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HEALTHPEAK PROPERTIES, INC. - Quarter Report: 2022 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, 2022
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 October 31, 2022, there were 537,540,144 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,
2022
December 31,
2021
ASSETS  
Real estate:  
Buildings and improvements$12,633,935 $12,025,271 
Development costs and construction in progress744,711 877,423 
Land2,647,430 2,603,964 
Accumulated depreciation and amortization(3,148,019)(2,839,229)
Net real estate12,878,057 12,667,429 
Net investment in direct financing leases— 44,706 
Loans receivable, net of reserves of $5,115 and $1,813
383,991 415,811 
Investments in and advances to unconsolidated joint ventures698,903 403,634 
Accounts receivable, net of allowance of $2,521 and $1,870
53,964 48,691 
Cash and cash equivalents112,452 158,287 
Restricted cash54,500 53,454 
Intangible assets, net444,215 519,760 
Assets held for sale and discontinued operations, net51,495 37,190 
Right-of-use asset, net232,155 233,942 
Other assets, net752,224 674,615 
Total assets$15,661,956 $15,257,519 
LIABILITIES AND EQUITY  
Bank line of credit and commercial paper$1,585,333 $1,165,975 
Senior unsecured notes4,657,651 4,651,933 
Mortgage debt347,987 352,081 
Intangible liabilities, net162,874 177,232 
Liabilities related to assets held for sale and discontinued operations, net12,831 15,056 
Lease liability200,813 204,547 
Accounts payable, accrued liabilities, and other liabilities732,895 755,384 
Deferred revenue835,223 789,207 
Total liabilities8,535,607 8,111,415 
Commitments and contingencies (Note 10)
Redeemable noncontrolling interests127,583 87,344 
Common stock, $1.00 par value: 750,000,000 shares authorized; 537,533,719 and 539,096,879 shares issued and outstanding
537,534 539,097 
Additional paid-in capital10,014,707 10,100,294 
Cumulative dividends in excess of earnings(4,114,806)(4,120,774)
Accumulated other comprehensive income (loss)29,526 (3,147)
Total stockholders’ equity6,466,961 6,515,470 
Joint venture partners330,749 342,234 
Non-managing member unitholders201,056 201,056 
Total noncontrolling interests531,805 543,290 
Total equity6,998,766 7,058,760 
Total liabilities and equity$15,661,956 $15,257,519 
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,
 2022202120222021
Revenues:  
Rental and related revenues$392,301 $353,516 $1,149,530 $1,022,130 
Resident fees and services122,142 119,022 369,062 352,458 
Income from direct financing leases— 2,179 1,168 6,522 
Interest income5,963 6,748 16,950 31,869 
Total revenues520,406 481,465 1,536,710 1,412,979 
Costs and expenses:  
Interest expense44,078 35,905 123,531 121,429 
Depreciation and amortization173,190 177,175 531,412 506,172 
Operating220,208 202,139 642,499 574,032 
General and administrative24,549 23,270 73,161 72,260 
Transaction costs728 — 1,636 1,417 
Impairments and loan loss reserves (recoveries), net3,407 285 3,678 4,458 
Total costs and expenses466,160 438,774 1,375,917 1,279,768 
Other income (expense):  
Gain (loss) on sales of real estate, net(4,149)14,635 10,047 189,873 
Gain (loss) on debt extinguishments— (667)— (225,824)
Other income (expense), net305,678 1,670 326,855 5,604 
Total other income (expense), net301,529 15,638 336,902 (30,347)
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures355,775 58,329 497,695 102,864 
Income tax benefit (expense)3,834 649 3,775 1,404 
Equity income (loss) from unconsolidated joint ventures(325)2,327 2,141 4,517 
Income (loss) from continuing operations359,284 61,305 503,611 108,785 
Income (loss) from discontinued operations(1,298)601 2,011 384,569 
Net income (loss)357,986 61,906 505,622 493,354 
Noncontrolling interests’ share in continuing operations(4,016)(7,195)(11,701)(14,036)
Noncontrolling interests’ share in discontinued operations— — — (2,539)
Net income (loss) attributable to Healthpeak Properties, Inc.353,970 54,711 493,921 476,779 
Participating securities’ share in earnings(604)(269)(2,523)(3,001)
Net income (loss) applicable to common shares$353,366 $54,442 $491,398 $473,778 
Basic earnings (loss) per common share:
Continuing operations$0.66 $0.10 $0.91 $0.17 
Discontinued operations0.00 0.00 0.00 0.71 
Net income (loss) applicable to common shares$0.66 $0.10 $0.91 $0.88 
Diluted earnings (loss) per common share:
Continuing operations$0.65 $0.10 $0.91 $0.17 
Discontinued operations0.00 0.00 0.00 0.71 
Net income (loss) applicable to common shares$0.65 $0.10 $0.91 $0.88 
Weighted average shares outstanding:
Basic538,417 539,021 539,105 538,879 
Diluted546,015 539,388 544,852 539,159 
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,
 2022202120222021
Net income (loss)$357,986 $61,906 $505,622 $493,354 
Other comprehensive income (loss):
Net unrealized gains (losses) on derivatives30,744 — 32,373 332 
Change in Supplemental Executive Retirement Plan obligation and other100 108 300 323 
Reclassification adjustment realized in net income (loss)— — — (251)
Total other comprehensive income (loss)30,844 108 32,673 404 
Total comprehensive income (loss)388,830 62,014 538,295 493,758 
Total comprehensive (income) loss attributable to noncontrolling interests’ share in continuing operations(4,016)(7,195)(11,701)(14,036)
Total comprehensive (income) loss attributable to noncontrolling interests’ share in discontinued operations— — — (2,539)
Total comprehensive income (loss) attributable to Healthpeak Properties, Inc.$384,814 $54,819 $526,594 $477,183 
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, 2022:
 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, 2022539,580 $539,580 $10,073,712 $(4,306,762)$(1,318)$6,305,212 $535,176 $6,840,388 $115,877 
Net income (loss) — — — 353,970 — 353,970 4,003 357,973 13 
Other comprehensive income (loss) — — — — 30,844 30,844 — 30,844 — 
Issuance of common stock, net 16 16 359 — — 375 — 375 — 
Repurchase of common stock (2,062)(2,062)(53,966)— — (56,028)— (56,028)— 
Amortization of stock-based compensation — — 6,030 — — 6,030 — 6,030 — 
Common dividends ($0.30 per share)
— — — (162,014)— (162,014)— (162,014)— 
Distributions to noncontrolling interests— — — — — — (7,374)(7,374)(42)
Contributions from noncontrolling interests— — — — — — — — 307 
Adjustments to redemption value of redeemable noncontrolling interests— — (11,428)— — (11,428)— (11,428)11,428 
September 30, 2022537,534 $537,534 $10,014,707 $(4,114,806)$29,526 $6,466,961 $531,805 $6,998,766 $127,583 

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, net20 20 358 — — 378 — 378 — 
Repurchase of common stock(2)(2)(71)— — (73)— (73)— 
Exercise of stock options93 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 


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For the nine months ended September 30, 2022:
 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, 2022539,097 $539,097 $10,100,294 $(4,120,774)$(3,147)$6,515,470 $543,290 $7,058,760 $87,344 
Net income (loss)— — — 493,921 — 493,921 11,663 505,584 38 
Other comprehensive income (loss)— — — — 32,673 32,673 — 32,673 — 
Issuance of common stock, net847 847 184 — — 1,031 — 1,031 — 
Repurchase of common stock(2,410)(2,410)(65,232)— — (67,642)— (67,642)— 
Amortization of stock-based compensation— — 18,895 — — 18,895 — 18,895 — 
Common dividends ($0.90 per share)
— — — (487,953)— (487,953)— (487,953)— 
Distributions to noncontrolling interests— — — — — — (23,148)(23,148)(127)
Contributions from noncontrolling interests— — — — — — — — 894 
Adjustments to redemption value of redeemable noncontrolling interests— — (39,434)— — (39,434)— (39,434)39,434 
September 30, 2022537,534 $537,534 $10,014,707 $(4,114,806)$29,526 $6,466,961 $531,805 $6,998,766 $127,583 
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 
_______________________________________
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,
 20222021
Cash flows from operating activities:
Net income (loss)$505,622 $493,354 
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 intangibles531,412 506,172 
Stock-based compensation amortization expense14,635 13,895 
Amortization of deferred financing costs8,069 6,677 
Straight-line rents(36,837)(23,627)
Amortization of nonrefundable entrance fees and above/below market lease intangibles(75,635)(68,854)
Equity loss (income) from unconsolidated joint ventures(2,205)(9,508)
Distributions of earnings from unconsolidated joint ventures708 4,731 
Loss (gain) on sale of real estate under direct financing leases(22,693)— 
Deferred income tax expense (benefit)(5,199)(3,999)
Impairments and loan loss reserves (recoveries), net3,678 37,194 
Loss (gain) on debt extinguishments— 225,824 
Loss (gain) on sales of real estate, net(11,408)(598,531)
Loss (gain) upon change of control, net(311,438)(1,042)
Casualty-related loss (recoveries), net6,457 1,632 
Other non-cash items(1,029)(8,640)
Changes in:
Decrease (increase) in accounts receivable and other assets, net(2,751)27,576 
Increase (decrease) in accounts payable, accrued liabilities, and deferred revenue91,920 (31,519)
Net cash provided by (used in) operating activities693,306 571,335 
Cash flows from investing activities:
Acquisitions of real estate(159,199)(978,473)
Development, redevelopment, and other major improvements of real estate(616,803)(430,510)
Leasing costs, tenant improvements, and recurring capital expenditures(75,103)(72,112)
Proceeds from sales of real estate, net47,797 2,383,017 
Proceeds from the South San Francisco JVs transaction, net125,985 — 
Contributions to unconsolidated joint ventures(9,259)(12,828)
Distributions in excess of earnings from unconsolidated joint ventures8,746 37,139 
Proceeds from sales/principal repayments on loans receivable and direct financing leases105,040 291,223 
Investments in loans receivable and other(5,317)(13,781)
Net cash provided by (used in) investing activities(578,113)1,203,675 
Cash flows from financing activities:
Borrowings under bank line of credit and commercial paper12,220,955 12,931,450 
Repayments under bank line of credit and commercial paper(11,801,597)(12,037,040)
Issuance and borrowings of debt, excluding bank line of credit and commercial paper— 591,546 
Repayments and repurchase of debt, excluding bank line of credit and commercial paper(3,759)(2,421,598)
Payments for debt extinguishment and deferred financing costs(4,171)(232,306)
Issuance of common stock and exercise of options, net of offering costs38 4,713 
Repurchase of common stock(67,642)(12,553)
Dividends paid on common stock(486,960)(488,084)
Distributions to and purchase of noncontrolling interests(23,275)(24,443)
Contributions from and issuance of noncontrolling interests894 426 
Net cash provided by (used in) financing activities(165,517)(1,687,889)
Net increase (decrease) in cash, cash equivalents and restricted cash(50,324)87,121 
Cash, cash equivalents and restricted cash, beginning of period219,448 181,685 
Cash, cash equivalents and restricted cash, end of period$169,124 $268,806 
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, owns, leases, 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 California, Tennessee, and Massachusetts.
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, 2022 are not necessarily indicative of the results that may be expected for the year ending December 31, 2022. 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, 2021 filed with the U.S. Securities and Exchange Commission (“SEC”).
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, 2022 and 2021, the Company received government grants under the CARES Act primarily to cover increased expenses and lost revenue during the coronavirus pandemic. Grant income is recognized to the extent that qualifying expenses and lost revenues exceed grants received and the Company will comply with all conditions attached to the grant. As of September 30, 2022, 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. In the event of non-compliance, all such amounts received are subject to recapture.
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,
2022202120222021
Government grant income recorded in other income (expense), net$$15 $6,765 $1,412 
Government grant income recorded in equity income (loss) from unconsolidated joint ventures183 — 831 1,010 
Government grant income recorded in income (loss) from discontinued operations10 — 216 3,660 
Total government grants received$197 $15 $7,812 $6,082 
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Discontinued Operations
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 Property (“SHOP”) properties and concluded that the planned dispositions represented a strategic shift that 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 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 4 for further information.
Recent Accounting Pronouncements
Adopted
Government Assistance. In November 2021, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance (“ASU 2021-10”), which increases the transparency of government assistance including the disclosure of the types of assistance, an entity’s accounting for assistance, and the effect of the assistance on an entity’s financial statements. The adoption of ASU 2021-10 on January 1, 2022 did not have a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
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 were effective immediately and may be applied through December 31, 2022. During 2022, the Company elected to apply certain hedge accounting expedients provided by ASU 2020-04 and ASU 2021-01, which preserves the hedging relationship of derivatives. The expedients provided by ASU 2020-04 and ASU 2021-01 and the effects of reference rate reform have not had, and are not expected to have, a material impact on the Company’s consolidated financial position, results of operations, cash flows, or disclosures.
NOTE 3.  Real Estate
2022 Real Estate Investment Acquisitions
67 Smith Place
In January 2022, the Company closed a life science acquisition in Cambridge, Massachusetts for $72 million.
Vista Sorrento Phase II
In January 2022, the Company closed a life science acquisition in San Diego, California for $24 million.
Webster MOB Portfolio
In March 2022, the Company acquired a portfolio of two medical office buildings (“MOBs”) in Houston, Texas for $43 million.
Northwest Medical Plaza
In May 2022, the Company acquired one MOB in Bentonville, Arkansas for $26 million.
2021 Real Estate Investment Acquisitions
In 2021, the Company closed the following life science acquisitions: (i) eight acquisitions in Cambridge, Massachusetts for $498 million, (ii) one acquisition in San Diego, California for $20 million, and (iii) 12 acres of land for $128 million in South San Francisco, California.
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Also during 2021, the Company closed the following MOB acquisitions: (i) one MOB in Nashville, Tennessee for $13 million, (ii) one MOB in Denver, Colorado for $38 million, (iii) a portfolio of 14 MOBs for $371 million (the “MOB Portfolio”), (iv) one MOB in Fort Lauderdale, Florida for $16 million; (v) one MOB in Wichita, Kansas for $50 million, (vi) three MOBs in Morristown, New Jersey for $155 million, (vii) two MOBs in Dallas, Texas for $60 million, (viii) one MOB in Seattle, Washington for $43 million, (ix) one MOB in New Orleans, Louisiana for $34 million, and (x) one MOB in Cambridge, Massachusetts for $55 million. In conjunction with the acquisition of the MOB Portfolio, the Company originated $142 million of secured mortgage debt.
Development Activities
The Company’s commitments, which are primarily related to development and redevelopment projects and tenant improvements, decreased by $49 million, to $421 million at September 30, 2022, when compared to December 31, 2021, primarily as a result of construction spend on existing projects in the first three quarters of 2022 thereby decreasing the remaining commitment.
NOTE 4.  Dispositions of Real Estate and Discontinued Operations
2022 Dispositions of Real Estate
In January 2022, the Company sold one life science facility in Salt Lake City, Utah for $14 million, resulting in a gain on sale of $4 million.
During the three months ended June 30, 2022, the Company sold three MOBs and one MOB land parcel for $27 million, resulting in total gain on sales of $10 million.
In July 2022, the Company sold two MOBs for $9 million, resulting in total gain on sales of $1 million.
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 6) 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 in June 2021, $47 million in February 2022, and $40 million in July 2022 (see Note 6). As of September 30, 2022, $0.4 million of the additional financing has been funded. 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 Senior Living Inc. 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 6).
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
The Company sold the following during the three months ended September 30, 2021: (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, the Company sold the following during the nine months ended September 30, 2021: (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).
During the fourth quarter of 2021, the Company sold three MOBs and a portion of one MOB land parcel for $11 million, resulting in total gain on sales of $1 million.
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 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 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 held for sale or as discontinued operations at September 30, 2022 and December 31, 2021, 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,
2022
December 31,
2021
ASSETS
Accounts receivable, net of allowance of $260 and $4,138
$367 $2,446 
Cash and cash equivalents2,172 7,707 
Right-of-use asset, net— 26 
Other assets, net285 3,237 
Total assets of discontinued operations, net2,82413,416
Assets held for sale, net(1)
48,671 23,774 
Assets held for sale and discontinued operations, net$51,495 $37,190 
LIABILITIES
Lease liability$— $26 
Accounts payable, accrued liabilities, and other liabilities8,668 14,843 
Deferred revenue— 92 
Total liabilities of discontinued operations, net8,668 14,961 
Liabilities related to assets held for sale, net(1)
4,163 95 
Liabilities related to assets held for sale and discontinued operations, net$12,831 $15,056 
_______________________________________
(1)As of September 30, 2022, included two life science assets primarily comprised of net real estate assets of $43 million. As of December 31, 2021, included four MOBs and one life science facility primarily comprised of net real estate assets of $23 million.
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The results of discontinued operations during the three and nine months ended September 30, 2022 and 2021, or through the disposal date of each asset or portfolio of assets held within discontinued operations if sold during such periods, as applicable, are presented below (in thousands) and are included in the consolidated results of operations for the three and nine months ended September 30, 2022 and 2021:
Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Revenues:
Rental and related revenues$— $694 $— $7,535 
Resident fees and services1,284 8,507 6,765 111,777 
Total revenues1,284 9,201 6,765 119,312 
Costs and expenses:
Interest expense— 47 — 3,900 
Operating1,334 13,010 6,451 118,175 
Transaction costs— — — 76 
Impairments and loan loss reserves (recoveries), net— 21,740 — 32,736 
Total costs and expenses1,334 34,797 6,451 154,887 
Other income (expense):
Gain (loss) on sales of real estate, net(1,131)26,758 1,361 408,658 
Other income (expense), net(7)(863)12 5,150 
Total other income (expense), net(1,138)25,895 1,373 413,808 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures(1,188)299 1,687 378,233 
Income tax benefit (expense)(110)221 260 1,345 
Equity income (loss) from unconsolidated joint ventures— 81 64 4,991 
Income (loss) from discontinued operations$(1,298)$601 $2,011 $384,569 
Impairments of Real Estate
2022
During the three and nine months ended September 30, 2022, the Company did not recognize any impairment charges.
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 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 the forecasted sales prices, which are considered to be a Level 3 measurement 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 calculations during the three and nine months ended 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.
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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 charge 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 senior housing triple-net 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.
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.
Other Losses
During the first quarter of 2022, the Company recognized $14 million of expenses for tenant relocation and other costs associated with the demolition of an MOB. These expenses are included in other income (expense), net on the Consolidated Statements of Operations for the nine months ended September 30, 2022.
NOTE 5.  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,
2022202120222021
Fixed income from operating leases$298,680 $276,430 $882,700 $807,677 
Variable income from operating leases93,621 77,086 266,830 214,453 
Interest income from direct financing leases— 2,179 1,168 6,522 
Direct Financing Leases
2022 Direct Financing Lease Sale
During the first quarter of 2022, the Company sold its remaining hospital classified as a direct financing lease (“DFL”) for $68 million and recognized a gain on sale of $23 million, which is included in other income (expense), net.
Net investment in DFLs consists of the following (in thousands):
 September 30,
2022
December 31,
2021
Present value of minimum lease payments receivable$— $1,220 
Present value of estimated residual value— 44,706 
Less deferred selling profits— (1,220)
Net investment in direct financing leases$— $44,706 
Direct Financing Lease Internal Ratings
At September 30, 2022, the Company had no properties classified as a DFL. At December 31, 2021, the Company had one hospital classified as a DFL with a carrying amount of $45 million and an internal rating of “performing”.
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NOTE 6.  Loans Receivable
The following table summarizes the Company’s loans receivable (in thousands):
 September 30,
2022
December 31,
2021
Secured loans(1)
$360,092 $396,281 
Mezzanine and other30,579 25,529 
Unamortized discounts, fees, and costs(1,565)(4,186)
Reserve for loan losses(5,115)(1,813)
Loans receivable, net$383,991 $415,811 
_______________________________________
(1)At September 30, 2022, the Company had $41 million remaining of commitments to fund additional loans for senior housing redevelopment and capital expenditure projects. At December 31, 2021, the Company had $58 million remaining of commitments to fund additional loans for 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 4), 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 June 2021, $47 million in February 2022, and $40 million in July 2022 in conjunction with the principal repayments discussed below. Through September 30, 2022, $0.4 million of the additional financing had been funded. The initial and additional financing is secured by the buyer's equity ownership in each property.
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 connection with the June 2021 principal repayment, 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. Additionally, in February 2022 and July 2022, the Company received principal repayments of $8 million and $27 million, respectively, in conjunction with the disposition of the underlying collateral. As of September 30, 2022 and December 31, 2021, this secured loan had an outstanding balance of $130 million and $165 million, respectively.
In conjunction with the sale of 16 additional SHOP facilities for $230 million in January 2021 (see Note 4), 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.
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, 2022, the Company recognized $1 million and $3 million, respectively, of non-cash interest income related to the amortization of its mark-to-market discounts. 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.
2022 Other Loans Receivable Transactions
In May 2022, the Company received full repayment of the outstanding balance of a $2 million secured loan.
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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. In September 2021, the Company sold one of the loans receivable previously classified as held for sale for its carrying value of $2 million. In November 2021, the Company sold the other loan receivable previously classified as held for sale for its carrying value of $51 million.
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.
Additionally, in April 2021, the Company sold two mezzanine loans as part of the Discovery SHOP Portfolio disposition (see Note 4), 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.
CCRC Resident Loans
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. At September 30, 2022 and December 31, 2021, the Company held $29 million and $24 million, respectively, of such notes receivable, which are included in mezzanine and other in the table above.
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.
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The following table summarizes, by year of origination, the Company’s internal ratings for loans receivable, net of unamortized discounts, fees, and reserves for loan losses, as of September 30, 2022 (in thousands):
Investment TypeYear of OriginationTotal
20222021202020192018Prior
Secured loans
Risk rating:
Performing loans$— $275,634 $77,794 $— $— $— $353,428 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total secured loans$— $275,634 $77,794 $— $— $— $353,428 
Mezzanine and other
Risk rating:
Performing loans$25,846 $3,493 $1,224 $— $— $— $30,563 
Watch list loans— — — — — — — 
Workout loans— — — — — — — 
Total mezzanine and other$25,846 $3,493 $1,224 $— $— $— $30,563 
Reserve for Loan Losses
The Company evaluates the liquidity and creditworthiness of its borrowers on a quarterly basis to determine whether any updates to the future expected losses recognized upon inception are necessary. The Company’s evaluation considers industry and economic conditions, individual and portfolio property performance, credit enhancements, liquidity, and other factors. The determination of loan losses also considers concentration of credit risk associated with the senior housing industry to which its loans receivable relate. 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.
The following table summarizes the Company’s reserve for loan losses (in thousands):
 September 30, 2022December 31, 2021
 Secured LoansMezzanine and OtherTotalSecured LoansMezzanine and OtherTotal
Reserve for loan losses, beginning of period$1,804 $$1,813 $3,152 $7,128 $10,280 
Provision for expected loan losses3,346 3,353 793 896 1,689 
Expected loan losses related to loans sold or repaid(1)
(51)— (51)(2,141)(8,015)(10,156)
Reserve for loan losses, end of period$5,099 $16 $5,115 $1,804 $$1,813 
_______________________________________
(1)Includes one loan repaid during the nine months ended September 30, 2022 and six loans sold or repaid during the year ended December 31, 2021.
Additionally, at September 30, 2022 and December 31, 2021, a liability of $0.7 million and $0.3 million, respectively, related to expected credit losses for unfunded loan commitments was included in accounts payable, accrued liabilities, and other liabilities.
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NOTE 7.  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)
Segment
Property Count(2)
Ownership %(2)
20222021
SWF SH JVOther1954$348,906 $355,394 
South San Francisco JVs(3)
Life science770298,806 — 
Life Science JVLife science14927,009 25,605 
Needham Land Parcel JV(4)
Life science3815,342 13,566 
Medical Office JVs(5)
Medical office3
20 - 67
8,840 9,069 
  $698,903 $403,634 
_______________________________________
(1)These entities are not consolidated because the Company does not control, through voting rights or other means, the joint ventures.
(2)Property counts and ownership percentages are as of September 30, 2022.
(3)Includes seven unconsolidated life science joint ventures in South San Francisco, California in which the Company holds a 70% ownership percentage in each joint venture. These joint ventures have been aggregated herein due to similarity of the investments and operations. See “South San Francisco Joint Ventures” below for further information.
(4)In December 2021, the Company acquired a 38% interest in a life science development joint venture in Needham, Massachusetts for $13 million. Land held for development is excluded from the property count as of September 30, 2022.
(5)Includes two unconsolidated medical office joint ventures in which the Company holds an ownership percentage as follows: (i) Ventures IV (20%) and (ii) Suburban Properties, LLC (67%). During 2021, the Company also held a 30% interest in Ventures III, which issued its final distribution and was dissolved. These joint ventures have been aggregated herein due to similarity of the investments and operations.
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 4). Prior to the sale, the Company’s ownership percentage in these two unconsolidated joint ventures was as follows: (i) Discovery Naples JV (41%) and (ii) Discovery Sarasota JV (47%).
In May 2021, the two remaining CCRCs in the CCRC joint venture 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 during the year ended December 31, 2021.
South San Francisco Joint Ventures
On August 1, 2022, the Company sold a 30% interest in seven life science assets in South San Francisco, California to a sovereign wealth fund (“SWF Partner”) for cash of $126 million. Following this transaction, the Company and the SWF Partner share in key decisions of the assets through their voting rights, resulting in the Company deconsolidating the assets, recognizing its retained 70% investment in the South San Francisco joint ventures (the “South San Francisco JVs”) at fair value, and accounting for its investment using the equity method. The fair values of the Company’s retained investment were based on a market approach, utilizing an agreed-upon contractual sales price, which is considered to be a Level 3 measurement within the fair value hierarchy. The Company recognized a gain upon change of control of $311 million, which is recorded in other income (expense), net.
The Company is entitled to a preferred return, a promote, and certain fees in exchange for development and asset management services provided to the South San Francisco JVs when certain conditions are met.
Concurrently, the Company entered into a master equity transaction agreement with the SWF Partner that provides the Company the opportunity to sell interests of up to 30% in certain future development projects owned by the Company.
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NOTE 8.  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,
2022
December 31,
2021
Gross intangible lease assets$802,180 $797,675 
Accumulated depreciation and amortization(357,965)(277,915)
Intangible assets, net(1)
$444,215 $519,760 
Weighted average remaining amortization period in years56
_______________________________________
(1)Excludes intangible assets reported in assets held for sale and discontinued operations, net of $2 million and zero as of September 30, 2022 and December 31, 2021, respectively.
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,
2022
December 31,
2021
Gross intangible lease liabilities$240,733 $234,917 
Accumulated depreciation and amortization(77,859)(57,685)
Intangible liabilities, net$162,874 $177,232 
Weighted average remaining amortization period in years88
During the nine months ended September 30, 2022, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $7 million and intangible liabilities of $6 million. The intangible assets and liabilities acquired had a weighted average amortization period at acquisition of 7 years and 11 years, respectively.
During the year ended December 31, 2021, in conjunction with the Company’s acquisitions of real estate, the Company acquired intangible assets of $109 million and intangible liabilities of $57 million. The intangible assets and intangible liabilities acquired each had a weighted average amortization period at acquisition of 9 years.
NOTE 9.  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.
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 London Interbank Offered Rate (“LIBOR”) 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. Additionally, the Revolving Facility 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. Based on the Company’s credit ratings at September 30, 2022, and inclusive of achievement of a sustainability-linked metric during the three months ended September 30, 2022, the margin on the Revolving Facility was 0.75% and the facility fee was 0.15%. At September 30, 2022 and December 31, 2021, 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 (“SOFR”) administered by the Federal Reserve Bank of New York.
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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, 2022.
On August 22, 2022, the Company executed a term loan agreement (the “2022 Term Loan Agreement”) that provides for two senior unsecured delayed draw term loans in an aggregate principal amount of up to $500 million (the “2022 Term Loan Facilities”). The 2022 Term Loan Facilities were available to be drawn from time to time during a 180-day period after closing, subject to customary borrowing conditions. $250 million of the 2022 Term Loan Facilities has an initial stated maturity of 4.5 years, which may be extended for a one-year period subject to certain customary conditions. The other $250 million of the 2022 Term Loan Facilities has a stated maturity of 5 years with no option to extend.
Loans outstanding under the 2022 Term Loan Facilities accrue interest at adjusted SOFR plus a margin that depends on the credit ratings of the Company’s senior unsecured long-term debt. The 2022 Term Loan Agreement also includes a sustainability-linked pricing component whereby the applicable margin under the 2022 Term Loan Facilities may be reduced by 0.01% based on the Company’s achievement of specified sustainability-linked metrics. Based on the Company’s credit ratings as of September 30, 2022, the margin on the 2022 Term Loan Facilities was 0.85%. Commencing on October 21, 2022, 60 days after closing, the Company became obligated to pay a fee on the daily amount of undrawn commitments under the 2022 Term Loan Facilities at a rate per annum equal to 0.15%. The 2022 Term Loan Agreement includes a feature that allows the Company to increase the borrowing capacity by an aggregate amount of up to an additional $500 million, subject to securing additional commitments.
The 2022 Term Loan Agreement 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, 2022.
As of September 30, 2022, the Company had no borrowings outstanding under the 2022 Term Loan Facilities. In October 2022, the entirety of the $500 million under the 2022 Term Loan Facilities was drawn.
In August 2022, the Company entered into two forward-starting interest rate swap instruments that are designated as cash flow hedges (see Note 17). The 2022 Term Loan Facilities associated with these interest rate swap instruments will be reported as fixed rate debt due to the Company having effectively established a fixed interest rate for the underlying debt instruments. As of October 31, 2022, the 2022 Term Loan Facilities had a fixed effective interest rate of 3.76%, inclusive of the impact of these interest rate swap instruments and amortization of the related debt issuance costs.
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. At December 31, 2021, the maximum aggregate face or principal amount that could be outstanding at any one time was $1.5 billion. In July 2022, the Company increased the maximum aggregate face or principal amount that can be outstanding at any one time to $2.0 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, 2022, the Company had $1.59 billion of securities outstanding under the Commercial Paper Program, with original maturities of approximately 42 days and a weighted average interest rate of 3.41%. At December 31, 2021, the Company had $1.17 billion of securities outstanding under the Commercial Paper Program, with original maturities of approximately two months and a weighted average interest rate of 0.32%.
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Senior Unsecured Notes
At each of September 30, 2022 and December 31, 2021, the Company had senior unsecured notes outstanding with an aggregate principal balance of $4.7 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, 2022.
During the three and nine months ended September 30, 2022, the Company did not issue, repurchase, or redeem any senior unsecured notes.
The following table summarizes the Company’s senior unsecured notes repurchases and redemptions during the year ended December 31, 2021 (dollars in thousands):
Payoff Date(1)
AmountCoupon RateMaturity Year
May 19, 2021$251,806 3.40 %2025
May 19, 2021298,194 4.00 %2025
February 26, 2021188,000 4.25 %2023
February 26, 2021149,000 4.20 %2024
February 26, 2021331,000 3.88 %2024
January 28, 2021112,000 4.25 %2023
January 28, 2021201,000 4.20 %2024
January 28, 2021469,000 3.88 %2024
_______________________________________
(1)As a result of the repurchases and redemptions of these senior unsecured notes, the Company recognized an aggregate $225 million loss on debt extinguishment during the nine months ended September 30, 2021.
In 2021, the Company completed two green bond offerings. The net proceeds from both green bonds have been allocated to eligible green projects, and the Company may choose to re-allocate net proceeds from such offerings to one or more other eligible green projects. The following table summarizes these senior unsecured note issuances for the year ended December 31, 2021 (dollars in thousands):
Issue DateAmountCoupon RateMaturity Year
November 24, 2021$500,000 2.13 %2028
July 12, 2021450,000 1.35 %2027
Mortgage Debt
At September 30, 2022 and December 31, 2021, the Company had $347 million and $350 million, respectively, in aggregate principal of mortgage debt outstanding, which was secured by 18 healthcare facilities, with an aggregate carrying value of $796 million and $811 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 each of the three months ended September 30, 2022 and 2021, the Company made aggregate principal repayments of mortgage debt of $1 million (excluding mortgage debt on assets held for sale and discontinued operations). During each of the nine months ended September 30, 2022 and 2021, the Company made aggregate principal repayments of mortgage debt of $4 million (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 $142 million of secured mortgage debt (see Note 3) that matures in May 2026. In April 2022, the Company terminated its existing interest rate cap instruments associated with this variable rate mortgage debt and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026 (see Note 17). The variable rate mortgage debt associated with these interest rate swap instruments is reported as fixed rate debt due to the Company having effectively established a fixed interest rate for the underlying debt instrument.
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Debt Maturities
The following table summarizes the Company’s stated debt maturities and scheduled principal repayments at September 30, 2022 (dollars in thousands):
Senior Unsecured
Notes(2)
Mortgage
Debt(3)
YearBank Line of
Credit
Commercial Paper(1)
AmountInterest RateAmountInterest RateTotal
2022$— $— $— — %$1,289 3.80 %$1,289 
2023— — — — %90,089 3.80 %90,089 
2024— — — — %7,024 5.49 %7,024 
2025— — 800,000 3.93 %3,209 3.80 %803,209 
2026— 1,585,333 650,000 3.39 %244,523 4.48 %2,479,856 
Thereafter— — 3,250,000 3.24 %366 5.91 %3,250,366 
 — 1,585,333 4,700,000 346,500 6,631,833 
(Discounts), premium and debt costs, net— — (42,349)1,487 (40,862)
$— $1,585,333 $4,657,651 $347,987 $6,590,971 
_______________________________________
(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 3.39% and a weighted average maturity of 6 years.
(3)Effective interest rates on the mortgage debt range from 3.57% to 6.70% with a weighted average effective interest rate of 4.35% and a weighted average maturity of 3 years. These interest rates include the impact of designated interest rate swap instruments, which effectively fix the interest rate on certain variable rate debt.
NOTE 10.  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 and Other Partnerships
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 Internal Revenue 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.
Additionally, the Company owns a 49% interest in the Life Science JV (see Note 7). If the property in the joint venture 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.
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NOTE 11.  Equity and Redeemable Noncontrolling Interests
Dividends
On October 27, 2022, 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 18, 2022 to stockholders of record as of the close of business on November 7, 2022.
During each of the three months ended September 30, 2022 and 2021, the Company declared and paid common stock cash dividends of $0.30 per share. During each of the nine months ended September 30, 2022 and 2021, the Company declared and paid common stock cash dividends of $0.90 per share.
At-The-Market Equity Offering Program
In February 2020, the Company established an at-the-market equity offering program (as amended from time to time, the “ATM Program”), which was most recently amended in May 2021 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, 2022, $1.18 billion of the Company’s common stock remained available for sale under the ATM Program.
ATM Forward Contracts
During the three and nine months ended September 30, 2021, the Company utilized the forward provisions under the 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. The Company did not utilize the forward provisions under the ATM program during the three and nine months ended September 30, 2022. During the three and nine months ended September 30, 2022 and 2021, no shares were settled under ATM forward contracts. Therefore, at September 30, 2022 and 2021, 9.1 million shares remained outstanding under ATM forward contracts. These ATM forward contracts mature in the first quarter of 2023.
ATM Direct Issuances
During the three and nine months ended September 30, 2022 and September 30, 2021, there were no direct issuances of shares of common stock under the ATM Program.
Share Repurchase Program
On August 1, 2022, the Company’s Board of Directors approved a share repurchase program under which the Company may acquire shares of its common stock in the open market up to an aggregate purchase price of $500 million (the “Share Repurchase Program”). Purchases of common stock under the Share Repurchase Program may be exercised at the Company’s discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. During the three and nine months ended September 30, 2022, the Company repurchased 2.1 million shares of its common stock at a weighted average price of $27.16 per share for a total of $56 million. Therefore, at September 30, 2022, $444 million of the Company’s common stock remained available for repurchase under the Share Repurchase Program.
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Accumulated Other Comprehensive Income (Loss)
The following table summarizes the Company’s accumulated other comprehensive income (loss) (in thousands):
 September 30,
2022
December 31,
2021
Unrealized gains (losses) on derivatives, net$32,373 $— 
Supplemental Executive Retirement Plan minimum liability(2,847)(3,147)
Total accumulated other comprehensive income (loss)$29,526 $(3,147)
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.
During the year ended December 31, 2021, one of the redeemable noncontrolling interests met the conditions for redemption and the related put option was exercised during the year then ended. Accordingly, the Company made a cash payment for the redemption value of $60 million to the related noncontrolling interest holder during the year ended December 31, 2021 and acquired the redeemable noncontrolling interest associated with this entity. The remaining redeemable noncontrolling interests had not yet met the conditions for redemption as of September 30, 2022 or December 31, 2021. Three of the interests will become redeemable following the passage of a predetermined amount of time, one of which will occur in the fourth quarter of 2022, and the remaining two in 2023 and 2024. The fourth interest will become redeemable at the earlier of a predetermined passage of time or stabilization of the underlying development property, which is expected to occur in 2023. The redemption values are subject to change based on the assessment of redemption value at each redemption date.
NOTE 12.  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.
Refer to Note 11 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 each of the three and nine months ended September 30, 2022 and 2021 was zero weighted-average incremental shares from the forward equity sales agreements. 
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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,
 2022202120222021
Numerator
Income (loss) from continuing operations$359,284 $61,305 $503,611 $108,785 
Noncontrolling interests' share in continuing operations(4,016)(7,195)(11,701)(14,036)
Income (loss) from continuing operations attributable to Healthpeak Properties, Inc.355,268 54,110 491,910 94,749 
Less: Participating securities' share in continuing operations(604)(269)(2,523)(3,001)
Income (loss) from continuing operations applicable to common shares354,664 53,841 489,387 91,748 
Income (loss) from discontinued operations(1,298)601 2,011 384,569 
Noncontrolling interests' share in discontinued operations— — — (2,539)
Net income (loss) applicable to common shares$353,366 $54,442 $491,398 $473,778 
Numerator - Dilutive  
Net income (loss) applicable to common shares$353,366 $54,442 $491,398 $473,778 
Add: distributions on dilutive convertible units and other2,355 — 4,943 — 
Dilutive net income (loss) available to common shares$355,721 $54,442 $496,341 $473,778 
Denominator  
Basic weighted average shares outstanding538,417 539,021 539,105 538,879 
Dilutive potential common shares - equity awards(1)
281 367 255 280 
Dilutive potential common shares - DownREIT conversions7,317 — 5,492 — 
Diluted weighted average common shares546,015 539,388 544,852 539,159 
Basic earnings (loss) per common share
Continuing operations$0.66 $0.10 $0.91 $0.17 
Discontinued operations0.00 0.00 0.00 0.71 
Net income (loss) applicable to common shares$0.66 $0.10 $0.91 $0.88 
Diluted earnings (loss) per common share  
Continuing operations$0.65 $0.10 $0.91 $0.17 
Discontinued operations0.00 0.00 0.00 0.71 
Net income (loss) applicable to common shares$0.65 $0.10 $0.91 $0.88 
_______________________________________
(1)For all periods presented, represents the dilutive impact of 1 million outstanding equity awards (restricted stock units and stock options).
For all periods presented in the table above, the 9.1 million shares under forward sales agreements that have not been settled as of September 30, 2022 and 2021 were anti-dilutive.
For the three and nine months ended September 30, 2022, 7 million and 5 million shares issuable upon conversion of DownREIT units, respectively, were dilutive and are presented as diluted potential common shares in the table above. For the three and nine months ended September 30, 2021, all 7 million shares issuable upon conversion of DownREIT units were not included because they were anti-dilutive.
NOTE 13.  Segment Disclosures
The Company’s reportable segments, based on how its chief operating decision makers (“CODMs”) evaluate the business and allocate 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 JV that owns 19 senior housing assets (the “SWF SH JV”), loans receivable, and marketable debt securities. The accounting policies of the segments are the same as those described 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, 2021 filed with the SEC, as updated by Note 2 herein.
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; 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.
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NOI and Adjusted NOI are non-GAAP supplemental measures that are calculated as NOI and Adjusted NOI from consolidated properties, plus the Company’s share of NOI and Adjusted NOI from unconsolidated joint ventures (calculated by applying the Company’s actual ownership percentage for the period), less noncontrolling interests’ share of NOI and Adjusted NOI from consolidated joint ventures (calculated by applying the Company’s actual ownership percentage for the period). Management utilizes its share of NOI and Adjusted NOI in assessing its performance as the Company has various joint ventures that contribute to its performance. The Company does not control its unconsolidated joint ventures, and the Company’s share of amounts from unconsolidated joint ventures do not represent the Company’s legal claim to such items. The Company’s share of NOI and Adjusted NOI should not be considered a substitute for, and should only be considered together with and as a supplement to, the Company’s financial information presented in accordance with GAAP. 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, 2022:
Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$207,795 $184,506 $122,142 $5,963 $— $520,406 
Government grant income(1)
— — — — 
Less: Interest income— — — (5,963)— (5,963)
Healthpeak’s share of unconsolidated joint venture total revenues2,938 756 — 18,656 — 22,350 
Healthpeak’s share of unconsolidated joint venture government grant income— — — 183 — 183 
Noncontrolling interests’ share of consolidated joint venture total revenues(55)(8,968)— — — (9,023)
Operating expenses(55,162)(64,782)(100,264)— — (220,208)
Healthpeak’s share of unconsolidated joint venture operating expenses(777)(313)— (14,599)— (15,689)
Noncontrolling interests’ share of consolidated joint venture operating expenses21 2,558 — — — 2,579 
Adjustments to NOI(2)
(15,221)(4,079)— 76 — (19,224)
Adjusted NOI139,539 109,678 21,882 4,316 — 275,415 
Plus: Adjustments to NOI(2)
15,221 4,079 — (76)— 19,224 
Interest income— — — 5,963 — 5,963 
Interest expense— (1,964)(1,887)— (40,227)(44,078)
Depreciation and amortization(70,141)(70,917)(32,132)— — (173,190)
General and administrative— — — — (24,549)(24,549)
Transaction costs(40)(94)(594)— — (728)
Impairments and loan loss reserves— — — (3,407)— (3,407)
Gain (loss) on sales of real estate, net— 554 — (4,703)— (4,149)
Other income (expense), net311,912 154 (7,086)— 698 305,678 
Less: Government grant income— — (4)— — (4)
Less: Healthpeak’s share of unconsolidated joint venture NOI(2,161)(443)— (4,240)— (6,844)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI34 6,410 — — — 6,444 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures394,364 47,457 (19,821)(2,147)(64,078)355,775 
Income tax benefit (expense)— — — — 3,834 3,834 
Equity income (loss) from unconsolidated joint ventures(877)206 — 346 — (325)
Income (loss) from continuing operations393,487 47,663 (19,821)(1,801)(60,244)359,284 
Income (loss) from discontinued operations— — — — (1,298)(1,298)
Net income (loss)$393,487 $47,663 $(19,821)$(1,801)$(61,542)$357,986 
______________________________________________________________________________
(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, 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 
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)
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 nine months ended September 30, 2022:
 Life ScienceMedical OfficeCCRCOther Non-reportableCorporate Non-segmentTotal
Total revenues$609,620 $541,078 $369,062 $16,950 $— $1,536,710 
Government grant income(1)
— — 6,765 — — 6,765 
Less: Interest income— — — (16,950)— (16,950)
Healthpeak’s share of unconsolidated joint venture total revenues5,637 2,249 — 54,918 — 62,804 
Healthpeak’s share of unconsolidated joint venture government grant income— — 334 497 — 831 
Noncontrolling interests’ share of consolidated joint venture total revenues(174)(26,732)— — — (26,906)
Operating expenses(152,796)(189,274)(300,429)— — (642,499)
Healthpeak’s share of unconsolidated joint venture operating expenses(1,744)(912)— (42,804)— (45,460)
Noncontrolling interests’ share of consolidated joint venture operating expenses59 7,886 — — — 7,945 
Adjustments to NOI(2)
(50,977)(10,574)— 120 — (61,431)
Adjusted NOI409,625 323,721 75,732 12,731 — 821,809 
Plus: Adjustments to NOI(2)
50,977 10,574 — (120)— 61,431 
Interest income— — — 16,950 — 16,950 
Interest expense— (4,931)(5,629)— (112,971)(123,531)
Depreciation and amortization(227,952)(207,563)(95,897)— — (531,412)
General and administrative— — — — (73,161)(73,161)
Transaction costs(367)(168)(658)— (443)(1,636)
Impairments and loan loss reserves— — — (3,678)— (3,678)
Gain (loss) on sales of real estate, net3,856 10,894 — (4,703)— 10,047 
Other income (expense), net311,932 12,354 55 (13)2,527 326,855 
Less: Government grant income— — (6,765)— — (6,765)
Less: Healthpeak’s share of unconsolidated joint venture NOI(3,893)(1,337)(334)(12,611)— (18,175)
Plus: Noncontrolling interests’ share of consolidated joint venture NOI115 18,846 — — — 18,961 
Income (loss) before income taxes and equity income (loss) from unconsolidated joint ventures544,293 162,390 (33,496)8,556 (184,048)497,695 
Income tax benefit (expense)— — — — 3,775 3,775 
Equity income (loss) from unconsolidated joint ventures237 617 539 748 — 2,141 
Income (loss) from continuing operations544,530 163,007 (32,957)9,304 (180,273)503,611 
Income (loss) from discontinued operations— — — — 2,011 2,011 
Net income (loss)$544,530 $163,007 $(32,957)$9,304 $(178,262)$505,622 
______________________________________________________________________________
(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, 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.
See Notes 3, 4, 5, and 7 for significant transactions impacting the Company’s segment assets during the periods presented.

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NOTE 14.  Supplemental Cash Flow Information
The following table provides supplemental cash flow information (in thousands):
 Nine Months Ended September 30,
 20222021
Supplemental cash flow information:  
Interest paid, net of capitalized interest$138,972 $167,062 
Income taxes paid (refunded)(2,003)4,258 
Capitalized interest26,970 17,022 
Supplemental schedule of non-cash investing and financing activities:
Retained investment in connection with South San Francisco JVs transaction293,265 — 
Increase in ROU asset in exchange for new lease liability related to operating leases954 15,329 
Decrease in ROU asset with corresponding change in lease liability related to operating leases— 8,410 
Seller financing provided on disposition of real estate asset— 559,745 
Accrued construction costs160,937 150,204 
Vesting of restricted stock units and conversion of non-managing member units into common stock803 907 
Carrying value of mortgages assumed by buyer in real estate dispositions— 143,676 
The following table summarizes certain cash flow information related to assets classified as discontinued operations (in thousands):
Nine Months Ended September 30,
20222021
Leasing costs, tenant improvements, and recurring capital expenditures$21 $2,609 
Development, redevelopment, and other major improvements of real estate18 5,361 
Depreciation and amortization of real estate, in-place lease, and other intangibles— — 

The following table summarizes cash, cash equivalents and restricted cash (in thousands):
Nine Months Ended September 30,
202220212022202120222021
Continuing operationsDiscontinued operationsTotal
Beginning of period:
Cash and cash equivalents$158,287 $44,226 $7,707 $53,085 $165,994 $97,311 
Restricted cash53,454 67,206 — 17,168 53,454 84,374 
Cash, cash equivalents and restricted cash$211,741 $111,432 $7,707 $70,253 $219,448 $181,685 
End of period:
Cash and cash equivalents$112,452 $201,099 $2,172 $14,005 $114,624 $215,104 
Restricted cash54,500 53,699 — 54,500 53,702 
Cash, cash equivalents and restricted cash$166,952 $254,798 $2,172 $14,008 $169,124 $268,806 
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NOTE 15.  Variable Interest Entities
Unconsolidated Variable Interest Entities
At September 30, 2022 and December 31, 2021, the Company had investments in: (i) two unconsolidated VIE joint ventures and (ii) marketable debt securities of one VIE. 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 and Needham Land Parcel JV discussed below), it has no formal involvement in these VIEs beyond its investments.
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.
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. Any assets generated by the entity may only be used to settle its contractual obligations (primarily capital expenditures and debt service payments).
Needham Land Parcel JV. In December 2021, the Company acquired a 38% interest in a life science development joint venture in Needham, Massachusetts for $13 million. Current equity at risk is not sufficient to finance the joint venture’s activities. The assets and liabilities of the entity primarily consist of real estate and debt service obligations. Any assets generated by the entity may only be used to settle its contractual obligations (primarily development costs and debt service payments).
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, 2022 was as follows (in thousands):
VIE TypeAsset Type
Maximum Loss
Exposure
and Carrying
Amount(1)
CMBS and LLC investmentOther assets, net$36,775 
Needham Land Parcel JVInvestments in and advances to unconsolidated joint ventures15,342 
_______________________________________
(1)The Company’s maximum loss exposure represents the aggregate carrying amount of such investments (including accrued interest).
As of September 30, 2022, 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, 4, and 7 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, 2022 and December 31, 2021 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).
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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 certain decisions 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 11 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).
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 three months ended June 30, 2022, the Company acquired one MOB using a reverse like-kind exchange structure pursuant to Section 1031 of the Internal Revenue Code (a “reverse 1031 exchange”). Additionally, during the three months ended March 31, 2022, the Company acquired two MOBs using a reverse 1031 exchange. As of September 30, 2022, the acquired properties were no longer identified as a reverse 1031 exchange and were therefore released from possession of the Exchange Accommodation Titleholder (“EAT”).
During the year ended December 31, 2021, the Company acquired two MOBs using reverse 1031 exchanges. As of December 31, 2021, the Company had not completed the reverse 1031 exchanges and as such, the acquired properties remained in the possession of the EAT. The EAT was classified as a VIE as it was a “thinly capitalized” entity. The Company consolidated the EAT because it had the ability to control the activities that most significantly impacted the economic performance of the EAT and was, therefore, the primary beneficiary of the EAT. These properties held by the EAT had a carrying value of $77 million as of December 31, 2021. The assets of the EAT primarily consisted of leased properties (net real estate, including intangibles) and rents receivable; their obligations primarily consisted of capital expenditures for the properties. Assets generated by the EAT may only be used to settle its contractual obligations (primarily from capital expenditures). These reverse 1031 exchanges were completed in February 2022.
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Total assets and total liabilities include VIE assets and liabilities as follows (in thousands):
 September 30,
2022
December 31,
2021
Assets  
Buildings and improvements$2,204,074 $2,303,920 
Development costs and construction in progress162,658 82,303 
Land324,444 548,168 
Accumulated depreciation and amortization(598,285)(551,097)
Net real estate2,092,891 2,383,294 
Accounts receivable, net8,211 5,455 
Cash and cash equivalents38,152 22,295 
Restricted cash260 114 
Intangible assets, net78,458 117,180 
Assets held for sale and discontinued operations, net30,398 754 
Right-of-use asset, net99,824 107,993 
Other assets, net66,904 62,886 
Total assets$2,415,098 $2,699,971 
Liabilities  
Mortgage debt$144,533 $144,350 
Intangible liabilities, net15,926 23,909 
Liabilities related to assets held for sale and discontinued operations, net2,020 1,677 
Lease liability98,855 99,213 
Accounts payable, accrued liabilities, and other liabilities76,685 58,440 
Deferred revenue26,872 21,546 
Total liabilities $364,891 $349,135 
Total assets and liabilities related to assets held for sale and discontinued operations include VIE assets and liabilities as follows (in thousands):
September 30,
2022
December 31,
2021
Assets
Buildings and improvements$39,934 $— 
Development costs and construction in progress— 
Land1,920 — 
Accumulated depreciation and amortization(15,612)— 
Net real estate26,248 — 
Accounts receivable, net— 62 
Cash and cash equivalents82 59 
Intangible assets, net215 — 
Other assets, net3,853 633 
Total assets $30,398 $754 
Liabilities
Accounts payable, accrued liabilities, and other liabilities$1,619 $1,677 
Deferred revenue401 — 
Total liabilities $2,020 $1,677 
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NOTE 16.  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, 2022 and December 31, 2021.
The table below summarizes the carrying amounts and fair values of the Company’s financial instruments (in thousands):
 
September 30, 2022(3)
December 31, 2021(3)
 Carrying
Value
Fair ValueCarrying
Value
Fair Value
Loans receivable, net(2)
$383,991 $378,525 $415,811 $437,607 
Marketable debt securities(2)
21,522 21,522 21,003 21,003 
Interest rate swap instruments(2)
32,487 32,487 — — 
Interest rate cap instruments(2)
— — 397 397 
Bank line of credit and commercial paper(2)
1,585,333 1,585,333 1,165,975 1,165,975 
Senior unsecured notes(1)
4,657,651 4,163,646 4,651,933 5,054,747 
Mortgage debt(2)
347,987 331,832 352,081 352,800 
_______________________________________
(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, interest rate swap instruments, and interest rate cap instruments, standardized pricing models in which significant inputs or value drivers are observable in active markets. For bank line of credit and commercial paper, 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, 2022 and year ended December 31, 2021, there were no material transfers of financial assets or liabilities within the fair value hierarchy.
NOTE 17.  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 and their related potential impact on future earnings and cash flows. The Company does not use derivative instruments for speculative or trading purposes. At September 30, 2022, a one percentage point increase or decrease in the underlying interest rate curve would result in a corresponding increase or decrease in the fair value of the derivative instruments by approximately $24 million.
In March 2021, the Company repaid $39 million of variable rate secured debt on two SHOP assets and terminated the two associated interest rate swap instruments. Therefore, at December 31, 2021, the Company had no interest rate swap instruments.
In April 2021, the Company executed two interest rate cap instruments on its $142 million of variable rate mortgage debt issued in conjunction with the acquisition of the MOB Portfolio (see Note 3).
In April 2022, the Company terminated these interest rate cap instruments and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026.
In August 2022, the Company entered into two forward-starting interest rate swap instruments on the $500 million aggregate principal amount of the 2022 Term Loan Facilities (see Note 9). The forward-starting interest rate swap instruments are designated as cash flow hedges.
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The following table summarizes the Company’s interest rate swap instruments as of September 30, 2022 (in thousands):
Fair Value(1)
Date EnteredMaturity DateHedge DesignationNotional AmountPay RateReceive RateSeptember 30,
2022
December 31,
2021
April 2022(2)
May 2026Cash flow$51,100 5.08 %
1 mo. USD-LIBOR-BBA + 2.50%
$2,444 $— 
April 2022(2)
May 2026Cash flow91,000 4.63 %
1 mo. USD-LIBOR-BBA + 2.05%
4,352 — 
August 2022(2)
February 2027Cash flow250,000 2.60 % 1 mo. USD-SOFR CME Term12,173 — 
August 2022(2)
August 2027Cash flow250,000 2.54 % 1 mo. USD-SOFR CME Term13,518 — 
_____________________________
(1)At September 30, 2022, the interest rate swap instruments were in an asset position. Derivative assets are recorded in other assets, net on the Consolidated Balance Sheets.
(2)Represents interest rate swap instruments that hedge fluctuations in interest payments on variable rate debt by converting the interest rates to fixed interest rates. The changes in fair value of designated derivatives that qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) on the Consolidated Balance Sheets.

The following table summarizes the Company’s interest rate cap instruments as of September 30, 2022 (in thousands):
Fair Value(1)
Date EnteredMaturity DateHedge DesignationNotional AmountStrike RateIndexSeptember 30,
2022
December 31,
2021
April 2021(2)
May 2024Non-designated$142,100 2.00 %1 mo. USD-LIBOR-BBA$— $397 
_____________________________
(1)At December 31, 2021, the interest rate cap instruments were in an asset position. Derivative assets are recorded in other assets, net on the Consolidated Balance Sheets.
(2)Represents two interest rate cap instruments that manage the Company’s exposure to variable cash flows on certain mortgage debt borrowings by limiting interest rates. These interest rate cap instruments were terminated in April 2022.
During the three and nine months ended September 30, 2022, the Company recognized a zero and $2 million increase, respectively, in the fair value of the interest rate cap instruments within other income (expense), net.
NOTE 18.    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,
2022
December 31,
2021
Refundable entrance fees(1)
$271,675 $288,409 
Accrued construction costs160,937 179,995 
Accrued interest35,832 59,342 
Other accounts payable and accrued liabilities264,451 227,638 
Accounts payable, accrued liabilities, and other liabilities$732,895 $755,384 
_______________________________________
(1)At September 30, 2022 and December 31, 2021, unamortized nonrefundable entrance fee liabilities were $512 million and $496 million, respectively, which are recorded within deferred revenue on the Consolidated Balance Sheets. During the three and nine months ended September 30, 2022, the Company collected nonrefundable entrance fees of $24 million and $74 million, respectively, and recognized amortization of $20 million and $58 million, respectively. During the three and nine months ended September 30, 2021, the Company collected nonrefundable entrance fees of $25 million and $63 million, respectively, and recognized amortization of $19 million and $57 million, respectively. The amortization of nonrefundable entrance fees is included within resident fees and services on the Consolidated Statements of Operations.

Departure of Executives
On October 6, 2022, the Company and Thomas M. Herzog mutually agreed that Mr. Herzog would step down from his position as Chief Executive Officer and from the board of directors of the Company, effective immediately. On November 1, 2022, the Company and Troy E. McHenry mutually agreed that Mr. McHenry would step down from his position as Chief Legal Officer and General Counsel, effective immediately. In connection with these departures and the related release agreements, the Company expects to recognize total severance-related charges of approximately $30 million in the fourth quarter of 2022.
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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 on Form 10-Q.
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, 2021, 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:
epidemics, pandemics or other infectious diseases, including the coronavirus disease (“Covid”), and health and safety measures intended to reduce their spread, and how quickly and to what extent normal economic and operating conditions can resume within the markets in which we operate;
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 real estate 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 and exposes us to the risks inherent in illiquid investments;
our ability to identify and secure replacement tenants and operators and the potential renovation costs and regulatory approvals associated therewith;
our property development, redevelopment, and tenant improvement activity risks, including project abandonments, project delays, and lower profits 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;
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”);
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economic and other conditions that negatively affect geographic areas from which we recognize a greater percentage of our revenue;
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 fixed rent escalators, 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 foreclose on collateral securing our real estate-related loans;
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;
an increase in our borrowing costs, including due to higher interest rates;
the availability of external capital on acceptable terms or at all, including due to rising interest rates, changes in our credit ratings and the value of our common stock, volatility or uncertainty in the capital markets, and other factors;
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;
laws or regulations prohibiting eviction of our tenants;
the failure of our tenants, operators, and borrowers 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 senior housing properties;
compliance with the Americans with Disabilities Act and fire, safety and other 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 Fund and other Covid-related stimulus and relief programs;
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;
the loss or limited availability of our key personnel; and
our reliance on information technology systems and the potential impact of system failures, disruptions or breaches.
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
Market Trends and Uncertainties
Overview of Transactions
Dividends
Results of Operations
Liquidity and Capital Resources
Non-GAAP Financial Measures Reconciliations
Critical Accounting Estimates 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. Our corporate headquarters are located in Denver, Colorado and we have additional offices in California, Tennessee, and Massachusetts.
During 2020, we began the process of disposing of our senior housing triple-net and senior housing operating property (“SHOP”) portfolios. As of December 31, 2020, we concluded that the planned dispositions represented a strategic shift that 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. In September 2021, we successfully completed the disposition of both portfolios. See Note 4 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 facilities, 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 loans receivable, marketable debt securities, and an interest in an unconsolidated joint venture that owns 19 senior housing assets (our “SWF SH JV”).
At September 30, 2022, our portfolio of investments, including properties in our unconsolidated joint ventures, consisted of interests in 480 properties. The following table summarizes information for our reportable and other non-reportable segments, excluding discontinued operations, for the three months ended September 30, 2022 (dollars in thousands):
Segment
Total Portfolio Adjusted NOI(1)
Percentage of Total Portfolio Adjusted NOINumber of Properties
Life science$139,539 51 %149 
Medical office109,678 40 %297 
CCRC21,882 %15 
Other non-reportable4,316 %19 
Totals$275,415 100 %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 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
For a description of our significant activities during 2022, see “Item 2, Management’s Discussion and Analysis of Financial Condition and Results of Operations—Overview of Transactions” in this report.
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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 property 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.
Market Trends and Uncertainties
Our operating results have been and will continue to be impacted by global and national economic and market conditions generally and by the local economic conditions where our properties are located, as well as by the Covid pandemic.
Rising interest rates, high inflation, supply chain disruptions, ongoing geopolitical tensions, and increased volatility in public equity and fixed income markets have led to increased costs and limited the availability of capital. To the extent our tenants or operators experience increased costs or financing difficulties due to the foregoing macroeconomic conditions, they may be unable or unwilling to make payments or perform their obligations when due. In addition, increased interest rates could affect our borrowing costs and the fair value of our fixed rate instruments.
We have also seen significant inflation in construction costs over the past 15-21 months, which may, together with rising costs of capital, negatively affect the expected yields on our development and redevelopment projects. In addition, labor shortages and global supply chain disruptions, including procurement delays and long lead times on certain materials, have adversely impacted and could continue to adversely impact the scheduled completion and/or costs of these projects.
Further, the full, long-term economic impact of the Covid pandemic on the operations of our CCRC communities and the senior housing facilities owned by our SWF SH JV remains uncertain. Many factors cannot be predicted and will remain unpredictable, including the impact, duration, and severity of new variants and outbreaks. In addition, 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 pandemic, as well as due to current inflationary pressures. 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 are likely to reduce margins in the business.
We continuously monitor the effects of domestic and global events, including but not limited to inflation, labor shortages, supply chain matters, rising interest rates, and other current and expected impacts of the Covid pandemic on our operations and financial position, as well as on the operations and financial position of our tenants, operators, and borrowers, to ensure that we remain responsive and adaptable to the dynamic changes in our operating environment.
A discussion of potential long-term changes in the industry are more fully set forth under Part II, Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Covid Update” in our Annual Report on Form 10-K for the year ended December 31, 2021.
See Part I, Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2021 for additional discussion of the risks posed by macroeconomic conditions and the Covid pandemic, as well as the uncertainties we and our tenants, operators, and borrowers may face as a result.
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Overview of Transactions
South San Francisco Joint Ventures
On August 1, 2022, we sold a 30% interest in seven life science assets in South San Francisco, California (the “South San Francisco JVs”) to a sovereign wealth fund (“SWF Partner”) for cash of $126 million.
Concurrently, we entered into a master equity transaction agreement with the SWF Partner that provides us the opportunity to sell interests of up to 30% in certain future development projects we own.
67 Smith Place
In January 2022, we closed a life science acquisition in Cambridge, Massachusetts for $72 million.
Vista Sorrento Phase II
In January 2022, we closed a life science acquisition in San Diego, California for $24 million.
Webster MOB Portfolio
In March 2022, we acquired a portfolio of two MOBs in Houston, Texas for $43 million.
Northwest Medical Plaza
In May 2022, we acquired one MOB in Bentonville, Arkansas for $26 million.
Other Real Estate Transactions
During the nine months ended September 30, 2022, we sold one life science facility in Utah for $14 million.
During the nine months ended September 30, 2022, we sold our remaining hospital classified as a direct financing lease (“DFL”) for $68 million.
During the nine months ended September 30, 2022, we sold five MOBs and one MOB land parcel for $36 million.
Financing Activities
In April 2022, we terminated our existing interest rate cap instruments associated with $142 million of variable rate mortgage debt and entered into two interest rate swap instruments that are designated as cash flow hedges and mature in May 2026.
In July 2022, we increased the maximum aggregate face or principal amount that can be outstanding at any one time under the commercial paper program from $1.5 billion to $2.0 billion.
In August 2022, we executed a term loan agreement that provides for two senior unsecured delayed draw term loans in an aggregate principal amount of up to $500 million (the “2022 Term Loan Facilities”). As of September 30, 2022, we had no borrowings outstanding under the 2022 Term Loan Facilities. In October 2022, the entirety of the $500 million under the 2022 Term Loan Facilities was drawn.
In August 2022, we entered into two forward-starting interest rate swap instruments that are designated as cash flow hedges that effectively establish a fixed interest rate for the underlying 2022 Term Loan Facilities.
In August 2022, our Board of Directors approved a share repurchase program under which we may acquire shares of our common stock in the open market up to an aggregate purchase price of $500 million (the “Share Repurchase Program”). During the three and nine months ended September 30, 2022, we repurchased 2.1 million shares of our common stock under our Share Repurchase Program at a weighted average price of $27.16 per share for a total of $56 million.
Development Activities
At September 30, 2022, we had five life science development projects in process with an aggregate total estimated cost of approximately $1.03 billion and one MOB development project in process with a total estimated cost of approximately $33 million.
During the nine months ended September 30, 2022, the following projects were placed in service: (i) three MOB development projects with total costs incurred of $58 million, (ii) two MOB redevelopment projects with total costs incurred of $19 million, (iii) four life science development projects with total costs incurred of $317 million, (iv) one life science redevelopment project with total costs incurred of $60 million, and (v) a portion of one life science development project with total costs incurred of $40 million.
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Dividends
The following table summarizes our common stock cash dividends declared in 2022:
Declaration DateRecord DateAmount
Per Share
Dividend
Payment Date
January 27February 11$0.30 February 22
April 28May 90.30 May 20
July 28August 80.30 August 19
October 27November 70.30 November 18
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, development, and management of life science facilities, MOBs, and hospitals, which generally requires 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 our unconsolidated SWF SH JV, (ii) loans receivable, and (iii) marketable debt securities. 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, 2021 filed with the U.S. Securities and Exchange Commission (“SEC”), as updated by Note 2 to the Consolidated Financial Statements herein.
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; NOI excludes all other financial statement amounts included in net income (loss) as presented in Note 13 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 are calculated as NOI and Adjusted NOI from consolidated properties, plus our share of NOI and Adjusted NOI from unconsolidated joint ventures (calculated by applying our actual ownership percentage for the period), less noncontrolling interests’ share of NOI and Adjusted NOI from consolidated joint ventures (calculated by applying our actual ownership percentage for the period). Management utilizes its share of NOI and Adjusted NOI in assessing its performance as we have various joint ventures that contribute to its performance. We do not control our unconsolidated joint ventures, and our share of amounts from unconsolidated joint ventures do not represent our legal claim to such items. Our share of NOI and Adjusted NOI should not be considered a substitute for, and should only be considered together with and as a supplement to, our financial information presented in accordance with GAAP.
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 13 to the Consolidated Financial Statements.
Operating expenses generally relate to leased medical office and life science properties, as well as 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.
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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.
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”). These adjustments are net of tax, when applicable. 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 include: (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. 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, and (iv) restructuring and severance-related charges. Furthermore, AFFO is adjusted for recurring capital expenditures, which are generally not considered when determining cash flows from operations or liquidity. 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. 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, and by presenting AFFO, we are assisting these parties in their evaluation. 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 and should only be considered together with and as a supplement to the Company’s financial information prepared 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, 2022 to the Three and Nine Months Ended September 30, 2021
Overview
Three Months Ended September 30, 2022 and 2021
The following table summarizes results for the three months ended September 30, 2022 and 2021 (in thousands):
 Three Months Ended September 30,
 20222021Change
Net income (loss) applicable to common shares$353,366 $54,442 $298,924 
Nareit FFO225,074 194,914 30,160 
FFO as Adjusted233,166 217,471 15,695 
AFFO193,314 179,739 13,575 
Net income (loss) applicable to common shares increased primarily as a result of the following:
a gain upon change of control related to the sale of a 30% interest and deconsolidation of seven previously consolidated life science assets in South San Francisco, California; and
an increase in NOI generated from our life science and medical office segments related to: (i) 2021 and 2022 acquisitions of real estate, (ii) development and redevelopment projects placed in service during 2021 and 2022, and (iii) new leasing activity during 2021 and 2022 (including the impact to straight-line rents).
The increase in net income (loss) applicable to common shares was partially offset by:
a decrease in gains on sale of depreciable real estate related to lower gains recognized on MOB asset sales during the third quarter of 2022 as compared to 2021;
an increase in interest expense, primarily as a result of higher borrowings and higher interest rates under the commercial paper program;
casualty-related charges from a hurricane during the third quarter of 2022;
an increase in loan loss reserves in 2022 primarily due to macroeconomic conditions; and
a decrease in income from discontinued operations, primarily as a result of a decrease in gain on sales of real estate from dispositions of our senior housing portfolios, partially offset by lower impairments of depreciable real estate and goodwill.
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:
gain upon change of control;
gain on sales of depreciable real estate;
depreciation and amortization expense; and
impairment charges related to depreciable real estate.
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:
casualty-related charges;
loan loss reserves; and
goodwill impairment charges related to the disposition of our senior housing portfolios.
AFFO increased 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.
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Nine Months Ended September 30, 2022 and 2021
The following table summarizes results for the nine months ended September 30, 2022 and 2021 (in thousands):
 Nine Months Ended September 30,
 20222021Change
Net income (loss) applicable to common shares$491,398 $473,778 $17,620 
Nareit FFO704,658 384,877 319,781 
FFO as Adjusted704,460 650,166 54,294 
AFFO590,938 553,578 37,360 
Net income (loss) applicable to common shares increased primarily as a result of the following:
a gain upon change of control related to the sale of a 30% interest and deconsolidation of seven previously consolidated life science assets in South San Francisco, California;
a decrease 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 NOI generated from our life science and medical office segments related to: (i) 2021 and 2022 acquisitions of real estate, (ii) development and redevelopment projects placed in service during 2021 and 2022, and (iii) new leasing activity during 2021 and 2022 (including the impact to straight-line rents);
a gain on sale of a hospital that was classified as a DFL that was sold in the first quarter of 2022; and
fewer impairment charges on depreciable real estate.
The increase in net income (loss) applicable to common shares was partially offset by:
a decrease in income from discontinued operations, primarily as a result of a decrease in gain on sales of real estate from dispositions of our senior housing portfolios, partially offset by lower impairments of depreciable real estate and goodwill;
a decrease in gains on sale of depreciable real estate primarily related to the Hoag Hospital sale in May 2021;
an increase in depreciation, primarily as a result of: (i) 2021 and 2022 acquisitions of real estate and (ii) development and redevelopment projects placed in service during 2021 and 2022;
a decrease in interest income primarily as a result of principal repayments on and sales of loans receivable in 2021 and 2022;
expenses incurred for tenant relocation and other costs associated with the demolition of an MOB;
casualty-related charges from a hurricane during the third quarter of 2022;
an increase in interest expense, primarily as a result of higher borrowings and higher interest rates under the commercial paper program; and
an increase in loan loss reserves in 2022 primarily due to macroeconomic conditions.
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:
gain upon change of control;
gain on sales of depreciable real estate;
depreciation and amortization expense; and
impairment charges related to depreciable real estate.
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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:
loss on debt extinguishment;
the gain on sale of a hospital that was classified as a DFL;
the expenses for tenant relocation and other costs associated with the demolition of an MOB;
goodwill impairment charges related to the disposition of our senior housing portfolios;
casualty-related charges; and
loan loss reserves.
AFFO increased 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 increase was partially offset 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, 2022, our Same-Store consists of 395 properties representing properties acquired or placed in service and stabilized on or prior to July 1, 2021 and that remained in operations under a consistent reporting structure through September 30, 2022. For the nine months ended September 30, 2022, our Same-Store consists of 375 properties representing properties acquired or placed in service and stabilized on or prior to January 1, 2021 and that remained in operations under a consistent reporting structure through September 30, 2022. Our total property portfolio consisted of 480 properties at each of September 30, 2022 and 2021, respectively.
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Life Science
The following table summarizes results at and for the three months ended September 30, 2022 and 2021 (dollars and square feet in thousands, except per square foot data):
 SSTotal Portfolio
 Three Months Ended September 30,Three Months Ended September 30,
 20222021Change20222021Change
Rental and related revenues$167,084 $153,324 $13,760 $207,795 $184,213 $23,582 
Healthpeak’s share of unconsolidated joint venture total revenues2,628 3,228 (600)2,938 1,521 1,417 
Noncontrolling interests’ share of consolidated joint venture total revenues(33)(31)(2)(55)(82)27 
Operating expenses(44,286)(38,228)(6,058)(55,162)(44,923)(10,239)
Healthpeak’s share of unconsolidated joint venture operating expenses(668)(705)37 (777)(463)(314)
Noncontrolling interests’ share of consolidated joint venture operating expenses10 21 25 (4)
Adjustments to NOI(1)
(10,469)(9,141)(1,328)(15,221)(11,021)(4,200)
Adjusted NOI$114,266 $108,456 $5,810 139,539 129,270 10,269 
Less: non-SS Adjusted NOI   (25,273)(20,814)(4,459)
SS Adjusted NOI   $114,266 $108,456 $5,810 
Adjusted NOI % change  5.4 %   
Property count(2)
118 118  149 146  
End of period occupancy98.8 %97.5 %99.0 %97.1 %
Average occupancy98.7 %97.5 % 98.8 %97.1 % 
Average occupied square feet8,910 8,651  10,708 10,021  
Average annual total revenues per occupied square foot(3)
$72 $68  $74 $69  
Average annual base rent per occupied square foot(4)
$54 $52  $56 $54  
_______________________________________
(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. See Note 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(2)From our third quarter 2021 presentation of Same-Store, we added: (i) six stabilized developments placed in service, (ii) five stabilized acquisitions, (iii) three stabilized redevelopments placed in service, and (iv) two stabilized properties that previously experienced a significant tenant relocation, and we removed: (i) seven life science facilities that were placed into redevelopment and (ii) two life science facilities that were classified as held for sale.
(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;
higher occupancy; and
new leasing activity.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
an increase in NOI from (i) increased occupancy in developments and redevelopments placed in service in 2021 and 2022 and (ii) acquisitions in 2021 and 2022.
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The following table summarizes results at and for the nine months ended September 30, 2022 and 2021 (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,
 20222021Change20222021Change
Rental and related revenues$447,719 $418,597 $29,122 $609,620 $531,674 $77,946 
Healthpeak’s share of unconsolidated joint venture total revenues10,175 9,359 816 5,637 4,270 1,367 
Noncontrolling interests’ share of consolidated joint venture total revenues(76)(73)(3)(174)(222)48 
Operating expenses(110,244)(96,696)(13,548)(152,796)(125,108)(27,688)
Healthpeak’s share of unconsolidated joint venture operating expenses(2,151)(2,019)(132)(1,744)(1,316)(428)
Noncontrolling interests’ share of consolidated joint venture operating expenses24 21 59 66 (7)
Adjustments to NOI(2)
(28,747)(26,961)(1,786)(50,977)(35,197)(15,780)
Adjusted NOI$316,700 $302,228 $14,472 409,625 374,167 35,458 
Less: non-SS Adjusted NOI   (92,925)(71,939)(20,986)
SS Adjusted NOI   $316,700 $302,228 $14,472 
Adjusted NOI % change  4.8 %   
Property count(3)
114 114  149 146  
End of period occupancy98.8 %97.4 %99.0 %97.1 %
Average occupancy98.7 %97.7 % 98.6 %96.9 % 
Average occupied square feet8,455 8,221  10,666 10,119  
Average annual total revenues per occupied square foot(4)
$68 $65  $71 $66  
Average annual base rent per occupied square foot(5)
$53 $51  $55 $52  
_______________________________________
(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. See Note 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our third quarter 2021 presentation of Same-Store, we added: (i) six stabilized developments placed in service, (ii) five stabilized acquisitions, and (iii) four stabilized redevelopments placed in service, and we removed: (i) seven life science facilities that were placed into redevelopment and (ii) one life science facility that was classified as held for sale.
(4)Average annual total revenues does not include non-cash revenue adjustments (i.e., straight-line rents, amortization of market lease intangibles, 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, and deferred revenues).
Same-Store Adjusted NOI increased primarily as a result of the following:
annual rent escalations;
higher occupancy; and
new leasing activity.
Total Portfolio Adjusted NOI increased primarily as a result of the aforementioned impacts to Same-Store and the following Non-Same-Store impacts:
an increase in NOI from (i) increased occupancy in developments and redevelopments placed in service in 2021 and 2022 and (ii) acquisitions in 2021 and 2022.
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Medical Office
The following table summarizes results at and for the three months ended September 30, 2022 and 2021 (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,
 20222021Change20222021Change
Rental and related revenues$156,966 $149,864 $7,102 $184,506 $169,303 $15,203 
Income from direct financing leases— — — — 2,179 (2,179)
Healthpeak’s share of unconsolidated joint venture total revenues733 714 19 756 737 19 
Noncontrolling interests’ share of consolidated joint venture total revenues(8,812)(8,659)(153)(8,968)(8,954)(14)
Operating expenses(52,972)(50,120)(2,852)(64,782)(58,430)(6,352)
Healthpeak’s share of unconsolidated joint venture operating expenses(313)(304)(9)(313)(305)(8)
Noncontrolling interests’ share of consolidated joint venture operating expenses2,558 2,592 (34)2,558 2,659 (101)
Adjustments to NOI(2)
(2,300)(2,717)417 (4,079)(3,626)(453)
Adjusted NOI$95,860 $91,370 $4,490 109,678 103,563 6,115 
Less: non-SS Adjusted NOI   (13,818)(12,193)(1,625)
SS Adjusted NOI   $95,860 $91,370 $4,490 
Adjusted NOI % change  4.9 %   
Property count(3)
262 262  297 300  
End of period occupancy91.2 %91.2 %90.0 %90.1 %
Average occupancy91.2 %91.1 % 89.9 %89.9 % 
Average occupied square feet19,157 19,123  21,624 21,337  
Average annual total revenues per occupied square foot(4)
$33 $32  $34 $31  
Average annual base rent per occupied square foot(5)
$27 $26  $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. See Note 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our third quarter 2021 presentation of Same-Store, we added: (i) 25 stabilized acquisitions and (ii) 2 stabilized redevelopments placed in service, and we removed: (i) 5 MOBs that were placed into redevelopment and (ii) 4 MOBs that were sold.
(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 2021 and 2022 acquisitions;
increased occupancy in former redevelopment and development properties that have been placed in service; partially offset by
decreased NOI from our 2021 and 2022 dispositions.
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The following table summarizes results at and for the nine months ended September 30, 2022 and 2021 (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,
 20222021Change20222021Change
Rental and related revenues$436,724 $416,998 $19,726 $539,910 $490,456 $49,454 
Income from direct financing leases— — — 1,168 6,522 (5,354)
Healthpeak’s share of unconsolidated joint venture total revenues2,180 2,095 85 2,249 2,162 87 
Noncontrolling interests’ share of consolidated joint venture total revenues(26,265)(25,728)(537)(26,732)(26,704)(28)
Operating expenses(145,379)(135,663)(9,716)(189,274)(164,198)(25,076)
Healthpeak’s share of unconsolidated joint venture operating expenses(913)(915)(912)(915)
Noncontrolling interests’ share of consolidated joint venture operating expenses7,886 7,500 386 7,886 7,714 172 
Adjustments to NOI(2)
(5,318)(6,554)1,236 (10,574)(7,553)(3,021)
Adjusted NOI$268,915 $257,733 $11,182 323,721 307,484 16,237 
Less: non-SS Adjusted NOI   (54,806)(49,751)(5,055)
SS Adjusted NOI   $268,915 $257,733 $11,182 
Adjusted NOI % change  4.3 %   
Property count(3)
246 246  297 300  
End of period occupancy91.3 %91.3 %90.0 %90.1 %
Average occupancy91.5 %91.4 % 89.9 %90.1 % 
Average occupied square feet18,368 18,333  21,686 20,827  
Average annual total revenues per occupied square foot(4)
$32 $31  $34 $31  
Average annual base rent per occupied square foot(5)
$27 $26  $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. See Note 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our third quarter 2021 presentation of Same-Store, we added: (i) 10 stabilized acquisitions and (ii) 3 stabilized redevelopments placed in service, and we removed: (i) 5 MOBs that were placed into redevelopment and (ii) 4 MOBs that were sold.
(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 2021 and 2022 acquisitions;
increased occupancy in former redevelopment and development properties that have been placed in service; partially offset by
decreased NOI from our 2021 and 2022 dispositions.
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Continuing Care Retirement Community
The following table summarizes results at and for the three months ended September 30, 2022 and 2021 (dollars in thousands, except per unit data):
 SSTotal Portfolio
 Three Months Ended September 30,Three Months Ended September 30,
 20222021Change20222021Change
Resident fees and services$122,142 $119,022 $3,120 $122,142 $119,022 $3,120 
Government grant income(1)
15 (11)15 (11)
Operating expenses(99,914)(98,405)(1,509)(100,264)(98,799)(1,465)
Healthpeak’s share of unconsolidated joint venture operating expenses— — — — (32)32 
Adjustments to NOI(2)
— 724 (724)— 724 (724)
Adjusted NOI$22,232 $21,356 $876 21,882 20,930 952 
Plus: non-SS adjustments   350 426 (76)
SS Adjusted NOI   $22,232 $21,356 $876 
Adjusted NOI % change  4.1  %   
Property count(3)
15 15  15 15  
Average occupancy82.0 %79.5 %82.0 %79.5 %
Average occupied units(4)
5,894 5,910  5,894 5,910  
Average annual rent per occupied unit$82,895 $80,566  $82,895 $80,566  
_______________________________________
(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. See Note 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our third quarter 2021 presentation of Same-Store, no properties were added or removed.
(4)Represents average occupied units as reported by the operators for the three-month period. The decrease in average occupied units for the period is primarily a result of decommissioned senior nursing facility beds.
Same-Store Adjusted NOI and Total Portfolio Adjusted NOI increased primarily as a result of the following:
increased rates for resident fees; partially offset by
higher costs of labor, utilities, and repairs and maintenance.
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The following table summarizes results at and for the nine months ended September 30, 2022 and 2021 (dollars in thousands, except per unit data):
 SSTotal Portfolio
 Nine Months Ended September 30,Nine Months Ended September 30,
 20222021Change20222021Change
Resident fees and services$369,062 $352,458 $16,604 $369,062 $352,458 $16,604 
Government grant income(1)
6,765 1,412 5,353 6,765 1,412 5,353 
Healthpeak’s share of unconsolidated joint venture total revenues— — — — 6,903 (6,903)
Healthpeak’s share of unconsolidated joint venture government grant income— — — 334 200 134 
Operating expenses(299,146)(283,200)(15,946)(300,429)(284,739)(15,690)
Healthpeak’s share of unconsolidated joint venture operating expenses— — — — (6,985)6,985 
Adjustments to NOI(2)
— 1,933 (1,933)— 1,971 (1,971)
Adjusted NOI$76,681 $72,603 $4,078 75,732 71,220 4,512 
Plus: non-SS adjustments   949 1,383 (434)
SS Adjusted NOI   $76,681 $72,603 $4,078 
Adjusted NOI % change  5.6  %   
Property count(3)
15 15  15 15  
Average occupancy81.3 %79.2 %81.3 %79.2 %
Average occupied units(4)
5,928 5,890  5,928 6,052  
Average annual rent per occupied unit$84,532 $80,107  $84,606 $79,533  
_______________________________________
(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. See Note 13 to the Consolidated Financial Statements for a reconciliation of Adjusted NOI by segment to net income (loss).
(3)From our third quarter 2021 presentation of Same-Store, we added 13 properties that previously experienced an operator transition.
(4)Represents average occupied units as reported by the respective tenants or operators for the nine-month period. The decrease in average occupied units for the period is primarily a result of decommissioned senior nursing facility beds.
Same‐Store Adjusted NOI and Total Portfolio Adjusted NOI increased primarily as a result of the following:
increased rates for resident fees;
increased government grant income received under the CARES Act; and
lower Covid-related expenses; partially offset by
higher costs of labor and repairs and maintenance.
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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, 2022 and 2021 (in thousands):
 Three Months Ended September 30,Nine Months Ended September 30,
 20222021Change20222021Change
Interest income$5,963 $6,748 $(785)$16,950 $31,869 $(14,919)
Interest expense44,078 35,905 8,173 123,531 121,429 2,102 
Depreciation and amortization173,190 177,175 (3,985)531,412 506,172 25,240 
General and administrative24,549 23,270 1,279 73,161 72,260 901 
Transaction costs728 — 728 1,636 1,417 219 
Impairments and loan loss reserves (recoveries), net3,407 285 3,122 3,678 4,458 (780)
Gain (loss) on sales of real estate, net(4,149)14,635 (18,784)10,047 189,873 (179,826)
Gain (loss) on debt extinguishments— (667)667 — (225,824)225,824 
Other income (expense), net305,678 1,670 304,008 326,855 5,604 321,251 
Income tax benefit (expense)3,834 649 3,185 3,775 1,404 2,371 
Equity income (loss) from unconsolidated joint ventures(325)2,327 (2,652)2,141 4,517 (2,376)
Income (loss) from discontinued operations(1,298)601 (1,899)2,011 384,569 (382,558)
Noncontrolling interests’ share in continuing operations(4,016)(7,195)3,179 (11,701)(14,036)2,335 
Noncontrolling interests’ share in discontinued operations— — — — (2,539)2,539 
Interest income
Interest income decreased for the three and nine months ended September 30, 2022 primarily as a result of principal repayments on and sales of loans receivable in 2021 and 2022.
Interest expense
Interest expense increased for the three and nine months ended September 30, 2022 primarily as a result of higher borrowings and higher interest rates under the commercial paper program. The increase in interest expense for the nine months ended September 30, 2022 was partially offset by senior unsecured notes repurchases and redemptions in the first and second quarters of 2021 and repayment of a term loan in the third quarter of 2021.
Depreciation and amortization expense
Depreciation and amortization expense decreased for the three months ended September 30, 2022 primarily as a result of a decrease in depreciation related to the deconsolidation of seven previously consolidated life science assets in South San Francisco, California. Depreciation and amortization expense increased for the nine months ended September 30, 2022 primarily as a result of: (i) assets acquired during 2021 and 2022 and (ii) development and redevelopment projects placed in service during 2021 and 2022, partially offset by dispositions of real estate in 2021 and 2022.
General and administrative
General and administrative expenses increased for the three and nine months ended September 30, 2022 primarily due to higher travel costs and professional fees. We expect to recognize total severance-related charges of approximately $30 million in the fourth quarter of 2022 related to the departures of our former Chief Executive Officer and our former Chief Legal Officer and General Counsel.
Impairments and loan loss reserves (recoveries), net
Impairments and loan loss reserves (recoveries), net increased for the three months ended September 30, 2022 as a result of an increase in loan loss reserves under the current expected credit losses model. The increase in loan loss reserves for the three months ended September 30, 2022 is primarily due to macroeconomic conditions. Impairments and loan loss reserves (recoveries), net decreased for the nine months ended September 30, 2022 primarily as a result of fewer impairment charges on depreciable real estate, partially offset by the aforementioned increase in loan loss reserves.
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Gain (loss) on sales of real estate, net
Gain (loss) on sales of real estate, net decreased during the three and nine months ended September 30, 2022 primarily as a result of the $172 million gain on sale of Hoag Hospital in May 2021 and the gains on sale of other MOB dispositions during the third quarter of 2021. Refer to Note 4 to the Consolidated Financial Statements for additional information regarding dispositions of real estate and the associated gain (loss) on sales recognized.
Gain (loss) on debt extinguishments
Loss on debt extinguishments decreased for the nine months ended September 30, 2022 as a result of the repurchase and redemption of certain outstanding senior notes in the first and second quarters of 2021 with no repurchases or redemptions during the comparable periods of 2022.
Other income (expense), net
Other income increased for the three and nine months ended September 30, 2022 primarily due to a gain upon change of control related to the sale of a 30% interest and deconsolidation of seven previously consolidated life science assets in South San Francisco, California, partially offset by casualty losses from a hurricane in the third quarter of 2022. Other income further increased during the nine months ended September 30, 2022 as a result of: (i) a gain on sale of a hospital that was classified as a DFL and (ii) an increase in government grant income received under the CARES Act in 2022, partially offset by expenses incurred for tenant relocation and other costs associated with the demolition of an MOB.
Income tax benefit (expense)
Income tax benefit increased for the three and nine months ended September 30, 2022 primarily as a result of: (i) the tax impact of casualty losses from a hurricane in the third quarter of 2022 and (ii) the tax impact of operating losses on our CCRC portfolio.
Equity income (loss) from unconsolidated joint ventures
Equity income from unconsolidated joint ventures decreased for the three and nine months ended September 30, 2022 primarily as a result of: (i) operating losses on certain of our unconsolidated joint ventures and (ii) casualty-related losses on certain properties within the SWF SH JV.
Income (loss) from discontinued operations
Income from discontinued operations decreased for the three and nine months ended September 30, 2022 primarily as a result of decreased gain on sales of real estate from the completion of dispositions of our senior housing portfolios. Income from discontinued operations further decreased for the nine months ended September 30, 2022 due to a decline in government grant income received under the CARES Act for the senior housing portfolio. The decrease in income from discontinued operations during the three and nine months ended September 30, 2022 was partially offset by decreased impairment charges on depreciable real estate and goodwill.
Noncontrolling interests’ share in continuing operations
Noncontrolling interests’ share in continuing operations decreased for the three and nine months ended September 30, 2022 primarily as a result of a gain on sale of an MOB in a consolidated partnership during the third quarter of 2021.
Noncontrolling interests’ share in discontinued operations
Noncontrolling interests’ share in discontinued operations decreased for the three and nine months ended September 30, 2022 as a result of the completion of our dispositions of our senior housing portfolios.
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 the next 12 months and for the foreseeable future for purposes of: (i) funding recurring operating expenses; (ii) meeting debt service requirements; and (iii) satisfying funding of distributions to our stockholders and non-controlling interest members. Distributions are made using a combination of cash flows from operations, funds available under our bank line of credit (the “Revolving Facility”) and commercial paper program, term loans, proceeds from the sale of properties, and other sources of cash available to us. 
In addition to funding the activities above, our principal 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.
Our longer term liquidity needs include the items listed above as well as meeting debt service requirements.
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We anticipate satisfying these future 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 Revolving Facility 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, including the settlement of forward contracts or other sales of common stock under the ATM Program (as defined below).
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 Revolving Facility accrues interest at a rate per annum equal to LIBOR plus a margin that depends upon our credit ratings for our senior unsecured long-term debt. Our 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. We also pay a facility fee on the entire revolving commitment that depends upon our credit ratings. As of October 31, 2022, 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 Revolving Facility and 2022 Term Loan Facilities 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 ATM Program, 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 “Market Trends and Uncertainties” above for a more comprehensive discussion of the potential impact of Covid as well as economic and market conditions on our business.
Changes in Material Cash Requirements and Off-Balance Sheet Arrangements
Our material cash requirements related to debt increased by $421 million to $6.6 billion at September 30, 2022, when compared to December 31, 2021, primarily as a result of issuances of notes under our commercial paper program. In addition, in October 2022, we elected to draw the $500 million aggregate principal amount under the 2022 Term Loan Facilities, and utilized the proceeds to repay amounts outstanding under our commercial paper program. As of September 30, 2022, we had $1.59 billion outstanding under our commercial paper program. See Note 9 to the Consolidated Financial Statements for additional information about our debt commitments.
Our material cash requirements related to development and redevelopment projects and tenant improvements decreased by $49 million, to $421 million at September 30, 2022, when compared to December 31, 2021, primarily as a result of construction spend on existing projects in the first three quarters of 2022 thereby decreasing the remaining commitment.
Due to the terms of our SHOP seller financing notes receivable, we are obligated to provide additional loans up to $41 million. Our material cash requirements to provide this additional funding for senior housing redevelopment and capital expenditure projects decreased by $17 million, to $41 million at September 30, 2022, when compared to December 31, 2021, primarily as a result of reduced commitments from current year principal repayments on our seller financing. See Note 6 to the Consolidated Financial Statements for additional information.
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. As of September 30, 2022, we had $128 million of redeemable noncontrolling interests, none of which met the conditions for redemption as of the balance sheet date. See Note 11 to the Consolidated Financial Statements for additional information.
There have been no changes to our distribution and dividend requirements during the nine months ended September 30, 2022.
We own interests in certain unconsolidated joint ventures as described in Note 7 to the Consolidated Financial Statements. Two of these joint ventures have mortgage debt of $87 million, of which our share is $40 million. Except in limited circumstances, our risk of loss is limited to our investment in the joint ventures.
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There have been no other material changes, outside of the ordinary course of business, during the nine months ended September 30, 2022 to the material cash requirements or material off-balance sheet arrangements disclosed in our Annual Report on Form 10-K for the year ended December 31, 2021 under “Material Cash Requirements” and “Off-Balance Sheet Arrangements” in “Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations.”
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,
 20222021Change
Net cash provided by (used in) operating activities$693,306 $571,335 $121,971 
Net cash provided by (used in) investing activities(578,113)1,203,675 (1,781,788)
Net cash provided by (used in) financing activities(165,517)(1,687,889)1,522,372 
Operating Cash Flows
The increase in operating cash flow is primarily the result of an increase in income related to: (i) 2021 and 2022 acquisitions, (ii) annual rent increases, (iii) new leasing and renewal activity, and (iv) developments and redevelopments placed in service during 2021 and 2022. The increase in operating cash flow is partially offset by a decrease in income related to assets sold during 2021 and 2022. 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, 2022:
made investments of $866 million primarily related to the acquisition, development, and redevelopment of real estate; and
received net proceeds of $288 million primarily from the sale of a 30% interest in seven previously consolidated life science assets in South San Francisco, California, sales of real estate assets, and repayments on loans receivable and direct financing leases.
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.
Financing Cash Flows
The following are significant financing activities for the nine months ended September 30, 2022:
made net borrowings of $419 million under our bank line of credit and commercial paper program;
paid cash dividends on common stock of $487 million; and
repurchased $68 million of common stock, including $56 million under the share repurchase program.
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.
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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 14 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 were 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 beginning of the Liquidity and Capital Resources section above for additional information regarding our liquidity.
Debt
In July 2022, we increased the maximum aggregate face or principal amount that can be outstanding at any one time under the commercial paper program from $1.5 billion to $2.0 billion.
In August 2022, we executed the 2022 Term Loan Agreement that provides for two senior unsecured delayed draw term loans in an aggregate principal amount of up to $500 million. As of September 30, 2022, we had no borrowings outstanding under the 2022 Term Loan Facilities. In October 2022, the entirety of the $500 million under the 2022 Term Loan Facilities was drawn.
See Note 9 to the Consolidated Financial Statements for additional information about our outstanding debt.
Approximately 76% and 79% 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, 2022 and 2021, respectively. At September 30, 2022, our fixed rate debt and variable rate debt had weighted average interest rates of 3.45% and 3.42%, 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. As of September 30, 2022, we had $142 million of variable rate debt swapped to fixed through interest rate swap instruments, designated as cash flow hedges, and as of September 30, 2021, we had $142 million of variable rate debt subject to interest rate cap instruments. For purposes of classification of the amounts above, variable rate debt with a derivative financial instrument designated as a cash flow hedge is reported as fixed rate debt due to us having effectively established a fixed interest rate for the underlying debt instrument. 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, 2022, we had 538 million shares of common stock outstanding, equity totaled $7.0 billion, and our equity securities had a market value of $12.5 billion.
At September 30, 2022, 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, 2022, the outstanding DownREIT units were convertible into approximately seven million shares of our common stock.
At-The-Market Program
Our at-the-market equity offering program (as amended from time to time, the “ATM Program”) has a capacity of $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 ATM Program.
During the three and nine months ended September 30, 2021, we utilized the forward provisions under the 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. We did not utilize the forward provisions under the ATM program during the three and nine months ended September 30, 2022. Through September 30, 2022, no shares were settled under ATM forward contracts. Therefore, at September 30, 2022, 9.1 million shares remained outstanding under ATM forward contracts. These ATM forward contracts mature in the first quarter of 2023.
During the three and nine months ended September 30, 2022, we did not issue any shares of our common stock under the ATM Program.
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At September 30, 2022, $1.18 billion of our common stock remained available for sale under the 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 ATM Program.
See Note 11 to the Consolidated Financial Statements for additional information about our ATM Program.
Share Repurchase Program
On August 1, 2022, our Board of Directors approved the Share Repurchase Program under which we may acquire shares of our common stock in the open market up to an aggregate purchase price of $500 million. Purchases of common stock under the Share Repurchase Program may be exercised at our discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. During the three and nine months ended September 30, 2022, we repurchased 2.1 million shares of our common stock at a weighted average price of $27.16 per share for a total of $56 million. Therefore, at September 30, 2022, $444 million of our common stock remained available for repurchase under the Share Repurchase 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.
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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,
 2022202120222021
Net income (loss) applicable to common shares$353,366 $54,442 $491,398 $473,778 
Real estate related depreciation and amortization173,190 177,175 531,412 506,172 
Healthpeak’s share of real estate related depreciation and amortization from unconsolidated joint ventures 8,704 4,722 19,049 12,044 
Noncontrolling interests’ share of real estate related depreciation and amortization(4,464)(4,849)(14,487)(14,599)
Loss (gain) on sales of depreciable real estate, net(1)
5,280 (41,393)(11,408)(598,531)
Healthpeak’s share of loss (gain) on sales of depreciable real estate, net, from unconsolidated joint ventures 239 (1,068)89 (6,934)
Noncontrolling interests’ share of gain (loss) on sales of depreciable real estate, net— 3,450 12 5,628 
Loss (gain) upon change of control, net(2)
(311,438)— (311,438)(1,042)
Taxes associated with real estate dispositions197 483 31 2,666 
Impairments (recoveries) of depreciable real estate, net— 1,952 — 5,695 
Nareit FFO applicable to common shares225,074 194,914 704,658 384,877 
Distributions on dilutive convertible units and other2,352 1,651 7,055 — 
Diluted Nareit FFO applicable to common shares$227,426 $196,565 $711,713 $384,877 
Weighted average shares outstanding - diluted Nareit FFO546,015 544,889 546,677 539,159 
Impact of adjustments to Nareit FFO:  
Transaction-related items$681 $1,259 $1,573 $6,638 
Other impairments (recoveries) and other losses (gains), net(3)
2,897 20,073 (5,874)25,161 
Restructuring and severance related charges— — — 2,463 
Loss (gain) on debt extinguishments— 667 — 225,824 
Casualty-related charges (recoveries), net(4)
4,514 558 4,103 5,203 
Total adjustments$8,092 $22,557 $(198)$265,289 
FFO as Adjusted applicable to common shares$233,166 $217,471 $704,460 $650,166 
Distributions on dilutive convertible units and other2,338 2,313 7,055 6,323 
Diluted FFO as Adjusted applicable to common shares$235,504 $219,784 $711,515 $656,489 
Weighted average shares outstanding - diluted FFO as Adjusted546,015 546,714 546,677 546,485 
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 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2022202120222021
FFO as Adjusted applicable to common shares$233,166 $217,471 $704,460 $650,166 
Stock-based compensation amortization expense4,614 4,436 14,635 13,895 
Amortization of deferred financing costs2,691 2,343 8,069 6,677 
Straight-line rents(12,965)(8,290)(36,837)(23,627)
AFFO capital expenditures(24,358)(28,980)(75,103)(72,112)
Deferred income taxes(2,814)(1,747)(3,741)(6,240)
Other AFFO adjustments(7,020)(5,494)(20,545)(15,181)
AFFO applicable to common shares193,314 179,739 590,938 553,578 
Distributions on dilutive convertible units and other1,649 1,650 4,945 4,512 
Diluted AFFO applicable to common shares$194,963 $181,389 $595,883 $558,090 
Weighted average shares outstanding - diluted AFFO544,190 544,889 544,852 544,660 
    
 Three Months Ended
September 30,
Nine Months Ended
September 30,
 2022202120222021
Diluted earnings per common share$0.65 $0.10 $0.91 $0.88 
Depreciation and amortization0.33 0.33 0.98 0.93 
Loss (gain) on sales of depreciable real estate, net0.01 (0.07)(0.02)(1.11)
Loss (gain) upon change of control, net(2)
(0.57)— (0.57)0.00 
Taxes associated with real estate dispositions0.00 0.00 0.00 0.00 
Impairments (recoveries) of depreciable real estate, net— 0.00 — 0.01 
Diluted Nareit FFO per common share$0.42 $0.36 $1.30 $0.71 
Transaction-related items0.00 0.00 0.00 0.01 
Other impairments (recoveries) and other losses (gains), net(3)
0.00 0.04 (0.01)0.05 
Restructuring and severance related charges— — — 0.00 
Loss (gain) on debt extinguishments— 0.00 — 0.42 
Casualty-related charges (recoveries), net(4)
0.01 0.00 0.01 0.01 
Diluted FFO as Adjusted per common share$0.43 $0.40 $1.30 $1.20 
_______________________________________
(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 4 to the Consolidated Financial Statements.
(2)The three and nine months ended September 30, 2022 includes a gain upon change of control related to the sale of a 30% interest to a sovereign wealth fund and deconsolidation of seven previously consolidated life science assets in South San Francisco, California. The gain upon change of control is included in other income (expense), net in the Consolidated Statements of Operations.
(3)The three months ended September 30, 2022 includes reserves for loan losses recognized in impairments and loan loss reserves (recoveries), net in the Consolidated Statements of Operations. The nine months ended September 30, 2022 also includes the following, which are included in other income (expense), net in the Consolidated Statements of Operations: (i) a $23 million gain on sale of a hospital that was in a direct financing lease and (ii) $14 million of expenses incurred for tenant relocation and other costs associated with the demolition of an MOB. The three months ended September 30, 2021 includes the following: (i) a $22 million goodwill impairment charge in connection with our senior housing triple-net and SHOP asset sales which is reported in income (loss) from discontinued operations in the Consolidated Statements of Operations and (ii) recoveries of loan loss reserves recognized in impairments and loan loss reserves (recoveries), net in the Consolidated Statements of Operations. The nine months ended September 30, 2021 also includes the following: (i) $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 and (ii) an additional $7 million goodwill impairment charge in connection with our senior housing triple-net and SHOP asset sales.
(4)Casualty-related charges (recoveries), net are recognized in other income (expense), net and equity income (loss) from unconsolidated joint ventures in the Consolidated Statements of Operations. The amounts are reported net of the associated income tax impact.

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Critical Accounting Estimates 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 critical accounting 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 discussion of accounting estimates that we consider critical in that they may require complex judgment in their application or require estimates about matters that are inherently uncertain is included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2021 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 estimates during the three and nine months ended September 30, 2022.
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 17 to the Consolidated Financial Statements).
To illustrate the effect of movements in the interest rate markets, we performed a market sensitivity analysis on our hedging instruments. We applied various basis point spreads to the underlying interest rate curves of our derivative portfolio in order to determine the change in fair value. At September 30, 2022, a one percentage point increase or decrease in the underlying interest rate curve would result in a corresponding increase or decrease in the fair value of the derivative instruments by approximately $24 million.
Interest Rate Risk. At September 30, 2022, our exposure to interest rate risk was primarily on our variable rate debt. At September 30, 2022, $142 million of our variable rate debt was swapped to fixed by interest rate swap instruments. Additionally, in August 2022, we entered into two forward-starting interest rate swap instruments that are designated as cash flow hedges that effectively establish a fixed interest rate for the $500 million 2022 Term Loan Facilities. The interest rate swap instruments are designated as cash flow hedges, with the objective of managing the exposure to interest rate risk by converting the interest rates on our variable rate debt to fixed interest rates. At September 30, 2022, both the fair value and carrying value of the interest rate swap instruments were $32 million.
Our remaining variable rate debt at September 30, 2022 was comprised of our 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, 2022, a one percentage point increase in interest rates would decrease the fair value of our fixed rate debt by approximately $218 million and a one percentage point decrease in interest rates would increase the fair value of our fixed rate debt by approximately $234 million. These changes 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 increase in the interest rate related to our variable rate debt and investments, and assuming no other changes in the outstanding balance at September 30, 2022, our annual interest expense would increase by approximately $16 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, 2022, both the fair value and carrying value of marketable debt securities was $22 million. These marketable debt securities mature in December 2022.
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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, 2022. 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, 2022.
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, 2021.
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, 2022.
Period CoveredTotal Number
Of Shares
Purchased
Average
Price
Paid Per
Share
Total Number Of Shares
Purchased As
Part Of Publicly
Announced Plans Or
Programs(2)
Maximum Number (Or
Approximate Dollar Value)
Of Shares That
May Yet Be Purchased
Under The Plans Or
Programs(2)
July 1-31, 2022142 
(1)
$25.91 — $— 
August 1-31, 20222,061,332 27.16 2,061,332 444,018,701 
September 1-30, 202230 
(1)
24.28 — — 
Total2,061,504 $27.16 2,061,332 $444,018,701 
_______________________________________
(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.
(2)On August 1, 2022, our Board of Directors approved the Share Repurchase Program under which we may acquire shares of our common stock in the open market up to an aggregate purchase price of $500 million. Purchases of common stock under the Share Repurchase Program may be exercised at our discretion with the timing and number of shares repurchased depending on a variety of factors, including price, corporate and regulatory requirements, and other corporate liquidity requirements and priorities. The Share Repurchase Program expires in August 2024 and may be suspended or terminated at any time without prior notice. During the three months ended September 30, 2022, we repurchased 2.1 million shares of our common stock at a weighted average price of $27.16 per share. Therefore, at September 30, 2022, $444 million of our common stock remained available for repurchase under the Share Repurchase Program.
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Item 6. Exhibits
3.1
3.2
3.3
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.
Management Contract or Compensatory Plan or Arrangement.
    






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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 2, 2022Healthpeak Properties, Inc.
 (Registrant)
  
 /s/ SCOTT M. BRINKER
 Scott M. Brinker
 President and 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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