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NorthStar Healthcare Income, Inc. - Quarter Report: 2014 September (Form 10-Q)


 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2014

Commission File Number: 000-55190
NORTHSTAR HEALTHCARE INCOME, INC.
(Exact Name of Registrant as Specified in its Charter)
Maryland
27-3663988
(State or Other Jurisdiction of
(IRS Employer
Incorporation or Organization)
Identification No.)
399 Park Avenue, 18th Floor, New York, NY 10022
(Address of Principal Executive Offices, Including Zip Code)
(212) 547-2600
(Registrant’s Telephone Number, Including Area Code)


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 ý   No o
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted 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 and post such files). Yes ý   No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer o
 
Accelerated filer o
 
Non-accelerated filer o
(Do not check if a
smaller reporting company)
 
Smaller reporting company ý

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o   No ý
Indicate the number of shares outstanding of each of the registrant’s classes of common stock, as of the latest practicable date:
The Company has one class of common stock, $0.01 par value per share, 66,811,920 shares outstanding as of November 11, 2014.
 



NORTHSTAR HEALTHCARE INCOME, INC.
FORM 10-Q
TABLE OF CONTENTS

Index
 
Page












 



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FORWARD-LOOKING STATEMENTS
This Quarterly Report on Form 10-Q contains certain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act of 1933, as amended, or Securities Act, and Section 21E of the Securities Exchange Act of 1934, as amended, or Exchange Act. Forward-looking statements are generally identifiable by use of forward-looking terminology such as “may,” “will,” “should,” “potential,” “intend,” “expect,” “seek,” “anticipate,” “estimate,” “believe,” “could,” “project,” “predict,” “continue,” “future” or other similar words or expressions. Forward-looking statements are not guarantees of performance and are based on certain assumptions, discuss future expectations, describe plans and strategies, contain projections of results of operations or of financial condition or state other forward-looking information. Such statements include, but are not limited to, those relating to our ability to successfully complete our continuous, public offering, our ability to pay distributions to our stockholders, our reliance on our advisor and our sponsor, the operating performance of our investments, our financing needs, the effects of our current strategies and investment activities and our ability to effectively deploy capital. Our ability to predict results or the actual effect of plans or strategies is inherently uncertain, particularly given the economic environment. Although we believe that the expectations reflected in such forward-looking statements are based on reasonable assumptions, our actual results and performance could differ materially from those set forth in the forward-looking statements and you should not unduly rely on these statements. These forward-looking statements involve risks, uncertainties and other factors that may cause our actual results in future periods to differ materially from those forward-looking statements. These factors include, but are not limited to:
adverse economic conditions and the impact on the real estate industry, including healthcare real estate;
our ability to successfully complete a continuous, public offering;
our ability to deploy capital quickly and successfully and achieve a diversified portfolio consistent with our target asset classes;
access to debt capital at rates that will allow us to meet our target returns;
our liquidity;
our use of leverage;
our ability to close on the recent commitments to acquire healthcare real estate investments, including the proposed Extendicare Investment (as further described herein), on the terms contemplated or at all, and any related termination fees incurred to the extent such investments are not closed;
our ability to make distributions to our stockholders;
the effect of economic conditions on the valuation of our investments;
the effect of paying distributions to our stockholders from sources other than cash flow provided by operations;
the performance of our advisor, our sponsor and their respective affiliates;
our dependence on the resources and personnel of our advisor and our sponsor, including our advisor’s ability to source and close on attractive investment opportunities on our behalf;
the impact of NorthStar Realty Finance Corp.’s spin-off of its asset management business, which included our advisor;
our advisor’s and its affiliates’ ability to attract and retain sufficient personnel to support our growth and operations;
the lack of a public trading market for our shares;
our limited operating history;
our sponsor’s ability, from time to time, to purchase assets identified on our behalf;
the impact of market and other conditions influencing the availability of equity versus debt investments and performance of our investments relative to our expectations and the impact on our actual return on invested equity, as well as the cash provided by these investments;
the impact of a loss on our initial investments prior to the time we hold a diversified portfolio of investments, which could be severe;
the impact of any transfer and other restrictions associated with our current and proposed joint venture investments;


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the impact of economic conditions on the operators/tenants of the real property that we own as well as on borrowers of the debt we originate and acquire and the mortgage loans underlying the healthcare-related commercial mortgage backed securities in which we invest;
operator/tenant or borrower defaults or bankruptcy;
illiquidity of investments in our portfolio;
our ability to finance our assets on terms that are acceptable to us, if at all, including our ability to complete securitization financing transactions;
availability of opportunities to acquire, including our advisor’s and its affiliates’ ability to source and close on equity, debt and securities investments in the healthcare real estate sector;
our ability to realize current and expected return over the life of our investments;
any failure in our advisor’s and its affiliates’ due diligence to identify all relevant facts in our underwriting process or otherwise;
environmental compliance costs and liabilities;
whether we will realize the benefits of our sponsor’s partnership with James F. Flaherty III, the Vice Chairman of our board of directors;
effect of regulatory actions, litigation and contractual claims against us and our affiliates, including the potential settlement and litigation of such claims;
competition for investment opportunities;
regulatory requirements with respect to our business and the healthcare industry generally, as well as the related cost of compliance;
the impact of any conflicts arising among us and our sponsor and its affiliates;
changes in laws or regulations governing various aspects of our business and non-traded real estate investment trusts, or REITs, generally, including, but not limited to, changes implemented by the Financial Industry Regulatory Authority, Inc.;
the loss of our exemption from the definition of an “investment company” under the Investment Company Act of 1940, as amended;
the effectiveness of our portfolio management techniques and strategies;
failure to maintain effective internal controls; and
compliance with the rules governing REITs.
The foregoing list of factors is not exhaustive. All forward-looking statements included in this Quarterly Report on Form 10-Q are based on information available to us on the date hereof and we are under no duty to update any of the forward-looking statements after the date of this report to conform these statements to actual results.
Factors that could have a material adverse effect on our operations and future prospects are set forth in our filings with the United States Securities and Exchange Commission, or the SEC, including Part I, Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2013 and in Part II, Item 1A of our Quarterly Report on Form 10-Q for the quarters ended March 31, 2014 and June 30, 2014 and our Quarterly Report on Form 10-Q, each under the heading “Risk Factors.” The risk factors set forth in our filings with the SEC could cause our actual results to differ significantly from those contained in any forward-looking statement contained in this report.



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PART I. Financial Information
Item 1. Financial Statements

NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
 
September 30, 2014 (Unaudited)
 
December 31, 2013
Assets
 

 
 

Cash
$
91,634,610


$
45,537,255

Restricted cash
6,600,508


1,883,411

Operating real estate, net
260,292,978


53,968,827

Investments in unconsolidated ventures (refer to Note 4)
29,413,812

 

Real estate debt investments, net
146,402,978


11,250,000

Receivables, net
5,205,415


947,094

Deferred costs and other assets, net
2,691,245


2,252,543

Total assets
$
542,241,546


$
115,839,130

 
 
 
 
Liabilities
 

 
 

Mortgage notes payable
$
59,639,804

 
$
18,282,328

Due to related party
5,578,481

 
1,141,379

Escrow deposits payable
2,957,441

 
1,794,905

Distribution payable
2,857,134

 
557,288

Accounts payable and accrued expenses
2,043,599

 
567,333

Total liabilities
73,076,459


22,343,233

 
 
 
 
Equity
 
 
 

NorthStar Healthcare Income, Inc. Stockholders’ Equity
 

 
 

Preferred stock, $0.01 par value, 50,000,000 shares authorized, no shares issued and outstanding as of September 30, 2014 and December 31, 2013

 

Common stock, $0.01 par value, 400,000,000 shares authorized, 55,388,928 and 10,985,230 shares issued and outstanding as of September 30, 2014 and December 31, 2013, respectively
553,889

 
109,852

Additional paid-in capital
492,656,742

 
97,055,758

Retained earnings (accumulated deficit)
(25,211,368
)
 
(3,872,150
)
Total NorthStar Healthcare Income, Inc. stockholders’ equity
467,999,263


93,293,460

Non-controlling interests
1,165,824

 
202,437

Total equity
469,165,087


93,495,897

Total liabilities and equity
$
542,241,546


$
115,839,130















Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2014

2013
 
2014
 
2013
Revenues
 
 

 
 
 
 
 
 
Resident fee income
 
$
3,861,830

 
$

 
$
10,591,446

 
$

Rental income
 
1,881,585

 

 
4,149,151

 

Interest income
 
2,579,198

 
105,556

 
3,846,510

 
144,556

Total revenues
 
8,322,613

 
105,556

 
18,587,107

 
144,556

Expenses
 
 

 
 
 
 
 
 
Property operating expenses
 
2,988,366

 

 
7,946,154

 

Interest expense
 
775,846

 

 
2,186,067

 

Transaction costs
 
1,641,391

 

 
3,354,150

 

Asset management and other fees - related party
 
3,719,191

 
13,006

 
6,470,600

 
17,825

General and administrative expenses
 
1,042,695

 
40,025

 
2,569,908

 
61,248

Depreciation and amortization
 
1,052,364

 

 
2,644,054

 

Total expenses
 
11,219,853

 
53,031

 
25,170,933

 
79,073

Income (loss) from operations
 
(2,897,240
)
 
52,525

 
(6,583,826
)
 
65,483

Equity in earnings (losses) of unconsolidated ventures
 
203,558

 

 
(93,122
)
 

Net income (loss)
 
(2,693,682
)
 
52,525

 
(6,676,948
)
 
65,483

Net (income) loss attributable to non-controlling interests
 
4,042

 
(38
)
 
34,520

 
(50
)
Net income (loss) attributable to NorthStar Healthcare Income, Inc. common stockholders
 
$
(2,689,640
)

$
52,487


$
(6,642,428
)

$
65,433

Net income (loss) per share of common stock, basic/diluted
 
$
(0.06
)
 
$
0.06

 
$
(0.23
)
 
$
0.15

Weighted average number of shares of common stock outstanding, basic/diluted
 
44,764,285

 
851,868

 
29,341,711

 
433,443

Distributions declared per share of common stock

 
$
0.17

 
$
0.17

 
$
0.50

 
$
0.33

























Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(Unaudited)
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2014

2013
 
2014
 
2013
Net income (loss)
$
(2,693,682
)
 
$
52,525

 
$
(6,676,948
)
 
$
65,483

Comprehensive income (loss)
(2,693,682
)

52,525


(6,676,948
)

65,483

Comprehensive (income) loss attributable to non-controlling interests
4,042

 
(38
)
 
34,520

 
(50
)
Comprehensive income (loss) attributable to NorthStar Healthcare Income, Inc.
$
(2,689,640
)
 
$
52,487

 
$
(6,642,428
)
 
$
65,433














































Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF EQUITY
 
Common Stock
 
Additional Paid-in Capital
 
Retained Earnings (Accumulated
 Deficit)
 
Total Company’s Stockholders’ Equity
 
Non-controlling Interests
 
Total Equity
 
Shares
 
Amount
 
 
 
 
 
Balance as of December 31, 2012
22,223

 
$
222

 
$
199,785

 
$

 
$
200,007

 
$
2,000

 
$
202,007

Net proceeds from issuance of common stock (refer to Note 7)
10,905,012

 
109,050

 
96,486,986

 

 
96,596,036

 

 
96,596,036

Issuance and amortization of equity-based compensation
22,500

 
225

 
32,142

 

 
32,367

 

 
32,367

Non-controlling interest - contributions

 

 

 

 

 
210,077

 
210,077

Distributions declared

 

 

 
(1,311,886
)
 
(1,311,886
)
 

 
(1,311,886
)
Proceeds from distribution reinvestment plan
35,495

 
355

 
336,845

 

 
337,200

 

 
337,200

Net income (loss)

 

 

 
(2,560,264
)
 
(2,560,264
)
 
(9,640
)
 
(2,569,904
)
Balance as of December 31, 2013
10,985,230

 
$
109,852

 
$
97,055,758

 
$
(3,872,150
)
 
$
93,293,460

 
$
202,437

 
$
93,495,897

Net proceeds from issuance of common stock
43,692,764

 
436,927

 
388,888,883

 


389,325,810




389,325,810

Issuance and amortization of equity-based compensation (refer to note 8)
7,500

 
75

 
42,909

 


42,984




42,984

Non-controlling interests - contributions

 

 

 




1,012,750


1,012,750

Non-controlling interests - distributions

 

 

 

 

 
(14,843
)
 
(14,843
)
Shares redeemed for cash
(12,840
)
 
(128
)
 
(128,254
)
 

 
(128,382
)
 

 
(128,382
)
Distributions declared

 

 

 
(14,696,790
)

(14,696,790
)



(14,696,790
)
Proceeds from distribution reinvestment plan
716,274

 
7,163

 
6,797,446

 


6,804,609




6,804,609

Net income (loss)

 

 

 
(6,642,428
)

(6,642,428
)

(34,520
)

(6,676,948
)
Balance as of September 30, 2014 (unaudited)
55,388,928


$
553,889


$
492,656,742


$
(25,211,368
)

$
467,999,263


$
1,165,824


$
469,165,087


























Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
 
Nine Months Ended September 30,
 
2014
 
2013
Cash flows from operating activities:
 

 
 
Net income (loss)
$
(6,676,948
)
 
$
65,483

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
 

 
 
Equity in (earnings) losses of unconsolidated ventures
93,122

 

Depreciation and amortization
2,644,054

 

Straight-line rental income
(504,163
)
 

Amortization of deferred financing costs
425,415

 

Amortization of equity-based compensation
42,984

 
21,426

Amortization of premium/accretion of discount and fees on investments
79,522

 

Changes in assets and liabilities:
 

 
 
Restricted cash
(2,390,861
)
 

Receivables, net
(1,244,634
)
 
(54,777
)
Other assets
(142,692
)
 

Due to related party
3,508,047

 
11,668

Escrow deposits payable
1,069,556

 

Accounts payable and accrued expenses
1,476,266

 

Net cash provided by (used in) operating activities
(1,620,332
)
 
43,800

 
 

 
 
Cash flows from investing activities:
 

 
 
Acquisition of operating real estate investments
(208,054,716
)
 

Improvement of operating real estate investments
(888,939
)
 

Origination of real estate debt investments
(20,023,122
)
 
(11,250,000
)
Acquisition of real estate debt investments
(120,595,501
)
 

Investment in unconsolidated ventures (refer to Note 4)
(24,807,911
)
 

Distributions from unconsolidated ventures (refer to Note 4)
666,162

 

Change in restricted cash
(1,951,895
)
 

Other assets
940,270

 

Net cash provided by (used in) investing activities
(374,715,652
)
 
(11,250,000
)
 
 
 
 
Cash flows from financing activities:
 

 
 
Borrowing from mortgage notes
41,500,000

 

Repayment of mortgage notes
(142,524
)
 

Payment of deferred financing costs
(1,665,307
)
 

Change in restricted cash
(281,361
)
 

Net proceeds from issuance of common stock
387,125,588

 
14,691,193

Net proceeds from issuance of common stock, related party
619,753

 
1,998,731

Shares redeemed for cash
(128,382
)
 

Distributions paid on common stock
(12,396,944
)
 
(105,676
)
Proceeds from distribution reinvestment plan
6,804,609

 
15,200

Contributions from non-controlling interests
1,012,750

 

Distributions to non-controlling interests
(14,843
)
 

Net cash provided by (used in) financing activities
422,433,339

 
16,599,448

 
 
 
 
Net increase (decrease) in cash
46,097,355


5,393,248

Cash - beginning of period
45,537,255

 
202,007

Cash - end of period
$
91,634,610

 
$
5,595,255

 
 
 
 
Supplemental disclosure of non-cash investing and financing activities:
 

 
 
Accrued cost of capital (refer to Note 7)
$
1,300,085

 
$
136,480

Subscriptions receivable, gross
3,710,301

 
549,342

Escrow deposits related to real estate debt investments
70,692

 
114,987

Distribution payable
2,857,134

 
81,551

Conversion of real estate debt investment to investment in unconsolidated venture
5,386,123

 


Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
1.
Business and Organization
NorthStar Healthcare Income, Inc. (the “Company”) was formed primarily to acquire, originate and asset manage a diversified portfolio of equity, debt and securities investments in healthcare real estate, with a focus on the mid-acuity senior housing sector, which the Company defines as assisted living (“ALF”), memory care (“MCF”), skilled nursing (“SNF”) and independent living (“ILF”) facilities that may have an emphasis on private pay patients. The Company may also acquire and originate equity and debt investments in facilities that may rely on public pay patients and other healthcare property types, including medical office buildings (“MOB”), hospitals and rehabilitation facilities. In addition, the Company may acquire healthcare-related securities. The Company was formed in October 2010 as a Maryland corporation. The Company elected to be taxed as a real estate investment trust (“REIT”) under the Internal Revenue Code of 1986 commencing with the taxable year ended December 31, 2013. The Company conducts its operations so as to continue to qualify as a REIT for U.S. federal income tax purposes.
The Company is externally managed and has no employees. Prior to June 30, 2014, the Company was managed by an affiliate of NorthStar Realty Finance Corp. (NYSE: NRF) (“NorthStar Realty”). Effective June 30, 2014, NorthStar Realty spun-off its asset management business into a separate publicly traded company, NorthStar Asset Management Group Inc. (the “Sponsor”), with its common stock listed on the New York Stock Exchange (the “NYSE”) under the ticker symbol “NSAM.” The Sponsor and its affiliates were organized to provide asset management and other services to the Company, NorthStar Realty, other sponsored public non-traded companies and any other companies the Sponsor may manage in the future (collectively, the “NSAM Managed Companies”), both in the United States and internationally. Concurrent with the spin-off, affiliates of the Sponsor entered into a new advisory agreement with the Company and each of the other NSAM Managed Companies. Pursuant to the Company’s advisory agreement, NSAM J-NSHC Ltd, an affiliate of the Sponsor (the “Advisor”), agreed to manage the day-to-day operations of the Company on terms substantially similar to those set forth in the Company’s prior advisory agreement with NorthStar Healthcare Income Advisor, LLC (the “Prior Advisor”). References to the “Prior Advisor” herein refer to the services performed by and fees paid and accrued to the Prior Advisor during the period prior to June 30, 2014. The spin-off of NorthStar Realty’s asset management business had no impact on the Company’s operations.
Substantially all business is conducted through NorthStar Healthcare Income Operating Partnership, LP (the “Operating Partnership”). The Company is the sole general partner of the Operating Partnership. The limited partners of the Operating Partnership are NorthStar Healthcare Income Advisor, LLC and NorthStar Healthcare Income OP Holdings, LLC (the “Special Unit Holder”), each an affiliate of the Sponsor. An affiliate of the Sponsor invested $1,000 in the Operating Partnership in exchange for common units and the Special Unit Holder invested $1,000 in the Operating Partnership and has been issued a separate class of limited partnership units (the “Special Units”), which are collectively recorded as non-controlling interests on the consolidated balance sheets as of September 30, 2014 and December 31, 2013. As the Company accepts subscriptions for shares, it contributes substantially all of the net proceeds from its continuous, public offering to the Operating Partnership as a capital contribution. As of September 30, 2014, the Company’s limited partnership interest in the Operating Partnership was 99.9%.
The Company’s charter authorizes the issuance of up to 400,000,000 shares of common stock with a par value of $0.01 per share and up to 50,000,000 shares of preferred stock with a par value of $0.01 per share. The board of directors of the Company is authorized to amend its charter, without the approval of the stockholders, to increase the aggregate number of authorized shares of capital stock or the number of shares of any class or series that the Company has authority to issue.
On October 12, 2010, as part of its formation, the Company issued 22,223 shares of common stock to NorthStar Realty for $0.2 million. On August 7, 2012, the Company’s registration statement on Form S-11 with the Securities and Exchange Commission (the “SEC”) to offer a maximum of 110,526,315 shares of common stock, excluding the initial shares, in a continuous, public offering, of which up to 100,000,000 shares are being offered pursuant to the primary offering (the “Primary Offering”) and up to 10,526,315 shares are being offered pursuant to the distribution reinvestment plan (the “DRP”), which are herein collectively referred to as the Offering, was declared effective. The Company reserves the right to reallocate shares of its common stock being offered between the Primary Offering and the DRP. The Company retained NorthStar Realty Securities, LLC (the “Dealer Manager”), formerly a subsidiary of NorthStar Realty that became a subsidiary of the Sponsor upon completion of the spin-off, to serve as the dealer manager for the Primary Offering. The Dealer Manager is responsible for marketing the shares being offered pursuant to the Primary Offering. In April 2014, the Company’s board of directors determined to extend the Offering for one year to August 7, 2015. The Offering is expected to terminate on the earlier of August 7, 2015 or the date on which the maximum offering was sold.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)



On October 2, 2014, the Company filed a registration statement on Form S-11 with the SEC to register a follow-on public offering of up to $700.0 million in shares of the Company’s common stock, consisting of up to $500.0 million in shares in a follow-on primary offering and up to $200.0 million in shares pursuant to a follow-on distribution reinvestment plan. The registration statement for the follow-on offering has not yet been declared effective by the SEC.
On February 11, 2013, the Company commenced operations by satisfying the minimum offering requirement in its Primary Offering as a result of NorthStar Realty purchasing an additional 222,223 shares of common stock for $2.0 million. From inception through November 11, 2014, the Company raised total gross proceeds of $666.1 million.
2.
Summary of Significant Accounting Policies
Basis of Quarterly Presentation
The accompanying unaudited consolidated financial statements and related notes of the Company have been prepared in accordance with accounting principles generally accepted in the United States (“U.S. GAAP”) for interim financial reporting and the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly, certain information and note disclosures normally included in the consolidated financial statements prepared under U.S. GAAP have been condensed or omitted. In the opinion of management, all adjustments considered necessary for a fair presentation of the Company’s financial position, results of operations and cash flows have been included and are of a normal and recurring nature. The operating results presented for interim periods are not necessarily indicative of the results that may be expected for any other interim period or for the entire year. These consolidated financial statements should be read in conjunction with the Company’s consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2013, which was filed with the SEC.
Principles of Consolidation
The consolidated financial statements include the accounts of the Company, the Operating Partnership and their consolidated subsidiaries. The Company consolidates variable interest entities (“VIE”), if any, where the Company is the primary beneficiary and voting interest entities which are generally majority owned or otherwise controlled by the Company. All significant intercompany balances are eliminated in consolidation.
Variable Interest Entities
A VIE is an entity that lacks one or more of the characteristics of a voting interest entity. A VIE is defined as an entity in which equity investors do not have the characteristics of a controlling financial interest or do not have sufficient equity at risk for the entity to finance its activities without additional subordinated financial support from other parties. The determination of whether an entity is a VIE includes both a qualitative and quantitative analysis. The Company bases its qualitative analysis on its review of the design of the entity, its organizational structure including decision-making ability and relevant financial agreements and the quantitative analysis on the forecasted cash flow of the entity. The Company reassesses its initial evaluation of an entity as a VIE upon the occurrence of certain reconsideration events.
A VIE must be consolidated only by its primary beneficiary, which is defined as the party who, along with its affiliates and agents has both the: (i) power to direct the activities that most significantly impact the VIE’s economic performance; and (ii) obligation to absorb the losses of the VIE or the right to receive the benefits from the VIE, which could be significant to the VIE. The Company determines whether it is the primary beneficiary of a VIE by considering qualitative and quantitative factors, including, but not limited to: which activities most significantly impact the VIE’s economic performance and which party controls such activities; the amount and characteristics of its investment; the obligation or likelihood for the Company or other interests to provide financial support; consideration of the VIE’s purpose and design, including the risks the VIE was designed to create and pass through to its variable interest holders and the similarity with and significance to the business activities of the Company and the other interests. The Company reassesses its determination of whether it is the primary beneficiary of a VIE each reporting period. Significant judgments related to these determinations include estimates about the current and future fair value and performance of investments held by these VIEs and general market conditions.
The Company evaluates its investments and financings, including investments in unconsolidated ventures and securitization financing transactions, if any, to determine whether they are a VIE. The Company analyzes new investments and financings, as well as reconsideration events for existing investments and financings, which vary depending on type of investment or financing. As of September 30, 2014, the Company has not identified any VIEs related to its investments or financing.


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Voting Interest Entities
A voting interest entity is an entity in which the total equity investment at risk is sufficient to enable it to finance its activities independently and the equity holders have the power to direct the activities of the entity that most significantly impact its economic performance, the obligation to absorb the losses of the entity and the right to receive the residual returns of the entity. The usual condition for a controlling financial interest in a voting interest entity is ownership of a majority voting interest. If the Company has a majority voting interest in a voting interest entity, the entity will generally be consolidated. The Company does not consolidate a voting interest entity if there are substantive participating rights by other parties and/or kick-out rights by a single party.
The Company performs on-going reassessments of whether entities previously evaluated under the voting interest framework have become VIEs, based on certain events, and therefore subject to the VIE consolidation framework.
Investments in Unconsolidated Ventures
The Company has non-controlling, unconsolidated ownership interests in entities that may be accounted for using the equity method, at fair value or the cost method.
Under the equity method, the investment is adjusted each period for capital contributions and distributions and its share of the entity’s net income (loss). Capital contributions, distributions and net income (loss) of such entities are recorded in accordance with the terms of the governing documents. An allocation of net income (loss) may differ from the stated ownership percentage interest in such entity as a result of preferred returns and allocation formulas, if any, as described in such governing documents.
The Company may account for an investment in an unconsolidated entity at fair value by electing the fair value option. The Company may account for investments that do not qualify for equity method accounting or for which the fair value option was not elected using the cost method if the Company determines the investment in the unconsolidated entity is insignificant. Under the cost method, equity in earnings is recorded as dividends are received to the extent they are not considered a return of capital, which is recorded as a reduction of cost of the investment.
Non-controlling Interests
A non-controlling interest in a consolidated subsidiary is defined as the portion of the equity (net assets) in a subsidiary not attributable, directly or indirectly, to the Company. A non-controlling interest is required to be presented as a separate component of equity on the consolidated balance sheets and presented separately as net income (loss) and other comprehensive income (loss) (“OCI”) attributable to controlling and non-controlling interests. An allocation to a non-controlling interest may differ from the stated ownership percentage interest in such entity as a result of preferred returns and allocation formulas, if any, as described in such governing documents.
Estimates
The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that could affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could materially differ from those estimates and assumptions.
Reclassifications
Certain prior period amounts have been reclassified in the consolidated financial statements to conform to current period presentation.
Comprehensive Income (Loss)
The Company reports consolidated comprehensive income (loss) in separate statements following the consolidated statements of operations. Comprehensive income (loss) is defined as the change in equity resulting from net income (loss) and OCI.
Operating Real Estate
The Company follows the purchase method for an acquisition of operating real estate, where the purchase price is allocated to tangible assets such as land, building, furniture and fixtures, improvements and other identified intangibles. Major replacements and betterments which improve or extend the life of the asset are capitalized and depreciated over their useful life. Ordinary repairs and maintenance are expensed as incurred. Operating real estate is carried at historical cost less accumulated depreciation. Operating real estate is depreciated using the straight-line method over the estimated useful lives of the assets.


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Costs directly related to an acquisition deemed to be a business combination are expensed and included in transaction costs in the consolidated statements of operations.
Real Estate Debt Investments
Debt investments are generally intended to be held to maturity and, accordingly, are carried at cost, net of unamortized loan fees, premium, discount and unfunded commitments. Debt investments that are deemed to be impaired are carried at amortized cost less a loan loss reserve, if deemed appropriate, which approximates fair value. Debt investments where the Company does not have the intent to hold the loan for the foreseeable future or until its expected payoff are classified as held for sale and recorded at the lower of cost or estimated value.
Real Estate Securities
The Company classifies its securities investments as available for sale on the acquisition date, which are carried at fair value. Unrealized gains (losses) are recorded as a component of accumulated OCI in the consolidated statements of equity. However, the Company may elect the fair value option for certain of its available for sale securities, and as a result, any unrealized gains (losses) on such securities are recorded in unrealized gain (loss) on investments and other in the consolidated statements of operations.
Acquisition Fees and Expenses
The total of all acquisition fees and expenses for an investment, including acquisition fees to the Advisor, cannot exceed, in the aggregate, 6.0% of the contract purchase price of such investment unless such excess is approved by a majority of the directors, including independent directors. For the nine months ended September 30, 2014, total acquisition fees and expenses did not exceed the allowed limit for any investment. An acquisition fee paid to the Advisor related to the origination or acquisition of debt investments is included in debt investments, net on the consolidated balance sheets and is amortized to interest income over the life of the investment using the effective interest method. An acquisition fee incurred related to an equity investment will generally be expensed as incurred.
Revenue Recognition
Operating Real Estate
Rental and escalation income, if any, from operating real estate is derived from leasing of space to various types of healthcare operators. The leases are for fixed terms of varying length and generally provide for annual rentals to be paid in monthly installments. Rental income from leases is recognized on a straight-line basis over the term of the respective leases. The excess of rents recognized over amounts contractually due pursuant to the underlying leases is included in receivables on the consolidated balance sheets. Escalation income, if any, represents revenue from operator leases which provide for the recovery of all or a portion of the operating expenses and real estate taxes paid by the Company on behalf of the respective property, as applicable. This revenue is accrued in the same period as the expenses are incurred.
The Company also generates operating income from healthcare properties permitted by the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”). Revenue related to healthcare properties includes resident room and care charges and other resident charges.
Real Estate Debt Investments
Interest income is recognized on an accrual basis and any related premium, discount, origination costs and fees are amortized over the life of the investment using the effective interest method. The amortization is reflected as an adjustment to interest income in the consolidated statements of operations. The amortization of a premium or accretion of a discount is discontinued if such loan is reclassified to held for sale.
Real Estate Securities
Interest income is recognized using the effective interest method with any premium or discount amortized or accreted through earnings based on expected cash flow through the expected maturity date of the security. Changes to expected cash flow may result in a change to the yield which is then applied retrospectively for high-credit quality securities that cannot be prepaid or otherwise settled in such a way that the holder would not recover substantially all of the investment or prospectively for all other securities to recognize interest income.


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Credit Losses and Impairment on Investments
Operating Real Estate
The Company’s real estate portfolio is reviewed on a quarterly basis, or more frequently as necessary, to assess whether there are any indicators that the value of its operating real estate may be impaired or that its carrying value may not be recoverable. A property’s value is considered impaired if the Company’s estimate of the aggregate expected future undiscounted cash flow generated by the property is less than the carrying value. In conducting this review, the Company considers U.S. macroeconomic factors, real estate and healthcare sector conditions and asset specific and other factors. To the extent an impairment has occurred, the loss is measured as the excess of the carrying value of the property over the estimated fair value and recorded in impairment on operating real estate in the consolidated statements of operations.
An allowance for a doubtful account for an operator/resident receivable is established based on a periodic review of aged receivables resulting from estimated losses due to the inability of operator/resident to make required rent and other payments contractually due. Additionally, the Company establishes, on a current basis, an allowance for future operator/resident credit losses on unbilled rent receivable based on an evaluation of the collectability of such amounts.
Real Estate Debt Investments
Loans are considered impaired when, based on current information and events, it is probable that the Company will not be able to collect principal and interest amounts due according to the contractual terms. The Company assesses the credit quality of the portfolio and adequacy of loan loss reserves on a quarterly basis or more frequently as necessary. Significant judgment of the Company is required in this analysis. The Company considers the estimated net recoverable value of the loan as well as other factors, including but not limited to the fair value of any collateral, the amount and the status of any senior debt, the quality and financial condition of the borrower and the competitive situation of the area where the underlying collateral is located. Because this determination is based on projections of future economic events, which are inherently subjective, the amount ultimately realized may differ materially from the carrying value as of the balance sheet date. If upon completion of the assessment, the estimated fair value of the underlying collateral is less than the net carrying value of the loan, a loan loss reserve is recorded with a corresponding charge to provision for loan losses. The loan loss reserve for each loan is maintained at a level that is determined to be adequate by management to absorb probable losses.
Income recognition is suspended for a loan at the earlier of the date at which payments become 90-days past due or when, in the opinion of the Company, a full recovery of income and principal becomes doubtful. When the ultimate collectability of the principal of an impaired loan is in doubt, all payments are applied to principal under the cost recovery method. When the ultimate collectability of the principal of an impaired loan is not in doubt, contractual interest is recorded as interest income when received, under the cash basis method until an accrual is resumed when the loan becomes contractually current and performance is demonstrated to be resumed. A loan is written off when it is no longer realizable and/or legally discharged. As of September 30, 2014, the Company did not have any impaired real estate debt investments.
Real Estate Securities
Securities for which the fair value option is elected are not evaluated for other-than-temporary impairment (“OTTI”) as any change in fair value is recorded in the consolidated statements of operations. Realized losses on such securities are reclassified to realized gain (loss) on investments and other as losses occur.
Securities for which the fair value option is not elected are evaluated for OTTI quarterly. Impairment of a security is considered to be other-than-temporary when: (i) the holder has the intent to sell the impaired security; (ii) it is more likely than not the holder will be required to sell the security; or (iii) the holder does not expect to recover the entire amortized cost of the security. When a security has been deemed to be other-than-temporarily impaired due to (i) or (ii), the security is written down to its fair value and an OTTI is recognized in the consolidated statements of operations. In the case of (iii), the security is written down to its fair value and the amount of OTTI is then bifurcated into: (a) the amount related to expected credit losses; and (b) the amount related to fair value adjustments in excess of expected credit losses. The portion of OTTI related to expected credit losses is recognized in the consolidated statements of operations. The remaining OTTI related to the valuation adjustment is recognized as a component of accumulated OCI in the consolidated statements of equity. The portion of OTTI recognized through earnings is accreted back to the amortized cost basis of the security through interest income, while amounts recognized through OCI are amortized over the life of the security with no impact on earnings. Real estate securities which are not high-credit quality are considered to have an OTTI if the security has an unrealized loss and there has been an adverse change in expected cash flow. The amount of OTTI is then bifurcated as discussed above.


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Organization and Offering Costs
The Advisor, or its affiliates, is entitled to receive reimbursement for costs paid on behalf of the Company in connection with the Offering. The Company is obligated to reimburse the Advisor for organization and offering costs to the extent the aggregate of selling commissions, dealer manager fees and other organization and offering costs do not exceed 15.0% of gross offering proceeds from the Primary Offering. The Advisor does not expect reimbursable organization and offering costs to exceed $15.0 million, or 1.5% of the total proceeds available to be raised from the Primary Offering. The Company records organization and offering costs each period based upon an allocation determined by the expectation of total organization and offering costs to be reimbursed. Organization costs are recorded as an expense in general and administrative expenses in the consolidated statements of operations and offering costs are recorded as a reduction to equity.
Other
Refer to Note 2 of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2013 for further disclosure of the Company’s significant accounting policies.
Recent Accounting Pronouncements
In April 2014, the Financial Accounting Standards Board (“FASB”) issued an accounting update that changes the requirements for reporting discontinued operations. A discontinued operation may include a component of an entity or a group of components of an entity or a business. A disposal of a component of an entity or a group of components of an entity is required to be reported in discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results. The requirements of this accounting update will be effective for the Company for the annual period beginning after December 15, 2014, however, early adoption is permitted but only for disposals or classifications as held for sale that have not been reported in financial statements previously issued or available for issue. The Company early adopted this accounting pronouncement effective January 1, 2014 and the update did not have a material impact on the consolidated financial statements.
In May 2014, the FASB issued an accounting update requiring a company to recognize as revenue the amount of consideration it expects to be entitled to in connection with the transfer of promised goods or services to customers.  When it becomes effective on January 1, 2017, the accounting standard update will replace most of the existing revenue recognition guidance currently promulgated by U.S. GAAP.  The Company is in the process of evaluating the impact, if any, of the update on its consolidated financial statements and related disclosures.
3.
Operating Real Estate
The following table summarizes operating real estate acquisitions for the nine months ended September 30, 2014:
Acquisition Date
 
Type(1)
 
Description
 
Name
 
Purchase Price (2) (3)
 
Properties
 
Units
 
Primary Location
 
Financing
 
Equity
 
Ownership Interest
 
Transaction Costs
January 2014
 
ALF
 
Senior Housing
 
Harvard Square
 
$
33,926,971

 
1
 
183
 
CO
 
$
21,500,000

 
$
10,713,580

 
97.0
%
 
$
432,641

February 2014
 
ILF
 
Senior Housing
 
Parkview
 
39,903,574

 
1
 
202
 
TX
 
20,000,000

 
19,459,623

 
97.0
%
 
574,802

February 2014
 
ALF
 
Senior Housing
 
Cheektowaga
 
12,500,000

 
1
 
100
 
NY
 

 
12,500,000

 
100.0
%
 
139,797

September 2014
 
ALF
 
Senior Housing
 
Arbors Portfolio(4)
 
125,129,574

 
4
 
570
 
NY
 

 
125,129,574

 
100.0
%
 
1,627,579

Total
 
 
 
 
 
$
211,460,119

 
7
 
1055
 
 
 
$
41,500,000

 
$
167,802,777

 
 
 
$
2,774,819

_________________________________________________
(1)Classification based on predominant services provided, but may include other services.
(2)Based on cost which includes net purchase price allocation related to net intangibles, deferred costs and other assets, if any.
(3)Excludes the Company’s interest in properties held through unconsolidated joint ventures of $29.4 million.
(4)
Each facility in the Arbors Portfolio is 100% leased to Arcadia Management, Inc. (“Arcadia”) pursuant to a 15-year, cross-defaulted net lease, whereby the tenant, Arcadia, is responsible for substantially all of the operating expenses at each facility. For the three and nine months ended September 30, 2014, the Company recognized $1.2 million of losses from Arbors Portfolio. Contributing to the loss for the three and nine months ended September 30, 2014, was $1.8 million related to transaction costs and depreciation expense.

The following table presents unaudited consolidated pro forma results of operations based on the Company’s historical financial statements and adjusted for the acquisition of the Arbors Portfolio investment as if it occurred on January 1, 2013. The unaudited pro forma amounts were prepared for comparative purposes only and are not indicative of what actual consolidated


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(Unaudited)



results of operations of the Company would have been, nor are they indicative of the consolidated results of operations in the future and exclude transaction costs:
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2014
 
2013
 
2014
 
2013
Pro forma total revenues
$
10,978,391

 
$
2,761,334

 
$
26,554,439

 
$
8,111,888

Pro forma net income (loss) attributable to NorthStar Healthcare Income, Inc. common stockholders
$
(824,050
)
 
$
1,918,077

 
$
(1,045,659
)
 
$
5,662,202

Pro forma net income (loss) per share of common stock, basic/diluted
$
(0.11
)
 
$
9.02

 
$
(0.04
)
 
$
13.06

The Company estimated the fair value of the assets and liabilities for all real estate acquired at the date of acquisition. The following table presents the preliminary allocation of purchase price of the operating real estate assets acquired and liabilities assumed or issued (including financing entered into contemporaneous with the acquisition) for acquisitions in 2014 and 2013 that continue to be subject to refinement upon receipt of all information:
Assets:


Land

$
20,035,000

Buildings

242,023,297

Other assets acquired (1)

6,944,371

Total assets acquired

$
269,002,668

Liabilities:

 
Mortgage notes payable

$
59,813,425

Other liabilities assumed (2)

1,598,288

Total liabilities

61,411,713

Total NorthStar Healthcare Income, Inc. stockholders’ equity

206,386,274

Non-controlling interests

1,204,681

Total equity

207,590,955

Total liabilities and equity

$
269,002,668

____________________________________________________________
(1)
Primarily includes deferred costs and escrowed amounts, as applicable.
(2)
Primarily includes prepaid rent and security deposits.
4.
Investments in Unconsolidated Ventures
The following is a description of the Company’s investments in unconsolidated ventures. The below investments are accounted for under the equity method. 
In May 2014, the Company, through a general partnership with NorthStar Realty (refer to Note 7), entered into a joint venture with an affiliate of Formation Capital, LLC to acquire an interest in a $1.1 billion healthcare real estate portfolio comprised of over 8,500 units/beds across 38 senior housing facilities and 42 skilled nursing facilities and memory care facilities, located primarily in Florida, Illinois, Oregon and Texas. The Company contributed $23.4 million for an approximate 5.6% interest in the joint venture. As of September 30, 2014, the carrying value of the Company’s investment was $23.9 million. For the three and nine months ended September 30, 2014, the Company recognized $0.1 million of equity in earnings and $0.2 million of equity in losses, respectively. Contributing to the loss for the nine months ended September 30, 2014, was $0.6 million related to transaction costs and depreciation expense.
In September 2014, the Company’s $5.0 million subordinate interest investment was exchanged for an approximate 11.4% interest in a joint venture with affiliates of Formation Capital, LLC and Safanad Management Limited. The joint venture owns a $145.0 million portfolio, subject to certain earn-out provisions, of 14 skilled nursing facilities comprised of 1,658 beds and located in Virginia, Maryland and Pennsylvania. As of September 30, 2014, the carrying value of the Company’s investment was $5.5 million. For the three and nine months ended September 30, 2014, the Company recognized $0.1 million of equity in earnings.


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5.
Real Estate Debt Investments
The following table presents debt investments as of September 30, 2014:
 

 

 

 
 
 

Weighted Average

Floating
Rate as
% of
Principal
Amount
Asset Type:

Number

Principal
Amount

Carrying
Value
 
Allocation by Investment Type(2)

Spread
over
LIBOR
(3)

Total Unleveraged
Current
Yield

First mortgage loans(1)

2

$
25,887,000


$
25,887,000

 
17.7
%

8.1
%

8.3
%

100.0
%
Mezzanine loans

2

120,000,000

 
120,515,978

 
82.3
%
 
10.2
%
 
10.4
%
 
100.0
%
Total/Weighted Average
 
4
 
$
145,887,000

 
$
146,402,978


100.0
%
 
9.8
%
 
10.0
%
 
100.0
%
__________________________________________________________
(1)
As of September 30, 2014, all of the Company’s first mortgage loans were subject to a London Interbank Offered Rate (“LIBOR”) floor with the weighted average of 0.6%.
(2)
Based on principal amount.
(3)
Includes a fixed minimum LIBOR rate (“LIBOR floor”), as applicable.
Year to date through September 30, 2014, the Company invested in three loans with a principal amount of $134.6 million.
The following table presents debt investment as of December 31, 2013:
 
 
 
 
 
 
 
 
Weighted Average
 
Floating
Rate as
% of
Principal
Amount
Asset Type:
 
Number
 
Principal
Amount
 
Carrying
Value
 
Spread
Over
LIBOR
(1)
 
Total Unleveraged
Current
Yield
 
First mortgage loan
 
1
 
$
11,250,000

 
$
11,250,000

 
8.0
%
 
8.1
%
 
100.0
%
__________________________________________________________
(1)
As of December 31, 2013, the Company’s first mortgage loan was subject to a LIBOR floor of 1.0%.
The following table presents maturities of debt investments based on principal amount as of September 30, 2014:
    
 
Initial
Maturity
 
Maturity
Including
Extensions (1)
October 1 to December 31, 2014
$

 
$

Years Ending December 31:
 
 
 
2015

 

2016
131,250,000

 

2017
14,637,000

 

2018

 
11,250,000

Thereafter

 
134,637,000

Total
$
145,887,000

 
$
145,887,000

____________________________________________________________
(1)
Assumes that all debt with extension options will qualify for extension at such maturity according to the conditions set forth in the governing documents.
As of September 30, 2014, the weighted average maturity, including extensions, of debt investments was 4.7 years.
Credit Quality Monitoring
Debt investments are typically loans secured by direct senior priority liens on real estate properties or by interests in entities that directly own real estate properties, which serve as the primary source of cash for the payment of principal and interest. The Company evaluates its debt investments at least quarterly and differentiates the relative credit quality principally based on: (i) whether the borrower is currently paying contractual debt service in accordance with its contractual terms; and (ii) whether the Company believes the borrower will be able to perform under its contractual terms in the future, as well as the Company’s expectations as to the ultimate recovery of principal at maturity. The Company categorizes a debt investment for which it


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expects to receive full payment of contractual principal and interest payments as “performing.” The Company will categorize a weaker credit quality debt investment that is currently performing, but for which it believes future collection of all or some portion of principal and interest is in doubt, into a category called “performing with a loan loss reserve.” The Company will categorize a weaker credit quality debt investment that is not performing, which the Company defines as a loan in maturity default and/or past due at least 90 days on its contractual debt service payments, as a non-performing loan (“NPL”). The Company’s definition of an NPL may differ from that of other companies that track NPLs.
As of September 30, 2014, all debt investments were performing in accordance with the contractual terms of their governing documents and were categorized as performing loans. For the nine months ended September 30, 2014, three debt investments each contributed more than 10% of interest income.
6.
Borrowings
The following table presents borrowings as of September 30, 2014 and December 31, 2013:
 
 
 
 
 
 
 
September 30, 2014
 
December 31, 2013
 
Recourse vs. Non-Recourse
 
Final
Maturity
 
Contractual
Interest Rate (1)
 
Principal
Amount
 
Carrying
Value
 
Principal
Amount
 
Carrying
Value
Mortgage notes payable
 
 
 
 
 
 
 
 
 
 
 
 
 
Clinton, CT
Non-recourse
 
Jun-18
 
LIBOR + 2.75%
 
$
7,639,804

 
$
7,639,804

 
$
7,782,328

 
$
7,782,328

Milford, OH
Non-recourse
 
Dec-18
(2) 
LIBOR + 3.35%
 
10,500,000

 
10,500,000

 
10,500,000

 
10,500,000

Denver, CO
Non-recourse
 
Feb-21
 
LIBOR + 2.92%
 
21,500,000

 
21,500,000

 

 

Frisco, TX
Non-recourse
 
Mar-21
 
LIBOR + 3.04%
 
20,000,000

 
20,000,000

 

 

Subtotal mortgage notes payable
 
 
 
 
 
 
$
59,639,804


$
59,639,804


$
18,282,328


$
18,282,328

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Credit facilities
 
 
 
 
 
 
 
 
 
 
 
 
 
Term Loan Facility (3)
Recourse
 
Nov-17
(4) 
Various (5)
 

 

 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Grand Total
 
 
 
 
 
 
$
59,639,804

 
$
59,639,804

 
$
18,282,328

 
$
18,282,328

_____________________________________________________
(1)
Represents one-month LIBOR for Clinton, CT, Denver, CO and Frisco, TX and three-month LIBOR for Milford, OH.
(2)
The initial maturity of Milford, OH is December 2016, with two one-year extensions available at the Company’s option, which may be subject to the satisfaction of certain customary conditions set forth in the governing documents.
(3)
As of September 30, 2014, the Company had no borrowings outstanding under the Term Loan Facility.
(4)
The initial maturity of Term Loan Facility is November 2016, with a one-year extension available at the Company’s option, which may be subject to the satisfaction of certain customary conditions set forth in the governing documents.
(5)
The interest rate depends on the cumulative leverage of the Company and advance rate depend upon asset type and characteristics.

The following table presents scheduled principal on borrowings based on fully extended maturity as of September 30, 2014:
October 1 to December 31, 2014
 
$
48,465

Years Ending December 31:
 
 
2015
 
198,770

2016
 
438,413

2017
 
1,805,285

2018
 
18,359,987

Thereafter
 
38,788,884

Total
 
$
59,639,804



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(Unaudited)



Term Loan Facility
On November 13, 2013, the Company, through an Operating Partnership, entered into a credit facility agreement with a national financial institution (the “Term Loan Facility”), which initially provided up to $25.0 million and currently provides up to $100.0 million to finance real estate investments and first mortgage loans secured by healthcare real estate.
The Term Loan Facility acts as a revolving credit facility that can be paid down as assets are repaid, refinanced or sold and re-drawn upon for new investments. The Company agreed to guaranty all obligations under the Term Loan Facility. The Term Loan Facility contains representations, warranties, covenants, conditions precedent to funding, events of default and indemnities that are customary for agreements of this type. More specifically, the borrowing subsidiary of the Company must maintain $5.0 million in unrestricted cash at all times during the term of the Term Loan Facility.
In February 2014, the Company, through the Operating Partnership, amended the Term Loan Facility to increase the initial capacity to $100.0 million with up to $200.0 million of potential capacity.
As of September 30, 2014, the Company was in compliance with all of its financial covenants.
7.
Related Party Arrangements
Advisor
In connection with the completion of NorthStar Realty’s spin-off of its asset management business into the Sponsor, on June 30, 2014, the Company entered into a new advisory agreement with the Advisor, an affiliate of the Sponsor, on terms substantially similar to those set forth in the prior advisory agreement, and terminated the advisory agreement with the Prior Advisor. For periods prior to June 30, 2014, the information below regarding fees and reimbursements incurred and accrued but not yet paid relates to the Prior Advisor.
Subject to certain restrictions and limitations, the Advisor is responsible for managing the Company’s affairs on a day-to-day basis and for identifying, originating, acquiring and asset managing investments on behalf of the Company. For such services, to the extent permitted by law and regulations, the Advisor receives fees and reimbursements from the Company. Below is a description and table of the fees and reimbursements incurred to the Advisor.
Fees to Advisor
Asset Management Fee
The Advisor, or its affiliates, receives a monthly asset management fee equal to one-twelfth of 1.0% of the sum of the amount funded or allocated for investments, including expenses and any financing attributable to such investments, less any principal received on debt and securities investments (or the proportionate share thereof in the case of an investment made through a joint venture).
Acquisition Fee
The Advisor, or its affiliates, also receives an acquisition fee equal to 1.0% of the amount funded or allocated by the Company to acquire or originate investments, including acquisition expenses and any financing attributable to such investments (or the proportionate share thereof in the case of an investment made through a joint venture) except with respect to real estate property and 2.25% of each real estate property acquired by the Company, including acquisition expenses and any financing attributable to an equity investment (or the proportionate share thereof in the case of an equity investment made through a joint venture). An acquisition fee paid to the Advisor related to the origination or acquisition of debt investments is included in debt investments, net on the consolidated balance sheets and is amortized to interest income over the life of the investment using the effective interest method. An acquisition fee incurred related to an equity investment will generally be expensed as incurred.
Disposition Fee
For substantial assistance in connection with the sale of investments and based on the services provided, the Advisor, or its affiliates, receives a disposition fee equal to 1.0% of the contract sales price of each debt investment sold and 2.0% of the contract sales price of each property sold. The Company does not pay a disposition fee upon the maturity, prepayment, workout, modification or extension of a debt investment unless there is a corresponding fee paid by the borrower, in which case the disposition fee is the lesser of: (i) 1.0% of the principal amount of the debt investment prior to such transaction; or (ii) the amount of the fee paid by the borrower in connection with such transaction. If the Company takes ownership of a property as a


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result of a workout or foreclosure of a debt investment, the Company will pay a disposition fee upon the sale of such property. A disposition fee from the sale of an investment is generally expensed and included in asset management and other fees - related party in the Company’s consolidated statements of operations. A disposition fee for a debt investment incurred in a transaction other than a sale is included in debt investments, net on the consolidated balance sheets and is amortized to interest income over the life of the investment using the effective interest method.
Reimbursements to Advisor
Operating Costs
The Advisor, or its affiliates, is entitled to receive reimbursement for direct and indirect operating costs incurred by the Advisor in connection with administrative services provided to the Company. Indirect operating costs include the Company’s allocable share of costs incurred by the Advisor for personnel and other overhead such as rent, technology and utilities. However, there is no reimbursement for personnel costs related to executive officers and other personnel involved in activities for which the Advisor receives an acquisition fee or a disposition fee. The Company reimburses the Advisor quarterly for operating costs (including the asset management fee) based on a calculation for the four preceding fiscal quarters not to exceed the greater of: (i) 2.0% of its average invested assets; or (ii) 25.0% of its net income determined without reduction for any additions to reserves for depreciation, loan losses or other similar non-cash reserves and excluding any gain from the sale of assets for that period. Notwithstanding the above, the Company may reimburse the Advisor for expenses in excess of this limitation if a majority of the Company’s independent directors determines that such excess expenses are justified based on unusual and non-recurring factors. The Company calculates the expense reimbursement quarterly based upon the trailing twelve-month period.
Organization and Offering Costs
The Advisor, or its affiliates, is entitled to receive reimbursement for organization and offering costs paid on behalf of the Company in connection with the Offering. The Company is obligated to reimburse the Advisor, or its affiliates, as applicable, for organization and offering costs to the extent the aggregate of selling commissions, dealer manager fees and other organization and offering costs do not exceed 15.0% of gross proceeds from the Primary Offering. The Advisor does not expect reimbursable organization and offering costs, excluding selling commissions and dealer manager fees, to exceed $15.0 million, or 1.5% of the total proceeds available to be raised from the Primary Offering. The Company shall not reimburse the Advisor for any organization and offering costs that the Company’s independent directors determine are not fair and commercially reasonable to the Company.
Dealer Manager
Selling Commissions and Dealer Manager Fees
Pursuant to the dealer manager agreement, the Company pays the Dealer Manager, selling commissions of up to 7.0% of gross proceeds from the Primary Offering, all of which are reallowed to participating broker-dealers. In addition, the Company pays the Dealer Manager a dealer manager fee of up to 3.0% of gross proceeds from the Primary Offering, a portion of which is reallowed to participating broker-dealers. No selling commissions or dealer manager fees are paid for sales pursuant to the DRP.


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Summary of Fees and Reimbursements
The following table presents the fees and reimbursements incurred to the Advisor and the Dealer Manager for the three and nine months ended September 30, 2014 and 2013 and the amount due to related party as of September 30, 2014 and December 31, 2013:
 
 
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Due to Related Party as of
Type of Fee or Reimbursement
 
Financial Statement Location
 
2014

2013
 
2014
 
2013
 
September 30, 2014
 
December 31, 2013
Fees to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Asset management
 
Asset management and other fees-related party
 
$
870,421

 
$
13,006

 
$
1,723,972

 
$
17,825

 
$
342,547

 
$
37,532

Acquisition (1)
 
Real estate debt investments, net / Asset management and other fees-related party
 
3,292,938

 
87,500

 
7,813,699

 
112,500

 
3,292,938

 
564,405

Disposition (1)
 
Real estate debt investments, net
 

 

 

 

 

 

Reimbursements to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating costs
 
General and administrative expenses
 
998,372

 
18,661

 
2,045,439

 
24,675

 
998,372

 
164,080

Organization
 
General and administrative expenses
 
15,569

 
12,313

 
278,853

 
14,291

 
15,569

 
18,768

Offering
 
Cost of capital (2)
 
980,830

 
233,940

 
3,909,058

 
271,518

 
929,055

 
356,594

Selling commissions / Dealer manager fees
 
Cost of capital (2)
 
20,155,417

 
1,621,388

 
43,055,708

 
1,679,540

 

 

Total
 
 
 
 
 
 
 
 
 
 
 
$
5,578,481

 
$
1,141,379

____________________________________
(1)
Acquisition/disposition fees incurred to the Advisor related to debt investments are generally offset by origination/exit fees paid to the Company by borrowers if such fees are required from the borrower. Acquisition fees related to equity investments are included in asset management and other fees - related party in the consolidated statements of operations. The Advisor may determine to defer fees or seek reimbursement.
(2)
Cost of capital is included in net proceeds from issuance of common stock in the Company’s consolidated statements of equity.
NorthStar Realty Purchase of Common Stock
On April 10, 2014, the board of directors of the Company extended the term of the distribution support agreement (the “Distribution Support Agreement”) until August 7, 2015. Pursuant to the Distribution Support Agreement, NorthStar Realty committed to purchase up to an aggregate of $10.0 million in shares of the Company’s common stock at a price of $9.00 per share if cash distributions exceed modified funds from operations (as computed in accordance with the definition established by the Investment Program Association and adjusted for certain items) to provide additional funds to support distributions to stockholders. In February 2013, NorthStar Realty purchased 222,223 shares of the Company’s common stock for $2.0 million under the Distribution Support Agreement to satisfy the minimum offering requirement, which reduced the total commitment. As of September 30, 2014, including the purchase of shares to satisfy the minimum offering requirement, NorthStar Realty purchased 303,248 shares of the Company’s common stock for $2.7 million under such commitment. For the three and nine months ended September 30, 2014, NorthStar Realty purchased 60,141 and 69,857 shares of the Company’s common stock for $0.5 million and $0.6 million under such commitment, respectively.
Investment in Healthcare Joint Venture
In May 2014, the Company, through a general partnership with NorthStar Realty, entered into the healthcare joint venture to acquire an interest in a $1.1 billion healthcare real estate portfolio and contributed $23.4 million of cash for its interest in the investment. The purchase was approved by the Company’s board of directors, including all of its independent directors.
8.
Equity-Based Compensation
The Company adopted a long-term incentive plan, as amended (the “Plan”), which it may use to attract and retain qualified officers, directors, employees and consultants, as well as an independent directors compensation plan, which is a component of the Plan. Pursuant to the Plan, as of September 30, 2014 the Company’s independent directors were granted a total of 30,000


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(Unaudited)



shares of restricted common stock issued at $9.00 per share. The Company awarded 5,000 shares of restricted common stock on February 11, 2013 and 2,500 shares of restricted common stock on November 7, 2013 and June 13, 2014, respectively, to each of the Company’s three independent directors. The shares were issued at $9.00 per share and will generally vest over four years. However, the stock will become fully vested on the earlier occurrence of: (i) the termination of the independent director’s service as a director due to his or her death or disability; or (ii) a change in control of the Company.
The Company recognized equity-based compensation expense of $16,847 and $42,984 for the three and nine months ended September 30, 2014, respectively, related to the issuance of restricted stock to the independent directors, which was recorded in general and administrative expenses in the consolidated statements of operations.
9.
Stockholders’ Equity
Common Stock from Primary Offering
For the nine months ended September 30, 2014, the Company issued 43.7 million shares of common stock generating gross proceeds of $436.3 million. For the year ended December 31, 2013, the Company issued 10.9 million shares of common stock generating gross proceeds of $108.7 million. From inception through September 30, 2014, the Company issued 54.6 million shares of common stock, generating gross proceeds of $545.0 million.
Distribution Reinvestment Plan
The Company adopted a DRP through which common stockholders may elect to reinvest an amount equal to the distributions declared on their shares in additional shares of the Company’s common stock in lieu of receiving cash distributions. The initial purchase price per share pursuant to the DRP is $9.50. Once the Company establishes an estimated value per share, shares issued pursuant to the DRP will be priced at 95.0% of the estimated value per share of the Company’s common stock, as determined by the Advisor or another firm chosen for that purpose. Pursuant to amended FINRA Rule 2310 which was recently approved by the SEC and is expected to be effective in 2016, the Company expects to establish an estimated value per share the later of (i) within 150 days following the second anniversary of breaking escrow in February 2013 and (ii) the effective date of the new Rule, but in no event later than 18 months after the completion of its Offering stage. The Offering stage will be considered complete when the Company is no longer publicly offering equity securities, whether through the Offering or follow-on public offering. No selling commissions or dealer manager fees are paid on shares issued pursuant to the DRP. The Company will disclose the per share estimated value in a report under the Exchange Act of 1934, as amended, and in each annual report thereafter. The board of directors of the Company may amend, suspend or terminate the DRP for any reason upon ten-days’ notice to participants, except that the Company may not amend the DRP to eliminate a participant’s ability to withdraw from the DRP. For the nine months ended September 30, 2014, the Company issued 0.7 million shares totaling $6.8 million of gross offering proceeds pursuant to the DRP.
Distributions
Distributions to stockholders are declared quarterly by the board of directors of the Company and are paid monthly based on a daily amount of $0.00184932 per share, which is equivalent to an annual distribution rate of 6.75%. Distributions are generally paid to stockholders on the first business day of the month following the month for which the distribution has accrued.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)



The following table presents distributions declared for the nine months ended September 30, 2014:
 
 
Distributions (1)
Period
 
Cash
 
DRP
 
Total
January
 
$
315,522

 
$
376,395


$
691,917

February
 
356,437

 
418,992


775,429

March
 
497,536

 
597,200


1,094,736

April
 
577,223

 
696,848

 
1,274,071

May
 
697,220

 
848,328

 
1,545,548

June
 
795,746

 
958,449

 
1,754,195

July
 
965,302

 
1,182,467

 
2,147,769

August
 
1,133,826

 
1,422,165

 
2,555,991

September
 
1,260,649

 
1,596,485

 
2,857,134

Total
 
$
6,599,461


$
8,097,329


$
14,696,790

_________________________________________________
(1)
Represents distributions declared for the period, even though such distributions are actually paid to stockholders the month following such period.
Share Repurchase Program
The Company adopted a share repurchase program that may enable stockholders to sell their shares to the Company in limited circumstances (the “Share Repurchase Program”). The Company may not repurchase shares unless a stockholder has held shares for one year. However, the Company may repurchase shares held less than one year in connection with a stockholder’s death or disability, if the disability is deemed qualifying by the board of directors of the Company in its sole discretion and after receiving written notice from the stockholder or the stockholder’s estate. The Company is not obligated to repurchase shares under the Share Repurchase Program. The Company may amend, suspend or terminate the Share Repurchase Program at its discretion at any time, subject to certain notice requirements. For the year ended December 31, 2013, the Company did not repurchase any shares pursuant to the Share Repurchase Program. For the nine months ended September 30, 2014, the Company repurchased an immaterial amount of shares pursuant to the Share Repurchase Program. As of September 30, 2014, there were no unfulfilled repurchase requests.
10.
Non-controlling Interests
Operating Partnership
Non-controlling interests include the aggregate limited partnership interests in the Operating Partnership held by limited partners, other than the Company. Income (loss) attributable to the non-controlling interests is based on the limited partners’ ownership percentage of the Operating Partnership. Income (loss) allocated to the Operating Partnership non-controlling interests for the three and nine months ended September 30, 2014 and 2013 was an immaterial amount.
Other
Other non-controlling interests represent third-party equity interests in ventures that are consolidated with the Company’s financial statements. Net income (loss) attributable to the other non-controlling interests for the three and nine months ended September 30, 2014 and 2013 was an immaterial amount.
11.
Fair Value
Fair Value Measurement
The fair value of financial instruments is categorized based on the priority of the inputs to the valuation technique and categorized into a three-level fair value hierarchy. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets or liabilities (Level 1) and the lowest priority to unobservable inputs (Level 3). If the inputs used to measure the financial instruments fall within different levels of the hierarchy, the categorization is based on the lowest level input that is significant to the fair value measurement of the instrument.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)



Financial assets and liabilities recorded at fair value on the consolidated balance sheets are categorized based on the inputs to the valuation techniques as follows:
Level 1.
Quoted prices for identical assets or liabilities in an active market.
Level 2.
Financial assets and liabilities whose values are based on the following:
a)
Quoted prices for similar assets or liabilities in active markets.
b)
Quoted prices for identical or similar assets or liabilities in non-active markets.
c)
Pricing models whose inputs are observable for substantially the full term of the asset or liability.
d)
Pricing models whose inputs are derived principally from or corroborated by observable market data for substantially the full term of the asset or liability.
Level 3.
Prices or valuation techniques based on inputs that are both unobservable and significant to the overall fair value measurement.
Fair Value of Financial Instruments
U.S. GAAP requires disclosure of fair value about all financial instruments. The following disclosure of estimated fair value of financial instruments was determined by the Company using available market information and appropriate valuation methodologies. Considerable judgment is necessary to interpret market data and develop estimated fair value. Accordingly, the estimates presented herein are not necessarily indicative of the amounts the Company could realize on disposition of the financial instruments. The use of different market assumptions and/or estimation methodologies may have a material effect on estimated fair value.
The following table presents the principal amount, carrying value and fair value of certain financial assets and liabilities as of September 30, 2014 and December 31, 2013:
 
September 30, 2014
 
December 31, 2013
 
Principal Amount
 
Carrying Value
 
Fair Value
 
Principal
Amount
 
Carrying
Value
 
Fair
Value
Financial assets: (1)
 
 
 
 
 
 
 

 
 

 
 

Real estate debt investments, net
$
145,887,000

 
$
146,402,978

 
$
171,909,590

 
$
11,250,000

 
$
11,250,000

 
$
11,250,000

Financial liabilities: (1)
 
 
 
 
 
 
 
 
 
 
 
Mortgage notes payable
$
59,639,804

 
$
59,639,804

 
$
55,700,047

 
$
18,282,328

 
$
18,282,328

 
$
18,012,558

_____________________________
(1)
The fair value of other financial instruments not included in this table is estimated to approximate their carrying value.
Disclosure about fair value of financial instruments is based on pertinent information available to management as of the reporting date. Although management is not aware of any factors that would significantly affect fair value, such amounts have not been comprehensively revalued for purposes of these consolidated financial statements since that date and current estimates of fair value may differ significantly from the amounts presented herein.
Real Estate Debt Investments 
For debt investments, fair value was approximated by comparing the current yield to the estimated yield for newly originated loans with similar credit risk or the market yield at which a third party might expect to purchase such investment. Fair value was determined assuming fully-extended maturities regardless of structural or economic tests required to achieve such extended maturities. These fair value measurements of debt are generally based on unobservable inputs and, as such, are classified as Level 3 of the fair value hierarchy.
Mortgage Notes Payable
For mortgage notes payable, the Company primarily uses rates currently available with similar terms and remaining maturities to estimate fair value. These measurements are determined using comparable U.S. Treasury rates as of the end of the reporting period. These fair value measurements are based on observable inputs, and as such, are classified as Level 2 of the fair value hierarchy.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)



12.
Segment Reporting
The Company conducts its business through the following four segments, which are based on how management reviews and manages its business:
Real Estate Equity - Focused on equity investments backed by properties in the mid-acuity senior housing sector, which the Company defines as ALF, MCF, SNF and ILF that have an emphasis on private pay patients and may also include MOB, hospitals and rehabilitation facilities. Certain healthcare properties operate under the RIDEA structure generating resident income from short-term residential agreements and incur customary related operating expenses.
Real Estate Debt - Focused on originating, acquiring and asset managing healthcare-related debt investments including first mortgage loans, subordinate interests and mezzanine loans and participations in such loans, as well as preferred equity interests.
Healthcare-Related Securities - Focused on investing in and asset managing healthcare-related securities primarily consisting of commercial mortgage-backed securities and may include other securities backed primarily by loans secured by healthcare properties.
Corporate - The corporate segment includes corporate level asset management and other fees to related party and general and administrative expenses.
The Company primarily generates revenue from rental and resident fee income from real estate equity and interest income on the real estate debt investments. The Company’s income is also derived through the difference between net revenue and the cost at which the Company is able to finance its investments. The Company may also acquire investments which generate attractive returns without any leverage. The following tables present segment reporting for the three and nine months ended September 30, 2014 and 2013:


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(Unaudited)



Three months ended September 30, 2014
 
Real Estate Equity
 
Real Estate Debt
 
Corporate (1)
 
Total
Rental and resident fee income
 
$
5,743,415

 
$

 
$

 
$
5,743,415

Interest income
 

 
2,619,472

 

 
2,619,472

Property operating expenses
 
2,988,366

 

 

 
2,988,366

Asset management and other fees-related party
 

 

 
3,719,191

 
3,719,191

Other expenses
 
3,232,522

 

 
1,320,048

 
4,552,570

Income (loss) from operations
 
(477,473
)
 
2,619,472

 
(5,039,239
)

(2,897,240
)
Equity in earnings (losses) of unconsolidated ventures
 
203,558

 

 

 
203,558

Net income (loss)
 
$
(273,915
)
 
$
2,619,472

 
$
(5,039,239
)
 
$
(2,693,682
)
Three months ended September 30, 2013
 
Real Estate Debt
 
Corporate (1)
 
Total
Interest income
 
$
105,556

 
$

 
$
105,556

Asset management and other fees-related party
 

 
13,006

 
13,006

Other expenses
 

 
40,025

 
40,025

Net income (loss)
 
$
105,556


$
(53,031
)

$
52,525

Nine months ended September 30, 2014
 
Real Estate Equity
 
Real Estate Debt
 
Corporate (1)
 
Total
Rental and resident fee income
 
$
14,740,597

 
$

 
$

 
$
14,740,597

Interest income
 

 
3,830,790

 

 
3,830,790

Property operating expenses
 
7,946,154

 

 

 
7,946,154

Asset management and other fees-related party
 

 

 
6,470,600

 
6,470,600

Other expenses
 
6,905,515

 

 
3,832,944

 
10,738,459

Income (loss) from operations
 
(111,072
)

3,830,790


(10,303,544
)

(6,583,826
)
Equity in earnings (losses) of unconsolidated ventures
 
(93,122
)
 

 

 
(93,122
)
Net income (loss)
 
$
(204,194
)
 
$
3,830,790

 
$
(10,303,544
)
 
$
(6,676,948
)
Nine months ended September 30, 2013
 
Real Estate Debt
 
Corporate (1)
 
Total
Interest income
 
$
144,556

 
$

 
$
144,556

Asset management and other fees-related party
 

 
17,825

 
17,825

Other expenses
 

 
61,248

 
61,248

Net income (loss)
 
$
144,556

 
$
(79,073
)
 
$
65,483

_________________________________________________
(1)
Includes unallocated asset management fee - related party and general and administrative expenses, if any.
The following table presents total assets by segment as of September 30, 2014 and December 31, 2013:
Total Assets
 
Real Estate Equity
 
Real Estate
Debt
 
Corporate
 
Total
September 30, 2014
 
$
299,175,215

 
$
147,938,703

 
$
95,127,628

 
$
542,241,546

December 31, 2013
 
$
57,521,280

 
$
11,406,597

 
$
46,911,253

 
$
115,839,130

13.
Subsequent Events
Common Stock from Primary Offering
From October 1, 2014 through November 11, 2014, the Company issued 11.1 million shares of common stock pursuant to its Primary Offering generating gross proceeds of $110.3 million. From inception through November 11, 2014, the Company issued 65.7 million shares of common stock pursuant to its Offering generating gross proceeds of $655.3 million.
Distribution Reinvestment Plan
From October 1, 2014 through November 11, 2014, the Company issued 366,408 shares of common stock pursuant to the DRP raising proceeds of $3.5 million. As of November 11, 2014, 9.4 million shares were available to be issued pursuant to the DRP.
Distributions
On November 5, 2014, the board of directors of the Company approved a daily cash distribution of $0.00184932 per share of common stock for each of the three months ended March 31, 2015. Distributions are generally paid to stockholders on the first business day of the month following the month for which the distribution was accrued.
Share Repurchases
From October 1, 2014 through November 11, 2014, the Company repurchased 1,514 shares for a total of $14,021 or a weighted average price of $9.26 per share under the Share Repurchase Program.
Follow-on Offering
On October 2, 2014, the Company filed a registration statement on Form S-11 (File No. 333-199125) with the SEC to register a follow-on public offering of up to $700.0 million in shares of the Company’s common stock, consisting of up to $500.0 million in shares in a follow-on primary offering and up to $200.0 million in shares pursuant to a follow-on distribution reinvestment plan. The registration statement for the follow-on offering has not yet been declared effective by the SEC.
New Investments
Griffin-American Portfolio Joint Venture
On October 22, 2014, the Company entered into a purchase and sale agreement with NorthStar Realty pursuant to which the Company agreed to acquire an equity interest in Griffin-American Healthcare REIT II, Inc.’s (“Griffin-American”) healthcare real estate portfolio following completion of the merger of Griffin-American with and into a subsidiary of NorthStar Realty. The Company will acquire the interest for $100 million in cash, including its pro rata share of associated transaction costs, through a joint venture with NorthStar Realty which will be purchased at NorthStar Realty’s cost basis and is expected to represent an approximate 8.3% interest in the portfolio.


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(Unaudited)



Extendicare Investment
On November 7, 2014, the Company agreed to invest up to $315.0 million through a combination of equity, mezzanine and senior debt financing in connection with the proposed acquisition of the U.S.-based operations of Extendicare International Inc. including an $870.0 million portfolio of 158 healthcare facilities by an investment group comprised of the Company, Formation Capital, LLC and Safanad Management Limited. The portfolio consists of 152 SNFs and six ALFs located across 12 states, with the largest concentrations in Indiana, Kentucky, Ohio, Michigan and Wisconsin. The portfolio is currently subject to approximately $630.0 million of in-place financing, which is expected to be assumed in connection with the acquisition. Refer to Part II, Item 5. “Other” for further discussion. There can be no assurance that the Company will complete the transaction described above on the terms contemplated or at all.




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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following discussion should be read in conjunction with our unaudited consolidated financial statements and notes thereto included in Item 1. “Financial Statements” of this report. References to “we,” “us” or “our” refer to NorthStar Healthcare Income, Inc. and its subsidiaries unless the context specifically requires otherwise.
Introduction
We were formed primarily to acquire, originate and asset manage a diversified portfolio of equity, debt and securities investments in healthcare real estate, with a focus on the mid-acuity senior housing sector, which we define as assisted living, or ALF, memory care, or MCF, skilled nursing, or SNF, and independent living facilities, or ILF, that may have an emphasis on private pay patients. We may also acquire and originate equity and debt investments in facilities that may rely on public pay patients and other healthcare property types, including medical office buildings, or MOB, hospitals and rehabilitation facilities. In addition, we may acquire healthcare-related securities. We were formed in October 2010 as a Maryland corporation. We elected to be taxed as a real estate investment trust, or REIT, under the Internal Revenue Code of 1986 commencing with the taxable year ended December 31, 2013. We conduct our operations so as to continue to qualify as a REIT for U.S. federal income tax purposes.
We are externally managed and have no employees. Prior to June 30, 2014, we were managed by an affiliate of NorthStar Realty Finance Corp. (NYSE: NRF), or NorthStar Realty. Effective June 30, 2014, NorthStar Realty spun-off its asset management business into a separate publicly traded company, NorthStar Asset Management Group Inc., our Sponsor, with its common stock listed on the New York Stock Exchange, or NYSE, under the ticker symbol “NSAM.” Our Sponsor and its affiliates were organized to provide asset management and other services to us, NorthStar Realty, other sponsored public non-traded companies and any other companies our Sponsor may manage in the future, or collectively our NSAM Managed Companies, both in the United States and internationally. Concurrent with the spin-off, affiliates of our Sponsor entered into a new advisory agreement with us and each of the other NSAM Managed Companies. Pursuant to our advisory agreement, NSAM J-NSHC Ltd, an affiliate of our Sponsor, or our Advisor, agreed to manage our day-to-day operations on terms substantially similar to those set forth in our prior advisory agreement with NorthStar Healthcare Income Advisor, LLC, or our Prior Advisor. References to our Prior Advisor herein refer to the services performed by and fees paid and accrued to our Prior Advisor during the period prior to June 30, 2014. The spin-off of NorthStar Realty’s asset management business had no impact on our operations.
Our primary investment types are as follows:
Real Estate Equity - Our equity investments may include equity investments backed by properties in the mid-acuity senior housing sector, which we define as ALF, MCF, SNF and ILF that have an emphasis on private pay patients and may also include MOB, hospitals and rehabilitation facilities. Certain healthcare properties operate under the REIT Investment Diversification and Empowerment Act of 2007, or RIDEA, structure generating resident income from short-term residential agreements and incur customary related operating expenses.
Real Estate Debt - Our debt investments business focuses on originating, acquiring and asset managing healthcare related debt investments and may include first mortgage loans, subordinate interests and mezzanine loans and participations in such loans, as well as preferred equity interests.
Healthcare-Related Securities - Our securities investments may include commercial mortgage-backed securities, or CMBS, and may include other securities backed primarily by loans secured by healthcare properties.
We believe that these investment types are complementary to each other due to overlapping sources of investment opportunities and common reliance on healthcare real estate fundamentals and application of similar portfolio management skills to maximize value and to protect capital.
We are offering up to 100,000,000 shares pursuant to our primary offering, or our Primary Offering, and up to 10,526,315 shares pursuant to our distribution reinvestment plan, or our DRP, which are herein collectively referred to as our Offering. We reserve the right to reallocate our shares of common stock being offered between our Primary Offering and our DRP. We retained NorthStar Realty Securities, LLC, or our Dealer Manager, formerly a subsidiary of NorthStar Realty that became a subsidiary of our Sponsor upon completion of the spin-off, to serve as the dealer manager for our Primary Offering. Our Dealer Manager is responsible for marketing the shares being offered pursuant to our Primary Offering. In April 2014, our board of directors determined to extend our Offering for one year to August 7, 2015. Our Offering is expected to terminate on the earlier of August 7, 2015 or the date on which the maximum offering was sold.
On October 2, 2014, we filed a registration statement on Form S-11 with the Securities and Exchange Commission, or the SEC to register a follow-on public offering of up to $700.0 million in shares of our common stock, consisting of up to $500.0


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million in shares in a follow-on primary offering and up to $200.0 million in shares pursuant to a follow-on distribution reinvestment plan. The registration statement for the follow-on offering has not yet been declared effective by the SEC.
On February 11, 2013, we commenced operations by satisfying the minimum offering requirement in our Primary Offering as a result of NorthStar Realty purchasing an additional 222,223 shares of common stock for $2.0 million. From inception through November 11, 2014, we raised total gross proceeds of $666.1 million.
Our Investments
The following table presents our investments as of September 30, 2014, adjusted for our agreement entered in October 2014 to purchase other investments (refer to Recent Developments):
Investment Type:

Principal Amount/ Cost (1)

% of Total
Real estate equity (2)
 
 
 
 
ALF (3)
 
$
327,766,887

 
39.0
%
MOB (3)
 
164,000,000

 
19.5
%
SNF (3)
 
101,077,831

 
12.0
%
ILF
 
58,446,448

 
7.0
%
Hospital (3)
 
22,000,000

 
2.6
%
MCF
 
20,997,652

 
2.5
%
Total real estate equity
 
694,288,818

 
82.6
%
 
 
 
 
 
Real estate debt
 
 
 
 
First mortgage loans

25,887,000


3.1
%
Mezzanine loans
 
120,000,000

 
14.3
%
Total real estate debt

145,887,000


17.4
%
Total investments

$
840,175,818


100.0
%
____________________________________
(1)
Based on cost for real estate equity investments, which includes net purchase price allocation related to net intangibles, deferred costs and other assets, if any, and principal amount for real estate debt.
(2)
Classification based on predominant services but may include other services.
(3)
Includes cost attributable to investments held through joint ventures.    
For financial information regarding our reportable segments, refer to Note 12. “Segment Reporting” in our accompanying consolidated financial statements included in Item 1. “Financial Statements.”
Real Estate Equity
Overview
Our real estate equity investment strategy is focused on acquiring healthcare properties or interests in healthcare properties, with a focus on the mid-acuity senior housing sector, which we define as ALF, MCF, SNF and ILF, that have an emphasis on private pay patients. We may also acquire facilities that rely on public pay patients and other healthcare property types, including MOB, hospitals and rehabilitation facilities. Our equity investments are generally in the form of lease or management transactions where we purchase a property and enter into a long-term lease or management agreement with an operator responsible for contractual payments to us. In certain instances, we will enter into a RIDEA structure where we participate directly in the operational cash flow of a property. Our real estate equity investments that operate under the RIDEA structure generate resident level income from short-term residential agreements and incur customary related operating expenses. The investments typically have the potential to appreciate in value and therefore help overcome our upfront fees and expenses.
Our Portfolio
As of November 11, 2014, $694.3 million, or 82.6% of our assets, were invested in healthcare real estate equity. The properties were 100.0% leased to four operators, with a 11-year weighted average remaining lease term, excluding our healthcare investments held through joint ventures.


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The following presents our real estate equity diversity across property type and geographic location based on cost (including our proportionate interest in gross assets for our investments in joint ventures):
Real Estate Equity by Property Type (1)
 
Real Estate Equity by Geographic Location
 
____________________________________
(1)
Classification based on predominant services provided, but may include other services.
The following table presents a summary of our real estate equity investments as of November 11, 2014:
Property Type (1)
 
Cost (2)
 
% of Total
ALF (3)
 
$
327,766,887

 
47.2
%
MOB (3)
 
164,000,000

 
23.6
%
SNF (3)
 
101,077,831

 
14.6
%
ILF
 
58,446,448

 
8.4
%
Hospital (3)
 
22,000,000

 
3.2
%
MCF
 
20,997,652

 
3.0
%
Total
 
$
694,288,818

 
100.0
%
____________________________________
(1)
Classification based on predominant services provided, but may include other services. ALF and SNF include cost attributable to portfolios held through joint ventures.
(2)
Based on cost which includes net purchase price allocation related to net intangibles, deferred costs and other assets, if any.
(3)
Includes cost attributable to investments held through joint ventures.    

As of November 11, 2014, $425.3 million, or 50.6% of our assets, were invested in three portfolios held through joint ventures, with an ownership interest of 5.6%, 11.4% and 8.3%, respectively. Portfolios held through joint ventures are comprised of over 20,000 units/beds across 129 senior housing facilities and 101 SNFs and MCFs, located across the U.S. and the U.K. The portfolio also includes 145 MOBs and 14 hospitals.
Real Estate Debt
Overview
Our real estate debt investment strategy is focused on originating, acquiring and asset managing debt secured by healthcare properties with a focus on the mid-acuity senior housing sector primarily including first mortgage loans, subordinate mortgage and mezzanine loans and participations in such loans and preferred equity interests.
We emphasize direct origination of our debt investments as this allows us a greater degree of control over how they are underwritten and structured and it provides us the opportunity to syndicate senior or subordinate interests in the loan, if desired. Further, it facilitates a more direct relationship with our borrowers which helps us maintain a robust pipeline and provides an opportunity for us to earn origination and other fees.
Our Portfolio
As of November 11, 2014, $145.9 million, or 17.4% of our assets, were invested in real estate debt secured by healthcare facilities. As of November 11, 2014, our real estate debt investments consisted of four loans with an average investment size of $36.5 million. The weighted average extended maturity of our real estate debt portfolio is 4.7 years.


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The following table presents a summary of our debt investments as of November 11, 2014:
 
 
 
 
 
 
 
 
 
Weighted Average
 
Floating Rate
as % of
Principal
Amount
Investment Type:
 
Number
 
Principal
Amount
 
Carrying
Value
 
Allocation by
Investment
Type (1)
 
Spread
over
LIBOR (2)
 
Total Unleveraged
Current
Yield
 
First mortgage loans
 
2
 
$
25,887,000

 
$
25,887,000

 
17.7
%
 
8.1
%
 
8.3
%
 
100.0
%
Mezzanine loans
 
2
 
120,000,000

 
120,515,978

 
82.3
%
 
10.2
%
 
10.4
%
 
100.0
%
Total/Weighted average
 
4
 
$
145,887,000

 
$
146,402,978

 
100.0
%
 
9.8
%
 
10.0
%
 
100.0
%
___________________________________________________

(1)
Based on principal amount.
(2)
Includes a fixed minimum LIBOR rate, or LIBOR floor, as applicable.
The following presents our real estate debt diversity across property type and geographic location based on principal amount:
Real Estate Debt by Property Type (1)
 
Real Estate Debt by Geographic Location
 
____________________________________
(1)
Classification based on predominant services provided, but may include other services: ALF, MCF, SNF, and ILF.
Healthcare-Related Securities
Our healthcare-related securities investment strategy will be focused on investing in and asset managing healthcare-related securities, primarily including CMBS and may include other healthcare-related securities, backed primarily by loans secured by a variety of healthcare properties. We expect that this asset class will be less than 10% of our total portfolio and we currently do not have any securities investments.
Sources of Operating Revenues and Cash Flows
We generate revenues from rental income, resident fees and interest income. Rental income is generated from our real estate for the leasing of space to various types of healthcare operators. The leases are for fixed terms of varying length and generally provide for annual rentals and expense reimbursements paid in monthly installments. Rental income from leases is recognized on a straight-line basis over the term of the respective leases. Resident fee income from healthcare properties using the RIDEA structure is recorded when services are rendered and includes resident room and care charges and other resident charges. Interest income is generated from our debt and healthcare-related securities investments. We may also acquire investments which generate attractive returns without any leverage.
Profitability and Performance Metrics
We calculate Funds from Operations, or FFO, and Modified Funds from Operations, or MFFO (see “Non-GAAP Financial Measures—Funds from Operations and Modified Funds from Operations” for a description of these metrics), to evaluate the profitability and performance of our business.
Outlook and Recent Trends
The Great Recession, which officially lasted from December 2007 to June 2009, began with the bursting of an 8 trillion dollar housing bubble and had a dramatic negative impact globally on properly functioning capital markets and liquidity across all


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asset classes. It was not until the beginning of 2012 that liquidity and capital started to become more available in the commercial real estate markets to stronger sponsors and both Wall Street and commercial banks began to more actively provide credit to real estate borrowers accelerating the pace of investment in real estate. In late 2012, in order to stimulate growth, several of the world’s largest central banks acted in a coordinated effort through massive injections of stimulus in the financial markets, which has facilitated keeping interest rates low. A proxy for the liquidity in the commercial real estate market is non-agency CMBS issuance. Approximately $45 billion and $80 billion of non-agency CMBS was issued in 2012 and 2013, respectively, with industry experts currently predicting approximately $90 billion of non-agency CMBS issuance in 2014. The 2014 pace is higher than initially expected with $27 billion issued in the third quarter 2014, representing the highest issuance since the fourth quarter 2007.
Since mid-2013, there has been a focus on the pace at which the U.S. Federal Reserve and other sovereign national banks will taper their respective stimulus efforts. The U.S. economy is on a relatively healthy growth path. However, there are concerns that slowdowns of major global economies could spill over into the United States. Slowing overseas growth and a move by the U.S Federal Reserve to raise interest rates could result in increased market volatility.
Valuations in the commercial real estate markets are approaching, and in some cases exceeding, 2007 levels. However, global economic and political headwinds remain that, along with global market instability and the risk of maturing commercial real estate debt that may have difficulties being refinanced, may continue to cause periodic volatility in the commercial real estate market for some time. It is currently estimated that approximately $1.4 trillion of commercial real estate debt will mature through 2017. While there is an increased supply of liquidity in the commercial real estate market, we still anticipate that certain of these loans will not be able to be refinanced, potentially inhibiting growth and contracting credit.
As the capital markets began opening up in 2012, NorthStar Realty began to again access the capital markets as evidenced by two securitization transactions it structured, securitizing $882 million of assets, one on behalf of NorthStar Real Estate Income Trust, Inc., another non-traded REIT managed by an affiliate of our Advisor, with permanent, non-recourse, non-mark-to-market financing. The stimulus in the United States helped to increase demand for new CMBS, as described above, even though current new issue volume is still below historic levels, which has contributed to relatively balanced real estate fundamentals.
Virtually all commercial real estate property types were adversely impacted by the credit crisis and subsequent recession, while others such as land, condominium and other commercial property types were more severely impacted. Our commercial real estate equity, debt and securities investments, if any, could be negatively impacted by weak real estate markets and economic conditions. While the U.S. economy is stronger today, a return to weak economic conditions in the future could reduce an operator’s or tenant’s ability to make payments in accordance with the contractual terms of the lease and for companies to lease or occupy new space. To the extent that market rental and occupancy rates are reduced, property-level cash flow could be negatively affected.
After showing considerable resiliency during the economic downturn between 2007 and 2010, the non-traded REIT industry has experienced rapid growth with approximately $20 billion of total capital raised in 2013, which is more than double compared to the year ended 2012. The recent trend in liquidity events and resulting recapture contributed to the significant market growth in 2013 and high volume of anticipated capital raised in 2014, including over $12 billion year to date through September 30, 2014. We anticipate capital flows to remain robust in 2015 given the recent momentum in the market. Due to these market dynamics and our Advisor’s and its affiliates’ expertise and industry relationships, we continue to see a robust pipeline of investment opportunities in the healthcare real estate sector that have credit qualities and yield profiles that are consistent with our underwriting standards and that we believe offer the opportunity to meet or exceed our targeted returns. While we remain optimistic that we will continue to be able to generate and capitalize on an attractive pipeline, there is no assurance that will be the case.
Healthcare Markets
The healthcare real estate equity and finance markets tend to attract new equity and debt capital more slowly than more traditional commercial real estate property types because of significant barriers to entry for new investors or lenders to healthcare property owners. Investing in and lending to the healthcare real estate sector requires an in-depth understanding of the specialized nature of healthcare facility operations and the healthcare regulatory environment. While these competitive constraints may create opportunities for attractive investments in the healthcare property sector, they may also provide challenges and risks when seeking attractive financing terms for our investments.
We believe owners and operators of senior housing facilities and other healthcare properties are benefiting from demographic trends, specifically the aging of the U.S. population and the increasing demand for care for seniors outside of their homes. As a result of these demographic trends, we expect healthcare costs to increase at a faster rate than the available funding from both private sources and government-sponsored healthcare programs. As healthcare costs increase, insurers, individuals and the U.S. government are pursuing lower cost options for healthcare. Senior housing facilities, such as independent living, assisted living, memory care and skilled nursing facilities, for which the staffing requirements and associated costs are often


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significantly lower than in higher acuity healthcare settings, such as short or long-term acute-care hospitals, in-patient rehabilitation facilities and other post-acute care settings, provide care and support to residents in more cost effective settings. Recent regulatory changes have created incentives for long-term acute-care hospitals and in-patient rehabilitation facilities to minimize patient lengths of stay and placed limits on the type of patient that can be admitted to these facilities, thereby increasing the demand for quality senior housing facilities. The growth in total demand for healthcare, broad U.S. demographic changes and the shift towards cost effective community-based settings is resulting in dynamic changes to the healthcare delivery system. We continually monitor federal and state reimbursement programs and assess any impact that changes in reimbursement levels or the timing of payments may have on the ability of our operators to meet their payment obligations.
Despite the growth in the industry and favorable market conditions, economic uncertainty may prevail weakening the market’s fundamentals and ultimately reducing an operator/tenant’s ability to make rent payments in accordance with the contractual terms of the lease or loan, as well as the possibility for reduced income for our operating investments. To the extent that market rental and occupancy rates decline, property-level cash flow could be negatively affected as existing leases renew at lower rates and over longer periods of time, the decreased cash flow impacts the value of underlying properties and the borrowers’ ability to service their outstanding loans.
Despite the barriers and constraints to investing in the senior housing sector, the demographics and other market dynamics are resulting in the sector becoming more attractive to investors. Merger and acquisition activity in the senior housing real estate market is currently robust and we expect it to remain so into the near term.
Our Strategy
Our primary business objectives are to acquire and originate a diversified portfolio of healthcare-related equity and debt investments, with a focus on the mid-acuity senior housing sector that we expect will generate attractive risk-adjusted returns, stable cash flow for distributions and provide downside protection to our stockholders. We may also invest in MOB, hospitals and rehabilitation facilities. Some of our debt investments may be considered transitional in nature because the borrower or owner may have a business plan to improve the collateral and as a result we generally require the borrower to fund interest or other reserves, whether through proceeds from our loan or otherwise, to support debt service payments and capital expenditures. We will also require the borrower or owner, and possibly a guarantor, to refill these reserves should they become deficient during the applicable period for any reason. We will also seek to realize growth in the value of our real estate equity investments through appreciation and/or by timing their sale to maximize value. We believe that our Advisor and its affiliates have a platform that derives a competitive advantage from the combination of deep industry relationships, market leading real estate credit underwriting and capital markets expertise which enables us to manage credit risk across our investments as well as to structure and finance our assets efficiently. We believe that our investment types are complementary to each other due to their overlapping sources of investment opportunities, common reliance on real estate fundamentals and ability to apply similar portfolio management and servicing skills to maximize value and to protect capital. We use the net proceeds from our Offering and other financing sources to carry out our primary business objectives of originating and acquiring healthcare real estate-related investments.
The following table presents our investment activity in 2014 and from inception through November 11, 2014:
 
 
Nine Months Ended
 
Inception through
 
 
September 30, 2014
 
November 11, 2014
Investment Type:
 
Principal Amount/Cost (1) (2)
 
Principal Amount/Cost (1) (2)
Real estate equity
 
$
637,902,210

 
$
694,288,818

Real estate debt
 
134,637,000

 
145,887,000

Total

$
772,539,210

 
$
840,175,818

____________________________________
(1)
Represents principal amount for real estate equity, which includes net purchase price allocation related to net intangibles, deferred costs and other acquired assets, if any, and cost for real estate debt investments.
(2)
Includes cost attributable to healthcare portfolios held through joint ventures.
Financing Strategy
We use investment-level financing as part of our strategy and we seek to match fund our assets and liabilities by having similar maturities and like-kind interest rate benchmarks (fixed or floating) to manage refinancing and interest rate risk. Our Advisor is responsible for managing such refinancing and interest rate risk on our behalf. We intend to pursue a variety of financing arrangements such as mortgage notes, credit facilities, securitization financing transactions and other term borrowings. While we will continue to seek and prefer long-term, non-recourse financing, including non mark-to-market financing that may be


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available through securitization, we expect that we may also need to use some level of recourse financing at least in the near term given the current market environment.
In November 2013, we entered into a credit facility agreement with initial capacity of $25.0 million and up to $100.0 million of potential capacity to finance real estate investments and first mortgage loans secured by healthcare real estate. In February 2014, we increased the initial capacity of $100.0 million with up to $200.0 million of potential capacity. As of September 30, 2014, we had no borrowings outstanding under the credit facility.
Although we have a limitation on the maximum leverage for our portfolio, which approximates 75% of the aggregate cost of our investments, including cash, before deducting loan loss reserves, other non-cash reserves and depreciation, we do not have a targeted debt-to-equity ratio on an asset-by-asset basis, as we believe the appropriate leverage for the particular assets we finance depends on the specific credit characteristics of each asset. We use leverage for the sole purpose of financing our investments and diversifying our equity and we do not employ leverage to speculate on changes in interest rates. We seek assignable long-term, non-recourse, non-mark to market financing. We also seek to match the term of the financing with the lease term of our healthcare properties.
Portfolio Management
Our Advisor and its affiliates maintain a comprehensive portfolio management process that generally includes day-to-day oversight by the portfolio management and servicing team, weekly management meetings and an exhaustive quarterly credit review process. These processes are designed to enable management to evaluate and proactively identify asset-specific credit issues and trends on a portfolio-wide basis. Nevertheless, we cannot be certain that our Advisor’s review will identify all issues within our portfolio due to, among other things, adverse economic conditions or events adversely affecting specific assets; therefore, potential future losses may also stem from investments that are not identified during these credit reviews. The portfolio management team uses many methods to actively manage our asset base to preserve our income and capital. Credit risk management is the ability to manage our assets in a manner that preserves principal/cost and income and minimizes credit losses that could decrease income and portfolio value. For real estate equity and debt investments, frequent re-underwriting and dialogue with borrowers/operators/partners and regular inspections of our collateral and owned properties have proven to be an effective process for identifying issues early. In addition, our Advisor considers the impact of regulatory changes on operator performance and property values. During the quarterly credit review, or more frequently as necessary, investments are put on highly-monitored status and identified for possible loan loss reserves/asset impairment, as appropriate, based upon several factors, including missed or late contractual payments, significant declines in collateral performance and other data which may indicate a potential issue in our ability to recover our invested capital from an investment. Our Advisor uses an experienced portfolio management and servicing team that monitors these factors on our behalf.
Our investments are reviewed on a quarterly basis, or more frequently as necessary, to assess whether there are any indicators that the value of our investments may be impaired or that its carrying value may not be recoverable. In conducting these reviews, we consider U.S. macroeconomic factors, including real estate sector conditions, together with asset and market specific circumstances among other factors. To the extent an impairment has occurred, the loss will be measured as compared to the carrying amount of the investment. An allowance for a doubtful account for an operator/resident receivable is established based on a periodic review of aged receivables resulting from estimated losses due to the inability of operator/resident to make required rent and other payments contractually due. Additionally, we establish, on a current basis, allowance for future operator credit losses on billed and unbilled rents receivable based upon an evaluation of the collectability of such amounts.
Each of our debt investments is secured by healthcare real estate collateral and requires customized portfolio management and servicing strategies for dealing with potential credit situations. The complexity of each situation depends on many factors, including the number of properties, the type of property, macro and local market conditions impacting supply/demand, cash flow and the financial condition of our collateral and our borrowers’/operators’ ability to further support the collateral. Further, many of our investments may be considered transitional in nature because the business plan is to re-position, re-develop or otherwise lease-up the property in order to improve the collateral. At the time of origination or acquisition, the underlying property revenues may not be sufficient to support debt service, lease payments or generate positive net operating income. The business plan may necessitate an interest or lease reserve or other reserves, whether through proceeds from our loans, borrowings, offering proceeds or otherwise, to support debt service or lease payments and capital expenditures during the implementation of the business plan. There may also be a requirement for the borrower, operator, guarantor or us, to refill these reserves should they become deficient during the applicable period for any reason.
As of September 30, 2014, all of our investments were performing in accordance with the contractual terms of their governing documents, in all material respects. However, there can be no assurance that our investments will continue to perform in


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accordance with the contractual terms of the governing documents or underwriting and we may, in the future, record loan loss reserves/asset impairment, as appropriate, if required.
Critical Accounting Policies
Principles of Consolidation
Our consolidated financial statements include the accounts of consolidated subsidiaries. We consolidate variable interest entities, or VIEs, if any, where we are the primary beneficiary and voting interest entities which are generally majority owned or otherwise controlled by us. All significant intercompany balances are eliminated in consolidation.
Variable Interest Entities
A VIE is an entity that lacks one or more of the characteristics of a voting interest entity. A VIE is defined as an entity in which equity investors do not have the characteristics of a controlling financial interest or do not have sufficient equity at risk for the entity to finance its activities without additional subordinated financial support from other parties. The determination of whether an entity is a VIE includes both a qualitative and quantitative analysis. We base the qualitative analysis on our review of the design of the entity, its organizational structure including decision-making ability and relevant financial agreements and the quantitative analysis on the forecasted cash flow of the entity. We reassess the initial evaluation of an entity as a VIE upon the occurrence of certain reconsideration events.
A VIE must be consolidated only by its primary beneficiary, which is defined as the party who, along with its affiliates and agents has both the: (i) power to direct the activities that most significantly impact the VIE’s economic performance; and (ii) obligation to absorb the losses of the VIE or the right to receive the benefits from the VIE, which could be significant to the VIE. We determine whether we are the primary beneficiary of a VIE by considering qualitative and quantitative factors, including, but not limited to: which activities most significantly impact the VIE’s economic performance and which party controls such activities; the amount and characteristics of its investment; the obligation or likelihood for us or other interests to provide financial support; consideration of the VIE’s purpose and design, including the risks the VIE was designed to create and pass through to its variable interest holders and the similarity with and significance to our business activities and the other interests. We reassess the determination of whether we are the primary beneficiary of a VIE each reporting period. Significant judgments related to these determinations include estimates about the current and future fair value and performance of investments held by these VIEs and general market conditions.
We evaluate our investments and financings, including investments in unconsolidated ventures and securitization financing transactions, if any, to determine whether they are a VIE. We analyze new investments and financings, as well as reconsideration events for existing investments and financings, which vary depending on type of investment or financing. As of September 30, 2014, we have not identified any VIEs related to our investments or financing.
Voting Interest Entities
A voting interest entity is an entity in which the total equity investment at risk is sufficient to enable it to finance its activities independently and the equity holders have the power to direct the activities of the entity that most significantly impact its economic performance, the obligation to absorb the losses of the entity and the right to receive the residual returns of the entity. The usual condition for a controlling financial interest in a voting interest entity is ownership of a majority voting interest. If we have a majority voting interest in a voting interest entity, the entity will generally be consolidated. We do not consolidate a voting interest entity if there are substantive participating rights by other parties and/or kick-out rights by a single party.
We perform on-going reassessments of whether entities previously evaluated under the voting interest framework have become VIEs, based on certain events, and therefore subject to the VIE consolidation framework.
Investments in Unconsolidated Ventures
We have non-controlling, unconsolidated ownership interests in entities that may be accounted for using the equity method, at fair value or the cost method.
Under the equity method, the investment is adjusted each period for capital contributions and distributions and its share of the entity’s net income (loss). Capital contributions, distributions and net income (loss) of such entities are recorded in accordance with the terms of the governing documents. An allocation of net income (loss) may differ from the stated ownership percentage interest in such entity as a result of preferred returns and allocation formulas, if any, as described in such governing documents.
We may account for an investment in an unconsolidated entity at fair value by electing the fair value option. We may account for investments that do not qualify for equity method accounting or for which the fair value option was not elected using the cost method if we determine the investment in the unconsolidated entity is insignificant. Under the cost method, equity in


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earnings is recorded as dividends are received to the extent they are not considered a return of capital, which is recorded as a reduction of cost of the investment.
Operating Real Estate
We follow the purchase method for an acquisition of operating real estate, where the purchase price is allocated to tangible assets such as land, building, furniture and fixtures, improvements and other identified intangibles. Major replacements and betterments which improve or extend the life of the asset are capitalized and depreciated over their useful life. Ordinary repairs and maintenance are expensed as incurred. Operating real estate is carried at historical cost less accumulated depreciation. Operating real estate is depreciated using the straight-line method over the estimated useful lives of the assets. Costs directly related to an acquisition deemed to be a business combination are expensed and included in transaction costs in the consolidated statements of operations.
Real Estate Debt Investments
Debt investments are generally intended to be held to maturity and, accordingly, are carried at cost, net of unamortized loan fees, premium, discount and unfunded commitments. Debt investments that are deemed to be impaired are carried at amortized cost less a loan loss reserve, if deemed appropriate, which approximates fair value. Debt investments where we do not have the intent to hold the loan for the foreseeable future or until its expected payoff are classified as held for sale and recorded at the lower of cost or estimated value.
Real Estate Securities
We classify our securities investments as available for sale on the acquisition date, which are carried at fair value. Unrealized gains (losses) are recorded as a component of accumulated other comprehensive income, or OCI, in our consolidated statements of equity. However, we may elect the fair value option for certain of our available for sale securities, and as a result, any unrealized gains (losses) on such securities are recorded in unrealized gain (loss) on investments and other in our consolidated statements of operations.
Revenue Recognition
Operating Real Estate
Rental and escalation income, if any, from operating real estate is derived from leasing of space to various types of healthcare operators. The leases are for fixed terms of varying length and generally provide for annual rentals to be paid in monthly installments. Rental income from leases is recognized on a straight-line basis over the term of the respective leases. The excess of rents recognized over amounts contractually due pursuant to the underlying leases is included in receivables on our consolidated balance sheets. Escalation income, if any, represents revenue from operator leases which provide for the recovery of all or a portion of the operating expenses and real estate taxes paid by us on behalf of the respective property, as applicable. This revenue is accrued in the same period as the expenses are incurred.
We also generate operating income from healthcare properties permitted by RIDEA. Revenue related to healthcare properties includes resident room and care charges and other resident charges.
Real Estate Debt Investments
Interest income is recognized on an accrual basis and any related premium, discount, origination costs and fees are amortized over the life of the investment using the effective interest method. The amortization is reflected as an adjustment to interest income in our consolidated statements of operations. The amortization of a premium or accretion of a discount is discontinued if such loan is reclassified to held for sale.
Real Estate Securities
Interest income is recognized using the effective interest method with any premium or discount amortized or accreted through earnings based on expected cash flow through the expected maturity date of the security. Changes to expected cash flow may result in a change to the yield which is then applied retrospectively for high-credit quality securities that cannot be prepaid or otherwise settled in such a way that the holder would not recover substantially all of the investment or prospectively for all other securities to recognize interest income.


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Credit Losses and Impairment on Investments
Operating Real Estate
Our real estate portfolio is reviewed on a quarterly basis, or more frequently as necessary, to assess whether there are any indicators that the value of our operating real estate may be impaired or that its carrying value may not be recoverable. A property’s value is considered impaired if management’s estimate of the aggregate expected future undiscounted cash flow generated by the property is less than the carrying value. In conducting this review, management considers U.S. macroeconomic factors, real estate and healthcare sector conditions and asset specific and other factors. To the extent an impairment has occurred, the loss is measured as the excess of the carrying value of the property over the estimated fair value and recorded in impairment on operating real estate in our consolidated statements of operations.
An allowance for a doubtful account for an operator/resident receivable is established based on a periodic review of aged receivables resulting from estimated losses due to the inability of operator/resident to make required rent and other payments contractually due. Additionally, we establish, on a current basis, an allowance for future operator/resident credit losses on unbilled rent receivable based on an evaluation of the collectability of such amounts.
Real Estate Debt Investments
Loans are considered impaired when, based on current information and events, it is probable that we will not be able to collect principal and interest amounts due according to the contractual terms. We assess the credit quality of the portfolio and adequacy of loan loss reserves on a quarterly basis or more frequently as necessary. Significant judgment of management is required in this analysis. We consider the estimated net recoverable value of the loan as well as other factors, including but not limited to the fair value of any collateral, the amount and the status of any senior debt, the quality and financial condition of the borrower and the competitive situation of the area where the underlying collateral is located. Because this determination is based on projections of future economic events, which are inherently subjective, the amount ultimately realized may differ materially from the carrying value as of the balance sheet date. If upon completion of the assessment, the estimated fair value of the underlying collateral is less than the net carrying value of the loan, a loan loss reserve is recorded with a corresponding charge to provision for loan losses. The loan loss reserve for each loan is maintained at a level that is determined to be adequate by management to absorb probable losses.
Income recognition is suspended for a loan at the earlier of the date at which payments become 90-days past due or when, in the opinion of management, a full recovery of income and principal becomes doubtful. When the ultimate collectability of the principal of an impaired loan is in doubt, all payments are applied to principal under the cost recovery method. When the ultimate collectability of the principal of an impaired loan is not in doubt, contractual interest is recorded as interest income when received, under the cash basis method until an accrual is resumed when the loan becomes contractually current and performance is demonstrated to be resumed. A loan is written off when it is no longer realizable and/or legally discharged. As of September 30, 2014, we did not have any impaired real estate debt investments.
Real Estate Securities
Securities for which the fair value option is elected are not evaluated for other-than-temporary impairment, or OTTI, as any change in fair value is recorded in our consolidated statements of operations. Realized losses on such securities are reclassified to realized gain (loss) on investments and other as losses occur.
Securities for which the fair value option is not elected are evaluated for OTTI quarterly. Impairment of a security is considered to be other-than-temporary when: (i) the holder has the intent to sell the impaired security; (ii) it is more likely than not the holder will be required to sell the security; or (iii) the holder does not expect to recover the entire amortized cost of the security. When a security has been deemed to be other-than-temporarily impaired due to (i) or (ii), the security is written down to its fair value and an OTTI is recognized in the consolidated statements of operations. In the case of (iii), the security is written down to its fair value and the amount of OTTI is then bifurcated into: (a) the amount related to expected credit losses; and (b) the amount related to fair value adjustments in excess of expected credit losses. The portion of OTTI related to expected credit losses is recognized in our consolidated statements of operations. The remaining OTTI related to the valuation adjustment is recognized as a component of accumulated OCI in our consolidated statements of equity. The portion of OTTI recognized through earnings is accreted back to the amortized cost basis of the security through interest income, while amounts recognized through OCI are amortized over the life of the security with no impact on earnings. Real estate securities which are not high-credit quality are considered to have an OTTI if the security has an unrealized loss and there has been an adverse change in expected cash flow. The amount of OTTI is then bifurcated as discussed above.


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Results of Operations
Comparison of the Three Months Ended September 30, 2014 to September 30, 2013:
 
 
Three Months Ended September 30,

Increase (Decrease)
 
 
2014

2013

Amount

%
Revenues
 
 
 
 
 
 
 
 
Resident fee income
 
$
3,861,830

 
$

 
$
3,861,830

 
100.0
 %
Rental income
 
1,881,585

 

 
1,881,585

 
100.0
 %
Interest income
 
2,579,198

 
105,556

 
2,473,642

 
2,343.4
 %
Total revenues
 
8,322,613


105,556


8,217,057


7,784.5
 %
 
 
 
 
 
 

 
 
Expenses
 
 
 
 
 

 
 
Property operating expense
 
2,988,366

 

 
2,988,366

 
100.0
 %
Interest expense
 
775,846

 

 
775,846

 
100.0
 %
Transaction costs
 
1,641,391

 

 
1,641,391

 
100.0
 %
Asset management and other fees - related party
 
3,719,191

 
13,006

 
3,706,185

 
28,496.0
 %
General and administrative expenses
 
1,042,695

 
40,025

 
1,002,670

 
2,505.1
 %
Depreciation and amortization
 
1,052,364

 

 
1,052,364

 
100.0
 %
Total expenses
 
11,219,853


53,031


11,166,822


21,057.2
 %
Income (loss) from operations
 
(2,897,240
)
 
52,525

 
(2,949,765
)
 
(5,615.9
)%
Equity in earnings (losses) of unconsolidated ventures
 
203,558

 

 
203,558

 
100.0
 %
Net income (loss)
 
$
(2,693,682
)

$
52,525


$
(2,746,207
)

(5,228.4
)%
On February 11, 2013, we commenced operations and subsequently made investments in real estate equity and debt.
Revenues
Resident Fee Income
Resident fee income of $3.9 million was attributable to acquisitions in our real estate equity segment in the fourth quarter 2013 and in 2014.
Rental Income
Rental income of $1.9 million was attributable to acquisitions in our real estate equity segment in the fourth quarter 2013 and in 2014.
Interest Income
Interest income increase of $2.5 million was attributable to new investments in our real estate debt segment.
Expenses
Property Operating Expenses
Property operating expenses of $3.0 million were attributable to new investments in our real estate equity segment.
Interest Expense
Interest expense of $0.8 million was primarily attributable to mortgage notes payable associated with new investments in our real estate equity segment.
Transaction Costs
Transaction costs of $1.6 million primarily represented expenses such as professional fees associated with new real estate equity investments. We did not incur any transaction costs for the three months ended September 30, 2013.
Asset Management and Other Fees - Related Party
Asset management and other fees - related party increase of $3.7 million was primarily due to increased capital raising and investment activity in our corporate segment.


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General and Administrative Expenses
General and administrative expenses are principally incurred at the corporate level. General and administrative expenses include auditing and professional fees, director fees, organization and other costs associated with operating our business. General and administrative expenses increase of $1.0 million was primarily attributable to increased operating costs.
Depreciation and Amortization
Depreciation and amortization expense of $1.1 million was primarily related to acquisitions in our real estate equity segment in the fourth quarter 2013 and in 2014.
Equity in Earnings (Losses) of Unconsolidated Ventures
Equity in earnings of unconsolidated ventures of $0.2 million was related to our investments in healthcare joint ventures in our real estate equity segment.
Comparison of the Nine Months Ended September 30, 2014 to September 30, 2013:
 
 
Nine Months Ended September 30,

Increase (Decrease)
 
 
2014

2013

Amount

%
Revenues
 
 
 
 
 
 
 
 
Resident fee income
 
$
10,591,446

 
$

 
$
10,591,446

 
100.0
 %
Rental income
 
4,149,151

 

 
4,149,151

 
100.0
 %
Interest income
 
3,846,510

 
144,556

 
3,701,954

 
2,560.9
 %
Total revenues
 
18,587,107

 
144,556

 
18,442,551

 
12,758.1
 %
 
 
 
 
 
 

 
 
Expenses
 
 
 
 
 

 
 
Property operating expense
 
7,946,154

 

 
7,946,154

 
100.0
 %
Interest expense
 
2,186,067

 

 
2,186,067

 
100.0
 %
Transaction costs
 
3,354,150

 

 
3,354,150

 
100.0
 %
Asset management and other fees - related party
 
6,470,600

 
17,825

 
6,452,775

 
36,200.7
 %
General and administrative expenses
 
2,569,908

 
61,248

 
2,508,660

 
4,095.9
 %
Depreciation and amortization
 
2,644,054

 

 
2,644,054

 
100.0
 %
Total expenses
 
25,170,933

 
79,073

 
25,091,860

 
31,732.5
 %
Income (loss) from operations
 
(6,583,826
)
 
65,483

 
(6,649,309
)
 
(10,154.3
)%
Equity in earnings (losses) of unconsolidated ventures
 
(93,122
)
 

 
(93,122
)
 
(100.0
)%
Net income (loss)
 
$
(6,676,948
)
 
$
65,483

 
$
(6,742,431
)
 
(10,296.5
)%
On February 11, 2013, we commenced operations and subsequently made investments in real estate equity and debt.
Revenues
Resident Fee Income
Resident fee income of $10.6 million was attributable to acquisitions in our real estate equity segment in the fourth quarter 2013 and in 2014.
Rental Income
Rental income of $4.1 million was attributable to acquisitions in our real estate equity segment in the fourth quarter 2013 and in 2014.
Interest Income
Interest income increase of $3.7 million was attributable to new investments in our real estate debt segment.
Expenses
Property Operating Expenses
Property operating expenses of $7.9 million were attributable to new investments in our real estate equity segment.


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Interest Expense
Interest expense of $2.2 million was primarily attributable to mortgage notes payable associated with new investments in our real estate equity segment.
Transaction Costs
Transaction costs primarily represented expenses such as professional fees associated with new real estate equity investments. Transaction costs of $3.4 million were related to acquisitions in real estate equity segment in 2014. We did not incur any transaction costs for the nine months ended September 30, 2013.
Asset Management and Other Fees - Related Party
Asset management and other fees - related party increase of $6.5 million was primarily due to increased capital raising and investment activity.
General and Administrative Expenses
General and administrative expenses are principally incurred at the corporate level. General and administrative expenses include auditing and professional fees, director fees, organization and other costs associated with operating our business. General and administrative expenses increase of $2.5 million was primarily attributable to increased operating costs.
Depreciation and Amortization
Depreciation and amortization expense of $2.6 million was primarily related to acquisitions in our real estate equity segment in the fourth quarter 2013 and in 2014.
Equity in Earnings (Losses) of Unconsolidated Ventures
Equity in losses of unconsolidated ventures of $0.1 million was related to our investments in healthcare joint ventures. Contributing to such loss was $0.6 million related to transaction costs and depreciation expense.
Liquidity and Capital Resources
We require capital to fund our investment activities and operating expenses. Our capital sources may include net proceeds from our Offering, cash flow from operations, net proceeds from asset repayments and sales, borrowings under credit facilities, other term borrowings and securitization financing transactions.
We are dependent upon the net proceeds from our Offering to conduct our operations. We obtain the capital required to primarily acquire, originate and asset manage a diversified portfolio of equity, debt and securities investments in healthcare real estate and conduct our operations from the proceeds of our Offering and any future offerings we may conduct, from secured or unsecured financings from banks and other lenders and from any undistributed funds from our operations. In April 2014, our board of directors determined to extend our Offering for one year to August 7, 2015. As of November 11, 2014, we had $174.9 million in cash.
If we are unable to raise substantially more funds in our Offering, we will make fewer investments resulting in less diversification in terms of the type, number and size of investments we make and the value of an investment in us will fluctuate with the performance of the specific assets we acquire. Further, we have certain fixed direct and indirect operating expenses, including certain expenses as a publicly offered REIT, regardless of whether we are able to raise substantial funds in our Offering. Our inability to raise substantial funds would increase our fixed operating expenses as a percentage of gross income, reducing our net income and limiting our ability to make distributions.
Once we have fully invested the proceeds of our Offering, we expect that our financing will not exceed 50.0% of the cost of our investments, although it may exceed this level during our organization and offering stage. Our charter limits us from incurring borrowings that would exceed 300.0% of our net assets. We cannot exceed this limit unless any excess in borrowing over such level is approved by a majority of our independent directors. We would need to disclose any such approval to our stockholders in our next quarterly report along with the justification for such excess. An approximation of this leverage calculation is 75.0% of the cost of our investments, including cash. As of September 30, 2014, our leverage as a percentage of our cost of investments was 13.7%.
In addition to making investments in accordance with our investment objectives, we use our capital resources to make certain payments to our Advisor and our Dealer Manager. During our organization and offering stage, these payments include payments to our Dealer Manager for selling commissions and dealer manager fees and payments to our Dealer Manager and our Advisor, or its affiliates, as applicable, for reimbursement of certain organization and offering costs. However, we will not


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be obligated to reimburse our Advisor, or its affiliates, as applicable, to the extent that the aggregate of selling commissions, dealer manager fees and other organization and offering costs incurred by us exceed 15.0% of gross proceeds from our Primary Offering. During our acquisition and development stage, we expect to make payments to our Advisor, or its affiliates, as applicable, in connection with the selection and origination or acquisition of investments, the management of our assets and costs incurred by our Advisor in providing services to us. On June 30, 2014, we entered into a new advisory agreement with our Advisor, on terms substantially similar to those set forth in our prior advisory agreement with our Prior Advisor, which has a one-year term but may be renewed for an unlimited number of successive one-year periods upon the mutual consent of our Advisor and our board of directors, including a majority of our independent directors.
Follow-on Offering
On October 2, 2014, we filed a registration statement on Form S-11 with the Securities and Exchange Commission, or the SEC to register a follow-on public offering of up to $700.0 million in shares of our common stock, consisting of up to $500.0 million in shares in a follow-on primary offering and up to $200.0 million in shares pursuant to a follow-on distribution reinvestment plan. The registration statement for the follow-on offering has not yet been declared effective by the SEC.
Term Loan Facility
We currently have one credit facility, or our Term Loan Facility, with initial capacity of up to $100.0 million and potential capacity of up to $200.0 million. Our Term Loan Facility allows us to finance real estate investments and first mortgage loans secured by healthcare real estate. The interest rate and advance rate depend on asset type and characteristic. The initial maturity date of our Term Loan Facility is November 2016, with a one-year extension available at our option, subject to the satisfaction of certain customary conditions. Our Term Loan Facility contains representations, warranties, covenants, conditions precedent to funding, events of default and indemnities that are customary for agreements of this type. We are currently in compliance with all of our financial covenants under our Term Loan Facility. As of September 30, 2014, we had no borrowings outstanding under our Term Loan Facility.
Cash Flows
The following presents a summary of our consolidated statements of cash flows for the nine months ended September 30, 2014 and 2013:
 
 
Nine Months Ended September 30,
Cash flow provided by (used in):
 
2014

2013
Operating activities
 
$
(1,620,332
)
 
$
43,800

Investing activities
 
(374,715,652
)
 
(11,250,000
)
Financing activities
 
422,433,339

 
16,599,448

Net increase (decrease) in cash
 
$
46,097,355


$
5,393,248

Nine Months Ended September 30, 2014 Compared to September 30, 2013
Net cash used in operating activities was $1.6 million for the nine months ended September 30, 2014 compared to net cash provided by operating activities of $43,800 for the nine months ended September 30, 2013. The decrease in net cash flows from operating activities primarily related to an increase in fees paid to our Advisor for the acquisition and management of our investments, an increase in general and administrative expenses due to an increase in operational activity and an increase in interest expense due to additional borrowings on mortgage notes, partially offset by an increase in income generated from our real estate equity and debt investments.
Net cash used in investing activities was $374.7 million for the nine months ended September 30, 2014 compared to $11.3 million for the nine months ended September 30, 2013. The increase in net cash flows used in investing activities primarily related to an increase in our new real estate equity and debt investments.
Net cash provided by financing activities was $422.4 million for the nine months ended September 30, 2014 compared to $16.6 million for the nine months ended September 30, 2013. The increase in net cash provided by financing activities primarily related to an increase in net proceeds from the issuance of common stock through our Offering and our borrowings from mortgage notes, partially offset by distributions paid on our common stock.
Off-Balance Sheet Arrangements
We have certain arrangements which do not meet the definition of off-balance sheet arrangements, but do have some of the characteristics of off-balance sheet arrangements. We have made investments in unconsolidated ventures. Refer to Note 4.


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“Investments in Unconsolidated Ventures” in Item 1. “Financial Statements” for a discussion of such unconsolidated ventures in our consolidated financial statements. In each case, our exposure to loss is limited to the carrying value of our investment.
Related Party Arrangements
Advisor
In connection with the completion of NorthStar Realty’s spin-off of its asset management business into our Sponsor, on June 30, 2014, we entered into a new advisory agreement with our Advisor, an affiliate of our Sponsor, on terms substantially similar to those set forth in the prior advisory agreement, and terminated the advisory agreement with our Prior Advisor. For periods prior to June 30, 2014, the information below regarding fees and reimbursements incurred and accrued but not yet paid relates to our Prior Advisor.
Subject to certain restrictions and limitations, our Advisor is responsible for managing our affairs on a day-to-day basis and for identifying, originating, acquiring and asset managing investments on our behalf. For such services, to the extent permitted by law and regulations, our Advisor receives fees and reimbursements from us. Below is a description and table of the fees and reimbursements incurred to our Advisor.
Fees to Advisor
Asset Management Fee
Our Advisor, or its affiliates, receives a monthly asset management fee equal to one-twelfth of 1.0% of the sum of the amount funded or allocated for investments, including expenses and any financing attributable to such investments, less any principal received on debt and securities investments (or our proportionate share thereof in the case of an investment made through a joint venture).
Acquisition Fee
Our Advisor, or its affiliates, also receives an acquisition fee equal to 1.0% of the amount funded or allocated by us to acquire or originate investments, including acquisition expenses and any financing attributable to such investments (or our proportionate share thereof in the case of an investment made through a joint venture) except with respect to real estate property and 2.25% of each real estate property acquired by us, including acquisition expenses and any financing attributable to an equity investment (or our proportionate share thereof in the case of an equity investment made through a joint venture). An acquisition fee paid to our Advisor related to the origination or acquisition of debt investments is included in debt investments, net on our consolidated balance sheets and is amortized to interest income over the life of the investment using the effective interest method. An acquisition fee incurred related to an equity investment will generally be expensed as incurred.
Disposition Fee
For substantial assistance in connection with the sale of investments and based on the services provided, our Advisor, or its affiliates, receives a disposition fee equal to 1.0% of the contract sales price of each debt investment sold and 2.0% of the contract sales price of each property sold. We do not pay a disposition fee upon the maturity, prepayment, workout, modification or extension of a debt investment unless there is a corresponding fee paid by our borrower, in which case the disposition fee is the lesser of: (i) 1.0% of the principal amount of the debt investment prior to such transaction; or (ii) the amount of the fee paid by our borrower in connection with such transaction. If we take ownership of a property as a result of a workout or foreclosure of a debt investment, we will pay a disposition fee upon the sale of such property. A disposition fee from the sale of an investment is generally expensed and included in asset management and other fees - related party in our consolidated statements of operations. A disposition fee for a debt investment incurred in a transaction other than a sale is included in debt investments, net on our consolidated balance sheets and is amortized to interest income over the life of the investment using the effective interest method.
Reimbursements to Advisor
Operating Costs
Our Advisor, or its affiliates, is entitled to receive reimbursement for direct and indirect operating costs incurred by our Advisor in connection with administrative services provided to us. Indirect operating costs include our allocable share of costs incurred by our Advisor for personnel and other overhead such as rent, technology and utilities. However, there is no reimbursement for personnel costs related to executive officers and other personnel involved in activities for which our Advisor receives an acquisition fee or a disposition fee. We reimburse our Advisor quarterly for operating costs (including the asset management fee) based on a calculation for the four preceding fiscal quarters not to exceed the greater of: (i) 2.0% of our average invested assets; or (ii) 25.0% of our net income determined without reduction for any additions to reserves for depreciation, loan losses


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or other similar non-cash reserves and excluding any gain from the sale of assets for that period. Notwithstanding the above, we may reimburse our Advisor for expenses in excess of this limitation if a majority of our independent directors determines that such excess expenses are justified based on unusual and non-recurring factors. We calculate the expense reimbursement quarterly based upon the trailing twelve-month period.
Organization and Offering Costs
Our Advisor, or its affiliates, is entitled to receive reimbursement for organization and offering costs paid on behalf of us in connection with our Offering. We are obligated to reimburse our Advisor, or its affiliates, as applicable, for organization and offering costs to the extent the aggregate of selling commissions, dealer manager fees and other organization and offering costs do not exceed 15.0% of gross proceeds from our Primary Offering. Our Advisor does not expect reimbursable organization and offering costs, excluding selling commissions and dealer manager fees, to exceed $15.0 million, or 1.5% of the total proceeds available to be raised from our Primary Offering. We shall not reimburse our Advisor for any organization and offering costs that our independent directors determine are not fair and commercially reasonable to us.
Dealer Manager
Selling Commissions and Dealer Manager Fees
Pursuant to the dealer manager agreement, we pay our Dealer Manager, selling commissions of up to 7.0% of gross proceeds from our Primary Offering, all of which are reallowed to participating broker-dealers. In addition, we pay our Dealer Manager a dealer manager fee of up to 3.0% of gross proceeds from our Primary Offering, a portion of which is reallowed to participating broker-dealers. No selling commissions or dealer manager fees are paid for sales pursuant to our DRP.
Summary of Fees and Reimbursements
The following table presents the fees and reimbursements incurred to our Advisor and our Dealer Manager for the three and nine months ended September 30, 2014 and 2013 and the amount due to related party as of September 30, 2014 and December 31, 2013:
 
 
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Due to Related Party as of
Type of Fee or Reimbursement
 
Financial Statement Location
 
2014
 
2013
 
2014
 
2013
 
September 30, 2014
 
December 31, 2013
Fees to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Asset management
 
Asset management and other fees-related party
 
$
870,421

 
$
13,006

 
$
1,723,972

 
$
17,825

 
$
342,547

 
$
37,532

Acquisition (1)
 
Real estate debt investments, net / Asset management and other fees-related party
 
3,292,938

 
87,500

 
7,813,699

 
112,500

 
3,292,938

 
564,405

Disposition (1)
 
Real estate debt investments, net
 

 

 

 

 

 

Reimbursements to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating costs
 
General and administrative expenses
 
998,372

 
18,661

 
2,045,439

 
24,675

 
998,372

 
164,080

Organization
 
General and administrative expenses
 
15,569

 
12,313

 
278,853

 
14,291

 
15,569

 
18,768

Offering
 
Cost of capital (2)
 
980,830

 
233,940

 
3,909,058

 
271,518

 
929,055

 
356,594

Selling commissions / Dealer manager fees
 
Cost of capital (2)
 
20,155,417

 
1,621,388

 
43,055,708

 
1,679,540

 

 

Total
 
 
 
 
 
 
 
 
 
 
 
$
5,578,481

 
$
1,141,379

_____________________________
(1)
Acquisition/disposition fees incurred to our Advisor related to debt investments are generally offset by origination/exit fees paid to us by borrowers if such fees are required from the borrower. Acquisition fees related to equity investments are included in asset management and other fees - related party in our consolidated statements of operations. Our Advisor may determine to defer fees or seek reimbursement.
(2)
Cost of capital is included in net proceeds from issuance of common stock in our consolidated statements of equity.
NorthStar Realty Purchase of Common Stock
On April 10, 2014, our board of directors extended the term of our distribution support agreement, or our Distribution Support Agreement, until August 7, 2015. Pursuant to our Distribution Support Agreement, NorthStar Realty committed to purchase up to an aggregate of $10.0 million in shares of our common stock at a price of $9.00 per share if cash distributions exceed MFFO to provide additional funds to support distributions to stockholders. In February 2013, NorthStar Realty purchased 222,223 shares of our common stock for $2.0 million under our Distribution Support Agreement to satisfy the minimum offering


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requirement, which reduced the total commitment. As of September 30, 2014, including the purchase of shares to satisfy the minimum offering requirement, NorthStar Realty purchased 303,248 shares of our common stock for $2.7 million under such commitment. For the three and nine months ended September 30, 2014, NorthStar Realty purchased 60,141 and 69,857 shares of our common stock for $0.5 million and $0.6 million under such commitment, respectively.
Investment in Healthcare Joint Venture
In May 2014, we, through a general partnership with NorthStar Realty, entered into the healthcare joint venture to acquire an interest in a $1.1 billion healthcare real estate portfolio and contributed $23.4 million of cash for our interest in the investment. The purchase was approved by our board of directors, including all of its independent directors.
Recent Developments
Common Stock from Primary Offering
From October 1, 2014 through November 11, 2014, we issued 11.1 million shares of common stock pursuant to our Primary Offering generating gross proceeds of $110.3 million. From inception through November 11, 2014, we issued 65.7 million shares of common stock pursuant to our Primary Offering generating gross proceeds of $655.3 million.
Distribution Reinvestment Plan
From October 1, 2014 through November 11, 2014, we issued 366,408 shares of common stock pursuant to our DRP raising proceeds of $3.5 million. As of November 11, 2014, 9.4 million shares were available to be issued pursuant to our DRP.
Distributions
On November 5, 2014, our board of directors approved a daily cash distribution of $0.00184932 per share of common stock for each of the three months ended March 31, 2015. Distributions are generally paid to stockholders on the first business day of the month following the month for which the distribution was accrued.
Share Repurchases
From October 1, 2014 through November 11, 2014, we repurchased 1,514 shares for a total of $14,021 or a weighted average price of $9.26 per share under a share repurchase program that may enable stockholders to sell their shares to us in limited circumstances, or our Share Repurchase Program.
Follow-on Offering
On October 2, 2014, we filed a registration statement on Form S-11 (File No. 333-199125) with the SEC to register a follow-on public offering of up to $700.0 million in shares of our common stock, consisting of up to $500.0 million in shares in a follow-on primary offering and up to $200.0 million in shares pursuant to a follow-on distribution reinvestment plan. The registration statement for the follow-on offering has not yet been declared effective by the SEC.
New Investments
Griffin-American Portfolio Joint Venture
On October 22, 2014, we entered into a purchase and sale agreement with NorthStar Realty pursuant to which we agreed to acquire an equity interest in Griffin-American Healthcare REIT II, Inc.’s, or Griffin-American, healthcare real estate portfolio following completion of the merger of Griffin-American with and into a subsidiary of NorthStar Realty. We will acquire the interest for $100 million in cash, including its pro rata share of associated transaction costs, through a joint venture with NorthStar Realty which will be purchased at NorthStar Realty’s cost basis and is expected to represent an approximate 8.3% interest in the portfolio.
Extendicare Portfolio Joint Venture
On November 7, 2014, we agreed to invest up to $315.0 million through a combination of equity, mezzanine and senior debt financing in connection with the proposed acquisition of the U.S.-based operations of Extendicare International Inc. including an $870.0 million portfolio of 158 healthcare facilities by an investment group comprised of the Company, Formation Capital, LLC and Safanad Management Limited. The portfolio consists of 152 SNFs and six ALFs located across 12 states, with the largest concentrations in Indiana, Kentucky, Ohio, Michigan and Wisconsin. The portfolio is currently subject to approximately $630.0 million of in-place financing, which is expected to be assumed in connection with the acquisition. Refer to Part II, Item 5. “Other” for further discussion. There can be no assurance that the Company will complete the transaction described above on the terms contemplated or at all.


44





Officer Appointment
On November 5, 2014, our board of directors appointed Ronald J. Jeanneault as our Chief Executive Officer and President. Prior to this appointment, Mr. Jeanneault served as our Executive Vice President and Head of Asset Management since March 2012.  Concurrently with Mr. Jeanneault’s appointment, James F. Flaherty III was elected to serve as Vice Chairman of our board of directors and no longer serves as our Chief Executive Officer and President, effective on November 5, 2014. Mr. Flaherty will continue to provide investment and other services to us as a member of the investment committees of our Advisor in relation to healthcare investments.


Inflation
Virtually all of our assets and liabilities are interest rate sensitive in nature. As a result, interest rates and other factors influence our performance significantly more than inflation does. A change in interest rates may correlate with the inflation rate. Substantially all of the leases allow for annual rent increases based on the relevant consumer price index. Such types of leases generally minimize the risks of inflation on our healthcare properties.
Refer to Item 3. “Quantitative and Qualitative Disclosures About Market Risk” for additional details.
Non-GAAP Financial Measures
Funds from Operations and Modified Funds from Operations
We believe that FFO and MFFO, both of which are a non-GAAP measure, are additional appropriate measures of the operating performance of a REIT and of us in particular. We compute FFO in accordance with the standards established by the National Association of Real Estate Investment Trusts, or NAREIT, as net income (loss) (computed in accordance with accounting principles generally accepted in the United States, or U.S. GAAP), excluding gains (losses) from sales of depreciable property, the cumulative effect of changes in accounting principles, real estate-related depreciation and amortization, impairment on depreciable property owned directly or indirectly and after adjustments for unconsolidated ventures.
Changes in the accounting and reporting rules under U.S. GAAP that have been put into effect since the establishment of NAREIT’s definition of FFO have prompted an increase in the non-cash and non-operating items included in FFO. For instance, the accounting treatment for acquisition fees related to business combinations has changed from being capitalized to being expensed. Additionally, publicly registered, non-traded REITs are typically different from traded REITs because they generally have a limited life followed by a liquidity event or other targeted exit strategy. Non-traded REITs typically have a significant amount of acquisition activity and are substantially more dynamic during their initial years of investment and operation as compared to later years when the proceeds from their initial public offering have been fully invested and when they may seek to implement a liquidity event or other exit strategy. However, it is likely that we will make investments past the acquisition and development stage, albeit at a substantially lower pace.
Acquisition fees paid to our Advisor in connection with the origination and acquisition of debt investments are amortized over the life of the investment as an adjustment to interest income under U.S. GAAP and are therefore, included in the computation of net income (loss) and income (loss) from operations, both of which are performance measures under U.S. GAAP. Such acquisition fees are paid in cash that would otherwise be available to distribute to our stockholders. In the event that proceeds from our Offering are not sufficient to fund the payment or reimbursement of acquisition fees and expenses to our Advisor, such fees would be paid from other sources, including new financing, operating cash flow, net proceeds from the sale of investments or from other cash flow. We believe that acquisition fees incurred by us negatively impact our operating performance during the period in which such investments are acquired or originated by reducing cash flow and therefore the potential distributions to our stockholders. However, in general, we earn origination fees for debt investments from our borrowers in an amount equal to the acquisition fees paid to our Advisor, and as a result, the impact of acquisition fees to our operating performance and cash flow would be minimal.
Acquisition fees and expenses paid to our Advisor and third parties in connection with the acquisition of equity investments are considered expenses and are included in the determination of net income (loss) and income (loss) from continuing operations, both of which are performance measures under U.S. GAAP. Such fees and expenses will not be reimbursed by our Advisor or its affiliates and third parties, and therefore, if there are no further proceeds from the sale of shares of our common stock to fund future acquisition fees and expenses, such fees and expenses will need to be paid from either additional debt, operating earnings, cash flow or net proceeds from the sale of properties. All paid and accrued acquisition fees and expenses will have negative effects on future distributions to stockholders and cash flow generated by us, unless earnings from operations or net sales proceeds from the disposition of other properties are generated to cover the purchase price of the property, these fees and expenses and other costs related to such property.
The origination and acquisition of debt investments and the corresponding acquisition fees paid to our Advisor (and any offsetting origination fees received from our borrowers) associated with such activity is a key operating feature of our business plan that results in generating income and cash flow in order to make distributions to our stockholders. Therefore, the exclusion for acquisition fees may be of limited value in calculating operating performance because acquisition fees affect our overall long-term operating performance and may be recurring in nature as part of net income (loss) and income (loss) from operations over our life.
Due to certain of the unique features of publicly-registered, non-traded REITs, the Investment Program Association, or the IPA, an industry trade group, standardized a performance measure known as MFFO and recommends the use of MFFO for such


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REITs. Management believes MFFO is a useful performance measure to evaluate our business and further believes it is important to disclose MFFO in order to be consistent with the IPA recommendation and other non-traded REITs. MFFO that adjusts for items such as acquisition fees would only be comparable to non-traded REITs that have completed the majority of their acquisition activity and have other similar operating characteristics as us. Neither the SEC, nor any other regulatory body has approved the acceptability of the adjustments that we use to calculate MFFO. In the future, the SEC or another regulatory body may decide to standardize permitted adjustments across the non-listed REIT industry and we may need to adjust our calculation and characterization of MFFO.
MFFO is a metric used by management to evaluate our future operating performance once our organization and offering and acquisition and development stages are complete and is not intended to be used as a liquidity measure. Although management uses the MFFO metric to evaluate future operating performance, this metric excludes certain key operating items and other adjustments that may affect our overall operating performance. MFFO is not equivalent to net income (loss) as determined under U.S. GAAP. In addition, MFFO is not a useful measure in evaluating net asset value, since an impairment is taken into account in determining net asset value but not in determining MFFO.
We define MFFO in accordance with the concepts established by the IPA and adjust for certain items, such as accretion of a discount and amortization of a premium on borrowings and related deferred financing costs, as such adjustments are comparable to adjustments for debt investments and will be helpful in assessing our operating performance. Our computation of MFFO may not be comparable to other REITs that do not calculate MFFO using the same method. MFFO is calculated using FFO. FFO, as defined by NAREIT, is a computation made by analysts and investors to measure a real estate company’s cash flow generated by operations. MFFO excludes from FFO the following items:
acquisition fees and expenses;
non-cash amounts related to straight-line rent and the amortization of above or below market and in-place intangible lease assets and liabilities (which are adjusted in order to reflect such payments from an accrual basis of accounting under U.S. GAAP to a cash basis of accounting);
amortization of a premium and accretion of a discount on debt investments;
non-recurring impairment of real estate-related investments;
realized gains (losses) from the early extinguishment of debt;
realized gains (losses) on the extinguishment or sales of hedges, foreign exchange, securities and other derivative holdings except where the trading of such instruments is a fundamental attribute of our business;
unrealized gains (losses) from fair value adjustments on real estate securities, including CMBS and other securities, interest rate swaps and other derivatives not deemed hedges and foreign exchange holdings;
unrealized gains (losses) from the consolidation from, or deconsolidation to, equity accounting;
adjustments related to contingent purchase price obligations; and
adjustments for consolidated and unconsolidated partnerships and joint ventures calculated to reflect MFFO on the same basis as above.
Certain of the above adjustments are also made to reconcile net income (loss) to net cash provided by (used in) operating activities, such as for the amortization of a premium and accretion of a discount on debt and securities investments, amortization of fees, any unrealized gains (losses) on derivatives, securities or other investments, as well as other adjustments.
MFFO excludes non-recurring impairment of real estate-related investments. We assess the credit quality of our investments and adequacy of reserves/impairment on a quarterly basis, or more frequently as necessary. Significant judgment is required in this analysis. With respect to debt investments, we consider the estimated net recoverable value of the loan as well as other factors, including but not limited to the fair value of any collateral, the amount and the status of any senior debt, the prospects for the borrower and the competitive situation of the region where the borrower does business. Fair value is typically estimated based on discounting expected future cash flow of the underlying collateral taking into consideration the discount rate, capitalization rate, occupancy, creditworthiness of major tenants and many other factors. This requires significant judgment and because it is based on projections of future economic events, which are inherently subjective, the amount ultimately realized may differ materially from the carrying value as of the balance sheet date. A property’s value is considered impaired if our estimate of the aggregate future undiscounted cash flow to be generated by the property is less than the carrying value of the property. If the estimated fair value of the underlying collateral for the debt investment is less than its net carrying value, a loan loss reserve is recorded with a corresponding charge to provision for loan losses. With respect to a real estate investment, a


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property’s value is considered impaired if our estimate of the aggregate future undiscounted cash flow to be generated by the property is less than the carrying value of the property. The value of our investments may be impaired and their carrying values may not be recoverable due to our limited life. Investors should note that while impairment charges are excluded from the calculation of MFFO, investors are cautioned that due to the fact that impairments are based on estimated future undiscounted cash flow and the relatively limited term of a non-traded REIT’s anticipated operations, it could be difficult to recover any impairment charges through operational net revenues or cash flow prior to any liquidity event.
We believe that MFFO is a useful non-GAAP measure for non-traded REITs. It is helpful to management and stockholders in assessing our future operating performance once our organization and offering and acquisition and development stages are complete, because it eliminates from net income non-cash fair value adjustments on our real estate securities and acquisition fees and expenses that are incurred as part of our investment activities. However, MFFO may not be a useful measure of our operating performance or as a comparable measure to other typical non-traded REITs if we do not continue to operate in a similar manner to other non-traded REITs, including if we were to extend our acquisition and development stage or if we determined not to pursue an exit strategy.
However, MFFO does have certain limitations. For instance, the effect of any amortization or accretion on investments originated or acquired at a premium or discount, respectively, is not reported in MFFO. In addition, realized gains (losses) from acquisitions and dispositions and other adjustments listed above are not reported in MFFO, even though such realized gains (losses) and other adjustments could affect our operating performance and cash available for distribution. Stockholders should note that any cash gains generated from the sale of investments would generally be used to fund new investments. Any mark-to-market or fair value adjustments may be based on many factors, including current operational or individual property issues or general market or overall industry conditions.
Neither FFO nor MFFO is equivalent to net income (loss) or cash flow provided by operating activities determined in accordance with U.S. GAAP and should not be construed to be more relevant or accurate than the U.S. GAAP methodology in evaluating our operating performance. Neither FFO nor MFFO is necessarily indicative of cash flow available to fund our cash needs including our ability to make distributions to our stockholders. FFO and MFFO do not represent amounts available for management’s discretionary use because of needed capital replacement or expansion, debt service obligations or other commitments or uncertainties. Furthermore, neither FFO nor MFFO should be considered as an alternative to net income (loss) as an indicator of our operating performance.
The following table presents a reconciliation of FFO and MFFO to net income (loss) attributable to common stockholders:
 
 
September 30, 2014
 
 
Three Months Ended
 
Nine Months Ended
Funds from operations:
 
 
 
 
Net income (loss) attributable to NorthStar Healthcare Income, Inc. common stockholders
 
$
(2,689,640
)
 
$
(6,642,428
)
Adjustments:
 
 
 
 
Depreciation and amortization
 
1,052,364

 
2,644,054

Depreciation and amortization related to unconsolidated ventures
 
558,659

 
798,925

Depreciation and amortization related to non-controlling interests
 
(15,456
)
 
(45,452
)
Funds from operations
 
$
(1,094,073
)
 
$
(3,244,901
)
Modified funds from operations:
 
 
 
 
Funds from operations
 
$
(1,094,073
)
 
$
(3,244,901
)
Adjustments:
 
 
 
 
Acquisition fees and transaction costs
 
4,490,161

 
8,100,778

Straight-line rental (income) loss
 
(259,183
)
 
(504,163
)
Amortization of premiums, discounts and fees on investments and borrowings, net
 
239,219

 
656,136

Adjustments related to unconsolidated ventures
 
(92,773
)
 
347,708

Adjustments related to non-controlling interests
 
(1,691
)
 
(32,618
)
Modified funds from operations
 
$
3,281,660

 
$
5,322,940

Distributions Declared and Paid
We generally pay distributions on a monthly basis based on daily record dates. From the date of our first investment on April 5, 2013 through September 30, 2014, we paid distributions at an annualized distribution rate of 6.75% based on a purchase price of $10.00 per share of our common stock. Distributions are generally paid to stockholders on the first business day of the month following the month for which the distribution has accrued.


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The following table presents distributions declared for the nine months ended September 30, 2014, the year ended December 31, 2013 and the period from inception through September 30, 2014:
 
 
Nine Months Ended September 30,
 
Year ended December 31, 2013
 
Inception through September 30, 2014
Distributions (1)
 
 
 
 
 
 
 
 
 
 
 
 
Cash
 
$
6,599,461

 

 
$
670,925

 

 
$
7,270,386

 

DRP
 
8,097,329

 

 
640,961

 

 
8,738,290

 

Total
 
$
14,696,790

 

 
$
1,311,886

 

 
$
16,008,676

 

 
 
 
 
 
 
 
 
 
 
 
 
 
Sources of Distributions(1)
 
 
 
 
 
 
 
 
 
 
 
 
Funds from Operations
 
$
(3,244,901
)
 
%
 
$
(2,428,445
)
 
%
 
$
(5,673,346
)
 
%
 
 
 
 
 
 
 
 
 
 
 
 
 
Offering Proceeds - Distribution Support
 
$
628,713

 
4.3
%
 
$
100,511

 
7.7
%
 
$
729,224

 
4.6
%
Offering Proceeds - Other
 
14,068,077

 
95.7
%
 
1,211,375

 
92.3
%
 
15,279,452

 
95.4
%
Total Offering Proceeds
 
$
14,696,790

 
100.0
%
 
$
1,311,886

 
100.0
%
 
$
16,008,676

 
100.0
%
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash Flow Provided by (Used in) Operations
 
$
(1,620,332
)
 
 
 
$
(343,225
)
 
 
 
$
(1,963,557
)
 
 
_______________________________________________________    
(1)
Represents distributions declared for such period, even though such distributions are actually paid to stockholders the month following such period.
Distributions in excess of our cash flow used in operations were paid using Offering proceeds, including from the purchase of additional shares by NorthStar Realty. Over the long-term, we expect that our distributions will be paid entirely from cash flow provided by operations. However, our operating performance cannot be accurately predicted and may deteriorate in the future due to numerous factors, including our ability to raise and invest capital at favorable yields, the financial performance of our investments in the current real estate and financial environment, the type and mix of our investments and accounting of our investments in accordance with U.S. GAAP. Future distributions declared and paid may exceed cash flow provided by operations. To the extent distributions are paid from sources other than FFO, the ownership interest of our public stockholders will be diluted.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
We are primarily subject to interest rate risk and credit risk. These risks are dependent on various factors beyond our control, including monetary and fiscal policies, domestic and international economic conditions and political considerations. Our market risk sensitive assets, liabilities and related derivative positions are held for investment and not for trading purposes.
Interest Rate Risk
Changes in interest rates affect our net interest income, which is the difference between the income earned on our investments and the interest expense incurred in connection with our borrowings and derivatives, if any.
Our debt and securities investments bear interest at either a floating or fixed-rate. The interest rate on our floating-rate assets is a fixed spread over an index such as LIBOR and typically reprices every 30 days based on LIBOR in effect at the time. Currently, some of our floating-rate debt investments have a fixed minimum LIBOR rate that is in excess of current LIBOR. We will not benefit from an increase in LIBOR until it is in excess of the LIBOR floors. Given the frequent and periodic repricing of our floating-rate assets, changes in benchmark interest rates are unlikely to materially affect the value of our floating-rate portfolio. Changes in short-term rates will, however, affect income from our investments. As of September 30, 2014, most of our floating-rate investments had LIBOR floors in excess of the current LIBOR rate, so a hypothetical 100 basis point increase in interest rates (including the effect of the interest rate floor) would increase net income by $0.8 million annually.
A change in interest rates could affect the value of our fixed-rate debt investments. For example, an increase in interest rates would result in a higher required yield on investments, which would decrease the value on existing fixed-rate investments in order to adjust their yields to current market levels.


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Credit Spread Risk
The value of our fixed and floating-rate investments also changes with market credit spreads. This means that when market-demanded risk premium, or credit spread, increases, the value of our fixed and floating-rate assets decrease and vice versa. Fixed-rate assets are valued based on a market credit spread over the rate payable on fixed-rate U.S. Treasury of like maturity. This means that their value is dependent on the yield demanded on such assets by the market, based on their credit relative to U.S. Treasuries. The floating-rate debt and securities investments are valued based on a market credit spread over the applicable LIBOR. Demand for a higher yield on investments results in higher or “wider” spread over the benchmark rate (usually the applicable U.S. Treasury yield) to value these assets. Under these conditions, the value of our portfolio should decrease. Conversely, if the spread used to value these assets were to decrease or “tighten,” the value of these assets should increase.
Credit Risk
Credit risk in our debt and securities investments relates to each individual borrower’s ability to make required interest and principal payments on scheduled due dates. We seek to manage credit risk through our Advisor’s comprehensive credit analysis prior to making an investment, actively monitoring our portfolio and the underlying credit quality, including subordination and diversification of our portfolio. Our analysis is based on a broad range of real estate, financial, economic and borrower-related factors which we believe are critical to the evaluation of credit risk inherent in a transaction. For the nine months ended September 30, 2014, three debt investments each contributed more than 10% of interest income.
We are subject to the credit risk of the lessee of operators of our healthcare properties. We undertake a rigorous credit evaluation of each healthcare operator prior to acquiring healthcare properties. This analysis includes an extensive due diligence investigation of the operator’s business as well as an assessment of the strategic importance of the underlying real estate to the operator’s core business operations. Where appropriate, we may seek to augment the operator’s commitment to the facility by structuring various credit enhancement mechanisms into the underlying leases. These mechanisms could include security deposit requirements or guarantees from entities we deem creditworthy. In addition, we actively monitor lease coverage at each facility within our healthcare portfolio. However, approximately 1.2% of our operator revenues are derived from government sources, notably Medicare or Medicaid. Previously announced and potential future changes to these programs may have a material impact on the valuation and financial performance of this portion of our portfolio.
Item 4. Controls and Procedures
Disclosure Controls and Procedures
As of the end of the period covered by this report, our management conducted an evaluation (as required under Rules 13a-15(b) and 15d-15(b) under the Securities Exchange Act of 1934, as amended, or Exchange Act), under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act). Based on this evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures are effective. Notwithstanding the foregoing, a control system, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that it will detect or uncover failures to disclose material information otherwise required to be set forth in our periodic reports.
Internal Control over Financial Reporting
Changes in internal control over financial reporting
There have not been any changes in the Company’s internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during the most recent fiscal quarter that materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
PART II. Other Information

Item 1. Legal Proceedings
We may be involved in various litigation matters arising in the ordinary course of our business. Although we are unable to predict with certainty the eventual outcome of any litigation, in the opinion of management, any legal proceedings are not expected to have a material adverse effect on our financial position or results of operations.


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Item 1A. Risk Factors
There are no material changes from the risk factors previously disclosed in our Annual Report on Form 10-K for the fiscal year ended December 31, 2013, as filed with the SEC on March 7, 2014, except as noted below.
If we pay distributions from sources other than our cash flow provided by operations, we will have less cash available for investments and stockholders’ overall return may be reduced.
Our organizational documents permit us to pay distributions from any source, including offering proceeds, borrowings or sales of assets. We have not established a limit on the amount of proceeds we may use to fund distributions. We have funded our cash distributions paid to date using net proceeds from our offering and we may do so in the future. Until the proceeds from our Offering are fully invested and otherwise during the course of our existence we may not generate sufficient cash flow from operations to fund distributions. We began generating cash flows from operations on April 5, 2013, the date of our first investment. For the nine months ended September 30, 2014, we declared distributions of $14.7 million compared to cash used in operations of $1.6 million. All distributions declared during this period and for the period from inception through December 31, 2013, were paid using proceeds from our initial public offering, including the purchase of additional shares by NorthStar Realty, one of our Sponsor’s managed companies.
Pursuant to a distribution support agreement, in certain circumstances where our cash distributions exceed our MFFO, NorthStar Realty agreed to purchase up to $10.0 million of shares of our common stock at $9.00 per share (which includes the $2.0 million of shares purchased by NorthStar Realty to satisfy the minimum offering amount) to provide additional cash to support distributions to stockholders and has, in fact, purchased 303,248 shares of our common stock as of September 30, 2014. The sale of these shares resulted in the dilution of the ownership interests of our public stockholders. Upon termination or expiration of our Distribution Support Agreement, we may not have sufficient cash available to pay distributions at the rate we had paid during preceding periods or at all. If we pay distributions from sources other than our cash flow provided by operations, we will have less cash available for investments, we may have to reduce our distribution rate, our book value may be negatively impacted and stockholders’ overall return may be reduced.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Use of Proceeds from Registered Securities
On August 7, 2012, our registration statement on Form S-11 (File No. 333-170802), covering our Offering of up to 110,526,315 shares of common stock, of which 100,000,000 shares of common stock would be offered pursuant to our Primary Offering and 10,526,315 shares of common stock would be offered pursuant to our DRP, was declared effective under Securities Act of 1933, as amended, or the Securities Act. We commenced our Offering on the same date and retained our Dealer Manager to serve as our dealer manager of our Offering. We are offering shares of common stock pursuant to our Offering at an aggregate Offering price of up to $1.0 billion, or $10.00 per share with discounts available to certain categories of purchasers and shares of common stock pursuant to our DRP at an aggregate Offering price of $100.0 million, or $9.50 per share. In April 2014, our board of directors determined to extend our Offering for one year to August 7, 2015.
As of September 30, 2014, we sold the following shares of common stock and raised the following gross proceeds in connection with our Offering:
 
Shares
 
Proceeds
Primary Offering
54,597,776

 
$
544,996,870

DRP
751,769

 
7,141,809

Total
55,349,545

 
$
552,138,679

As of September 30, 2014, we incurred $37.3 million in selling commissions, $16.3 million in dealer manager fees and $5.5 million in other offering costs in connection with the issuance and distribution of our registered securities and $44.0 million of these costs have been reallowed to third parties.
From the commencement of our Offering through September 30, 2014, the net proceeds to us from our Offering, after deducting the total expenses incurred described above, were $493.1 million. From the commencement of our Offering through September 30, 2014, we used proceeds of $232.5 million to purchase real estate equity investments, $140.0 million to acquire and originate real estate debt investments and $9.2 million to pay our Advisor acquisition fees.


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Purchases of Equity Securities by the Issuer and Affiliated Purchasers
For the three months ended September 30, 2014, we repurchased shares of our common stock as follows:
Period
 
Number of Shares Purchased
 
Average Price Paid Per Share
 
Maximum Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plan or Program
July 1 to July 31
 

 
$

 
(1) 
August 1 to August 31
 
342

 
9.99

 
(1) 
September 1 to September 30
 
12,498

 
10.00

 
(1) 
Total
 
12,840

 
$
10.00

 
 
______________________________________________________
(1)
We adopted our Share Repurchase Program effective August 7, 2012, which may enable stockholders to sell their shares to us in limited circumstances. We may not repurchase shares unless a stockholder has held shares for at least one year. However, we may repurchase shares held less than one year in connection with a stockholder’s death or qualifying disability, if the disability is deemed qualifying by the board of directors in their sole discretion and after receiving written notice from the stockholder or the stockholder’s estate. We are not obligated to repurchase shares under our Share Repurchase Program. We fund repurchase requests received during a quarter with proceeds set aside for that purpose which are not expected to exceed proceeds received from our DRP. However, to the extent that the aggregate DRP proceeds are not sufficient to fund repurchase requests, our board of directors may, in its sole discretion, choose to use other sources of funds. Subject to funds being available, we will limit the number of shares redeemed pursuant to our Share Repurchase Program to: (i) 5.0% of the weighted average number of shares of our common stock outstanding during the prior calendar year; and (ii) those that could be funded from the net DRP proceeds in the prior calendar year plus such additional funds as may be reserved for that purpose by our board of directors; provided, however, that the above volume limitations shall not apply to repurchases requested within two years after the death or qualifying disability of a stockholder. Our board of directors may, in its sole discretion, amend, suspend or terminate our Share Repurchase Program at any time upon ten days’ notice except that changes in the number of shares that can be repurchased during any calendar year will take effect only upon ten business days’ prior written notice. In addition, our Share Repurchase Program will terminate in the event a secondary market develops for our shares or until our shares are listed on a national exchange or included for quotation in a national securities market. As of September 30, 2014, we had no unfulfilled repurchase requests.                                 
Unregistered Sales of Equity Securities
During the three months ended September 30, 2014, we did not issue any equity securities that were not registered under the Securities Act of 1933, as amended.




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Item 5. Other
Extendicare Investment

Overview

On November 7, 2014, we, through our operating partnership, agreed to invest up to $315.0 million through a combination of equity, mezzanine and senior debt financing, or the investment, in connection with the proposed acquisition, or the acquisition, of the U.S.-based operations of Extendicare International Inc., or Extendicare, including an $870.0 million portfolio of 158 healthcare facilities, or the portfolio, by an investment group comprised of us, Formation Capital, LLC, or Formation, and Safanad Management Limited, or Safanad, and, collectively with us and Formation, the investors. The portfolio consists of 152 skilled nursing facilities and six assisted living facilities located across 12 states, with the largest concentrations in Indiana, Kentucky, Ohio, Michigan and Wisconsin. The portfolio is currently subject to approximately $630.0 million of in-place financing, which is expected to be assumed in connection with the acquisition. In connection with the acquisition, the purchaser (as defined below), which will be managed on a day-to-day basis by Formation, intends to transfer the operations of the portfolio to third party operators pursuant to long-term leases. Under the interim investors agreement, as described below, the investors intend that the purchaser will qualify and elect to be taxed as a real estate investment trust for U.S. federal income tax purposes.

Equity Commitment Letter and Limited Guarantee

In connection with the investment, we entered into an equity commitment letter, or the ECL, with FC Domino Acquisition LLC, an affiliate of Formation, or the purchaser, pursuant to which we committed to invest up to $90.0 million of equity to acquire up to a 50% interest in the purchaser. In addition, Formation agreed to assume 20% of our investment obligations under the ECL, subject to the conditions to our obligations under the ECL being satisfied.

The proceeds of our equity investment will be used to fund a portion of the purchaser’s obligations under a stock purchase agreement, or the SPA, pursuant to which the purchaser has agreed to acquire all of the outstanding shares of Extendicare Holdings Inc., or EHI, the subsidiary through which Extendicare conducts its U.S.-based skilled nursing and assisted living operations, for a purchase price of $870.0 million, subject to certain adjustments, plus closing costs and other expenses. The SPA provides that the acquisition be completed prior to June 30, 2015, or the outside date, which under certain circumstances may be extended to September 30, 2015. There can be no assurance that the acquisition is completed prior to the outside date, or at all.

We also entered into a limited guarantee in favor of Extendicare, dated as of November 7, 2014, pursuant to which we agreed to guarantee our share of the purchaser's obligations, or the guaranteed obligations, under the SPA with respect to, among other items, a $30.0 million reverse termination fee; provided that our maximum liability under the limited guarantee is $8.75 million and provided further that we will not be liable for amounts in excess of 50% of any guaranteed obligations.

Interim Investors Agreement

In addition, the purchaser and the investors entered into an interim investors agreement which governs the relationship among the parties thereto with respect to the SPA, the purchaser and related matters until the termination of the SPA or consummation of the acquisition. The interim investors agreement provides that, among other things, the investors will enter into a joint venture agreement with respect to their interests in the purchaser on the terms described in the interim investors agreement, as well as certain indemnification obligations in the event the SPA is terminated. The joint venture agreement will set forth the rights of the investors to consent to certain major decisions, in addition to other customary provisions contained in agreements of this type.

Financing Commitments and Closing Conditions

In connection with the investment and subject to the satisfaction of certain conditions being met by the purchaser, we also agreed to provide the purchaser (i) an aggregate of $150.0 million of senior secured financing to EHI and certain of its subsidiaries, or the backstop financing, and (ii) a mezzanine loan facility in the amount of $75.0 million, or the mezzanine loan amount, and together with the backstop financing, the debt commitments. We will earn combined commitment and funding fees equal to 1.75% of each debt commitment amount funded, if any. In the event that the purchaser obtains third-party financing in place of all or a portion of the backstop financing, we would not be obligated to fund such amounts but would remain entitled to receive a 0.75% commitment fee at the time of the third party funding.



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The investment is subject to a variety of closing conditions, including the completion of the acquisition, which is subject to a number of its own conditions pursuant to the SPA, including the purchaser being able to obtain sufficient debt financing to complete the acquisition, the receipt of certain required approvals, clearance under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 and a number of other customary closing conditions. There can be no assurance that the investment, or any of its equity or debt components, will be completed on the terms contemplated or at all.

The foregoing descriptions of the ECL, the Limited Guarantee and the Interim Investors Agreement do not purport to be complete and are subject to, and qualified in their entirety by, the ECL, the Limited Guarantee and the Interim Investors Agreement that are filed as Exhibits 10.4, 10.5 and 10.6, respectively, to this Quarterly Report on Form 10-Q, which agreements are incorporated herein by reference.



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Item 6. Exhibits
Exhibit
Number
 
Description of Exhibit
3.1
 
Articles of Amendment and Restatement of NorthStar Healthcare Income, Inc. (filed as Exhibit 3.1 to Pre-Effective Amendment No. 7 to the Company’s Registration Statement on Form S-11 (File No. 333-170802) and incorporated herein by reference)
3.2
 
Certificate of Correction of the Articles of Amendment and Restatement of NorthStar Healthcare Income, Inc. (filed as Exhibit 3.2 to the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2012 and incorporated herein by reference)
3.3
 
Fourth Amended and Restated Bylaws of NorthStar Healthcare Income, Inc. (filed as Exhibit 3.3 to the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2013 and incorporated herein by reference)
10.1
 
Purchase and Sale Agreement, dated as of July 7, 2014, by and between Five Long Island Properties, LLC and Islandia NT-HCI, LLC (filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K field on August 15, 2014 and incorporated herein by reference)
10.2
 
Second Amendment to Credit Agreement and Other Loan Documents, dated as of August 29, 2014 by and among NorthStar Healthcare Income Operating Partnership, LP, NorthStar Healthcare Income, Inc. and KeyBank National Association (filed as Exhibit 10.12 to Post-Effective Amendment No. 10 to the Company’s Registration Statement on Form S-11 (File No. 333-170802) and incorporated herein by reference)
10.3
 
Purchase and Sale Agreement, dated as of October 22, 2014 by and between NorthStar Realty Finance Corp., and NorthStar Healthcare Income, Inc., including as Exhibit A the Form of Partnership Agreement of Healthcare GA Holdings, General Partnership (filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on October 23, 2014 and incorporated herein by reference)
10.4*
 
Equity Commitment Letter, dated as of November 7, 2014, by NorthStar Healthcare Income Operating Partnership, LP to FC Domino Acquisition, LLC
10.5*
 
Limited Guaranty, dated as of November 7, 2014, by NorthStar Healthcare Income Operating Partnership, LP, in favor of Extendicare International Inc.
10.6*
 
Interim Investors Agreement, dated as of November 7, 2014, by and among FC Domino Acquisition, LLC, Safanad Management Limited, NorthStar Healthcare Income Operating Partnership, LP and Formation Capital LLC
31.1*
 
Certification by the Chief Executive Officer pursuant to 17 CFR 240.13a-14(a)/15(d)-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
31.2*
 
Certification by the Chief Financial Officer pursuant to 17 CFR 240.13a-14(a)/15(d)-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
32.1*
 
Certification by the Chief Executive Officer pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
32.2*
 
Certification by the Chief Financial Officer pursuant to Rule 13a-14(b) under the Securities Exchange Act of 1934 and 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
101*
 
The following materials from the NorthStar Healthcare Income, Inc. Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2014, formatted in XBRL (eXtensible Business Reporting Language): (i) Consolidated Balance Sheets as of September 30, 2014 (unaudited) and December 31, 2013; (ii) Consolidated Statements of Operations (unaudited) for the three and nine months ended September 30, 2014 and 2013; (iii) Consolidated Statements of Comprehensive Income (Loss) (unaudited) for the three and nine months ended September 30, 2014 and 2013; (iv) Consolidated Statements of Equity for the nine months ended September 30, 2014 (unaudited) and year ended December 31, 2013; (v) Consolidated Statements of Cash Flows (unaudited) for the nine months ended September 30, 2014 and 2013; and (vi) Notes to Consolidated Financial Statements (unaudited).
______________________________________________________
*
Filed herewith




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


NorthStar Healthcare Income, Inc.
 
Date:
November 13, 2014
By:  
/s/ RONALD J. JEANNEAULT



Name:  
Ronald J. Jeanneault



Title:  
Chief Executive Officer and President







By:  
/s/ DEBRA A. HESS



Name:  
Debra A. Hess



Title:  
Chief Financial Officer 



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