)(25,775)(929)
Operating expenses(131,128)(127,929)(3,199)(164,198)(151,484)(12,714)
Healthpeak’s share of unconsolidated joint venture operating expenses(915)(846)(69)(915)(846)(69)
Noncontrolling interests’ share of consolidated joint venture operating expenses7,499 7,518 (19)7,714 7,737 (23)
Adjustments to NOI(2)
(4,869)(4,917)48 (7,553)(3,188)(4,365)
Adjusted NOI$254,144 $246,762 $7,382 307,484 292,395 15,089 
Less: non-SS Adjusted NOI   (53,340)(45,633)(7,707)
SS Adjusted NOI   $254,144 $246,762 $7,382 
Adjusted NOI % change  3.0 %   
Property count(3)
242 242  300 276  
End of period occupancy91.9 %92.4 %90.1 %91.0 %
Average occupancy91.9 %92.4 % 90.1 %91.6 % 
Average occupied square feet18,018 18,091  20,827 19,936  
Average annual total revenues per occupied square foot(4)
$31 $30  $31 $31  
Average annual base rent per occupied square foot(5)
$26 $25  $27 $27  
_______________________________________
(1)Total Portfolio includes results of operations from disposed properties through the disposition date.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)From our third quarter 2020 presentation of Same-Store, we removed six MOBs that were sold, four MOBs that were classified as held for sale, and three MOBs that were placed into redevelopment.
(4)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
(5)Base rent does not include tenant recoveries, additional rents in excess of floors and non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, DFL non-cash interest, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
mark-to-market lease renewals;
annual rent escalations; and
higher parking income and percentage-based rents.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned increases to Same-Store and the following Non-Same-Store impacts:
increased NOI from our 2020 and 2021 acquisitions;
increased occupancy in former redevelopment and development properties that have been placed into service; partially offset by
decreased NOI from our 2020 and 2021 dispositions.
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Continuing Care Retirement Community
The following table summarizes results at and for the three months ended September 30, 2021 and 2020 (dollars in thousands, except per unit data):
 SSTotal Portfolio
 Three Months Ended September 30,Three Months Ended September 30,
 20212020Change20212020Change
Resident fees and services$119,022 $115,031 $3,991 $119,022 $115,031 $3,991 
Government grant income(1)
15 1,761 (1,746)15 1,761 (1,746)
Healthpeak’s share of unconsolidated joint venture total revenues— — — — 4,295 (4,295)
Healthpeak’s share of unconsolidated joint venture government grant income— — — — 246 (246)
Operating expenses(98,405)(94,992)(3,413)(98,799)(94,992)(3,807)
Healthpeak’s share of unconsolidated joint venture operating expenses— — — (32)(4,797)4,765 
Adjustments to NOI(2)
724 1,678 (954)724 1,684 (960)
Adjusted NOI$21,356 $23,478 $(2,122)20,930 23,228 (2,298)
Less: non-SS Adjusted NOI   426 250 176 
SS Adjusted NOI   $21,356 $23,478 $(2,122)
Adjusted NOI % change  (9.0) %   
Property count15 15  15 17  
Average occupancy79.5 %79.5 %79.5 %79.5 %
Average capacity (units)(3)
7,437 7,434  7,437 8,324  
Average annual rent per unit$64,016 $61,895  $64,021 $60,600  
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)Represents average capacity as reported by the respective tenants or operators for the three-month period.
Same-Store Adjusted NOI and Total Portfolio Adjusted NOI decreased primarily as a result of the following:
decreased government grant income received under the CARES Act; and
higher labor costs; partially offset by
lower COVID-19 related expenses; and
increased rates for resident fees.



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The following table summarizes results at and for the nine months ended September 30, 2021 and 2020 (dollars in thousands, except per unit data):
 SSTotal Portfolio
 Nine Months Ended September 30,Nine Months Ended September 30,
 20212020Change20212020Change
Resident fees and services$55,484 $57,032 $(1,548)$352,458 $320,737 $31,721 
Government grant income(1)
143 1,733 (1,590)1,412 13,632 (12,220)
Healthpeak’s share of unconsolidated joint venture total revenues— — — 6,903 30,723 (23,820)
Healthpeak’s share of unconsolidated joint venture government grant income— — — 200 780 (580)
Operating expenses(40,395)(41,006)611 (284,739)(345,722)60,983 
Healthpeak’s share of unconsolidated joint venture operating expenses— — — (6,985)(27,660)20,675 
Adjustments to NOI(2)
— (1)1,971 93,263 (91,292)
Adjusted NOI$15,232 $17,758 $(2,526)71,220 85,753 (14,533)
Less: non-SS Adjusted NOI   (55,988)(67,995)12,007 
SS Adjusted NOI   $15,232 $17,758 $(2,526)
Adjusted NOI % change  (14.2) %   
Property count 15 17  
Average occupancy75.9 %82.0 %79.2 %82.2 %
Average capacity (units)(3)
9,468 9,468  7,880 8,322  
Average annual rent per unit$70,322 $72,284  $62,334 $63,820  
_______________________________________
(1)Represents government grant income received under the CARES Act, which is recorded in other income (expense), net in the Consolidated Statements of Operations.
(2)Represents adjustments to NOI in accordance with our definition of Adjusted NOI. Refer to “Non-GAAP Financial Measures” above for definitions of NOI and Adjusted NOI.
(3)Represents average capacity as reported by the respective tenants or operators for the nine-month period.
Same-Store Adjusted NOI decreased primarily as a result of the following:
lower occupancy due to COVID-19;
decreased government grant income received under the CARES Act; and
higher labor costs; partially offset by
lower COVID-19 related expenses; and
increased rates for resident fees.
Total Portfolio Adjusted NOI decreased primarily as a result of the aforementioned decreases to Same-Store, which are also applicable to our properties not yet included in Same-Store.
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Other Income and Expense Items
The following table summarizes the results of our other income and expense items for the three and nine months ended September 30, 2021 and 2020 (in thousands):
 Three Months Ended September 30,Nine months ended September 30,
 20212020Change20212020Change
Interest income$6,748 $4,443 $2,305 $31,869 $12,361 $19,508 
Interest expense35,905 53,734 (17,829)121,429 164,248 (42,819)
Depreciation and amortization177,175 141,971 35,204 506,172 406,774 99,398 
General and administrative23,270 21,661 1,609 72,260 67,730 4,530 
Transaction costs— 1,984 (1,984)1,417 16,920 (15,503)
Impairments and loan loss reserves (recoveries), net285 (1,777)2,062 4,458 16,167 (11,709)
Gain (loss) on sales of real estate, net14,635 2,283 12,352 189,873 85,636 104,237 
Gain (loss) on debt extinguishments(667)(17,921)17,254 (225,824)(42,912)(182,912)
Other income (expense), net1,670 6,744 (5,074)5,604 234,812 (229,208)
Income tax benefit (expense)649 (22,970)23,619 1,404 6,792 (5,388)
Equity income (loss) from unconsolidated joint ventures2,327 (18,749)21,076 4,517 (47,630)52,147 
Income (loss) from discontinued operations601 (31,819)32,420 384,569 98,297 286,272 
Noncontrolling interests’ share in continuing operations(7,195)(3,616)(3,579)(14,036)(10,565)(3,471)
Noncontrolling interests’ share in discontinued operations— (220)220 (2,539)(274)(2,265)
Interest income
Interest income increased for the three and nine months ended September 30, 2021 primarily as a result of seller financing, partially offset by principal repayments on loans receivable. Interest income for the nine months ended September 30, 2021 further increased as result of the accelerated recognition of a mark-to-market discount resulting from prepayments on loans receivable.
Interest expense
Interest expense decreased for the three and nine months ended September 30, 2021 primarily as a result of: (i) senior unsecured notes repurchases and redemptions in the first and second quarters of 2021 and (ii) repayment of the 2019 Term Loan in the third quarter of 2021.
Depreciation and amortization expense
Depreciation and amortization expense increased for the three and nine months ended September 30, 2021 primarily as a result of: (i) assets acquired during 2020 and 2021, (ii) the acquisition of Brookdale’s interest in and consolidation of 13 CCRCs during the first quarter of 2020, (iii) development and redevelopment projects placed into service during 2020 and 2021, and (iv) accelerated depreciation related to the change in estimated useful lives on certain of our densification projects. The increase was partially offset by dispositions of real estate throughout 2020 and 2021.
General and administrative expense
General and administrative expenses increased for the three and nine months ended September 30, 2021 primarily as a result of higher travel and compensation costs. General and administrative expenses further increased for the nine months ended September 30, 2021 primarily as a result of increased restructuring and severance related charges.
Transaction Costs
Transaction costs decreased for the three and nine months ended September 30, 2021 primarily as a result of costs associated with the transition of 13 CCRCs from Brookdale to LCS in January 2020.
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Impairments and loan loss reserves (recoveries), net
The impairment charges recognized in each period vary depending on facts and circumstances related to each asset and are impacted by negotiations with potential buyers, current operations of the assets, and other factors. Impairments and loan loss reserves (recoveries), net increased for the three months ended September 30, 2021 primarily as a result of: (i) additional assets impaired under the held for sale impairment model and (ii) a decrease in loan loss recoveries under the current expected credit losses model. Impairments and loan loss reserves (recoveries), net decreased for the nine months ended September 30, 2021 primarily as a result of: (i) fewer assets impaired under the held for sale impairment model and (ii) a decrease in loan loss reserves under the current expected credit losses model, partially offset by impairment charges on loans classified as held for sale. The reduction in loan loss recoveries during the three months ended September 30, 2021 is primarily due to: (i) principal repayments on loans receivable during the third quarter of 2021, (ii) loans receivable sales, and (iii) a more positive economic outlook. The reduction in loan loss reserves during the nine months ended September 30, 2021 is further impacted by: (i) loans receivable transferred from held for investment to held for sale during the nine months ended September 30, 2021 and (ii) the sale of two mezzanine loans as part of the Discovery SHOP Portfolio disposition. The reduction in loan loss reserves during the nine months ended September 30, 2021 is partially offset by the loan loss reserve recognized related to new seller financing issued in the first quarter of 2021.
Gain (loss) on sales of real estate, net
Gain (loss) on sales of real estate, net increased during the three months ended September 30, 2021 primarily as a result of the sale of three MOBs for $36 million during the three months ended September 30, 2021 resulting in total gain on sale of $15 million, compared to the sale of four MOBs for $14 million during the three months ended September 30, 2020 resulting in total gain on sale of $2 million. Gain (loss) on sales of real estate, net increased during the nine months ended September 30, 2021 primarily as a result of the sale of seven MOBs for $57 million and one hospital for $226 million during the nine months ended September 30, 2021 resulting in total gain on sale of $190 million, compared to the sale of seven MOBs for $120 million, one undeveloped MOB land parcel for $2 million, and one asset from other non-reportable segments for $1 million during the nine months ended September 30, 2020 resulting in total gain on sale of $86 million.
Gain (loss) on debt extinguishments
Refer to Note 10 to the Consolidated Financial Statements for information regarding senior unsecured note repurchases and redemptions and the associated loss on debt extinguishment recognized.
Other income (expense), net
Other income (expense), net decreased for the three months ended September 30, 2021 primarily as a result of a decline in government grant income received under the CARES Act.
Other income (expense), net decreased for the nine months ended September 30, 2021 primarily as a result of: (i) a gain upon change of control related to the acquisition of the outstanding equity interest in 13 CCRCs from Brookdale during the first quarter of 2020, (ii) a gain on sale related to the sale of a hospital underlying a DFL during the first quarter of 2020, and (iii) a decline in government grant income received under the CARES Act.
Income tax benefit (expense)
Income tax benefit increased for the three months ended September 30, 2021 primarily as a result of the income tax expense recognized during the third quarter of 2020 from the establishment of a deferred tax asset valuation allowance related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio. Income tax benefit decreased for the nine months ended September 30, 2021 primarily as a result of the tax benefits recognized in the first quarter of 2020 related to the following: (i) the purchase of Brookdale’s interest in 13 of the 15 communities in the CCRC JV, including the management termination fee expense paid to Brookdale in connection with transitioning management of 13 CCRCs to LCS, and (ii) the extension of the net operating loss carryback period provided by the CARES Act. The decrease in income tax benefit during the nine months ended September 30, 2021 was partially offset by the aforementioned establishment of a deferred tax asset valuation allowance during the third quarter of 2020 related to deferred tax assets that were no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio.
Equity income (loss) from unconsolidated joint ventures
Equity income from unconsolidated joint ventures increased for the three and nine months ended September 30, 2021 as a result of a decrease in amortization expense due to fully amortized intangible assets related to an unconsolidated joint venture owning 19 SHOP assets. The increase in equity income from unconsolidated joint ventures for the nine months ended September 30, 2021 was partially offset by our share of a gain on sale of one asset in an unconsolidated joint venture during the first quarter of 2020.
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Income (loss) from discontinued operations
Income from discontinued operations increased for the three and nine months ended September 30, 2021 primarily as a result of: (i) increased gain on sales of real estate from the disposal of multiple senior housing portfolios during 2021; (ii) decreased depreciation and amortization expense due to assets being classified as held for sale throughout 2020; and (iii) decreased impairments of depreciable real estate as a result of fewer assets being impaired under the held for sale impairment model. The increase in income (loss) from discontinued operations during the three and nine months ended September 30, 2021 was partially offset by decreased NOI from dispositions of real estate during 2020 and 2021.
Liquidity and Capital Resources
We anticipate that our cash flow from operations, available cash balances and cash from our various financing activities will be adequate for at least the next 12 months for purposes of: (i) funding recurring operating expenses; (ii) meeting debt service requirements; and (iii) satisfying our obligations to make distributions to our stockholders and non-controlling interest members. Distributions were made using a combination of cash flows from operations, funds available under our bank line of credit and commercial paper program, proceeds from the sale of properties, and other sources of cash available to us. 
Our principal investing liquidity needs for the next 12 months are to:
fund capital expenditures, including tenant improvements and leasing costs; and
fund future acquisition, transactional and development and redevelopment activities.
We anticipate satisfying these future investing needs using one or more of the following:
cash flow from operations;
sale of, or exchange of ownership interests in, properties or other investments;
borrowings under our bank line of credit and commercial paper program;
issuance of additional debt, including unsecured notes, term loans and mortgage debt; and/or
issuance of common or preferred stock or its equivalent.
Our ability to access the capital markets impacts our cost of capital and ability to refinance maturing indebtedness, as well as our ability to fund future acquisitions and development through the issuance of additional securities or secured debt. Credit ratings impact our ability to access capital and directly impact our cost of capital as well. For example, our bank line of credit accrues interest at a rate per annum equal to the base rate or LIBOR (or other applicable rate with respect to non-dollar borrowings) plus a margin that depends upon the Company’s credit ratings for its senior unsecured long-term debt. We also pay a facility fee on the entire revolving commitment that depends upon our credit ratings. As of November 1, 2021, we had long-term credit ratings of Baa1 from Moody’s and BBB+ from S&P Global and Fitch, and short-term credit ratings of P-2, A-2, and F2 from Moody’s, S&P Global, and Fitch, respectively.
A downgrade in credit ratings by Moody’s, S&P Global, and Fitch may have a negative impact on the interest rates and facility fees for our bank line of credit and may negatively impact the pricing of notes issued under our commercial paper program and senior unsecured notes. While a downgrade in our credit ratings would adversely impact our cost of borrowing, we believe we would continue to have access to the unsecured debt markets, and we could also seek to enter into one or more secured debt financings, issue additional securities, including under our 2020 ATM Program (as defined below), or dispose of certain assets to fund future operating costs, capital expenditures, or acquisitions, although no assurances can be made in this regard. Refer to “COVID-19 Update” above for a more comprehensive discussion of the potential impact of COVID-19 on our business.
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Cash Flow Summary
The following summary discussion of our cash flows is based on the Consolidated Statements of Cash Flows and is not meant to be an all-inclusive discussion of the changes in our cash flows for the periods presented below.
The following table sets forth changes in cash flows (in thousands):
 Nine Months Ended September 30,
 20212020Change
Net cash provided by (used in) operating activities$571,335 $539,724 $31,611 
Net cash provided by (used in) investing activities1,203,675 (766,478)1,970,153 
Net cash provided by (used in) financing activities(1,687,889)341,788 (2,029,677)
Operating Cash Flows
The increase in operating cash flow is primarily the result of an increase in income related to: (i) 2020 and 2021 acquisitions, (ii) annual rent increases, (iii) new leasing activity, and (iv) developments and redevelopments placed in service during 2020 and 2021. The increase in operating cash flow is partially offset by a decrease in income related to assets sold during 2020 and 2021. Our cash flow from operations is dependent upon the occupancy levels of our buildings, rental rates on leases, our tenants’ performance on their lease obligations, the level of operating expenses, and other factors.
Investing Cash Flows
The following are significant investing activities for the nine months ended September 30, 2021:
made investments of $1.5 billion primarily related to the acquisition, development, and redevelopment of real estate and funding of new and existing loans; and
received net proceeds of $2.7 billion primarily from sales of real estate assets and repayments on loans receivable.
The following are significant investing activities for the nine months ended September 30, 2020:
made investments of $1.47 billion primarily related to the acquisition, development, and redevelopment of real estate and funding of new and existing loans; and
received net proceeds of $700 million primarily from sales of real estate assets, repayments on loans receivable, and the sale of a hospital under a DFL.
Financing Cash Flows
The following are significant financing activities for the nine months ended September 30, 2021:
made net borrowings of $894 million under our bank line of credit and commercial paper program;
made net repayments of $2.1 billion under our senior unsecured notes (including debt extinguishment costs) and mortgage debt; and
paid cash dividends on common stock of $488 million.
The following are significant financing activities for the nine months ended September 30, 2020:
made net repayments of $105 million under our bank line of credit, commercial paper program, senior unsecured notes (including debt extinguishment costs) and mortgage debt;
issued common stock of $1.07 billion; and
paid cash dividends on common stock of $588 million.
Discontinued Operations
Operating, investing, and financing cash flows in our Consolidated Statements of Cash Flows are reported inclusive of both cash flows from continuing operations and cash flows from discontinued operations. Certain significant cash flows from discontinued operations are disclosed in Note 15 to the Consolidated Financial Statements. The absence of future cash flows from discontinued operations is not expected to significantly impact our liquidity, as the proceeds from senior housing triple-net and SHOP dispositions are expected to be used to pay down debt and invest in additional real estate in our other business lines. Additionally, we have multiple other sources of liquidity that can be utilized in the future, as needed. Refer to the Liquidity and Capital Resources section above for additional information regarding our liquidity.
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Debt
In January 2021, we repurchased $112 million aggregate principal amount of our 4.25% senior unsecured notes due 2023, $201 million aggregate principal amount of our 4.20% senior unsecured notes due 2024, and $469 million aggregate principal amount of our 3.88% senior unsecured notes due 2024.
In February 2021, we used optional redemption provisions to redeem the remaining $188 million of our 4.25% senior unsecured notes due 2023, $149 million of our 4.20% senior unsecured notes due 2024, and $331 million of our 3.88% senior unsecured notes due 2024.
In April 2021, in conjunction with the acquisition of the MOB Portfolio, we originated $142 million of secured mortgage debt. Additionally, we executed two interest rate cap agreements on the mortgage debt.
In May 2021, we repurchased $252 million aggregate principal amount of our 3.40% senior unsecured notes due 2025 and $298 million aggregate principal amount of our 4.00% senior unsecured notes due 2025.
In July 2021, we completed our inaugural green bond offering, issuing $450 million aggregate principal amount of 1.35% senior unsecured notes due 2027.
In July 2021, we repaid the $250 million outstanding balance on the 2019 Term Loan.
In September 2021, we amended our bank line of credit facility to increase total revolving commitments from $2.5 billion to $3.0 billion and extended the maturity date to January 20, 2026.
In 2021, we increased the maximum aggregate face or principal amount that can be outstanding at any one time under our commercial paper program from $1.0 billion to $1.5 billion.
See Note 10 to the Consolidated Financial Statements for additional information about our outstanding debt.
Approximately 79% and 96% of our consolidated debt, excluding debt classified as liabilities related to assets held for sale and discontinued operations, net, was fixed rate debt as of September 30, 2021 and 2020, respectively. At September 30, 2021, our fixed rate debt and variable rate debt had weighted average interest rates of 3.52% and 0.52%, respectively. At September 30, 2020, our fixed rate debt and variable rate debt had weighted average interest rates of 3.87% and 1.14%, respectively. As of September 30, 2021 and 2020, we had zero and $41 million, respectively, of variable rate debt swapped to fixed through interest rate swaps, which is reported in liabilities related to assets held for sale and discontinued operations, net. As of September 30, 2021 and 2020, we had $142 million and zero, respectively, of variable rate debt subject to interest rate cap agreements. For a more detailed discussion of our interest rate risk, see “Quantitative and Qualitative Disclosures About Market Risk” in Item 3 below.
Equity
At September 30, 2021, we had 539 million shares of common stock outstanding, equity totaled $7.22 billion, and our equity securities had a market value of $18.29 billion. At June 30, 2021, March 31, 2021, December 31, 2020 and December 31, 2019, our equity totaled $7.35 billion, $7.24 billion, $7.29 billion and $6.66 billion, respectively.
At September 30, 2021, non-managing members held an aggregate of five million units in seven limited liability companies (“DownREITs”) for which we are the managing member. The DownREIT units are exchangeable for an amount of cash approximating the then-current market value of shares of our common stock or, at our option, shares of our common stock (subject to certain adjustments, such as stock splits and reclassifications). At September 30, 2021, the outstanding DownREIT units were convertible into approximately seven million shares of our common stock.
At-The-Market Program
In February 2020, we terminated our previous at-the-market equity offering program and concurrently established a new at-the-market equity offering program (as amended from time to time, the “2020 ATM Program”). In May 2021, we amended the 2020 ATM Program to increase the size of the program from $1.25 billion to $1.5 billion. In addition to the issuance and sale of shares of our common stock, we may also enter into one or more forward sales agreements (each, an “ATM forward contract”) with sales agents for the sale of our shares of common stock under our 2020 ATM Program.
During the three and nine months ended September 30, 2021, we utilized the forward provisions under the 2020 ATM Program to allow for the sale of an aggregate of 9.1 million shares of our common stock at an initial weighted average net price of $35.25 per share, after commissions.
During the three and nine months ended September 30, 2021, no shares were settled under ATM forward contracts. Therefore, at September 30, 2021, 9.1 million shares remained outstanding under ATM forward contracts.
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During the three and nine months ended September 30, 2021, we did not issue any shares of our common stock under any ATM Program.
At September 30, 2021, $1.18 billion of our common stock remained available for sale under the 2020 ATM Program. Actual future sales of our common stock will depend upon a variety of factors, including but not limited to market conditions, the trading price of our common stock, and our capital needs. We have no obligation to sell any of the remaining shares under our 2020 ATM Program.
See Note 12 to the Consolidated Financial Statements for additional information about our 2020 ATM Program.
Shelf Registration
In May 2021, we filed a prospectus with the SEC as part of a registration statement on Form S-3, using an automatic shelf registration process. This shelf registration statement expires on May 13, 2024 and at or prior to such time, we expect to file a new shelf registration statement. Under the “shelf” process, we may sell any combination of the securities described in the prospectus through one or more offerings. The securities described in the prospectus include common stock, preferred stock, depositary shares, debt securities, and warrants.
Contractual Obligations and Off-Balance Sheet Arrangements
Our commitments, which are primarily related to development and redevelopment projects and tenant improvements, increased by $89 million, to $395 million at September 30, 2021, when compared to December 31, 2020, primarily as a result of increased commitments on existing projects and new projects started during 2021.
Our commitments to fund senior housing redevelopment and capital expenditures increased by $48 million, to $59 million at September 30, 2021, when compared to December 31, 2020, primarily as a result of a commitment to finance additional debt for capital expenditures on the Sunrise Senior Housing Portfolio sold during the nine months ended September 30, 2021.
Our commitments related to debt have materially changed since December 31, 2020 as a result of issuances of securities under our commercial paper program, the repurchase and redemption of senior unsecured notes in January, February and May 2021, repayments on mortgage debt, the issuance of $450 million 1.35% senior unsecured notes due 2027 in July 2021, the repayment of our 2019 Term Loan in July 2021, and the amendment and restatement of our bank line of credit facility in September 2021. As of September 30, 2021, we had $1.02 billion outstanding under our commercial paper program. See Note 10 to the Consolidated Financial Statements for additional information about our debt commitments.
There have been no other material changes, outside of the ordinary course of business, to these contractual obligations during the nine months ended September 30, 2021.
We own interests in certain unconsolidated joint ventures as described in Note 8 to the Consolidated Financial Statements. Except in limited circumstances, our risk of loss is limited to our investment in the joint ventures.
As described in Note 12 to the Consolidated Financial Statements, certain of our noncontrolling interest holders have the ability to put their equity interests to us upon specified events or after the passage of a predetermined period of time. Each put option is subject to changes in redemption value in the event that the underlying property generates specified returns for us and meets certain promote thresholds pursuant to the respective agreements.
We have no other material off-balance sheet arrangements that we expect would materially affect our liquidity and capital resources except for commitments included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 in “Contractual Obligations” under “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
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Non-GAAP Financial Measures Reconciliations
The following is a reconciliation from net income (loss) applicable to common shares, the most directly comparable financial measure calculated and presented in accordance with GAAP, to Nareit FFO, FFO as Adjusted, and AFFO (in thousands, except per share data):
 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
Net income (loss) applicable to common shares $54,442 $(63,768)$473,778 $265,018 
Real estate related depreciation and amortization(1)
177,175 173,630 506,172 541,394 
Healthpeak’s share of real estate related depreciation and amortization from unconsolidated joint ventures 4,722 24,822 12,044 80,050 
Noncontrolling interests’ share of real estate related depreciation and amortization(4,849)(5,020)(14,599)(15,043)
Other real estate-related depreciation and amortization— 319 — 2,447 
Loss (gain) on sales of depreciable real estate, net(1)
(41,393)(149)(598,531)(247,881)
Healthpeak’s share of loss (gain) on sales of depreciable real estate, net, from unconsolidated joint ventures (1,068)— (6,934)(9,248)
Noncontrolling interests’ share of gain (loss) on sales of depreciable real estate, net3,450 — 5,628 (3)
Loss (gain) upon change of control, net(2)
— (3,259)(1,042)(173,222)
Taxes associated with real estate dispositions483 551 2,666 (10,989)
Impairments (recoveries) of depreciable real estate, net1,952 37,477 5,695 85,996 
Nareit FFO applicable to common shares194,914 164,603 384,877 518,519 
Distributions on dilutive convertible units and other1,651 — — 5,380 
Diluted Nareit FFO applicable to common shares$196,565 $164,603 $384,877 $523,899 
Weighted average shares outstanding - diluted Nareit FFO544,889 538,645 539,159 533,963 
Impact of adjustments to Nareit FFO:  
Transaction-related items(3)
$1,259 $2,276 $6,638 $95,342 
Other impairments (recoveries) and other losses (gains), net(4)
20,073 (2,927)25,161 (29,943)
Restructuring and severance related charges— — 2,463 — 
Loss (gain) on debt extinguishments667 17,921 225,824 42,912 
Litigation costs (recoveries)— 26 — 232 
Casualty-related charges (recoveries), net558 469 5,203 469 
Foreign currency remeasurement losses (gains)— — — 153 
Valuation allowance on deferred tax assets(5)
— 31,161 — 31,161 
Tax rate legislation impact(6)
— — — (3,590)
Total adjustments$22,557 $48,926 $265,289 $136,736 
FFO as Adjusted applicable to common shares$217,471 $213,529 $650,166 $655,255 
Distributions on dilutive convertible units and other2,313 1,852 6,323 5,244 
Diluted FFO as Adjusted applicable to common shares$219,784 $215,381 $656,489 $660,499 
Weighted average shares outstanding - diluted FFO as Adjusted546,714 544,146 546,485 533,963 
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 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
FFO as Adjusted applicable to common shares$217,471 $213,529 $650,166 $655,255 
Amortization of stock-based compensation4,436 4,420 13,895 13,392 
Amortization of deferred financing costs2,343 2,554 6,677 7,670 
Straight-line rents(8,290)(9,542)(23,627)(24,086)
AFFO capital expenditures(28,980)(20,756)(72,112)(61,329)
Deferred income taxes(1,747)(7,300)(6,240)(9,200)
Other AFFO adjustments(5,494)886 (15,181)1,641 
AFFO applicable to common shares179,739 183,791 553,578 583,343 
Distributions on dilutive convertible units and other1,650 — 4,512 5,380 
Diluted AFFO applicable to common shares$181,389 $183,791 $558,090 $588,723 
Weighted average shares outstanding - diluted AFFO544,889 538,645 544,660 533,963 
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 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2021202020212020
Diluted earnings per common share$0.10 $(0.12)$0.88 $0.50 
Depreciation and amortization0.33 0.37 0.93 1.14 
Loss (gain) on sales of depreciable real estate, net(0.07)0.00 (1.11)(0.48)
Loss (gain) upon change of control, net(2)
— (0.01)0.00 (0.32)
Taxes associated with real estate dispositions0.00 0.00 0.00 (0.02)
Impairments (recoveries) of depreciable real estate, net0.00 0.07 0.01 0.16 
Diluted Nareit FFO per common share$0.36 $0.31 $0.71 $0.98 
Transaction-related items(3)
0.00 0.01 0.01 0.18 
Other impairments (recoveries) and other losses (gains), net(4)
0.04 (0.01)0.05 (0.06)
Restructuring and severance related charges— — 0.00 — 
Loss (gain) on debt extinguishments0.00 0.03 0.42 0.09 
Litigation costs (recoveries)— 0.00 — 0.00 
Casualty-related charges (recoveries), net0.00 0.00 0.01 0.00 
Foreign currency remeasurement losses (gains)— — — 0.00 
Valuation allowance on deferred tax assets(5)
— 0.06 — 0.06 
Tax rate legislation impact(6)
— — — (0.01)
Diluted FFO as Adjusted per common share$0.40 $0.40 $1.20 $1.24 
_______________________________________
(1)This amount can be reconciled by combining the balances from the corresponding line of the Consolidated Statements of Operations and the detailed financial information for discontinued operations in Note 5 to the Consolidated Financial Statements.
(2)For the nine months ended September 30, 2020, includes a $170 million gain upon consolidation of 13 continuing care retirement communities ("CCRCs") in which we acquired Brookdale's interest and began consolidating during the first quarter of 2020. Gains and losses upon change of control are included in other income (expense), net in the Consolidated Statements of Operations.
(3)For the nine months ended September 30, 2020, includes the termination fee and transition fee expenses related to terminating the management agreements with Brookdale for 13 CCRCs and transitioning those communities to Life Care Services, LLC, partially offset by the tax benefit recognized related to those expenses. The expenses related to terminating management agreements are included in operating expenses in the Consolidated Statements of Operations.
(4)For the three and nine months ended September 30, 2021, includes a $22 million and $29 million goodwill impairment charge, respectively, in connection with our senior housing triple-net and SHOP asset sales which are reported in income (loss) from discontinued operations in the Consolidated Statements of Operations. The nine months ended September 30, 2021 also includes $6 million of accelerated recognition of a mark-to-market discount, less loan fees, resulting from prepayments on loans receivable which is included in interest income in the Consolidated Statements of Operations. For the nine months ended September 30, 2020, includes a $42 million gain on sale of a hospital that was in a direct financing lease ("DFL") which is included in other income (expense), net in the Consolidated Statements of Operations. The remaining activity for the three and nine months ended September 30, 2021 and 2020 includes reserves for loan losses and land impairments recognized in impairments and loan loss reserves (recoveries), net in the Consolidated Statements of Operations.
(5)For the three and nine months ended September 30, 2020, represents the valuation allowance and corresponding income tax expense related to deferred tax assets that are no longer expected to be realized as a result of our plan to dispose of our SHOP portfolio. We determined we were unlikely to hold the assets long enough to realize the future value of certain deferred tax assets generated by the net operating losses of our taxable REIT subsidiaries.
(6)For the nine months ended September 30, 2020, represents the tax benefit from the CARES Act, which extended the net operating loss carryback period to five years.
For a reconciliation of Adjusted NOI to net income (loss), refer to Note 14 to the Consolidated Financial Statements. For a reconciliation of Same-Store Adjusted NOI to total portfolio Adjusted NOI by segment, refer to the analysis of each segment in “Results of Operations” above.
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Critical Accounting Policies and Recent Accounting Pronouncements
The preparation of financial statements in conformity with U.S. GAAP requires our management to use judgment in the application of accounting policies, including making estimates and assumptions. We base estimates on the best information available to us at the time, our experience and on various other assumptions believed to be reasonable under the circumstances. These estimates affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenue and expenses during the reporting periods. If our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, it is possible that different accounting would have been applied, resulting in a different presentation of our consolidated financial statements. From time to time, we re-evaluate our estimates and assumptions. In the event estimates or assumptions prove to be different from actual results, adjustments are made in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. A summary of our critical accounting policies is included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 in “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations” and Note 2 to the Consolidated Financial Statements. There have been no significant changes to our critical accounting policies during the three and nine months ended September 30, 2021.
Item 3.  Quantitative and Qualitative Disclosures About Market Risk
We are exposed to various market risks, including the potential loss arising from adverse changes in interest rates. We use derivative and other financial instruments in the normal course of business to mitigate interest rate risk. We do not use derivative financial instruments for speculative or trading purposes. Derivatives are recorded on the Consolidated Balance Sheets at fair value (see Note 18 to the Consolidated Financial Statements).
Interest Rate Risk. At September 30, 2021, our exposure to interest rate risk is primarily on our variable rate debt. At September 30, 2021, $142 million of our variable-rate debt was subject to interest rate cap agreements. The interest rate caps are non-designated hedges and manage our exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates. At September 30, 2021, both the fair value and carrying value of the interest rate caps were $0.2 million.
Our remaining variable rate debt at September 30, 2021 was comprised of our bank line of credit, commercial paper program, and certain of our mortgage debt. Interest rate fluctuations will generally not affect our future earnings or cash flows on our fixed rate debt and assets until their maturity or earlier prepayment and refinancing. If interest rates have risen at the time we seek to refinance our fixed rate debt, whether at maturity or otherwise, our future earnings and cash flows could be adversely affected by additional borrowing costs. Conversely, lower interest rates at the time of refinancing may reduce our overall borrowing costs. However, interest rate changes will affect the fair value of our fixed rate instruments. At September 30, 2021, a one percentage point increase or decrease in interest rates would change the fair value of our fixed rate debt by approximately $291 million and $317 million, respectively, and would not materially impact earnings or cash flows. Conversely, changes in interest rates on variable rate debt and investments would change our future earnings and cash flows, but not materially impact the fair value of those instruments. Assuming a one percentage point change in the interest rate related to our variable-rate debt and variable-rate investments, and assuming no other changes in the outstanding balance at September 30, 2021, our annual interest expense would change by up to approximately $12 million.
Market Risk.  We have investments in marketable debt securities classified as held-to-maturity because we have the positive intent and ability to hold the securities to maturity. Held-to-maturity securities are recorded at amortized cost and adjusted for the amortization of premiums and discounts through maturity. We consider a variety of factors in evaluating an other-than-temporary decline in value, such as: the length of time and the extent to which the market value has been less than our current adjusted carrying value; the issuer’s financial condition, capital strength, and near-term prospects; any recent events specific to that issuer and economic conditions of its industry; and our investment horizon in relationship to an anticipated near-term recovery in the market value, if any. At September 30, 2021, both the fair value and carrying value of marketable debt securities was $21 million.
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Item 4.  Controls and Procedures
Disclosure Controls and Procedures.  We maintain disclosure controls and procedures that are designed to ensure that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms and that such information is accumulated and communicated to our management, including our Principal Executive Officer and Principal Financial Officer, to allow for timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management is required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
As required by Rules 13a-15(b) and 15d-15(b) of the Exchange Act, we carried out an evaluation, under the supervision and with the participation of our management, including our Principal Executive Officer and Principal Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of September 30, 2021. Based upon that evaluation, our Principal Executive Officer and Principal Financial Officer concluded that our disclosure controls and procedures were effective at the reasonable assurance level as of September 30, 2021.
Changes in Internal Control Over Financial Reporting.  There were no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the fiscal quarter to which this report relates that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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PART II. OTHER INFORMATION
Item 1A.  Risk Factors
There are no material changes to the risk factors previously disclosed in Part I, Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2020.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
(a)
None.
(b)
None.
(c)
The following table sets forth information with respect to purchases of our common stock made by us or on our behalf during the three months ended September 30, 2021.
Period Covered
Total Number
Of Shares
Purchased(1)
Average
Price
Paid Per
Share
Total Number Of Shares
(Or Units) Purchased As
Part Of Publicly
Announced Plans Or
Programs
Maximum Number (Or
Approximate Dollar Value)
Of Shares (Or Units) That
May Yet Be Purchased
Under The Plans Or
Programs
July 1-31, 2021172 $33.29 — — 
August 1-31, 2021— — — — 
September 1-30, 20211,865 35.87 — — 
Total 2,037 $35.65 — — 
_______________________________________
(1)Represents shares of our common stock withheld under our equity incentive plans to offset tax withholding obligations that occur upon vesting of restricted shares. The value of the shares withheld is based on the closing price of our common stock on the last trading day prior to the date the relevant transaction occurred.
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Item 6. Exhibits
3.1
3.2
3.3
4.1
4.2
10.1
10.2*
10.3*
31.1*
31.2*
32.1**
32.2**
101.INS*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*XBRL Taxonomy Extension Schema Document.
101.CAL*XBRL Taxonomy Extension Calculation Linkbase Document.
101.DEF*XBRL Taxonomy Extension Definition Linkbase Document.
101.LAB*XBRL Taxonomy Extension Labels Linkbase Document.
101.PRE*XBRL Taxonomy Extension Presentation Linkbase Document.
104Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).
_______________________________________
*       Filed herewith.
**     Furnished herewith. 






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SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
Date: November 3, 2021Healthpeak Properties, Inc.
 (Registrant)
  
 /s/ THOMAS M. HERZOG
 Thomas M. Herzog
 Chief Executive Officer
 (Principal Executive Officer)
  
 /s/ PETER A. SCOTT
 Peter A. Scott
 Chief Financial Officer
 (Principal Financial Officer)
  
 /s/ SHAWN G. JOHNSTON
 Shawn G. Johnston
 Executive Vice President and
 Chief Accounting Officer
 (Principal Accounting Officer)

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