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NorthStar Healthcare Income, Inc. - Quarter Report: 2015 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, 2015

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, 156,699,755 shares outstanding as of November 10, 2015.
 





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 follow-on 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 raise capital in our follow-on continuous, public offering;
our ability to deploy capital quickly and successfully and achieve a diversified portfolio consistent with our target asset classes;
our dependence on the resources and personnel of our advisor, our sponsor and their affiliates, including our advisor’s ability to source and close on attractive investment opportunities on our behalf;
the performance of our advisor, our sponsor and their affiliates;
our liquidity and access to capital;
our use of leverage;
our ability to close on the recent commitments to acquire healthcare real estate investments 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 lack of a public trading market for our shares;
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 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 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;
changes in our business or investment strategy;
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;
the ability and willingness of our tenants, operators, managers and other third parties to satisfy their respective obligations to us, including in some cases their obligation to indemnify us from and against various claims and liabilities;
changes in the value of our portfolio;


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our ability to realize current and expected returns over the life of our investments;
any failure in our advisor’s and its affiliates’ due diligence to identify relevant facts during our underwriting process or otherwise;
illiquidity of properties or debt 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;
environmental compliance costs and liabilities;
whether we will realize the benefits of the long-term partnership between our sponsor and James F. Flaherty III, our Vice Chairman and potential conflicts that may arise in connection with his interest in American Healthcare Investors, LLC;
risks associated with our joint ventures and unconsolidated entities, including our lack of sole decision making authority and the financial condition of our joint venture partners;
increased rates of loss or default and decreased recovery on our investments;
the degree and nature of our competition;
the effectiveness of our risk and portfolio management systems;
failure to maintain effective internal controls and disclosure controls and procedures;
regulatory requirements with respect to our business and the healthcare industry generally, as well as the related cost of compliance;
the extent and timing of future healthcare reform and regulation, including changes in reimbursement policies, procedures and rates;
legislative and regulatory changes, including changes to laws governing the taxation of real estate investment trusts, or REITs, and changes to laws affecting non-traded REITs and alternative investments generally;
our ability to maintain our qualification as a REIT for federal income tax purposes and limitations imposed on our business by our status as a REIT;
the loss of our exemption from registration under the Investment Company Act of 1940, as amended;
availability of opportunities to acquire equity, debt and securities investments in the healthcare real estate sector;
general volatility in capital markets;
the adequacy of our cash reserves and working capital;
our ability to raise capital in light of certain regulatory changes, including amendments to Rules 2340 and 2310 of the Financial Industry Regulatory Authority, Inc. and the U.S. Department of Labor’s recent proposal on a fiduciary standard for retirement accounts; and
other risks associated with investing in our targeted investments, including changes in our industry, interest rates, the securities markets, the general economy or the capital markets and real estate markets specifically.
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, 2014 and in Part II, Item 1A of this Quarterly Report on Form 10-Q 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
(Dollars in Thousands)
 
September 30, 2015 (Unaudited)
 
December 31, 2014
Assets
 
 
 

Cash
$
257,416


$
267,672

Restricted cash
19,202


8,706

Operating real estate, net
838,206


259,409

Investments in unconsolidated ventures (refer to Note 4)
352,567

 
215,175

Real estate debt investments, net
202,549


146,267

Receivables, net
10,974


10,161

Deferred costs and intangible assets, net
50,994


2,974

Other assets
24,751


8,385

Total assets
$
1,756,659


$
918,749

 
 
 
 
Liabilities
 

 
 

Mortgage notes payable
$
579,750

 
$
76,000

Due to related party
748

 
755

Escrow deposits payable
4,225

 
2,385

Distribution payable
7,839

 
4,794

Accounts payable and accrued expenses
14,605

 
2,830

Other liabilities
3,010

 

Total liabilities
610,177


86,764

Commitments and contingencies


 


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, 2015 and December 31, 2014

 

Common stock, $0.01 par value, 400,000,000 shares authorized, 144,980,664 and 97,971,587 shares issued and outstanding as of September 30, 2015 and December 31, 2014, respectively
1,450

 
980

Additional paid-in capital
1,301,527

 
875,205

Retained earnings (accumulated deficit)
(161,968
)
 
(45,458
)
Total NorthStar Healthcare Income, Inc. stockholders’ equity
1,141,009


830,727

Non-controlling interests
5,473

 
1,258

Total equity
1,146,482


831,985

Total liabilities and equity
$
1,756,659


$
918,749











Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Dollars in Thousands, Except Per Share Data)
(Unaudited)
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2015
 
2014
 
2015
 
2014
Revenues
 
 
 
 
 
 
 
 
Resident fee income
 
$
23,111

 
$
3,862

 
$
39,091

 
$
10,591

Rental income
 
9,404

 
1,882

 
19,051

 
4,149

Interest income
 
5,466

 
2,579

 
12,675

 
3,847

Other revenue
 
1,131

 

 
1,131

 

Total revenues
 
39,112

 
8,323

 
71,948

 
18,587

Expenses
 
 
 
 
 
 
 
 
Real estate properties - operating expenses
 
16,378

 
2,988

 
27,864

 
7,946

Interest expense
 
6,377

 
776

 
11,455

 
2,186

Transaction costs
 
1,290

 
1,641

 
5,832

 
3,354

Asset management and other fees - related party
 
6,358

 
3,719

 
26,901

 
6,471

General and administrative expenses
 
6,267

 
1,043

 
13,368

 
2,570

Depreciation and amortization
 
10,332

 
1,052

 
16,714

 
2,644

Total expenses
 
47,002

 
11,219

 
102,134

 
25,171

Other income (loss)
 
 
 
 
 
 
 
 
Realized gain (loss), net
 
(786
)
 

 
(786
)
 

Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(8,676
)
 
(2,896
)
 
(30,972
)
 
(6,584
)
Equity in earnings (losses) of unconsolidated ventures
 
(20,594
)
 
204

 
(29,534
)
 
(93
)
Income tax benefit (expense)
 
4,125

 

 
4,678

 

Net income (loss)
 
(25,145
)
 
(2,692
)
 
(55,828
)
 
(6,677
)
Net (income) loss attributable to non-controlling interests
 
104

 
4

 
257

 
35

Net income (loss) attributable to NorthStar Healthcare Income, Inc. common stockholders
 
$
(25,041
)

$
(2,688
)
 
$
(55,571
)
 
$
(6,642
)
Net income (loss) per share of common stock, basic/diluted
 
$
(0.19
)
 
$
(0.06
)
 
$
(0.46
)
 
$
(0.23
)
Weighted average number of shares of common stock outstanding, basic/diluted
 
135,065,223

 
44,764,285

 
120,937,863

 
29,341,711

Distributions declared per share of common stock
 
$
0.17

 
$
0.17

 
$
0.50

 
$
0.50



















Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)
(Dollars in Thousands)
(Unaudited)
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2015
 
2014
 
2015
 
2014
Net income (loss)
 
$
(25,145
)
 
$
(2,692
)
 
$
(55,828
)
 
$
(6,677
)
Comprehensive income (loss)

(25,145
)

(2,692
)
 
(55,828
)
 
(6,677
)
Comprehensive (income) loss attributable to non-controlling interests
 
104

 
4

 
257

 
35

Comprehensive income (loss) attributable to NorthStar Healthcare Income, Inc.
 
$
(25,041
)
 
$
(2,688
)
 
$
(55,571
)
 
$
(6,642
)










































Refer to accompanying notes to consolidated financial statements.


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Table of Contents

NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF EQUITY
(Dollars and Shares in Thousands)
 
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, 2013
10,985

 
$
110

 
$
97,055

 
$
(3,872
)
 
$
93,293

 
$
202

 
$
93,495

Net proceeds from issuance of common stock
85,691

 
857

 
765,872

 

 
766,729

 

 
766,729

Issuance and amortization of equity-based compensation
8

 

 
60

 

 
60

 

 
60

Non-controlling interests - contributions

 

 

 

 

 
1,090

 
1,090

Shares redeemed for cash
(14
)
 

 
(142
)
 

 
(142
)
 

 
(142
)
Distributions declared

 

 

 
(26,641
)
 
(26,641
)
 

 
(26,641
)
Proceeds from distribution reinvestment plan
1,302

 
13

 
12,360

 

 
12,373

 

 
12,373

Net income (loss)

 

 

 
(14,945
)
 
(14,945
)
 
(34
)
 
(14,979
)
Balance as of December 31, 2014
97,972

 
$
980

 
$
875,205

 
$
(45,458
)
 
$
830,727

 
$
1,258

 
$
831,985

Net proceeds from issuance of common stock
43,857

 
439

 
395,986

 

 
396,425

 

 
396,425

Issuance and amortization of equity-based compensation
12

 

 
81

 

 
81

 

 
81

Non-controlling interests - contributions

 

 

 

 

 
4,472

 
4,472

Shares redeemed for cash
(206
)
 
(2
)
 
(2,011
)
 

 
(2,013
)
 

 
(2,013
)
Distributions declared

 

 

 
(60,939
)
 
(60,939
)
 

 
(60,939
)
Proceeds from distribution reinvestment plan
3,346

 
33

 
32,266

 

 
32,299

 

 
32,299

Net income (loss)

 

 

 
(55,571
)
 
(55,571
)
 
(257
)
 
(55,828
)
Balance as of September 30, 2015 (unaudited)
144,981


$
1,450


$
1,301,527


$
(161,968
)

$
1,141,009


$
5,473


$
1,146,482

























Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Dollars in Thousands)
(Unaudited)
 
Nine Months Ended September 30,
 
2015
 
2014
Cash flows from operating activities:
 
 
 
Net income (loss)
$
(55,828
)
 
$
(6,677
)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
 
 
 
Equity in (earnings) losses of unconsolidated ventures
29,534

 
93

Depreciation and amortization
16,714

 
2,644

Straight-line rental income
(2,488
)
 
(504
)
Amortization of premium/accretion of discount on investments
99

 
80

Amortization of deferred financing costs
1,135

 
425

Amortization of equity-based compensation
81

 
43

Deferred income tax benefit
(6,140
)
 

Realized (gain) loss, net
786

 

Distributions from unconsolidated ventures (refer to Note 4)
249

 

Changes in assets and liabilities:
 
 
 
Restricted cash
(2,735
)
 
(2,391
)
Receivables, net
(2,813
)
 
(1,245
)
Other assets
(213
)
 
(143
)
Due to related party
(748
)
 
3,508

Escrow deposits payable
2,108

 
1,070

Accounts payable and accrued expenses
8,256

 
1,476

Other liabilities
479

 

Net cash provided by (used in) operating activities
(11,524
)
 
(1,621
)
Cash flows from investing activities:
 
 
 
Acquisition of operating real estate investments
(587,413
)
 
(208,055
)
Improvement of operating real estate investments
(4,479
)
 
(889
)
Origination of real estate debt investments
(74,438
)
 
(20,023
)
Acquisition of real estate debt investments
188

 
(120,596
)
Repayment on real estate debt investments
17,868

 

Investment in unconsolidated ventures (refer to Note 4)
(184,730
)
 
(24,808
)
Distributions from unconsolidated ventures (refer to Note 4)
17,875

 
666

Deferred costs and intangible assets
(43,798
)
 

Change in restricted cash
(7,833
)
 
(1,952
)
Other assets
(5,396
)
 
940

Net cash provided by (used in) investing activities
(872,156
)
 
(374,717
)
Cash flows from financing activities:
 
 
 
Borrowing from mortgage notes
503,750

 
41,500

Repayment of mortgage notes

 
(143
)
Payment of deferred financing costs
(8,328
)
 
(1,665
)
Change in restricted cash
(196
)
 
(281
)
Net proceeds from issuance of common stock
398,740

 
387,126

Net proceeds from issuance of common stock, related party
2,594

 
620

Shares redeemed for cash
(2,013
)
 
(128
)
Distributions paid on common stock
(57,894
)
 
(12,397
)
Proceeds from distribution reinvestment plan
32,299

 
6,805

Contributions from non-controlling interests
4,472

 
1,013

Distributions to non-controlling interests

 
(15
)
Net cash provided by (used in) financing activities
873,424

 
422,435

 
 
 
 
Net increase (decrease) in cash
(10,256
)

46,097

Cash - beginning of period
267,672

 
45,537

Cash - end of period
$
257,416

 
$
91,634

 
 
 
 



Refer to accompanying notes to consolidated financial statements.


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NORTHSTAR HEALTHCARE INCOME, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)
(Dollars in Thousands)
(Unaudited)
 
Nine Months Ended September 30,
 
2015
 
2014
Supplemental disclosure of non-cash investing and financing activities:
 
 
 
Accrued cost of capital (refer to Note 7)
$
809

 
$
1,300

Subscriptions receivable, gross
3,818

 
3,710

Escrow deposits related to investments
208

 
71

Distribution payable
7,839

 
2,857

Conversion of real estate debt investment to investment in unconsolidated venture

 
5,386

Accrued capital expenditures
1,592

 

Other liabilities
2,532

 

Accrued acquisition fees - unconsolidated ventures
3,304

 








































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 to acquire, originate and asset manage a diversified portfolio of equity, debt and securities investments in healthcare real estate, directly or through joint ventures, with a focus on the mid-acuity senior housing sector, which the Company defines as assisted living (“ALF”), memory care (“MCF”), skilled nursing (“SNF”), independent living (“ILF”) facilities and continuing care retirement communities which may have independent living, assisted living, skilled nursing and memory care available on one campus (“CCRC”). The Company also invests in other healthcare property types, including medical office buildings (“MOB”), hospitals and rehabilitation facilities. The Company’s investments are predominantly in the United States, but it may also make international investments. The Company was formed in October 2010 as a Maryland corporation and commenced operations in February 2013. The Company elected to be taxed as a real estate investment trust (“REIT”) under the Internal Revenue Code of 1986, as amended (the “Internal Revenue Code”), 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’s equity investments are generally healthcare properties, which are either structured as net leases to healthcare operators or operated through management agreements with independent third-party operators, predominantly through the REIT Investment Diversification and Empowerment Act of 2007 (“RIDEA”) structures that permit the Company, through taxable REIT subsidiaries (“TRS”), to have direct exposure to resident fee income and incur related operating expenses. The Company’s debt investments generally consist of first mortgage loans and mezzanine loans.
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. (NYSE: NSAM) (the “Sponsor”). The Sponsor and its affiliates provide asset management and other services to the Company, NorthStar Realty, other sponsored public non-traded companies and any other companies the Sponsor and its affiliates 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 the Company’s 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 the Prior Advisor and NorthStar Healthcare Income OP Holdings, LLC (the “Special Unit Holder”), each an affiliate of the Sponsor. The Prior Advisor 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 was 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, 2015 and December 31, 2014. 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, 2015, the Company’s limited partnership interest in the Operating Partnership was 99.98%.
The Company’s charter authorizes the issuance of up to 400.0 million shares of common stock with a par value of $0.01 per share and up to 50.0 million 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.
The Company initially registered to offer up to 100.0 million shares pursuant to its primary offering to the public (the “Initial Primary Offering”) and up to 10.5 million shares pursuant to its distribution reinvestment plan (the “Initial DRP”), which are herein collectively referred to as the Initial Offering. In December 2014, the board of directors of the Company authorized the reallocation of 8.6 million shares available under the Initial DRP to the Initial Primary Offering. On February 2, 2015, the Company successfully completed its Initial Offering by raising $1.1 billion.
On February 6, 2015, the Company’s registration statement on Form S-11 was declared effective by the Securities and Exchange Commission (the “SEC”) for a follow-on public offering (the “Follow-on Offering”) of up to $700.0 million which includes up to $500.0 million in shares pursuant to its follow-on primary offering (the “Follow-on Primary Offering”) and up to


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

$200.0 million in shares pursuant to its follow-on distribution reinvestment plan (the “Follow-on DRP”). In November 2015, the Company’s board of directors authorized the reallocation of shares available to be offered pursuant to the Follow-on DRP to the Follow-on Primary Offering. The Company began raising capital from the Follow-on Offering at the end of February 2015.  As of November 10, 2015, 23.1 million shares remain available for sale pursuant to the Follow-on Offering, including shares offered pursuant to the Follow-on DRP that may be reallocated to the Follow-on Primary Offering. The Follow-on Primary Offering is expected to terminate on the date the maximum offering has been issued, which the Company currently expects to occur on or around December 31, 2015. However, the board of directors may determine to terminate the Follow-on Offering at any time.
The Initial Primary Offering and the Follow-on Primary Offering are collectively referred to as the Primary Offering and the Initial DRP and the Follow-on DRP are collectively referred to as the DRP. Additionally, the Primary Offering and the DRP are collectively referred to as the Offering.
The Company retained NorthStar 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.
On February 11, 2013, the Company commenced operations by satisfying the minimum offering requirement in its Initial Primary Offering as a result of NorthStar Realty purchasing 222,223 shares of common stock for $2.0 million. From inception through November 10, 2015, the Company raised total gross proceeds of $1.6 billion.
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, 2014, 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”) 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


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(Unaudited)

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, 2015, the Company identified one VIE related to its real estate equity investments. The VIE has a carrying value of $46.7 million as of September 30, 2015. The Company’s maximum exposure to loss as of September 30, 2015 would not exceed the carrying value of its investment in the VIE and its investment in a $75.0 million mezzanine loan to a subsidiary of the VIE. Based on management’s analysis, the Company determined that it does not currently or potentially hold a significant interest in this VIE and, therefore, is not the primary beneficiary. Accordingly, the VIE is not consolidated in the Company’s financial statements as of September 30, 2015. The Company did not provide financial support to its unconsolidated VIE during the nine months ended September 30, 2015. As of September 30, 2015, there were no explicit arrangements or implicit variable interests that could require the Company to provide financial support to its unconsolidated VIE.
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
A non-controlling, unconsolidated ownership interest in an entity 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. Equity method investments are recognized using a cost accumulation model in which the investment is recognized based on the cost to the investor, which includes acquisition fees. The Company records as an expense certain acquisition costs and fees associated with consolidated investments deemed to be business combinations and capitalizes these costs for investments deemed to be acquisitions of an asset, including an equity method investment.
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 an investment that does 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 comprehensive income (loss) 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 a preferred return and allocation formula, if any, as described in such governing documents.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)

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 other comprehensive income (loss) (“OCI”).
Restricted Cash
Restricted cash consists of amounts related to operating real estate (escrows for taxes, insurance, capital expenditures, tenant/operator security deposits, payments required under certain lease agreements) and loan origination (escrow deposits).
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, such as in-place leases and goodwill. 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 life of the assets. Construction costs incurred in connection with the Company’s investments are capitalized and included in operating real estate, net on the consolidated balance sheets. Construction in progress is not depreciated until the development is substantially completed. 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. The Company evaluates whether a real estate acquisition constitutes a business and whether business combination accounting is appropriate.
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.
Deferred Costs and Intangible Assets
Deferred Costs
Deferred costs include deferred financing costs and deferred lease costs. Deferred financing costs represent commitment fees, legal and other third-party costs associated with obtaining financing. These costs are amortized to interest expense over the term of the financing using either the effective interest method or straight-line method depending on the type of financing. Unamortized deferred financing costs are generally expensed when the associated borrowing is refinanced or repaid before maturity. Costs incurred in seeking financing transactions, which do not close, are expensed in the period such financing transaction was terminated. Deferred lease costs consist of fees incurred to initiate and renew operating leases, which are


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)

amortized on a straight-line basis over the remaining lease term and are recorded to depreciation and amortization in the consolidated statements of operations.
Identified Intangibles
The Company records acquired identified intangibles based on estimated fair value. In-place lease intangible assets are amortized into depreciation and amortization expense in the consolidated statements of operations on a straight-line basis over the remaining lease or resident agreement term.
Goodwill represents the excess of the purchase price over the fair value of net tangible and intangible assets acquired in a business combination and is not amortized. The Company performs an annual impairment test for goodwill and evaluates the recoverability whenever events or changes in circumstances indicate that the carrying value of goodwill may not be fully recoverable. In making such assessment, qualitative factors are used to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying value. If the estimated fair value of the reporting unit is less than its carrying value, then an impairment charge is recorded.
Identified intangible assets are recorded in deferred costs and intangible assets, net on the consolidated balance sheets.
The following table presents a summary of deferred costs and intangible assets as of September 30, 2015 and December 31, 2014 (dollars in thousands):
 
 
September 30, 2015 (Unaudited)
 
December 31, 2014
 
 
 
Deferred costs and intangible assets:
 
 
 
 
In-place lease value, net
 
$
26,279

 
$

Goodwill
 
14,672

 

Other intangible assets
 
380

 

Subtotal intangible assets
 
41,331

 

Deferred financing and other costs, net
 
9,663

 
2,974

Total
 
$
50,994

 
$
2,974

The Company recorded $5.4 million and $7.1 million of in-place lease amortization expense for the three and nine months ended September 30, 2015.
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 three and nine months ended September 30, 2015 and September 30, 2014, total acquisition fees and expenses did not exceed the allowed limit for any investment with the exception of the acquisition of an unconsolidated venture in July 2015, whereby the majority of the directors, including independent directors unanimously determined that such costs in excess of the allowed limit were commercially competitive, fair and reasonable to the Company. An acquisition fee incurred related to an equity investment will generally be expensed as incurred. An acquisition fee paid to the Advisor related to the acquisition of an equity or debt investment in an unconsolidated joint venture is included in investments in unconsolidated ventures on the consolidated balance sheets. 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. The Company records as an expense certain acquisition costs and fees associated with transactions deemed to be business combinations in which it consolidates the asset and capitalizes these costs for transactions deemed to be acquisitions of an asset, including an equity investment.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)

Other Assets and Other Liabilities
The following table presents a summary of other assets as of September 30, 2015 and December 31, 2014 (dollars in thousands):
 
 
September 30, 2015 (Unaudited)
 
December 31, 2014
 
 
 
Other assets:
 
 
 
 
Investment deposits and pending deal costs
 
$
9,593

 
$
6,721

Remainder interest in condominium units (1)
 
5,501

 

Deferred tax assets
 
7,555

 
1,415

Other
 
1,257

 
55

Prepaid expenses
 
845

 
194

Total
 
$
24,751

 
$
8,385

 
 
 
 
 
__________________________________________________________
(1)
Represents future interests in property subject to life estates (“Remainder Interest”).
Revenue Recognition
Operating Real Estate
Rental and escalation income from operating real estate is derived from leasing of space to various types of tenants and 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 rent recognized over the amount contractually due pursuant to the underlying leases is included in receivables on the consolidated balance sheets. Escalation income represents revenue from tenant/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 under a RIDEA structure. Revenue related to healthcare properties includes resident room and care charges and other resident service charges. Revenue is recognized when such services are provided, generally defined as the date upon which a resident occupies a room or uses the services and is recorded in resident fee income in the consolidated statements of operations.
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.
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, together with asset specific and other factors. To the extent


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)

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 a tenant/operator/resident receivable is established based on a periodic review of aged receivables resulting from estimated losses due to the inability of tenant/operator/resident to make required rent and other payments contractually due. Additionally, the Company establishes, on a current basis, an allowance for future tenant/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, 2015, the Company did not have any impaired real estate debt investments.
Investments in Unconsolidated Ventures
The Company reviews its investments in unconsolidated ventures for which the Company did not elect the fair value option on a quarterly basis, or more frequently as necessary, to assess whether there are any indicators that the value may be impaired or that its carrying value may not be recoverable. An investment is considered impaired if the projected net recoverable amount over the expected holding period is less than the carrying value. In conducting this review, the Company considers U.S. macroeconomic factors, including real estate sector conditions, together with asset specific and other factors. To the extent an impairment has occurred and is considered to be other than temporary, the loss is measured as the excess of the carrying value of the investment over the estimated fair value and recorded in provision for loss on equity investment in the consolidated statements of operations.
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


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(Unaudited)

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. As of September 30, 2015, the Company did not own any real estate securities.
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% of gross offering proceeds from the Primary Offering. The Advisor does not expect reimbursable organization and offering costs, including costs incurred in connection with the Follow-on Offering, to exceed $22.5 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.
Income Taxes
The Company elected to be taxed as a REIT and to comply with the related provisions of the Internal Revenue Code beginning in its taxable year ended December 31, 2013. Accordingly, the Company will generally not be subject to U.S. federal income tax to the extent of its distributions to stockholders as long as certain asset, income and share ownership tests are met. To maintain its qualification as a REIT, the Company must annually distribute at least 90% of its REIT taxable income to its stockholders and meet certain other requirements. The Company may also be subject to certain state, local and franchise taxes. Under certain circumstances, federal income and excise taxes may be due on its undistributed taxable income. If the Company were to fail to meet these requirements, it would be subject to U.S. federal income tax, which could have a material adverse impact on its results of operations and amounts available for distributions to its stockholders. The Company believes that all of the criteria to maintain the Company’s REIT qualification have been met for the applicable periods, but there can be no assurance that these criteria will continue to be met in subsequent periods.
The Company made a joint election to treat certain subsidiaries as TRS which may be subject to U.S. federal, state and local income taxes. In general, a TRS of the Company may perform non-customary services for tenants/operators/residents of the Company, hold assets that the Company cannot hold directly and may engage in any real estate or non-real estate-related business.
Current and deferred taxes are provided on the portion of earnings (losses) recognized by the Company with respect to its interest in the TRS. Deferred income tax assets and liabilities are calculated based on temporary differences between the Company’s U.S. GAAP consolidated financial statements and the federal and state income tax basis of assets and liabilities as of the consolidated balance sheet date. The Company evaluates the realizability of its deferred tax assets (e.g., net operating loss and capital loss carryforwards) and recognizes a valuation allowance if, based on the available evidence, it is more likely than not that some portion or all of its deferred tax assets will not be realized. When evaluating the realizability of its deferred tax assets, the Company considers estimates of expected future taxable income, existing and projected book/tax differences, tax planning strategies available and the general and industry specific economic outlook. This realizability analysis is inherently subjective, as it requires the Company to forecast its business and general economic environment in future periods. Changes in estimate of deferred tax asset realizability, if any, are included in provision for income tax benefit (expense) in the consolidated statements of operations.
The Company recorded a net income tax benefit of $4.1 million and an immaterial amount of expense for the three months ended September 30, 2015 and 2014, respectively. The Company recorded a net income tax benefit of $4.7 million and an immaterial amount of expense for the nine months ended September 30, 2015 and 2014, respectively.
Other
Refer to Note 2 of the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2014 for further disclosure of the Company’s significant accounting policies.
Recent Accounting Pronouncements
In May 2014, the Financial Accounting Standards Board (“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


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(Unaudited)

or services to customers.  The accounting standard update will replace most of the existing revenue recognition guidance currently promulgated by U.S. GAAP. In July 2015, the FASB decided to delay the effective date of the new revenue standard by one year.  The effective date of the new revenue standard for the Company will be January 1, 2018. The Company is in the process of evaluating the impact, if any, of the update on its consolidated financial position, results of operations and financial statement disclosures.
In February 2015, the FASB issued updated guidance that changes the rules regarding consolidation. The pronouncement eliminates specialized guidance for limited partnerships and similar legal entities and removes the indefinite deferral for certain investment funds. The new guidance is effective for annual periods and interim periods within those annual periods beginning after December 15, 2015, with early adoption permitted. The Company is currently assessing the impact of the guidance on the Company’s consolidated financial position, results of operations and financial statement disclosures.
In April 2015, the FASB issued an accounting update changing the presentation of financing costs in financial statements. Under the new guidance, an entity would present these costs in the balance sheet as a direct deduction from the related liability rather than as an asset.  Amortization of the costs would continue to be reported as interest expense.  The new guidance is effective for annual periods and interim periods beginning after December 15, 2015, with early adoption permitted. The Company is currently assessing the impact of the guidance on the Company’s consolidated financial position, results of operations and financial statement disclosures.
In September 2015, the FASB issued updated guidance that eliminates the requirement that an acquirer in a business combination account for measurement-period adjustments retrospectively.  Under the new guidance, an acquirer will recognize a measurement-period adjustment during the period in which it determines the amount of the adjustment. The new guidance is effective for annual periods and interim periods beginning after December 15, 2015, with early adoption permitted. The Company adopted this guidance in the third quarter 2015 and it did not have a material impact on the Company’s consolidated financial position, results of operations and financial statement disclosures.
3.
Operating Real Estate
The following table presents operating real estate, net as of September 30, 2015 and December 31, 2014 (dollars in thousands):
 
 
September 30, 2015 (Unaudited)
 
December 31, 2014
 
 
 
Land
 
$
140,735

 
$
20,035

Land improvements
 
8,118

 

Buildings and improvements
 
670,803

 
235,544

Construction in progress
 
6,243

 
1,320

Furniture and fixtures
 
26,359

 
6,927

Subtotal
 
852,258

 
263,826

Less: Accumulated depreciation
 
(14,052
)
 
(4,417
)
Operating real estate, net
 
$
838,206

 
$
259,409

Real Estate Acquisitions
The following table summarizes operating real estate acquisitions for the nine months ended September 30, 2015 (dollars in thousands):
Acquisition Date
 
Type
 
Portfolio
 
Amount (1)
 
Properties
 
Units
 
Location
 
Financing
 
Companys Equity
 
Ownership Interest
 
Transaction Costs
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
June 2015
 
RIDEA (2)
 
Watermark Fountains
 
$
381,294

 
10
 
2,375
 
Various
 
$
236,456

 
$
153,536

 
97.0
%
 
$
4,169

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
June 2015
 
Net Lease
 
Watermark Fountains
 
277,202

 
6
 
1,261
 
Various
 
173,544

 
88,691

 
100
%
 
195

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Grand Total
 
 
$
658,496

 
16
 
3,636
 
 
 
$
410,000

 
$
242,227

 
 
 
$
4,364

_________________________________________________
(1)
Includes initial net purchase price allocation related to net intangibles, deferred costs, other assets, if any, and may be adjusted for subsequent capital expenditures and upon completion of the final purchase price allocation.
(2)
The Company holds Remainder Interests in the Watermark Fountains condominium units, subject to life estates and refund liabilities, which are included in other assets and other liabilities, respectively, on the consolidated balance sheets. Includes one property in which the Company holds a Remainder Interest in 21 condominium units.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)

The following table presents the final allocation of the purchase price of the assets acquired and liabilities issued upon the closing of the Watermark Fountains in 2015 and the Arbors Portfolio in 2014 (dollars in thousands):
Assets:
 
 
Land and improvements
 
$
135,681

Buildings and improvements
 
547,879

Intangible assets (1)
 
48,385

Other assets (2)
 
28,328

Total assets acquired
 
$
760,273

Liabilities:
 
 
Mortgage notes payable
 
$
410,000

Other liabilities (3)
 
2,773

Total liabilities
 
412,773

Total NorthStar Healthcare Income, Inc. stockholders’ equity
 
343,619

Non-controlling interests
 
3,881

Total equity
 
347,500

Total liabilities and equity
 
$
760,273

_________________________________________________
(1)
Primarily includes in-place leases of $33.3 million and goodwill of $14.7 million. Goodwill was allocated entirely to the Company’s RIDEA acquisitions component within the real estate equity business segment.
(2)
Primarily includes furniture and fixtures and Remainder Interests in condominium units.
(3)
Includes refund liabilities related to the Remainder Interests in condominium units.
In accordance with the newly adopted guidance, during the measurement-period, the Company determined that certain allocations of operating real estate acquired needed to be reclassified to intangible assets, other assets and other liabilities, which resulted in an immaterial impact on the Company’s results of operations for the three and nine months ended September 30, 2015. The following table presents the effect of such purchase price reclassifications on the consolidated balance sheet as of September 30, 2015 (dollars in thousands):
 
As Previously Disclosed
 
Measurement-Period Adjustments
 
September 30, 2015
Operating real estate, net
$
693,980

 
$
(10,420
)
 
$
683,560

Deferred costs and intangible assets, net
38,680

 
9,705

 
48,385

Other assets (1)
27,315

 
1,013

 
28,328

Other liabilities (2)
(2,475
)
 
(298
)
 
(2,773
)
Total
$
757,500

 
$

 
$
757,500

_____________________________________________
(1)
Primarily includes furniture and fixtures and Remainder Interests in condominium units.
(2)
Includes refund liabilities related to the Remainder Interests in condominium units.
From acquisition in June 2015 through September 30, 2015, the Company recorded aggregate revenue and net loss attributable to the Company of $34.5 million and $6.2 million, respectively, related to the Watermark Fountains acquisition. Net loss is primarily related to transaction costs and depreciation and amortization.
The following presents unaudited consolidated pro forma results of operations based on the Company’s historical financial statements and adjusted for the acquisition of Watermark Fountains portfolio and related borrowings as if it occurred on January 1, 2014. The unaudited pro forma amounts were prepared for comparable purposes only and are not indicative of what actual consolidated 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 (dollars in thousands, except per share data):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2015
 
2014
 
2015
 
2014
Pro forma total revenues
$
39,112

 
$
33,080

 
$
111,610

 
$
92,859

Pro forma net income (loss) attributable to NorthStar Healthcare Income, Inc. common stockholders
(24,960
)
 
(6,845
)
 
(59,144
)
 
(19,112
)
Pro forma net income (loss) per share of common stock, basic/diluted
$
(0.18
)
 
$
(0.15
)
 
$
(0.52
)
 
$
(0.65
)


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

4.
Investments in Unconsolidated Ventures
The following is a description of the Company’s investments in unconsolidated ventures, all of which are accounted for under the equity method.  The Company evaluates whether disclosure of summarized financial statement information is required for any individually significant investment in unconsolidated ventures. The Company had five unconsolidated joint ventures as of September 30, 2015, of which three were significant.
Eclipse Joint Venture
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 44 ALFs and 36 SNFs, located primarily in Florida, Illinois, Oregon and Texas (“Eclipse”). The Company contributed $23.4 million for a 5.6% interest in the joint venture. As of September 30, 2015, the carrying value of the Company’s investment was $19.5 million, including $1.3 million of capitalized acquisition costs. For the three months ended September 30, 2015, the Company recognized in equity in earnings, operating income of $0.6 million, which excludes $0.5 million of depreciation and amortization expense and transaction costs. For the nine months ended September 30, 2015, the Company recognized in equity in earnings, operating income of $1.9 million, which excludes $1.4 million of depreciation and amortization expense and transaction costs. For the three months ended September 30, 2014, the Company recognized in equity in earnings, operating income of $0.6 million, which excludes $0.5 million of depreciation and amortization expense and transaction costs. For the nine months ended September 30, 2014, the Company recognized in equity in losses, operating income of $0.9 million, which excludes $1.1 million of depreciation and amortization expense and transaction costs.
Envoy Joint Venture
In June 2014, the Company made a subordinate interest investment of $5.0 million which was exchanged for an 11.4% limited partner interest in a joint venture, with affiliates of Formation Capital, LLC and Safanad Management Limited (“Envoy”) in September 2014. The joint venture owns a $145.0 million portfolio, subject to certain earn-out provisions, of 14 SNFs comprised of 1,658 beds and located in Virginia, Maryland and Pennsylvania. As of September 30, 2015, the carrying value of the Company’s investment was $5.5 million, including $0.4 million of capitalized acquisition costs. For the three months ended September 30, 2015, the Company recognized in equity in earnings, operating income of $0.3 million, which excludes $0.1 million of depreciation and amortization expense and transaction costs. For the nine months ended September 30, 2015, the Company recognized in equity in earnings, operating income of $0.8 million, which excludes $0.4 million of depreciation and amortization expense and transaction costs. For the three and nine months ended September 30, 2014, the Company recognized in equity in earnings, operating income of $0.1 million, respectively, which excludes an immaterial amount of depreciation and amortization expense and transaction costs.
Griffin-American Joint Venture
In December 2014, the Company, through a general partnership with NorthStar Realty (refer to Note 7), acquired an 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. In connection with the merger, the Company acquired a 14.3% interest in the joint venture for $187.2 million in cash, including a pro rata share of transaction costs. The Griffin-American portfolio includes 298 healthcare real estate properties located throughout the United States and in the United Kingdom, including 148 MOBs, 91 senior housing facilities, 45 SNFs and 14 hospitals.
As of September 30, 2015, the carrying value of the Company’s investment was $181.5 million, including $13.4 million of capitalized acquisition costs. For the three months ended September 30, 2015, the Company recognized in equity in losses, operating income of $2.7 million, which excludes $5.3 million of depreciation and amortization expense and transaction costs. For the nine months ended September 30, 2015, the Company recognized in equity in losses, operating income of $8.9 million, which excludes $16.5 million of depreciation and amortization expense and $0.6 million of transaction costs.
Winterfell Joint Venture
In May 2015, the Company, through general partnerships with NorthStar Realty (refer to Note 7), acquired an interest in an $875.0 million healthcare real estate portfolio comprised of 32 private pay ILF from affiliates of Harvest Facility Holdings LP (“Winterfell”). The facilities comprising the portfolio contain approximately 3,983 units and are located in 12 different states, with the largest concentrations in California, Texas and Washington. The Company contributed $98.7 million for a 40.0% interest in the joint venture. As of September 30, 2015, the carrying value of the Company’s investment was $99.4 million, including $8.0 million of capitalized acquisition costs. For the three months ended September 30, 2015, the Company


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

recognized in equity in losses, operating income of $1.9 million, which excludes $4.2 million of depreciation and amortization expense and transaction costs. From acquisition through September 30, 2015, the Company recognized in equity in losses, operating income of $3.1 million, which excludes $6.0 million of depreciation and amortization expense and $3.3 million of transaction costs.
Espresso Joint Venture
In July 2015, the Company, together with Formation Capital, LLC and Safanad Management Limited, through a joint venture (“Espresso”) acquired the U.S. based operations of Extendicare International Inc. (“Extendicare”), including 152 SNF and six ALF located across 12 states, with the largest concentrations in Indiana, Kentucky, Ohio, Michigan and Wisconsin, for a total cost of $1.1 billion. The Company invested $55.0 million in cash for a 36.7% interest in the joint venture. In addition, the Company originated a $75.0 million mezzanine loan, to a subsidiary of Espresso, which bears interest at a fixed rate of 10.0% per year and matures in January 2021.
As of September 30, 2015, the carrying value of the Company’s investment, excluding the originated $75.0 million mezzanine loan, was $46.7 million, including $7.7 million of capitalized acquisition costs. From acquisition through September 30, 2015, the Company recognized in equity in losses, operating income of $3.8 million, which excludes $2.0 million of depreciation and amortization expense and $17.8 million of transaction costs.
Summarized Financial Data
The combined balance sheets and statements of operations for the Griffin-American, Winterfell and Espresso unconsolidated ventures as of September 30, 2015 and for the three and nine months ended September 30, 2015 are as follows (dollars in thousands):
 
 
 
 
 
 
 
 
 
 
 
September 30, 2015
 
 
 
Three Months Ended September 30, 2015
 
Nine Months Ended September 30, 2015
Assets
 
 
 
 
 
 
 
 
Operating real estate, net
 
$
5,321,368

 
Total revenues
 
$
152,408

 
$
362,664

Other assets
 
947,411

 
 
 
 
 
 
Total assets
 
$
6,268,779

 
Real estate properties - operating expenses
 
57,825

 
141,249

 
 
 
 
Transaction costs
 
48,490

 
61,200

Liabilities and equity
 
 
 
Interest expense
 
58,125

 
140,447

Mortgage notes payable
 
$
4,458,908

 
Depreciation and amortization
 
53,028

 
135,826

Other liabilities
 
298,759

 
Total expenses
 
217,468

 
478,722

Equity
 
1,511,112

 
 
 
 
 
 
Total liabilities and equity
 
6,268,779

 
Net income (loss)
 
$
(65,060
)
 
$
(116,058
)
Net investment in unconsolidated ventures
 
$
327,606

 
Equity in earnings (losses) of unconsolidated ventures
 
$
(20,870
)
 
$
(30,478
)
5.
Real Estate Debt Investments
The following table presents debt investments as of September 30, 2015 (dollars in thousands):







 
 
 
 

Weighted Average

Floating
Rate as
% of
Principal
Amount
Asset Type:

Number

Principal
Amount

Carrying
Value
 
Allocation by Investment Type (1)
 
Fixed Rate

Spread
over
LIBOR
(2)

Total Unleveraged
Current
Yield

First mortgage loan (3)

1
 
$
14,637

 
$
14,637

 
7.2
%
 
%

8.3
%
 
8.4
%
 
100.0
%
Mezzanine loans

3
 
188,382

 
187,912

 
92.8
%
 
10.0
%
 
10.2
%
 
10.3
%
 
60.2
%
Total/Weighted Average
 
4
 
$
203,019

 
$
202,549


100.0
%
 
10.0
%
 
9.9
%
 
10.2
%
 
63.1
%
__________________________________________________________
(1)
Based on principal amount.
(2)
Includes a fixed minimum London Interbank Offered Rate (“LIBOR”) rate, as applicable.
(3)
Subject to a 0.3% minimum LIBOR rate (“LIBOR floor”).


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

During the nine months ended September 30, 2015, the Company originated one mezzanine loan with a principal amount of $75.0 million.
The following table presents debt investments as of December 31, 2014 (dollars in thousands):
 
 
 
 
 
 
 
 
 
 
Weighted Average
 
Floating
Rate as
% of
Principal
Amount
Asset Type:
 
Number
 
Principal
Amount
 
Carrying
Value
 
Allocation by Investment Type (1)
 
Spread
over
LIBOR
(2)
 
Total Unleveraged
Current
Yield
 
First mortgage loans (3)
 
2
 
$
25,887

 
$
25,887

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

 
120,380

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

 
$
146,267

 
100.0
%
 
9.8
%
 
10.0
%
 
100.0
%
__________________________________________________________
(1)
Based on principal amount.
(2)
Includes a fixed minimum LIBOR rate, as applicable.
(3)
As of December 31, 2014, all first mortgage loans were subject to a LIBOR floor with the weighted average of 0.6%.
The following table presents maturities of debt investments based on principal amount as of September 30, 2015 (dollars in thousands):
    
 
Initial
Maturity
 
Maturity
Including
Extensions (1)
October 1, to December 31, 2015
$

 
$

Years Ending December 31:
 
 
 
2016
113,382

 

2017
14,637

 

2018

 

2019

 
128,019

Thereafter
75,000

 
75,000

Total
$
203,019

 
$
203,019

____________________________________________________________
(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, 2015, the weighted average maturity, including extensions, of debt investments was 4.4 years.
Credit Quality Monitoring
Certain debt investments are 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 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, 2015, 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, 2015, three debt investments each contributed more than 10.0% of interest income.


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

6.
Borrowings
The following table presents borrowings as of September 30, 2015 and December 31, 2014 (dollars in thousands):
 
 
 
 
 
 
 
September 30, 2015
 
December 31, 2014
 
Recourse vs. Non-Recourse
 
Final
Maturity
 
Contractual
Interest Rate (1)
 
Principal
Amount
 
Carrying
Value
 
Principal
Amount
 
Carrying
Value
Mortgage notes payable
 
 
 
 
 
 
 
 
 
 
 
 
 
Peregrine Portfolio (2)
 
 
 
 
 
 
 
 
 
 
 
 
 
Various locations
Non-recourse
 
Dec-19
 
LIBOR + 3.50%
 
$
24,000

 
$
24,000

 
$
24,000

 
$
24,000

Watermark Aqua Portfolio
 
 
 
 
 
 
 
 
 
 
 
 
 
Denver, CO
Non-recourse
 
Feb-21
 
LIBOR + 2.92%
 
21,500

 
21,500

 
21,500

 
21,500

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

 
20,000

 
20,000

 
20,000

Milford, OH (3)
Non-recourse
 
Dec-18
 
LIBOR + 3.35%
 
10,500

 
10,500

 
10,500

 
10,500

Arbors Portfolio (4)
 
 
 
 
 
 
 
 
 
 
 
 
 
Various locations
Non-recourse
 
Feb-25
 
3.99%
 
93,750

 
93,750

 

 

Watermark Fountains Portfolio (5)
 
 
 
 
 
 
 
 
 
 
 
 
 
Various locations
Non-recourse
 
Jun-22
 
3.92%
 
410,000

 
410,000

 

 

Total
 
 
 
 
 
 
$
579,750

 
$
579,750

 
$
76,000

 
$
76,000

_____________________________________________________
(1)
Comprised of $41.5 million principal amount of floating rate borrowings at one-month LIBOR and $34.5 million principal amount of floating rate borrowings at three-month LIBOR, including $10.5 million subject to a LIBOR floor of 0.5%.
(2)
In December 2014, the Company entered into a mortgage note arrangement with a capacity of up to $30.0 million, subject to certain conditions, secured by four healthcare real estate properties. As of September 30, 2015, the Company borrowed $24.0 million of this commitment, of which $7.6 million was used to repay an existing mortgage note payable. The repayment resulted in a $0.2 million loss on extinguishment of the mortgage note payable due to the write-off of deferred financing costs. As of September 30, 2015, the operator of the Peregrine portfolio did not maintain certain minimum financial coverage ratios and the Company was required to fund $1.0 million into a lender controlled reserve, in addition to the $2.0 million previously funded. The reserve will be released to the Company once the portfolio can maintain a minimum debt yield of 10.5% for two consecutive quarters and a new operator is engaged by the Company.
(3)
The initial maturity of $10.5 million principal amount of a floating rate borrowing 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.
(4)
In January 2015, the Company entered into four mortgage notes payable with an aggregate amount of $93.8 million, secured by four healthcare real estate properties.
(5)
Comprised of $410.0 million principal amount of fixed rate borrowings, secured by 15 healthcare real estate properties.
The following table presents scheduled principal on borrowings based on fully extended maturity as of September 30, 2015 (dollars in thousands):
 
 
 
October 1 to December 31, 2015
 
$

Years Ending December 31:
 
 
2016
 
232

2017
 
3,516

2018
 
15,465

2019
 
33,032

Thereafter
 
527,505

Total
 
$
579,750

The Company is currently in compliance with all of its financial covenants.
Term Loan Facility
In November 2013, the Company, through the Operating Partnership, entered into a credit facility agreement with a national financial institution (the “Term Loan Facility”), to finance real estate investments and first mortgage loans secured by healthcare real estate. On September 28, 2015, the Company voluntarily terminated its Term Loan Facility, as the Company has been able to obtain attractive asset-level borrowings to finance its investments and no amounts were drawn under the Term


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

Loan Facility. As of the date of termination, the Company wrote-off $0.9 million of deferred financing costs and there were no borrowings outstanding under the Term Loan Facility.
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. In June 2015, the advisory agreement was renewed for an additional one-year term commencing on June 30, 2015 with terms identical to those in effect through June 30, 2015. 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, acquiring, originating and asset managing investments on behalf of the Company. The Advisor may delegate certain of its obligations to affiliated entities, which may be organized under the laws of the United States or foreign jurisdictions.  References to the Advisor include the Advisor and any such affiliated entities. 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 2.25% of each real estate property acquired by the Company, including acquisition costs 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) and 1.0% of the amount funded or allocated by the Company to acquire or originate debt investments, including acquisition costs and any financing attributable to such investments (or the proportionate share thereof in the case of an investment made through a joint venture). An acquisition fee incurred related to an equity investment will generally be expensed as incurred. An acquisition fee paid to the Advisor related to the acquisition of an equity or debt investment in an unconsolidated joint venture is included in investments in unconsolidated ventures on the consolidated balance sheets. 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.
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 of 2.0% of the contract sales price of each property sold and 1.0% of the contract sales price of each debt investment 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 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.


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

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. The Advisor allocates, in good faith, indirect costs to the Company related to the Advisor’s and its affiliates’ employees, occupancy and other general and administrative costs and expenses in accordance with the terms of, and subject to the limitations contained in, the advisory agreement with the Advisor. The indirect costs include the Company’s allocable share of the Advisor’s compensation and benefit costs associated with dedicated or partially dedicated personnel who spend all or a portion of their time managing the Company’s affairs, based upon the percentage of time devoted by such personnel to the Company’s affairs. The indirect costs also include rental and occupancy, technology, office supplies and other general and administrative costs and expenses. 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 Advisor allocates these costs to the Company relative to its and its affiliates’ other managed companies in good faith and has reviewed the allocation with the Company’s board of directors, including its independent directors. The Advisor will update the board of directors on a quarterly basis of any material changes to the expense allocation and will provide a detailed review to the board of directors, at least annually, and as otherwise requested by the board of directors. 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% of gross proceeds from the Primary Offering. The Advisor does not expect reimbursable organization and offering costs, including costs incurred in connection with the Follow-on Offering but excluding selling commissions and dealer manager fees, to exceed $22.5 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 a 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 typically reallowed to participating broker-dealers and paid to certain employees of the Dealer Manager. No selling commissions or dealer manager fees are paid for sales pursuant to the DRP.


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

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, 2015 and 2014 and the amount due to related party as of September 30, 2015 and December 31, 2014 (dollars in thousands):
 
 
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Due to Related Party as of
Type of Fee or Reimbursement
 
Financial Statement Location
 
2015
 
2014
 
2015
 
2014
 
September 30, 2015
 
December 31, 2014
Fees to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Asset management
 
Asset management and other fees-related party
 
$
6,211

 
$
870

 
$
12,570

 
$
1,724

 
$
(2
)
 
$
6

Acquisition (1)
 
Real estate debt investments, net / investments in unconsolidated ventures / asset management and other fees-related party
 
8,606

 
3,293

 
30,808

 
7,814

 
330

 
245

Disposition (1)
 
Real estate debt investments, net
 
113

 

 
113

 

 

 

Reimbursements to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating costs (2)
 
General and administrative expenses
 
6,204

 
998

 
12,913

 
2,045

 
(1
)
 
12

Organization
 
General and administrative expenses
 

 
16

 

 
279

 

 
2

Offering (2)
 
Cost of capital (3)
 
1,428

 
981

 
4,043

 
3,909

 
421

 
490

Selling commissions / Dealer manager fees
 
Cost of capital (3)
 
17,926

 
20,155

 
43,017

 
43,056

 

 

Total
 
 
 
 
 
 
 
 
 
 
 
$
748

 
$
755

____________________________________
(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. Acquisition fees related to investments in unconsolidated joint ventures are included in investments in unconsolidated ventures on the consolidated balance sheets. The Advisor may determine to defer fees or seek reimbursements.
(2)
As of September 30, 2015, the Advisor has incurred unreimbursed operating costs on behalf of the Company of $7.9 million, that remain eligible to allocate to the Company.
(3)
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 January 29, 2015, the board of directors of the Company approved an amended and restated distribution support agreement (the “Distribution Support Agreement”) extending the term until February 6, 2017. 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 during the Initial Offering and at $9.18 per share during the Follow-on Offering, 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, 2015, including the purchase of shares to satisfy the minimum offering requirement, NorthStar Realty purchased 588,116 shares of the Company’s common stock for $5.3 million with $4.7 million remaining outstanding under such commitment.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)

Investments in Joint Ventures
In May 2014, the Company, through a general partnership with NorthStar Realty, acquired a 5.6% 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.
In December 2014, the Company, through a general partnership with NorthStar Realty, acquired a 14.3% interest in the Griffin-American portfolio for $187.2 million in cash, including the Company’s pro rata share of transaction costs. The purchase was approved by the Company’s board of directors, including all of its independent directors.
In connection with the acquisition of the Griffin-American portfolio by NorthStar Realty and the Company, the Sponsor acquired a 43%, as adjusted, ownership interest in American Healthcare Investors LLC (“AHI”) and Mr. James F. Flaherty III, a strategic partner of the Sponsor and the Company’s Vice Chairman, acquired a 12.3% ownership interest in AHI.  AHI is a healthcare-focused real estate investment management firm that co-sponsored and advised Griffin-American, until Griffin-American was acquired by the Company and NorthStar Realty.  In connection with the Sponsor’s acquisition of an interest in AHI, AHI provides certain asset management and related services, including property management, to the Advisor, NorthStar Realty and the Company. Initially, AHI provides such services to the Company only with respect to its interest in the Griffin-American portfolio or in connection with certain joint acquisitions with NorthStar Realty and, following completion of the Offering and full investment of the Company’s proceeds, AHI may provide such services to a larger subset or all of the Company’s assets.  Consequently, AHI will assist the Advisor in managing the Griffin-American portfolio and other current and future healthcare assets owned by the Company and NorthStar Realty.
In May 2015, the Company, through general partnerships with NorthStar Realty, acquired a 40.0% interest in a $875.0 million Winterfell portfolio and contributed $98.7 million of cash for its interest in the investment, including the Company’s pro rata share of transaction costs.
Origination of Mezzanine Loan
In July 2015, the Company originated a $75.0 million mezzanine loan to a subsidiary of Espresso, which bears interest at a fixed rate of 10.0% per year and matures in January 2021.
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, 2015, the Company’s independent directors were granted a total of 41,765 shares of restricted common stock for an aggregate $420,000. The restricted stock granted prior to 2015 generally vests quarterly over four years and the restricted stock granted in 2015 generally vests quarterly over two 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 $33,330 and $16,847 for the three months ended September 30, 2015 and 2014, respectively, and $81,463 and $42,984 for the nine months ended September 30, 2015 and 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.


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

9.
Stockholders’ Equity
Common Stock from Primary Offering
For the nine months ended September 30, 2015, the Company issued 43.9 million shares of common stock generating gross proceeds of $443.5 million. For the year ended December 31, 2014, the Company issued 85.7 million shares of common stock generating gross proceeds of $854.9 million. From inception through September 30, 2015, the Company issued 140.5 million shares of common stock generating gross proceeds of $1.4 billion.
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 purchase price per share pursuant to the Initial DRP and the Follow-on DRP was $9.50 and $9.69, respectively. 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 Rules 2310 and 2340 of the Financial Industry Regulatory Authority, Inc., the Company expects to establish an estimated value per share by April 11, 2016, the effective date of the amended rules. No selling commissions or dealer manager fees are paid on shares issued pursuant to the DRP. Once established, the Company will disclose the per share estimated value in its annual report. 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, 2015, the Company issued 3.3 million shares of common stock totaling $32.3 million of gross offering proceeds pursuant to the DRP. For the year ended December 31, 2014, the Company issued 1.3 million shares of common stock totaling $12.4 million of gross offering proceeds pursuant to the DRP. From inception through September 30, 2015, the Company issued 4.7 million shares of common stock, generating gross offering proceeds of $45.0 million 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 annualized distribution amount of $0.675 per share of the Company’s 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.
The following table presents distributions declared for the nine months ended September 30, 2015 (dollars in thousands):

 
Distributions (1)
Period
 
Cash
 
DRP
 
Total
January
 
$
2,686

 
$
3,379

 
$
6,065

February
 
2,518

 
3,203

 
5,721

March
 
2,819

 
3,561

 
6,380

April
 
2,784

 
3,513

 
6,297

May
 
2,974

 
3,765

 
6,739

June
 
3,014

 
3,790

 
6,804

July
 
3,265

 
4,107

 
7,372

August
 
3,415

 
4,307

 
7,722

September
 
3,462

 
4,377

 
7,839

Total
 
$
26,937

 
$
34,002

 
$
60,939

_________________________________________________
(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


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

death or qualifying disability. 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 nine months ended September 30, 2015, the Company repurchased 206,432 shares of common stock for $2.0 million at an average price of $9.75 per share. For the year ended December 31, 2014, the Company repurchased 14,355 shares of common stock for a $0.1 million at an average price of $9.92 per share pursuant to the Share Repurchase Program. The Company funds repurchase requests received during a quarter with proceeds set aside for that purpose which are not expected to exceed proceeds received from its DRP. As of September 30, 2015, 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, 2015 and 2014 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 was a $0.1 million loss and an immaterial amount for the three months ended September 30, 2015 and 2014, respectively and a $0.3 million loss and an immaterial amount for the nine months ended September 30, 2015 and 2014, respectively.
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.
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.


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

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, 2015 and December 31, 2014 (dollars in thousands):
 
September 30, 2015
 
December 31, 2014
 
Principal
Amount
 
Carrying
Value
 
Fair
Value
 
Principal
Amount
 
Carrying
Value
 
Fair
Value
Financial assets: (1)
 
 
 
 
 
 
 
 
 
 
 
Real estate debt investments, net
$
203,019

 
$
202,549

 
$
223,792

 
$
145,887

 
$
146,267

 
$
153,001

Financial liabilities: (1)
 
 
 
 
 
 
 
 
 
 
 
Mortgage notes payable
$
579,750

 
$
579,750

 
$
555,902

 
$
76,000

 
$
76,000

 
$
75,293

_____________________________
(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.
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, directly or through joint ventures, with a focus on properties in the mid-acuity senior housing sector which the Company defines as ALF, MCF, SNF, ILF and CCRC. The Company’s equity investments may also include MOB, hospitals and rehabilitation facilities. The Company’s investments are predominantly in the United States, but it may also make international investments. The Company’s healthcare properties generally operate under net leases or through management agreements with independent third-party operators.
Real Estate Debt - Focused 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.


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

Healthcare-Related Securities - Focused on investing in and asset managing healthcare-related securities primarily consisting of commercial mortgage-backed securities and other securities backed primarily by loans secured by healthcare properties.
Corporate - The corporate segment includes corporate level asset management and other fees - 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. As of September 30, 2015, the Company did not own any real estate securities. For the nine months ended September 30, 2015, gross revenues from one of the Company’s operators, Watermark Retirement Communities, were 66% of the Company’s total revenues. 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 following tables present segment reporting for the three and nine months ended September 30, 2015 and 2014 (dollars in thousands):
Statement of Operations:
 
 
 
 
 
 
 
 
Three months ended September 30, 2015
 
Real Estate Equity
 
Real Estate Debt
 
Corporate (1)
 
Total
Rental and resident fee income
 
$
32,515

 
$

 
$

 
$
32,515

Interest income
 

 
5,466

 

 
5,466

Other revenue
 

 
1,131

 

 
1,131

Real estate properties - operating expenses
 
16,378

 

 

 
16,378

Interest expense
 
6,125

 

 
252

 
6,377

Transaction costs
 
1,290

 

 

 
1,290

Asset management and other fees - related party
 

 

 
6,358

 
6,358

General and administrative expenses
 
40

 
24

 
6,203

 
6,267

Depreciation and amortization
 
10,332

 

 

 
10,332

Realized gain (loss), net
 
158

 

 
(944
)
 
(786
)
Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(1,492
)

6,573


(13,757
)

(8,676
)
Equity in earnings (losses) of unconsolidated ventures
 
(20,594
)
 

 

 
(20,594
)
Income tax benefit (expense)
 
4,125

 

 

 
4,125

Net income (loss)
 
$
(17,961
)
 
$
6,573

 
$
(13,757
)
 
$
(25,145
)
Statement of Operations:
 
 
 
 
 
 
 
 
Three months ended September 30, 2014
 
Real Estate Equity
 
Real Estate Debt
 
Corporate(1)
 
Total
Rental and resident fee income
 
$
5,744

 
$

 
$

 
$
5,744

Interest income
 

 
2,619

 

 
2,619

Real estate properties - operating expenses
 
2,988

 

 

 
2,988

Interest expense
 
562

 

 
214

 
776

Transaction costs
 
1,616

 

 
25

 
1,641

Asset management and other fees - related party
 

 

 
3,719

 
3,719

General and administrative expenses
 
4

 

 
1,079

 
1,083

Depreciation and amortization
 
1,052

 

 

 
1,052

Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(478
)
 
2,619

 
(5,037
)
 
(2,896
)
Equity in earnings (losses) of unconsolidated ventures
 
204

 

 

 
204

Net income (loss)
 
$
(274
)
 
$
2,619

 
$
(5,037
)
 
$
(2,692
)


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

Statement of Operations:
 
 
 
 
 
 
 
 
Nine months ended September 30, 2015
 
Real Estate Equity
 
Real Estate Debt
 
Corporate (1)
 
Total
Rental and resident fee income
 
$
58,142

 
$

 
$

 
$
58,142

Interest income
 

 
12,675

 

 
12,675

Other revenue
 

 
1,131

 

 
1,131

Real estate properties - operating expenses
 
27,864

 

 

 
27,864

Interest expense
 
10,802

 

 
653

 
11,455

Transaction costs
 
5,832

 

 

 
5,832

Asset management and other fees - related party
 

 

 
26,901

 
26,901

General and administrative expenses
 
90

 
63

 
13,215

 
13,368

Depreciation and amortization
 
16,714

 

 

 
16,714

Realized gain (loss), net
 
158

 

 
(944
)
 
(786
)
Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(3,002
)
 
13,743

 
(41,713
)
 
(30,972
)
Equity in earnings (losses) of unconsolidated ventures
 
(29,534
)
 

 

 
(29,534
)
Income tax benefit (expense)
 
4,678

 

 

 
4,678

Net income (loss)
 
$
(27,858
)
 
$
13,743

 
$
(41,713
)
 
$
(55,828
)
Statement of Operations:
 
 
 
 
 
 
 
 
Nine months ended September 30, 2014
 
Real Estate Equity
 
Real Estate Debt
 
Corporate(1)
 
Total
Rental and resident fee income
 
$
14,740

 
$

 
$

 
$
14,740

Interest income
 

 
3,831

 

 
3,831

Real estate properties - operating expenses
 
7,946

 

 

 
7,946

Interest expense
 
1,692

 

 
494

 
2,186

Transaction costs
 
2,566

 

 
788

 
3,354

Asset management and other fees - related party
 

 

 
6,471

 
6,471

General and administrative expenses
 
4

 

 
2,550

 
2,554

Depreciation and amortization
 
2,644

 

 

 
2,644

Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(112
)
 
3,831

 
(10,303
)
 
(6,584
)
Equity in earnings (losses) of unconsolidated ventures
 
(93
)
 

 

 
(93
)
Net income (loss)
 
$
(205
)
 
$
3,831

 
$
(10,303
)
 
$
(6,677
)
_________________________________________________
(1)
Includes unallocated asset management fee-related party and general and administrative expenses.
The following table presents total assets by segment as of September 30, 2015 and December 31, 2014 (dollars in thousands):
Balance Sheets:
 
Real Estate
Equity
 
Real Estate
Debt
 
Corporate(1)
 
Total
September 30, 2015:
 
 
 
 
 
 
 
 
Total Assets
 
$
1,301,419

 
$
203,989

 
$
251,251

 
$
1,756,659

December 31, 2014:
 
 
 
 
 
 
 
 
Total Assets
 
$
489,711

 
$
147,419

 
$
281,619

 
$
918,749

_________________________________________________
(1)
Primarily includes unrestricted cash balances.




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

13.
Subsequent Events
Common Stock from Offering
For the period from October 1, 2015 through November 10, 2015, the Company issued 11.9 million shares of common stock representing gross proceeds of $120.8 million.
Distribution Reinvestment Plan
For the period from October 1, 2015 through November 10, 2015, the Company issued 0.9 million shares pursuant to the DRP representing gross proceeds of $9.2 million.
Distributions
On November 10, 2015, the board of directors of the Company approved a daily cash distribution of $0.001844262 per share of common stock for each of the three months ended March 31, 2016. 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, 2015 through November 10, 2015, the Company repurchased 200,112 shares for a total of $1.9 million or a weighted average price of $9.56 per share under the Share Repurchase Program that enables stockholders to sell their shares to the Company in certain circumstances, including death or a qualifying disability. The Company funds repurchase requests received during a quarter with proceeds set aside for that purpose which are not expected to exceed proceeds received from its DRP.
New Investments
Trilogy Joint Venture
On September 11, 2015, the Company and Griffin-American Healthcare REIT III, Inc. (“GAHR”), through a joint venture, in which they indirectly hold 30% and 70% ownership interests, respectively (the “Trilogy Joint Venture”), through a subsidiary of the Trilogy Joint Venture (the “Purchaser”) entered into an equity purchase agreement (the “Purchase Agreement”) with Trilogy Investors, LLC (“Trilogy LLC”), Trilogy Holdings, LP, Trilogy Holdings LLC, Trilogy Holdings Corporation, and other sellers identified therein. The Purchaser proposes to acquire approximately 96% of the outstanding equity interests of Trilogy LLC for a purchase price of $1.1 billion, subject to certain adjustments. Trilogy LLC’s management will retain approximately 4% of the ownership interest in Trilogy LLC. Trilogy LLC currently owns and/or operates 96 facilities, predominantly structured as senior housing facilities and SNF, with over 10,000 beds across Indiana, Ohio, Kentucky and Michigan, as well as certain ancillary services including institutional pharmacy and therapy businesses.
On September 11, 2015, the Company entered into (i) an equity commitment letter with the Purchaser pursuant to which the Company agreed to invest up to $194.1 million and (ii) a limited guarantee in favor of Trilogy LLC pursuant to which the Company agreed to guarantee 30% of the Purchaser’s obligations under the Purchase Agreement with respect to the termination fee and certain other reimbursement obligations relating to the acquisition; provided that the Company’s liability under the limited guarantee is limited to $13.5 million.
The Company and GAHR also entered into a senior secured revolving credit facility financing commitment letter pursuant to which KeyBank National Association, subject to certain terms and conditions specified therein, agreed to provide a $345.0 million revolving credit facility to certain subsidiaries of the Purchaser. In addition, the Purchaser expects to assume approximately $205.1 million of Trilogy LLC’s existing borrowings.
The closing of the acquisition is subject to customary conditions, including but not limited to the absence of any material adverse effect on Trilogy LLC since execution of the Purchase Agreement and receipt of certain governmental approvals, lenders and other third party consents. There can be no assurance that the Company will be able to close the acquisition on the agreed terms 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 to acquire, originate and asset manage a diversified portfolio of equity, debt and securities investments in healthcare real estate, directly or through joint ventures, 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, independent living, or ILF, facilities and continuing care retirement communities which may have independent living, assisted living, skilled nursing and memory care available on one campus, or CCRC. We also invest in other healthcare property types, including medical office buildings, or MOB, hospitals and rehabilitation facilities. Our investments are predominantly in the United States, but we may also make international investments. We were formed in October 2010 as a Maryland corporation and commenced operations in February 2013. We elected to be taxed as a real estate investment trust, or REIT, under the Internal Revenue Code of 1986, as amended, or the Internal Revenue Code, 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.
Our equity investments are generally healthcare properties, which are either structured as net leases to healthcare operators or operated through management agreements with independent third-party operators, predominantly through the REIT Investment Diversification and Empowerment Act of 2007, or RIDEA, structures that permit us, through taxable REIT subsidiaries, or TRS, to have direct exposure to resident fee income and incur related operating expenses. Our debt investments generally consist of first mortgage loans and mezzanine loans.
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. (NYSE: NSAM), or our Sponsor. Our Sponsor and its affiliates provide asset management and other services to us, NorthStar Realty, other sponsored public non-traded companies and any other companies our Sponsor and its affiliates may manage in the future, or collectively the NSAM Managed Companies, both in the United States and internationally. As of September 30, 2015, NSAM has an aggregate of $38.0 billion of assets under management, adjusted for commitments to acquire certain investments by NSAM and the NSAM Managed Companies. 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, directly or through joint ventures, with a focus on properties in the mid-acuity senior housing sector, which we define as ALF, MCF, SNF, ILF and CCRC. Our equity investments may also include MOB, hospitals and rehabilitation facilities. Our investments are predominantly in the United States, but we may also make international investments. Our healthcare properties generally operate under net leases or through management agreements with independent third-party operators.
Real Estate Debt - Our debt investment 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 other securities backed primarily by loans secured by healthcare properties.
We believe that our targeted investment types are complementary to each other due to 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 initially registered to offer up to 100.0 million shares pursuant to our primary offering to the public, or our Initial Primary Offering, and up to 10.5 million shares pursuant to our distribution reinvestment plan, or our Initial DRP, which are herein collectively referred to as our Initial Offering. In December 2014, our board of directors authorized the reallocation of 8.6


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million shares available under our Initial DRP to our Initial Primary Offering. On February 2, 2015, we successfully completed our Initial Offering by raising $1.1 billion.
On February 6, 2015, our registration statement on Form S-11 was declared effective by the Securities and Exchange Commission, or SEC, for a follow-on public offering, or our Follow-on Offering, of up to $700.0 million, which includes up to $500.0 million in shares pursuant to our follow-on primary offering, or our Follow-on Primary Offering, and up to $200.0 million in shares pursuant to our follow-on distribution reinvestment plan, or our Follow-on DRP. In November 2015, our board of directors authorized the reallocation of shares available to be offered pursuant to our Follow-on DRP to our Follow-on Primary Offering. We began raising capital from the Follow-on Offering at the end of February 2015.  As of November 10, 2015, 23.1 million shares remain available for sale pursuant to our Follow-on Offering, including shares offered pursuant to our Follow-on DRP that may be reallocated to our Follow-on Primary Offering. Our Follow-on Primary Offering is expected to terminate on the date our maximum offering has been issued, which we currently expect to occur on or around December 31, 2015. However, our board of directors may determine to terminate our Follow-on Offering at any time.
Our Initial Primary Offering and our Follow-on Primary Offering are collectively referred to as our Primary Offering and our Initial DRP and Follow-on DRP are collectively referred to as our DRP. Additionally, our Primary Offering and our DRP are collectively referred to as our Offering.
NorthStar 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, serves as the dealer manager for our Primary Offering.
On February 11, 2013, we commenced operations by satisfying our minimum offering requirement in our Initial Primary Offering as a result of NorthStar Realty purchasing 222,223 shares of common stock for $2.0 million. From inception through November 10, 2015, we raised total gross proceeds of $1.6 billion.
Our Investments
The following table presents our investments as of September 30, 2015, adjusted for a commitment to invest in Trilogy (refer to the below and Recent Developments) (dollars in thousands):
Investment Type:
 
Number of Properties
 
Amount (1) (2)
 
% of Total
Real estate equity (3)
 
 
 
 
 
 
Senior housing facilities (4)
 
207

 
$
1,506,997

 
53.0
%
SNF
 
293

 
697,215

 
24.5
%
MOB
 
148

 
315,237

 
11.1
%
Hospital
 
14

 
40,772

 
1.4
%
Ancillary (5)
 
NA

 
81,159

 
2.9
%
Total real estate equity
 
662

 
2,641,380

 
92.9
%
 
 
 
 
 
 
 
Real estate debt
 
 
 
 
 
 
First mortgage loans
 
 
 
14,637

 
0.5
%
Mezzanine loans
 
 
 
188,382

 
6.6
%
Total real estate debt
 
 
 
203,019

 
7.1
%
Total investments
 


 
$
2,844,399

 
100.0
%
____________________________________
(1)
Based on cost for real estate equity investments, which includes net purchase price allocation related to net intangibles, deferred costs, other assets, if any, and adjusted for subsequent capital expenditures. For real estate debt, based on principal amount.
(2)
Includes our proportionate interest in real estate held through joint ventures of $1.7 billion.
(3)
Classification based on predominant services provided, but may include other services. As of September 30, 2015, our real estate portfolio, including real estate held through joint ventures, was comprised of approximately 50,000 units/beds of which approximately 31,500 units were SNF and the remaining were senior housing units.
(4)
Includes ALF, MCF, ILF and CCRC.
(5)
Includes institutional pharmacy and therapy businesses and lease purchase buy-out options in connection with the Trilogy investment (refer to Recent Developments).
For financial information regarding our reportable segments, refer to Note 12. “Segment Reporting” in our accompanying consolidated financial statements included in Part I Item 1. “Financial Statements.”


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The following section describes the major asset classes in which we may invest and actively manage to maximize value and to protect capital.
Real Estate Equity
Overview
Our real estate equity investment strategy is focused on acquiring healthcare properties or interests in healthcare properties, directly or through joint ventures, with a focus on the mid-acuity senior housing sector, which we define as ALF, MCF, SNF, ILF and CCRC. We also invest in equity investments in other healthcare property types, including MOB, hospitals and rehabilitation facilities. Our investments are predominantly in the United States, but we may also make international investments.
Our equity investments are generally healthcare properties, which are either structured as net leases to healthcare operators or operated through management agreements with independent third-party operators. We also enter into RIDEA structures whereby 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. Our equity investments have the potential to appreciate in value and therefore may help overcome our upfront fees and expenses.
We believe that mid-acuity senior housing facilities may provide an opportunity to generate attractive risk-adjusted returns. Mid-acuity senior housing facilities generally provide the broadest level of services to residents in a cost-effective setting resulting in a longer length of stay for residents and less turnover in tenancy than in some other healthcare settings.
Our Portfolio
As of September 30, 2015, $2.6 billion, or 92.9% of our assets, was invested in healthcare real estate equity, adjusted for a commitment to invest in Trilogy. The following presents our real estate equity portfolio diversity across property type and geographic location based on cost:

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.



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The following table presents a summary of our real estate equity investments as of September 30, 2015, adjusted for a commitment to invest in Trilogy, (refer to Recent Developments) (dollars in thousands):
 
 
 
 
Properties (1)
 
 
 
 
Portfolio
 
Amount (2)
 
Senior Housing Facilities
 
MOB
 
SNF
 
Hospitals
 
Total
 
Primary
Locations
 
Ownership
Interest
Direct Investments (3)
Watermark Aqua
 
$
100,923

 
3
 
 
 
 
3
 
West/Southwest/Midwest
 
97.0%
Peregrine
 
36,498

 
4
 
 
 
 
4
 
Northeast/Southeast
 
100.0%
Kansas City
 
15,000

 
2
 
 
 
 
2
 
Midwest
 
100.0%
Arbors
 
125,130

 
4
 
 
 
 
4
 
Northeast
 
100.0%
Watermark Fountains (4)
 
658,496

 
16
 
 
 
 
16
 
Various
 
Various
Total Direct Investments
 
936,047

 
29
 
 
 
 
29
 
 
 
 
Joint Venture Investments (5)
Eclipse
 
59,816

 
44
 
 
36
 
 
80
 
Various
 
5.6%
Envoy
 
16,472

 
 
 
14
 
 
14
 
Mid - Atlantic/Northeast
 
11.4%
Griffin-American
 
605,670

 
91
 
148
 
45
 
14
 
298
 
Various
 
14.3%
Winterfell
 
357,974

 
32
 
 
 
 
32
 
Various
 
40.0%
Espresso
 
333,388

 
6
 
 
152
 
 
158
 
Various
 
36.7%
Trilogy (6)
 
332,013

 
5
 
 
46
 
 
51
 
Various
 
28.9%
Total Joint Venture Investments
 
1,705,333

 
178
 
148
 
293
 
14
 
633
 
 
 
 
Total
 
$
2,641,380


207

148

293

14

662



 
_______________________________________                
(1)
Classification based on predominant services provided, but may include other services.
(2)
Includes net purchase price allocation related to net intangibles, deferred costs, other assets, if any, and adjusted for subsequent capital expenditures.
(3)
The properties are 100% leased to four operators, with a 7.4 year weighted average remaining lease term.
(4)
Watermark Fountains portfolio consists of six wholly-owned properties and ten properties in which we own a 97% interest.
(5)
Represents our proportionate interest in real estate assets held through unconsolidated joint ventures.
(6)
Includes institutional pharmacy and therapy businesses and lease purchase buy-out options, which are not subject to property count.


As of September 30, 2015, our unconsolidated joint venture investments included the following, adjusted for a commitment to invest in Trilogy:
Eclipse Joint Venture, a 5.6% interest in a $1.1 billion portfolio.
Envoy Joint Venture, a 11.4% interest in a $145.0 million portfolio.
Griffin-American Joint Venture, a 14.3% interest in a $4.1 billion portfolio.
Winterfell Joint Venture, a 40.0% interest in a $875.0 million portfolio.
Espresso Joint Venture, a 36.7% interest in a $1.1 billion portfolio.
Trilogy Joint Venture, a 28.9% interest in a $1.2 billion portfolio (refer to Recent Developments).
Real Estate Debt
Overview
Our real estate debt investment strategy is focused on originating, acquiring and asset managing debt, secured by the same property types that we target for our real estate equity investments, 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 a 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.


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Our Portfolio
As of September 30, 2015, $203.0 million, or 7.1% of our assets, was invested in real estate debt secured by healthcare facilities, consisting of four loans with an average investment size of $50.8 million. The weighted average extended maturity of our real estate debt portfolio is 4.3 years.
The following table presents a summary of our debt investments as of September 30, 2015 (dollars in thousands):
 
 
 
 
 
 
 
 
 
 
 
 
Weighted Average
 
Floating Rate
as % of
Principal
Amount
Investment Type:
 
Number
 
Principal
Amount
 
Carrying
Value
 
Allocation by
Investment
Type (1)
 
Fixed
Rate
 
Spread
over
LIBOR (2)
 
Total Unleveraged
Current
Yield
 
First mortgage loan (3)
 
1
 
$
14,637

 
$
14,637

 
7.2
%
 
%
 
8.3
%
 
8.4
%
 
100.0
%
Mezzanine loans
 
3
 
188,382

 
187,912

 
92.8
%
 
10.0
%
 
10.2
%
 
10.3
%
 
60.2
%
Total/Weighted average
 
4
 
$
203,019

 
$
202,549

 
100.0
%
 
10.0
%
 
9.9
%
 
10.2
%
 
63.1
%
___________________________________________________
(1)
Based on principal amount.
(2)
Includes a fixed minimum LIBOR rate, or LIBOR floor, as applicable.
(3)
Subject to a 0.3% minimum LIBOR rate.
The following presents our real estate debt portfolio 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.
Healthcare-Related Securities
Our healthcare-related securities investment strategy may include investing primarily in 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. As of September 30, 2015, we did not own any securities investments.
Sources of Operating Revenues and Cash Flows
We generate revenues from resident fees, rental income and interest income. 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. Rental income is generated from our real estate for the leasing of space to various types of healthcare operators/tenants. Interest income is generated from our debt and healthcare-related securities investments. Additionally, we report our proportionate interest of revenues and expenses from joint ventures which own healthcare real estate.
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.


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Outlook and Recent Trends
The Great Recession, which lasted from December 2007 to June 2009, began with the bursting of an $8 trillion housing bubble and had a dramatic negative impact globally on properly functioning capital markets and liquidity across all asset classes and markets. 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 since then.
A proxy for the liquidity in the commercial real estate market is non-agency CMBS issuance. Approximately $80 billion and $88 billion of non-agency CMBS was issued in the United States in 2013 and 2014, respectively. For the nine months ended September 30, 2015, approximately $72 billion of new CMBS issuance occurred in the United States, with a current projection of $95 billion for 2015, slightly below the original projection of $100 billion for 2015.
We believe the U.S. economy is on a healthy growth path. However, there are concerns about low inflation in the United States, a stronger U.S. dollar, slow global growth and international market volatility. Many other global central banks are easing monetary conditions to combat their own problems with low inflation and slow growth.
Valuations in the commercial real estate markets have generally improved since bottoming out in 2009. Robust investor demand in 2014 for commercial real estate increased transaction activity and prices as rent and vacancy fundamentals improved across most property sectors and are forecasted to continue to improve throughout 2015 and into 2016. However, global economic and political headwinds remain. For instance, global market instability and the risk that maturing commercial real estate debt may have difficulties being refinanced, among other factors, 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 in the United States will mature through 2018. While there is an increased supply of liquidity and improved fundamentals 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.
Virtually all commercial real estate property types were adversely impacted by the credit crisis and subsequent recession, while some 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 a tenant’s/operator’s/resident’s/manager’s ability to make payments in accordance with the contractual terms and 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 sector experienced strong growth over recent years with approximately $16 billion of equity raised for programs in this space in 2014 alone. Capital raising in 2015 has remained strong, although it is down compared to 2014 due to a variety of factors including a lack of large liquidity events. For the remainder of 2015 and for 2016, we are actively monitoring a variety of trends in this industry including a number of regulatory changes like the implementation of Regulatory Notice 15-02 of the Financial Industry Regulatory Authority, Inc. and the U.S. Department of Labor’s recent proposal on a fiduciary standard for retirement accounts. Due to generally positive 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. These investment opportunities 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 of opportunities, 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 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 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


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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, and senior housing facilities, such as ALF, MCF, SNF and ILF, are generally more cost effective than higher acuity healthcare settings, such as short or long-term acute-care hospitals, in-patient rehabilitation facilities and other post-acute care settings. For example, 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. 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. Healthcare inflationary costs have outpaced U.S. based inflation by 1.4% in 2014 and by more than 3% through the end of May 2015.
Our skilled nursing facility operators and tenants typically receive a significant portion of their revenues from governmental payors, primarily Medicare and Medicaid. Changes in reimbursement rates and limits on the scope of services reimbursed to skilled nursing facilities could have a material impact on the operators’ liquidity and financial condition. On April 15, 2015, the Centers for Medicare & Medicaid Services released a proposed rule outlining a 1.4% increase in their Medicare reimbursement for fiscal year 2016 beginning on October 1, 2015. Further rules and regulatory changes, if implemented, that are being proposed by the government to improve quality of care and control healthcare spending, may increase operating costs to our operators and tenants as they will be required to participate in order to continue to access Medicare and Medicaid funding. In addition, the government is proposing further reimbursement changes via managed care and pooled funding in order to attempt to control cost and share reimbursement risk with healthcare providers. We periodically 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 tenants/operators to meet their payment obligations.
Our MOB properties typically contain physicians’ offices and may also include pharmacies, hospital ancillary service space and outpatient services such as diagnostic centers, rehabilitation clinics and day-surgery operating rooms. MOBs can be multi-tenant or single-tenant properties leased to healthcare providers (hospitals and physician practices).
Despite the growth in the industry and favorable market conditions and demographics, economic uncertainty may have a negative impact, weakening the market’s fundamentals and ultimately reducing a tenant’s/operator’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 have resulted in the sector becoming more attractive to investors. Supply and demand fundamentals resulting from compelling demographics, driven by need for healthcare services by an aging population and ongoing consolidation of the fragmented nature of healthcare real estate ownership, create attractive investment opportunities. 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 make investments in our targeted assets that we expect will generate attractive risk-adjusted returns, stable cash flow for distributions and provide downside protection to our stockholders. Some of our 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, generally require the borrower, operator or us to fund interest or other reserves, whether through loan proceeds or otherwise, to support debt service payments and capital expenditures. We, our borrower or owner, and possibly a guarantor, may be required 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 will continue to identify strategic development opportunities for our existing and future investments that may involve replacing, converting or renovating facilities in our portfolio which, in turn, would allow us to provide optimal mix of services and enhance the overall value of our assets. We believe that our Advisor and its affiliates have a platform that derives a potential competitive advantage from the combination of experience, proven track record of successfully managing public companies, deep industry relationships and 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 targeted investment types are complementary to each other due to 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 acquiring and originating healthcare real estate-related investments. We believe that mid-acuity senior housing facilities provide an opportunity to generate attractive risk-adjusted returns. Mid-acuity


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senior housing facilities generally provide the broadest level of services to residents in a more cost-effective setting resulting in a longer length of stay for residents and less turnover in tenancy than in some other healthcare settings.
We began raising capital in 2013 and completed our Initial Offering on February 2, 2015, after raising total gross proceeds of $1.1 billion and we are currently raising equity through our Follow-on Offering, which was declared effective by the SEC on February 6, 2015. From inception through November 10, 2015, we raised total gross proceeds of $1.6 billion.
The following table presents our investment activity in 2015 and from inception through September 30, 2015, adjusted for a commitment to invest in Trilogy, refer to the below and Recent Developments (dollars in thousands):
 
 
Nine Months Ended

From Inception through
 
 
September 30, 2015
 
September 30, 2015
Investment Type:
 
Amount (1) (2)
 
Amount (1) (2)
Real estate equity
 
$
1,689,538

 
$
2,641,380

Real estate debt
 
75,000

 
220,887

Total

$
1,764,538

 
$
2,862,267

__________________________________
(1)
Includes net purchase price allocation related to net intangibles, deferred costs, other assets, if any, and adjusted for subsequent capital expenditures.
(2)
Includes our proportionate interest in real estate held through joint ventures of $1.0 billion and $1.7 billion for the nine months ended and from inception through September 30, 2015, respectively.
Financing Strategy
We use asset-level financing as part of our investment strategy and we seek to match-fund our assets and liabilities by having similar lease terms or maturities and like-kind interest rate benchmarks (fixed or floating) to manage refinancing and interest rate risk and utilize non-recourse liabilities whenever possible. Our Advisor is responsible for managing such financing 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. We continue to seek and prefer long-term, non-recourse financing, including non mark-to-market financing that may be available through securitization. We may, as circumstances warrant, need to use some level of recourse financing.
In November 2013, we entered into a credit facility agreement, or our Term Loan Facility, to finance real estate investments and first mortgage loans secured by healthcare real estate. On September 28, 2015, we voluntarily terminated our Term Loan Facility, as we have been able to obtain attractive asset-level borrowings to finance our investments and no amounts were drawn under our Term Loan Facility. As of the date of termination, there were no borrowings outstanding under our Term Loan Facility.
Although we have a limitation on the maximum leverage for our portfolio, which approximates 75% of our assets (excluding indirect leverage held through our unconsolidated joint venture investments), other than intangibles, 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 also seek assignable financing when available. Once we have fully invested the proceeds of our Offering, we expect that our financing may approximate 50% of the cost of our investments, excluding indirect leverage held through our unconsolidated joint venture investments, although it may exceed this level during our organization and offering stage.
Borrowing levels for healthcare real estate investments may change depending upon the nature of the assets and the related financing. Our financing strategy for our real estate is typically to use long-term, non-recourse mortgage loans. Our financing strategy for our debt and securities investments is dependent on our ability to obtain match-funded borrowings at rates that provide a positive net spread, generally using credit facilities and securitization financing transactions.


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Portfolio Management
Our Advisor and its affiliates maintain a comprehensive portfolio management process that generally includes day-to-day oversight by the portfolio management, asset management and servicing teams, regular 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 or by asset type. For joint venture investments, we rely on our healthcare-focused joint venture partners to provide certain asset management, property management and/or other services in managing our joint investments. 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 issues that are not identified during these credit reviews. The portfolio management team, under the direction of the Investment Committee, uses many methods to actively manage our asset base to preserve our income, value 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/managers/tenants/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 the performance of our portfolio. 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 carrying value may not be recoverable. In conducting these reviews, we consider 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 a tenant/operator/resident receivable is established based on a periodic review of aged receivables resulting from estimated losses due to the inability of tenant/operator/resident to make required rent and other payments contractually due. Additionally, we establish, on a current basis, allowance for future operator/tenant credit losses on 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 acquisition or origination, the underlying property revenues may not be sufficient to support lease payments, debt service or generate positive net operating income. The business plan may necessitate a lease reserve or interest or other reserves, whether through proceeds from our loans, borrowings, offering proceeds or otherwise, to support lease payments or debt service and capital expenditures during the implementation of the business plan. There may also be a requirement for the borrower, tenant/operator, guarantor or us, to refill these reserves should they become deficient during the applicable period for any reason.
As of September 30, 2015, 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 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.


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Critical Accounting Policies
Principles of Consolidation
Our consolidated financial statements include the accounts of us, our operating partnership and our consolidated subsidiaries. We consolidate variable interest entities, or VIEs 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.
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
A non-controlling, unconsolidated ownership interest in an entity 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. Equity method investments are recognized using a cost accumulation model in which the investment is recognized based on the cost to the investor, which includes acquisition fees. We record as an expense certain acquisition costs and fees associated with consolidated investments deemed to be business combinations and capitalize these costs for investments deemed to be acquisitions of an asset, including an equity method investment.
We may account for an investment in an unconsolidated entity at fair value by electing the fair value option. We may account for an investment that does 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, such as in-place leases and goodwill. 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 life of the assets. Construction costs incurred in connection with our investments are capitalized and included in operating real estate, net on our consolidated balance sheets. Construction in progress is not depreciated until the development is substantially completed. Costs directly related to an acquisition deemed to be a business combination are expensed and included in transaction costs in our consolidated statements of operations. We evaluate whether a real estate acquisition constitutes a business and whether business combination accounting is appropriate.
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 from operating real estate is derived from leasing of space to various types of tenants and 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 rent recognized over the amount contractually due pursuant to the underlying leases is included in receivables on our consolidated balance sheets. Escalation income represents revenue from tenant/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 under a RIDEA structure. Revenue related to healthcare properties includes resident room and care charges and other resident service charges. Revenue is recognized when such services are provided, generally defined as the date upon which a resident occupies a room or uses the services and is recorded in resident fee income in the consolidated statements of operations.
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, together with 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 a tenant/operator/resident receivable is established based on a periodic review of aged receivables resulting from estimated losses due to the inability of tenant/operator/resident to make required rent and other payments contractually due. Additionally, we establish, on a current basis, an allowance for future tenant/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, 2015, we did not have any impaired real estate debt investments.
Investments in Unconsolidated Ventures
We review our investments in unconsolidated ventures for which we did not elect the fair value option on a quarterly basis, or more frequently as necessary, to assess whether there are any indicators that the value may be impaired or that its carrying value may not be recoverable. An investment is considered impaired if the projected net recoverable amount over the expected holding period is less than the carrying value. In conducting this review, we consider global macroeconomic factors, including real estate sector conditions, together with investment specific and other factors. To the extent an impairment has occurred and is considered to be other than temporary, the loss is measured as the excess of the carrying value of the investment over the estimated fair value and recorded in provision for loss on equity investment in our consolidated statements of operations.
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 our 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


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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. As of September 30, 2015, we did not own any real estate securities.
Recent Accounting Pronouncements
In May 2014, the Financial Accounting Standards Board, or 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.  The accounting standard update will replace most of the existing revenue recognition guidance currently promulgated by accounting principles generally accepted in the United States, or U.S. GAAP.  In July 2015, the FASB decided to delay the effective date of the new revenue standard by one year.  The effective date of the new revenue standard for us will be January 1, 2018. We are in the process of evaluating the impact, if any, of the update on our consolidated financial position, results of operations and financial statement disclosures.
In February 2015, the FASB issued updated guidance that changes the rules regarding consolidation. The pronouncement eliminates specialized guidance for limited partnerships and similar legal entities and removes the indefinite deferral for certain investment funds. The new guidance is effective for annual periods and interim periods within those annual periods beginning after December 15, 2015, with early adoption permitted. We are currently assessing the impact of the guidance on our consolidated financial position, results of operations and financial statement disclosures.
In April 2015, the FASB issued an accounting update changing the presentation of financing costs in financial statements. Under the new guidance, an entity would present these costs in the balance sheet as a direct deduction from the related liability rather than as an asset.  Amortization of the costs would continue to be reported as interest expense.  The new guidance is effective for annual periods and interim periods beginning after December 15, 2015, with early adoption permitted. We are currently assessing the impact of the guidance on our consolidated financial position, results of operations and financial statement disclosures.
In September 2015, the FASB issued updated guidance that eliminates the requirement that an acquirer in a business combination account for measurement-period adjustments retrospectively.  Under the new guidance, an acquirer will recognize a measurement-period adjustment during the period in which it determines the amount of the adjustment. The new guidance is effective for annual periods and interim periods beginning after December 15, 2015, with early adoption permitted. We adopted this guidance in the third quarter 2015 and it did not have a material impact on our consolidated financial position, results of operations and financial statement disclosures.


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Results of Operations
Comparison of the Three Months Ended September 30, 2015 to September 30, 2014 (dollars in thousands):
 
 
Three Months Ended September 30,
 
Increase (Decrease)
 
 
2015
 
2014
 
Amount

%
Revenues
 
 
 
 
 
 
 
 
Resident fee income
 
$
23,111

 
$
3,862

 
$
19,249

 
498.4
 %
Rental income
 
9,404

 
1,882

 
7,522

 
399.7
 %
Interest income
 
5,466

 
2,579

 
2,887

 
111.9
 %
Other revenue
 
1,131

 

 
1,131

 
N/A

Total revenues
 
39,112

 
8,323

 
30,789

 
369.9
 %

 
 
 
 
 
 
 
 
Expenses
 

 
 
 


 

Real estate properties - operating expenses
 
16,378

 
2,988

 
13,390

 
448.1
 %
Interest expense
 
6,377

 
776

 
5,601

 
721.8
 %
Transaction costs
 
1,290

 
1,641

 
(351
)
 
(21.4
)%
Asset management and other fees-related party
 
6,358

 
3,719

 
2,639

 
71.0
 %
General and administrative expenses
 
6,267

 
1,043

 
5,224

 
500.9
 %
Depreciation and amortization
 
10,332

 
1,052

 
9,280

 
882.1
 %
Total expenses
 
47,002

 
11,219

 
35,783

 
318.9
 %
Other income (loss)
 
 
 
 
 
 
 
 
Realized gain (loss), net
 
(786
)
 

 
(786
)
 
N/A

Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(8,676
)
 
(2,896
)
 
(5,780
)
 
199.6
 %
Equity in earnings (losses) of unconsolidated ventures
 
(20,594
)
 
204

 
(20,798
)
 
(10,195.1
)%
Income tax benefit (expense)
 
4,125

 

 
4,125

 
N/A

Net income (loss)
 
$
(25,145
)
 
$
(2,692
)
 
$
(22,453
)
 
834.1
 %
Revenues
Resident Fee Income
Resident fee income increase of $19.2 million was attributable to new RIDEA properties acquired at the end of the second quarter 2015.
Rental Income
Rental income increase of $7.5 million was attributable to new acquisitions in our real estate equity segment at the end of the second quarter 2015.
Interest Income
Interest income increase of $2.9 million was attributable to new investments in our real estate debt segment in the third quarter 2015 and 2014.
Other Revenue
Other revenue of $1.1 million was attributable to a commitment fee received related to a real estate debt investment that was not originated.
Expenses
Real Estate Properties - Operating Expenses
Real estate properties - operating expenses increase of $13.4 million was attributable to new RIDEA properties acquired at the end of the second quarter of 2015.


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Interest Expense
Interest expense increase of $5.6 million was primarily attributable to mortgage notes payable associated with new investments in our real estate equity segment at the end of the second quarter 2015.
Transaction Costs
Transaction costs primarily represented expenses such as professional fees associated with new real estate equity investments. Transaction costs decrease of $0.4 million was related to a higher level of acquisition activity in our real estate equity segment in the third quarter 2014.
Asset Management and Other Fees - Related Party
Asset management and other fees - for the three months ended September 30, 2015 was attributable to higher asset management fees. The increase of $2.6 million was due to an increase in investment activity subsequent to the third quarter 2014.
General and Administrative Expenses
General and administrative expenses are 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 $5.2 million was primarily attributable to increased operating costs due to heightened investment activity in 2015 compared to 2014.
Depreciation and Amortization
Depreciation and amortization expense increase of $9.3 million was primarily related to new acquisitions in our real estate equity segment at the end of the second quarter 2015.
Other Income (Loss)
Realized Gain (Loss)
Realized loss of $0.8 million related to the write-off of deferred financing costs due to the termination of our Term Loan Facility, which was partially offset by the gain on sale of two remainder interest units in our Watermark Fountains portfolio.
Equity in Earnings (Losses) of Unconsolidated Ventures and Income Tax Benefit (Expense)
Equity in Earnings (Losses) of Unconsolidated Ventures
Unconsolidated ventures incurred losses of $20.6 million related to new acquisitions in our real estate equity segment in 2015 due to certain transaction costs and fees incurred in connection with acquiring a joint venture investment in the current quarter. For the three months ended September 30, 2015, our unconsolidated ventures generated, operating income of $9.3 million, which excludes $29.9 million of depreciation and amortization expense and transaction costs.
Income Tax Benefit (Expense)
The income tax benefit for the three months ended September 30, 2015 represents a net benefit of $4.1 million related to our healthcare portfolio operating under management agreements through TRS. The income tax expense for the three months ended September 30, 2014 was an immaterial amount.


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Comparison of the Nine Months Ended September 30, 2015 to September 30, 2014 (dollars in thousands):
 
 
Nine Months Ended September 30,
 
Increase (Decrease)
 
 
2015
 
2014
 
Amount

%
Revenues
 
 
 
 
 
 
 
 
Resident fee income
 
$
39,091

 
$
10,591

 
$
28,500

 
269.1
%
Rental income
 
19,051

 
4,149

 
14,902

 
359.2
%
Interest income
 
12,675

 
3,847

 
8,828

 
229.5
%
Other revenue
 
1,131

 

 
1,131

 
N/A

Total revenues
 
71,948

 
18,587

 
53,361

 
287.1
%
 
 
 
 
 
 

 
 
Expenses
 
 
 
 
 
 
 
 
Real estate properties - operating expenses
 
27,864

 
7,946

 
19,918

 
250.7
%
Interest expense
 
11,455

 
2,186

 
9,269

 
424.0
%
Transaction costs
 
5,832

 
3,354

 
2,478

 
73.9
%
Asset management and other fees-related party
 
26,901

 
6,471

 
20,430

 
315.7
%
General and administrative expenses
 
13,368

 
2,570

 
10,798

 
420.2
%
Depreciation and amortization
 
16,714

 
2,644

 
14,070

 
532.1
%
Total expenses
 
102,134

 
25,171

 
76,963

 
305.8
%
Other income (loss)
 
 
 
 
 
 
 
 
Realized gain (loss), net
 
(786
)
 

 
(786
)
 
N/A

Income (loss) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense)
 
(30,972
)
 
(6,584
)
 
(24,388
)
 
370.4
%
Equity in earnings (losses) of unconsolidated ventures
 
(29,534
)
 
(93
)
 
(29,441
)
 
31,657.0
%
Income tax benefit (expense)
 
4,678

 

 
4,678

 
N/A

Net income (loss)
 
$
(55,828
)
 
$
(6,677
)
 
$
(49,151
)
 
736.1
%
Revenues
Resident Fee Income
Resident fee income increase of $28.5 million was attributable to new RIDEA properties acquired during the second quarter 2015 and a full three quarters of operations in 2015 of the RIDEA properties acquired in 2014.
Rental Income
Rental income increase of $14.9 million was attributable to new acquisitions in our real estate equity segment subsequent to the third quarter 2014.
Interest Income
Interest income increase of $8.8 million was attributable to new investments in our real estate debt segment subsequent to the third quarter 2014.
Other Revenue
Other revenue of $1.1 million was attributable to a commitment fee received related to a real estate debt investment that was not originated.
Expenses
Real Estate Properties - Operating Expenses
Real estate properties - operating expenses increase of $19.9 million was attributable to new RIDEA properties acquired during the second quarter 2015 and a full three quarters of operations in 2015 of the RIDEA properties acquired in 2014.


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Interest Expense
Interest expense increase of $9.3 million was primarily attributable to mortgage notes payable associated with new investments in our real estate equity segment subsequent to the third quarter 2014.
Transaction Costs
Transaction costs primarily represented expenses such as professional fees associated with new real estate equity investments. Transaction costs increase of $2.5 million was related to a higher level of acquisition activity in our real estate equity segment in 2015.
Asset Management and Other Fees - Related Party
Asset management and other fees - for the nine months ended September 30, 2015 was attributable to $14.3 million in acquisition fees and $12.6 million in asset management fees. The increase of $20.4 million was due to an increase in investment activity during the nine months ended 2015 as compared to the same period in 2014.
General and Administrative Expenses
General and administrative expenses are 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 $10.8 million was primarily attributable to increased operating costs due to heightened investment activity in 2015 compared to 2014.
Depreciation and Amortization
Depreciation and amortization expense increase of $14.1 million was primarily related to new acquisitions in our real estate equity segment subsequent to the third quarter 2014.
Other Income (Loss)
Realized Gain (Loss)
Realized loss of $0.8 million related to the write-off of deferred financing costs due to the termination of our Term Loan Facility, which was partially offset by the gain on sale of two remainder interest units in our Watermark Fountains portfolio.
Equity in Earnings (Losses) of Unconsolidated Ventures and Income Tax Benefit (Expense)
Equity in Earnings (Losses) of Unconsolidated Ventures
Unconsolidated ventures incurred losses of $29.5 million related to new acquisitions in our real estate equity segment in 2015 due to certain transaction costs and fees incurred in connection with acquiring joint venture investments for the nine months ended September 30, 2015. For the nine months ended September 30, 2015, our unconsolidated ventures generated operating income of $18.5 million, which excludes $48.0 million of depreciation and amortization expense and transaction costs.
Income Tax Benefit (Expense)
The income tax benefit for the nine months ended September 30, 2015 represents a net benefit of $4.7 million related to our healthcare portfolio operating under management agreements through TRS. The income tax expense for the nine months ended September 30, 2014 was an immaterial amount.
Liquidity and Capital Resources
We require capital to fund our investment activities, operating expenses and to make distributions. We obtain the capital required to acquire and manage our healthcare real estate portfolio and conduct our operations from the proceeds of our Offering and any future offerings we may conduct. We access additional capital from secured or unsecured financings from banks and other lenders and from any undistributed funds from our operations. As of November 10, 2015, we had $353.9 million of cash.
Offering
From inception through November 10, 2015, we raised total gross proceeds of $1.6 billion.
On February 6, 2015, our Registration Statement on Form S-11 was declared effective by the SEC for our Follow-on Offering, of up to $700.0 million, which includes up to $500.0 million in shares pursuant to our Follow-on Primary Offering and up to


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$200.0 million in shares pursuant to our Follow-on DRP. In November 2015, our board of directors authorized the reallocation of shares available to be offered pursuant to our Follow-on DRP to our Follow-on Primary Offering. We began raising capital from the Follow-on Offering at the end of February 2015.  As of November 10, 2015, 23.1 million shares remain available for sale pursuant to our Follow-on Offering, including shares offered pursuant to our Follow-on DRP that may be reallocated to our Follow-on Primary Offering. Our Follow-on Primary Offering is expected to terminate during the fourth quarter of 2015. However, our board of directors may determine to terminate our Follow-on Offering at any time.
While we raised substantial funds through our Offering, the number and size of investments we make and the value of an investment in us may 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.
Our charter limits us from incurring borrowings that would exceed 300% 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, excluding indirect leverage held through our unconsolidated joint venture investments, is 75% of our assets, other than intangibles, before deducting loan loss reserves, other non-cash reserves and depreciation. As of September 30, 2015, our leverage was 34.7% of total assets, as defined in our charter. Once we have fully invested the proceeds of our Offering, we expect that our financing may approximate 50% of the cost of our investments, excluding indirect leverage held through our unconsolidated joint venture investments, although it may exceed this level during our organization and offering stage.
In addition to making investments in accordance with our investment objectives, we use our capital resources to make certain payments to our Advisor, our Prior 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 Advisor, Prior Advisor or their affiliates, as applicable, for reimbursement of certain organization and offering costs. However, we will not 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% 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 acquisition or origination 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.
Term Loan Facility
In November 2013, we entered into our Term Loan Facility, to finance real estate investments and first mortgage loans secured by healthcare real estate. On September 28, 2015, we voluntarily terminated our Term Loan Facility, as we have been able to obtain attractive asset-level borrowings to finance our investments and no amounts were drawn under our Term Loan Facility. As of the date of termination, there were 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, 2015 and 2014 (dollars in thousands):
 
 
Nine Months Ended September 30,
Cash flow provided by (used in):
 
2015

2014
Operating activities
 
$
(11,524
)
 
$
(1,621
)
Investing activities
 
(872,156
)
 
(374,717
)
Financing activities
 
873,424

 
422,435

Net increase (decrease) in cash
 
$
(10,256
)

$
46,097

Nine Months Ended September 30, 2015 Compared to September 30, 2014
Net cash used in operating activities was $11.5 million for the nine months ended September 30, 2015 compared to $1.6 million for the nine months ended September 30, 2014. The increase in net cash used in operating activities was primarily related to an increase in fees paid to our Advisor for the management of our investments, an increase in general and administrative expenses due to an increase in operational activity, an increase in transaction costs and an increase in interest expense due to additional borrowings on mortgage notes, partially offset by an increase in net income generated from our real estate equity and debt investments.


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Net cash used in investing activities was $872.2 million for the nine months ended September 30, 2015 compared to $374.7 million for the nine months ended September 30, 2014. The increase in net cash used in investing activities is primarily related to real estate equity investments and investments in unconsolidated ventures made during 2015.
Net cash provided by financing activities was $873.4 million for the nine months ended September 30, 2015 compared to $422.4 million for the nine months ended September 30, 2014. The increase in net cash provided by financing activities is primarily related to new borrowings in connection with new acquisitions and net proceeds from the issuance of common stock through our Offering, partially offset by distributions paid on and redemption of our common stock and payment of deferred financing costs.
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. “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.
We also entered into a limited guarantee with a maximum liability of up to $13.5 million in connection with the pending Trilogy Joint Venture. Refer to Note 13.
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. In June 2015, our advisory agreement was renewed for an additional one-year term commencing on June 30, 2015 with terms identical to those in effect through June 30, 2015. 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, acquiring, originating and asset managing investments on our behalf. Our Advisor may delegate certain of its obligations to affiliated entities, which may be organized under the laws of the United States or foreign jurisdictions.  References to our Advisor include our Advisor and any such affiliated entities. 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 2.25% of each real estate property acquired by us, including acquisition costs 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) and 1.0% of the amount funded or allocated by us to acquire or originate debt investments, including acquisition costs and any financing attributable to such investments (or our proportionate share thereof in the case of an investment made through a joint venture). An acquisition fee incurred related to an equity investment will generally be expensed as incurred. An acquisition fee paid to our Advisor related to the acquisition of an equity or debt investment in an unconsolidated joint venture is included in investments in unconsolidated ventures on our consolidated balance sheets. 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.


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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 of 2.0% of the contract sales price of each property sold and 1.0% of the contract sales price of each debt investment 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. Our Advisor allocates, in good faith, indirect costs to us related to our Advisor’s and its affiliates’ employees, occupancy and other general and administrative costs and expenses in accordance with the terms of, and subject to the limitations contained in, the advisory agreement with our Advisor. The indirect costs include our allocable share of our Advisor’s compensation and benefit costs associated with dedicated or partially dedicated personnel who spend all or a portion of their time managing our affairs, based upon the percentage of time devoted by such personnel to our affairs. The indirect costs also include rental and occupancy, technology, office supplies and other general and administrative costs and expenses. 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. Our Advisor allocates these costs to us relative to its and its affiliates’ other managed companies in good faith and has reviewed the allocation with our board of directors, including our independent directors. Our Advisor will update our board of directors on a quarterly basis of any material changes to the expense allocation and will provide a detailed review to the board of directors, at least annually, and as otherwise requested by the board of directors. 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 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% of gross proceeds from our Primary Offering. Our Advisor does not expect reimbursable organization and offering costs, including costs incurred in connection with our Follow-on Offering but excluding selling commissions and dealer manager fees, to exceed $22.5 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 a 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 typically reallowed to participating broker-dealers and paid to certain employees of our Dealer Manager. No selling commissions or dealer manager fees are paid for sales pursuant to our DRP.


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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, 2015 and 2014 and the amount due to related party as of September 30, 2015 and December 31, 2014 (dollars in thousands):
 
 
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
Due to Related Party as of
Type of Fee or Reimbursement
 
Financial Statement Location
 
2015
 
2014
 
2015
 
2014
 
September 30, 2015
 
December 31, 2014
Fees to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Asset management
 
Asset management and other fees-related party
 
$
6,211

 
$
870

 
$
12,570

 
$
1,724

 
$
(2
)
 
$
6

Acquisition (1)
 
Real estate debt investments, net / investments in unconsolidated ventures / asset management and other fees-related party
 
8,606

 
3,293

 
30,808

 
7,814

 
330

 
245

Disposition (1)
 
Real estate debt investments, net
 
113

 

 
113

 

 

 

Reimbursements to Advisor
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating costs (2)
 
General and administrative expenses
 
6,204

 
998

 
12,913

 
2,045

 
(1
)
 
12

Organization
 
General and administrative expenses
 

 
16

 

 
279

 

 
2

Offering (2)
 
Cost of capital (3)
 
1,428

 
981

 
4,043

 
3,909

 
421

 
490

Selling commissions / Dealer manager fees
 
Cost of capital (3)
 
17,926

 
20,155

 
43,017

 
43,056

 

 

Total
 
 
 
 
 
 
 
 
 
 
 
$
748

 
$
755

_____________________________
(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. Acquisition fees related to investments in unconsolidated joint ventures are included in investments in unconsolidated ventures on our consolidated balance sheets. Our Advisor may determine to defer fees or seek reimbursements.
(2)
As of September 30, 2015, our Advisor has incurred unreimbursed operating costs on our behalf of $7.9 million, that remain eligible to allocate to us.
(3)
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 January 29, 2015, our board of directors approved an amended and restated distribution support agreement, or our Distribution Support Agreement, extending the term until February 6, 2017. 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 during our Initial Offering and at $9.18 per share during our Follow-on Offering, 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 requirement, which reduced the total commitment. As of September 30, 2015, including the purchase of shares to satisfy the minimum offering requirement, NorthStar Realty purchased 588,116 shares of our common stock for $5.3 million with $4.7 million remaining outstanding under such commitment.
Investments in Joint Ventures
In May 2014, we, through a general partnership with NorthStar Realty, acquired a 5.6% 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.
In December 2014, we, through a general partnership with NorthStar Realty, acquired a 14.3% interest in the Griffin-American portfolio for $187.2 million in cash, including our pro rata share of transaction costs. The purchase was approved by our board of directors, including all of our independent directors.
In connection with the acquisition of the Griffin-American portfolio by NorthStar Realty and us, our Sponsor acquired a 43%, as adjusted, ownership interest in American Healthcare Investors LLC, or AHI and Mr. James F. Flaherty III, a strategic partner of


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our Sponsor and our Vice Chairman, acquired a 12.3% ownership interest in AHI.  AHI is a healthcare-focused real estate investment management firm that co-sponsored and advised Griffin-American, until Griffin-American was acquired by us and NorthStar Realty.  In connection with our Sponsor’s acquisition of an interest in AHI, AHI provides certain asset management and related services, including property management, to our Advisor, NorthStar Realty and us. Initially, AHI provides such services to us only with respect to our interest in the Griffin-American portfolio or in connection with certain joint acquisitions with NorthStar Realty and, following completion of our Offering and full investment of our proceeds, AHI may provide such services to a larger subset or all of our assets.  Consequently, AHI will assist our Advisor in managing the Griffin-American portfolio and other current and future healthcare assets owned by us and NorthStar Realty.
In May 2015, we, through general partnerships with NorthStar Realty, acquired a 40.0% interest in a $875.0 million Winterfell portfolio and contributed $98.7 million of cash for our interest in the investment, including our pro rata share of transaction costs.
Origination of Mezzanine Loan
In July 2015, we originated a $75.0 million mezzanine loan to a subsidiary of our joint venture with Formation Capital, LLC and Safanad Management Limited which bears interest at a fixed rate of 10.0% per year and matures in January 2021.
Recent Developments
Common Stock from Offering
For the period from October 1, 2015 through November 10, 2015, we issued 11.9 million shares of common stock representing gross proceeds of $120.8 million.
Distribution Reinvestment Plan
For the period from October 1, 2015 through November 10, 2015, we issued 0.9 million shares pursuant to the DRP representing gross proceeds of $9.2 million.
Distributions
On November 10, 2015, our board of directors approved a daily cash distribution of $0.001844262 per share of common stock for each of the three months ended March 31, 2016. 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, 2015 through November 10, 2015, we repurchased 200,112 shares for a total of $1.9 million or a weighted average price of $9.56 per share under a share repurchase program, or our Share Repurchase Program, that enables stockholders to sell their shares to us in certain circumstances, including death or a qualifying disability. 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.
New Investments
Trilogy Joint Venture
On September 11, 2015, we and Griffin-American Healthcare REIT III, Inc., or GAHR, through a joint venture, in which we and GAHR indirectly hold 30% and 70% ownership interests, respectively, or Trilogy Joint Venture, through a subsidiary of the Trilogy Joint Venture, or the Purchaser entered into an equity purchase agreement, or our Purchase Agreement, with Trilogy Investors, LLC, or Trilogy LLC, Trilogy Holdings, LP, Trilogy Holdings LLC, Trilogy Holdings Corporation, and other sellers identified therein. The Purchaser proposes to acquire approximately 96% of the outstanding equity interests of Trilogy LLC for a purchase price of $1.1 billion, subject to certain adjustments. Trilogy LLC’s management will retain approximately 4% of the ownership interest in Trilogy LLC. Trilogy LLC currently owns and/or operates 96 facilities, predominantly structured as senior housing facilities and SNF, with over 10,000 beds across Indiana, Ohio, Kentucky and Michigan, as well as certain ancillary services including institutional pharmacy and therapy businesses.
On September 11, 2015, we entered into (i) an equity commitment letter with the Purchaser pursuant to which we agreed to invest up to $194.1 million and (ii) a limited guarantee in favor of Trilogy LLC pursuant to which we agreed to guarantee 30% of the Purchaser’s obligations under our Purchase Agreement with respect to the termination fee and certain other reimbursement obligations relating to the acquisition; provided that our liability under the limited guarantee is limited to $13.5 million.


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We and GAHR also entered into a senior secured revolving credit facility financing commitment letter pursuant to which KeyBank National Association, subject to certain terms and conditions specified therein, agreed to provide a $345.0 million revolving credit facility to certain subsidiaries of the Purchaser. In addition, the Purchaser expects to assume approximately $205.1 million of Trilogy LLC’s existing borrowings.
The closing of the acquisition is subject to customary conditions, including but not limited to the absence of any material adverse effect on Trilogy LLC since execution of the Purchase Agreement and receipt of certain governmental approvals, lenders and other third party consents. There can be no assurance that we will be able to close the acquisition on the agreed terms or at all.
Inflation
Some of our assets and liabilities are interest rate sensitive in nature. As a result, interest rates and other factors may influence our performance. 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 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) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense), both of which are performance measures under U.S. GAAP. We adjust MFFO for the amortization of acquisition fees in the period when such amortization is recognized under U.S. GAAP. 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) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense), 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 or investments. 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


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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) before equity in earnings (losses) of unconsolidated ventures and income tax benefit (expense) 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 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. We also adjust MFFO for deferred tax benefit or expense, as applicable, as such items are not indicative of 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.


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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. 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 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 debt 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.


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The following table presents a reconciliation of FFO and MFFO to net income (loss) attributable to common stockholders (dollars in thousands):
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
 
2015
 
2014
 
2015
 
2014
Funds from operations:
 
 
 
 
 
 
 
 
Net income (loss) attributable to NorthStar Healthcare Income, Inc. common stockholders
 
$
(25,041
)
 
$
(2,688
)
 
$
(55,571
)
 
$
(6,642
)
Adjustments:
 
 
 
 
 
 
 
 
Depreciation and amortization
 
10,332

 
1,052

 
16,714

 
2,644

Depreciation and amortization related to unconsolidated ventures
 
12,026

 
559

 
26,160

 
799

Depreciation and amortization related to non-controlling interests
 
(228
)
 
(15
)
 
(340
)
 
(45
)
Funds from operations
 
$
(2,911
)
 
$
(1,092
)
 
$
(13,037
)
 
$
(3,244
)
Modified funds from operations:
 
 
 
 
 
 
 
 
Funds from operations
 
$
(2,911
)
 
$
(1,092
)
 
$
(13,037
)
 
$
(3,244
)
Adjustments:
 
 
 
 
 
 
 
 
Acquisition fees and transaction costs
 
1,437

 
4,490

 
20,143

 
8,101

Straight-line rental (income) loss
 
(1,042
)
 
(259
)
 
(2,488
)
 
(504
)
Amortization of premiums, discounts and fees on investments and borrowings, net
 
510

 
239

 
1,258

 
656

Deferred tax (benefit) expense
 
(5,357
)
 

 
(6,140
)
 

Adjustments related to unconsolidated ventures
 
17,896

 
(93
)
 
24,211

 
348

Adjustments related to non-controlling interests
 
(6
)
 
(2
)
 
(134
)
 
(33
)
Realized gain (loss), net
 
786

 

 
786

 

Modified funds from operations
 
$
11,313

 
$
3,283

 
$
24,599

 
$
5,324

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, 2015, we paid an annualized distribution amount of $0.675 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.
The following table presents distributions declared for the nine months ended September 30, 2015 and for the year ended December 31, 2014 (dollars in thousands):
 
 
Nine Months Ended September 30, 2015
 
Year Ended December 31, 2014
Distributions (1)
 
 
 
 
 
 
   Cash
 
$
26,937

 
 
$
11,897

 
   DRP
 
34,002

 
 
14,744

 
Total
 
$
60,939

 
 
$
26,641

 
 
 
 
 
 
 
 
Sources of Distributions (1)
 
 
 
 
 
 
   FFO (2)
 
$

%
 
$

%
 
 
 
 
 
 
 
   Offering proceeds - Distribution support
 
2,614

4
%
 
629

2
%
   Offering proceeds - Other
 
58,325

96
%
 
26,012

98
%
Total
 
$
60,939

100
%
 
$
26,641

100
%
 
 
 
 
 
 
 
Cash Flow Provided by (Used in) Operations
 
$
(11,524
)
 
 
$
(1,920
)
 
_______________________________________________________
(1)
Represents distributions declared for such period, even though such distributions are actually paid to stockholders the month following such period.


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(2)
From inception of our first investment on April 5, 2013 through September 30, 2015, we declared $88.9 million in distributions. Cumulative FFO for the period from April 5, 2013 through September 30, 2015 was negative $22.8 million. We did not generate positive FFO to pay distributions for the nine months ended September 30, 2015 and the year ended December 31, 2014.
Distributions in excess of our cash flow provided by 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
We may be subject to interest rate changes as a result of long-term borrowings used to acquire real estate equity investments and may also be exposed to changes in net interest income of our real estate debt investments, which is the difference between the income earned and the interest expense incurred in connection with our borrowings and derivatives. As of September 30, 2015, 63.1% of our real estate debt investments were floating rate investments and 13.1% of our total borrowings were floating rate liabilities.
Our interest rate risk management objectives are to limit the impact of interest rate changes on earnings, prepayment penalties and cash flows and to lower overall borrowing costs by borrowing primarily at fixed rates or variable rates with the lowest margins available and by evaluating hedging opportunities.
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, 2015, some 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 income by $0.5 million annually.
A change in interest rates could affect the value of our fixed-rate debt investments. For instance, 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. As of September 30, 2015, we had one fixed-rate debt investments with a carrying value of $74.5 million.
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
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


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security deposit requirements or guarantees from entities we deem creditworthy. In addition, we actively monitor lease coverage at each facility within our healthcare portfolio. 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. For the nine months ended September 30, 2015, gross revenues from one of our operators, Watermark Retirement Communities, were 66% of total revenues.
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, 2015, three debt investments each contributed more than 10.0% of interest income.
Item 4. Controls and Procedures
Disclosure Controls and Procedures
As of the end of the period covered by this report, 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 the Company’s Chief Executive Officer and Chief Financial Officer of the effectiveness of the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act).
Based on this evaluation, the Company’s Chief Executive Officer and Chief Financial Officer concluded that, as of the end of the period covered by this report, the Company’s 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 the Company’s periodic reports.
Internal Control over Financial Reporting
Changes in Internal Control over Financial Reporting.
Except as set forth below, 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.
We acquired the Watermark Fountains portfolio in the second quarter of 2015. As this acquisition occurred in the second quarter of 2015, it is not included in the scope of our assessment of the effectiveness of certain controls and procedures. This exclusion is in accordance with the SEC’s general guidance that an assessment of a recently acquired business may be omitted from our scope in the year of acquisition.



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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.
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, 2014, as filed with the SEC on March 27, 2015, except as noted below.
If we continue to 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, our Advisor’s agreement to defer, reduce or waive fees (or accept, in lieu of cash, shares of our common stock) or sales of assets or we may make distributions in the form of taxable stock dividends. 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. Distributions declared may be paid using proceeds from our Offering, including the purchase of additional shares by our Sponsor. For the nine months ended September 30, 2015, we declared distributions of $60.9 million compared to cash used in operating activities of $11.5 million and $60.9 million, or 100%, of the distributions declared during this period were paid using proceeds from our Offering, including the purchase of additional shares by NorthStar Realty. For the year ended December 31, 2014, we declared distributions of $26.6 million compared to cash used in operations of $1.9 million.  All distributions declared during this period were paid using proceeds from our Offering, including the purchase of additional shares by NorthStar Realty.
Pursuant to our Distribution Support Agreement, in certain circumstances where our cash distributions exceed our MFFO, our Sponsor agreed to purchase up to $10.0 million of shares of our common stock at $9.00 per share during the Initial Offering and at $9.18 per share during the Follow-on Offering (which includes the $2.0 million of shares our Sponsor purchased by an affiliate of our Sponsor to satisfy the minimum offering amount) to provide additional cash to support distributions to stockholders and has, in fact, purchased 588,116 shares of our common stock as of September 30, 2015. 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 Initial Offering of up to 110,526,315 shares of common stock was declared effective under Securities Act of 1933, as amended, or the Securities Act. We completed our Initial Offering on February 2, 2015 and all of the shares initially registered were issued.
On February 6, 2015, our Registration Statement on Form S-11 (File No. 333-199125), covering our Follow-on Offering of up to $700.0 million which includes up to $500.0 million in shares pursuant to our Follow-on Primary Offering and up to $200.0 million in shares pursuant to our Follow-on DRP, was declared effective under the Securities Act. We are offering shares of common stock pursuant to our Follow-on Offering at $10.20 per share with discounts available to certain categories of purchasers and shares of common stock pursuant to our DRP at $9.69 per share.


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As of September 30, 2015, we issued the following shares of common stock and raised the following gross proceeds in connection with our Offering (dollars and shares in thousands):
 
Shares

Proceeds
Primary Offering
140,454

 
$
1,407,067

DRP
4,683

 
45,009

Total (1)
145,137

 
$
1,452,076

_________________________________________________
(1)
Our Initial Offering was completed on February 2, 2015.
For the period from the commencement of our Follow-on Offering through September 30, 2015, we issued 34.6 million shares of common stock generating total gross proceeds of $350.6 million pursuant to our Follow-on Offering, including 2.7 million shares of common stock and $26.2 million of gross proceeds pursuant to our Follow-on DRP.
From the commencement of our Offering through September 30, 2015, we incurred $95.2 million in selling commissions, $42.1 million in dealer manager fees and $10.1 million in other offering costs in connection with the issuance and distribution of our registered securities and $112.4 million of these costs have been reallowed to third parties.
From the commencement of our Offering through September 30, 2015, the net proceeds to us from our Offering, after deducting the total expenses incurred described above, were $1.3 billion. From the commencement of our Offering through September 30, 2015, we used proceeds of $731.8 million to purchase real estate equity investments, $219.4 million to acquire and originate real estate debt investments and $53.4 million to pay our Advisor acquisition fees.
Purchases of Equity Securities by the Issuer and Affiliated Purchasers
We adopted our Share Repurchase Program effective August 7, 2012, which enables 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 for less than one year in connection with a stockholder’s death or qualifying disability. 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. Our board of directors may, in its sole discretion, amend, suspend or terminate our Share Repurchase Program at any time provided that any amendment that adversely affects the rights or obligations of a participant (as determined in the sole discretion of our board of directors) will only take effect upon ten days’ prior written 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. Pursuant to amended FINRA Rules 2310 and 2340, we expect to establish an estimated value per share by April 11, 2016, the effective date of the amended rules, or the Valuation Date. For purposes of our Follow-on Offering, prior to the Valuation Date, unless the shares are being repurchased in connection with a stockholder’s death or qualifying disability, we will repurchase shares at a price equal to, or at a discount from, the purchase price paid for the shares being repurchased at varying prices based on the period such shares have been held. After the Valuation Date, unless the shares are being repurchased in connection with a stockholder’s death or qualifying disability, we will repurchase shares at 95% of the most recently determined estimated value per share; provided that at any time we are engaged in a primary offering of our shares, the repurchase price for our shares will not exceed the primary offering price.


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For the three months ended September 30, 2015, we repurchased shares of our common stock as follows:
Period
 
Total Number of Shares Purchased
 
Average Price Paid Per Share
 
Total Number of Shares Purchased as Part of Publicly Announced Plan or Program
 
Maximum Approximate Dollar Value of Shares that May Yet Be Purchased Under the Plan or Program
July 1 to July 31
 
88,861

 
$
9.78

 
88,861

 
(1) 
August 1 to August 31
 
 
 
 
(1) 
September 1 to September 30
 
 
 
 
(1) 
Total
 
88,861

 
$
9.78

 
88,861

 
 
________________________
(1)
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.
As of September 30, 2015, we had no unfulfilled repurchase requests.
Unregistered Sales of Equity Securities
During the three months ended September 30, 2015, we did not issue any equity securities that were not registered under the Securities Act. All prior sales of unregistered securities have been previously reported on quarterly reports on Form 10-Q and annual reports on Form 10-K.




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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
 
Joint Venture Governing Documents, each dated as of July 1, 2015, by and among FC Domino Investors, LLC, Domino MI6 Investors, LLC, Domino Holdings NT-HCI, LLC, FC Domino General Partner, LLC, SSCIP VI Splitter, LP, SSCIP VI SLP, LLC, FC SLP VI, LLC, Formation Capital Asset Management III, LLC and Safanad SSCIP VI Management, LLC, as applicable (filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on July 8, 2015 and incorporated herein by reference)
10.2
 
Equity Purchase Agreement, dated as of September 11, 2015, by and among Trilogy Investors, LLC, Trilogy Holdings LP, Trilogy Holdings LLC, Trilogy Holdings Corporation, the sellers identified therein and Trilogy Real Estate Investment Trust (filed as Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on September 15, 2015 and incorporated herein by reference)
10.3
 
Limited Liability Company Agreement of Trilogy REIT Holdings, LLC, dated as of September 11, 2015,
 by and between GACH3 Trilogy JV, LLC and Trilogy Holdings NT-HCI, LLC (filed as Exhibit 10.2 to the Company’s Current Report on Form 8-K filed on September 15, 2015 and incorporated herein by reference)
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, 2015, formatted in XBRL (eXtensible Business Reporting Language): (i) Consolidated Balance Sheets as of September 30, 2015 (unaudited) and December 31, 2014; (ii) Consolidated Statements of Operations (unaudited) for the three and nine months ended September 30, 2015 and 2014; (iii) Consolidated Statements of Comprehensive Income (Loss) (unaudited) for the three and nine months ended September 30, 2015 and 2014; (iv) Consolidated Statements of Equity for the nine months ended September 30, 2015 (unaudited) and the year ended December 31, 2014; (v) Consolidated Statements of Cash Flows (unaudited) for the nine months ended September 30, 2015 and 2014; and (vi) Notes to Consolidated Financial Statements (unaudited)
______________________________________________________
*
Filed herewith


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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. 
 
 
NorthStar Healthcare Income, Inc.
 
Date:
November 12, 2015
By:  
/s/ RONALD J. JEANNEAULT
 
 
 
Name:  
Ronald J. Jeanneault
 
 
 
Title:  
Chief Executive Officer and President
 
 
 
 
 
 
 
By:  
/s/ FRANK V. SARACINO
 
 
 
Name:  
Frank V. Saracino
 
 
 
Title:  
Chief Financial Officer and Treasurer





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